A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

Rationale: A. My skin will be warm and moist: Hypoglycemia typically causes cool, clammy skin due to sympathetic nervous system activation. Warm, moist skin is more often associated with hyperglycemia or fever, not low blood glucose. B. My appetite will be decreased: Hypoglycemia usually triggers increased hunger rather than decreased appetite. The body attempts to restore glucose levels by stimulating food intake as part of the counter-regulatory response. C. I will be more thirsty than usual: Excessive thirst, or polydipsia, is a classic manifestation of hyperglycemia rather than hypoglycemia. It results from osmotic diuresis caused by elevated blood glucose levels. D. I will feel shaky: Shakiness or tremors are hallmark symptoms of hypoglycemia, caused by activation of the adrenergic nervous system in response to low blood glucose. This makes it one of the earliest warning signs clients should recognize.