The nurse is preparing to discharge an 11 year old patient newly diagnosed with type 1 diabetes. Which of the following statements by the parents indicate that they are safe for discharge? Select ALL that apply

Rationale: A. We will make sure that we have enough metformin when we go on vacation: Metformin is an oral antidiabetic medication used for type 2 diabetes, not type 1. A child with type 1 diabetes will require insulin for glucose control. B. We may have to check blood sugars more frequently when he is sick: Illness can raise blood glucose levels due to stress hormones, so more frequent monitoring helps guide insulin adjustments and prevent complications like diabetic ketoacidosis (DKA). C. We should rotate insulin injection sites frequently to reduce scar tissue forming: Repeated injections in the same location can cause lipodystrophy (scar tissue or fat changes) which can impair insulin absorption. Rotating sites helps maintain consistent medication effectiveness. D. We will check glucose levels once he starts to eat: Glucose monitoring for type 1 diabetes is often done before meals, not just after eating. Pre-meal checks guide insulin dosing and help maintain better blood glucose control. E. We will always need to check ketones when his blood sugar is above 100: This is incorrect because ketone testing is not needed at such a low blood sugar threshold. Ketone testing is typically done when glucose levels are above 240 mg/dL or if the child is ill, to monitor for DKA risk.