The regulation of type 1 diabetes in an 8 year old is best attained with a combination of therapeutic modalities in addition to the administration of insulin. Which modalities would the nurse include in the teaching plan? Select all that apply.

A. Regular exercise is correct. Physical activity helps regulate blood glucose levels, improves cardiovascular health, and contributes to overall well-being in children with type 1 diabetes. Exercise routines should be tailored and coordinated with insulin and meal plans to prevent hypoglycemia. B. Signs of hypoglycemia is correct. Teaching the child and family to recognize early signs of low blood glucose, such as sweating, shakiness, irritability, or dizziness, is essential for prompt intervention and safety. C. Blood glucose monitoring is correct. Regular monitoring allows for timely adjustments in insulin dosing, diet, and activity, helping maintain glucose levels within the target range. D. Use of oral hypoglycemic agents is incorrect. Type 1 diabetes is characterized by absolute insulin deficiency, so oral agents (used for type 2 diabetes) are not effective. Insulin therapy is the primary treatment. E. Dietary control is correct. Coordinating meals, carbohydrate counting, and snacks with insulin administration helps maintain stable glucose levels and prevents both hypo- and hyperglycemia. F. Urine testing for ketones is correct. Monitoring for ketones, especially during illness or hyperglycemia, is important to detect early signs of diabetic ketoacidosis (DKA), a life-threatening complication of type 1 diabetes.