Which finding in the medical record indicates a client has good control of type 1 diabetes mellitus?

Choice A reason: Being free of amputations indicates no severe complications but does not directly measure glycemic control in type 1 diabetes. Amputations result from long-term complications like neuropathy or vascular disease, not immediate blood sugar levels, making this choice less specific. Choice B reason: Hemoglobin A1C of 5.4% reflects average blood glucose levels over 2–3 months, with 5.4% indicating excellent control (target <7% for type 1 diabetes). It directly measures glycemic management, crucial for preventing complications, making this the correct indicator of good control. Choice C reason: A fasting blood sugar of 200 mg/dL is high (target 80–130 mg/dL), indicating poor glycemic control. Elevated levels suggest inadequate insulin management, increasing complication risks, making this choice incorrect for good control of type 1 diabetes. Choice D reason: Blood pressure of 150/90 mmHg is hypertensive but does not directly indicate glycemic control in type 1 diabetes. While hypertension is a complication risk, it is not a primary measure of diabetes management, making this choice incorrect.