A nurse is caring for a client who has type 2 diabetes mellitus and reports blurred vision, numbness in feet and has had a wound on the right leg for the last 2 months. The clinic nurse notes that the client's Hemoglobin A1C is 8.19%. Which of the following should the nurse include in the client's plan of care?

"The symptoms you are experiencing, along with the elevated Hemoglobin A1C. mean that you'll have to start taking insulin,"

"The symptoms you are experiencing, along with the elevated Hemoglobin A1C. mean that your blood sugar level has had too many highs and lows."

"The symptoms you are experiencing, along with the elevated Hemoglobin A1C. mean that you have been exercising too much."

"The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that your blood sugar level has been too high."