An adult female client with type 1 diabetes mellitus is receiving NPH insulin 35 units each morning. Which finding should the practical nurse (PN) document as evidence that the amount of insulin is inadequate?

States her feet are constantly cold along with feeling numb.

Consecutive evening serum glucose greater than 260 mg/dL.

A wound on the ankle that starts to drain and becomes painful.

Reports nausea in the morning but still able to eat breakfast.