The parents of a child with pre-diabetes report to the practical nurse (PN) that the child wants to join a soccer team. What action is best for the PN to implement?

Reassure the parents that increased physical activity reduces the risk for diabetes.

Suggest a less strenuous activity to reduce the risk for dehydration.

Recommend an increase in caloric intake to avoid excessive weight loss.

Instruct the family about the need to adjust the insulin dose before exercise.