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

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

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

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

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