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

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

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

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

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