The Nurse Comes to the Cardiac Patient's Room to Administer

The nurse comes to the cardiac patient's room to administer subcutaneous insulin.The patient says,"I have always taken pills for my diabetes.Am I getting worse?" What should the nurse consider when formulating a response to this question? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A) Some cardiac diseases cause oral antidiabetic medications to be less effective.
B) The stress of illness makes it difficult to control glucose with oral medications.
C) The changes associated with hospitalization make it difficult to control glucose with oral medications.
D) The patient will likely need to take insulin to control glucose even after release from the hospital.
E) Once discharged the patient can use urine dipstick measurements to guide insulin therapy.