A 45-Year-Old Lady Visits the Doctor for a Check-Up on Her

A 45-year-old lady visits the doctor for a check-up on her type 2 diabetes mellitus. The current glycated hemoglobin level is 9%. The patient was just diagnosed with diabetes and was put on metformin twice daily. When the doctor inquires about her medicine, she responds, "I use it most of the time, but it's easy to forget when I'm feeling well." Which of the following statements is most acceptable to start a conversation regarding this patient's medication nonadherence?

A) "If you're not more consistent with your medication, we may have to switch to insulin injections."
B) "It's very important that you take your medication regularly, even when you feel fine."
C) "Taking medications daily can be difficult, especially on days you feel well."
D) "Uncontrolled diabetes can result in many dangerous medical complications."
E) "You seem to have difficulty understanding the risks of untreated diabetes, so let's discuss them."