The Nurse Is Caring for a Hospitalized Client with Diabetes

The nurse is caring for a hospitalized client with diabetes who states to the nurse, "I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up." Which response by the nurse is appropriate?

A) "It is probably just coincidental that your blood sugars are high when you are ill."
B) "Stressors such as illness cause the release of hormones that increase blood sugar."
C) "Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times."
D) "Your diet is different here in the hospital than at home and that is the most likely cause of the increased glucose level."