Which statement indicates that a client needs additional teaching about insulin?

The statement indicating a need for additional teaching about insulin is the one referring to the signs of hypoglycemia as including hunger and thirst. While hunger is indeed a common symptom of hypoglycemia, thirst is not typically associated with low blood sugar. Instead, the more typical signs of hypoglycemia include symptoms such as sweating, shaking, irritability, confusion, and weakness, all of which result from the body’s response to low glucose levels.

Recognizing the correct signs of hypoglycemia is crucial for effective management of insulin therapy and glycemic control. Clients need to be able to identify these signs promptly to take appropriate action, which usually involves consuming fast-acting carbohydrates to quickly elevate blood sugar levels. In contrast, the other statements reflect appropriate understandings related to insulin and diabetes management, demonstrating proper knowledge of when to contact healthcare providers, effective management of low blood sugar, and setting realistic goals for HbA1c levels.