A pt states that he has a goal of getting his A1C to below 7% by the end of the year. He worries that having is high as it is now (7.9%) puts him at risk for complications. You notice his weight has been increasing. He admits that with his new job, he has not had time to work out at the gym and has been snacking a lot, due to stress. Which of the following actions would be a BEST next step with this pt?
A. Discuss the increased risks of having an A1C above 7%
B. Ask open-ended questions that may help the pt identify some short-term goals that will help lower his A1C
C. Lay out a daily schedule for the pt that facilitates his return to exercising, which will be sufficient to lower bg w/o increasing his medication
D. Explore why he eats when stressed and suggest some stress reduction exercises that he can do at work