A 22-year-old primigravida with diabetes expresses her understanding of managing her condition during pregnancy. Which comment indicates a need for further instruction?

The comment indicating a need for further instruction is the statement about urine testing being the best indication of blood sugar control. This understanding is incorrect because while urine testing can provide some insight into glucose levels, it is not a reliable or comprehensive method for monitoring blood sugar, particularly in someone with diabetes during pregnancy.

Blood glucose monitoring requires accurate and timely measurements to effectively manage the condition and prevent complications. The most effective way to gauge blood sugar levels is through daily blood glucose testing using a glucometer, which provides real-time feedback on blood sugar levels and allows for immediate adjustments in diet, insulin, or other management strategies if necessary.

The other comments reflect an appropriate understanding of diabetes management during pregnancy: regularly monitoring blood sugar levels, emphasizing dietary control to maintain optimal health, and recognizing symptoms associated with high blood sugar are all critical components of effective diabetes management for pregnant individuals.