Question: A pregnant client with a glycosylated hemoglobin (HbA1c) level of 12% asks the nurse what this level indicates. The nurse would provide which explanation? "You have been consuming inadequate calories and carbohydrates." "You must be started on insulin; your glucose levels are out of control." "You have had poor glucose control during the last 4-8 weeks." "You have been maintaining your glucose levels well during past 24 hours."