Question

A 46-year-old First Nations woman living on-reserve has poorly controlled type 2 diabetes (HbA1c 9.5 percent) and expresses frustration with previous experiences of racism in healthcare settings. She often misses appointments. What is the most appropriate initial approach to improve her diabetes care?

Accepted Answer

Acknowledge her experiences, explore barriers, and collaborate on a culturally safe, community-based diabetes care plan that includes Indigenous health workers where possible.

Answer

Emphasise that poor control is due solely to her lack of adherence and tell her she must attend more appointments.

Answer

Switch immediately to an intensive insulin regimen without further discussion.

Answer

Discharge her from the practice for repeated non-attendance.

Answer

Provide only written information sheets without discussion.

Practice question