A 29-year-old woman with type 2 diabetes (HbA1c 9.2%) and obesity lives in a northern First Nations community with limited access to fresh food and sa...

Question

A 29-year-old woman with type 2 diabetes (HbA1c 9.2%) and obesity lives in a northern First Nations community with limited access to fresh food and safe exercise spaces. She has early microalbuminuria. In addition to optimising pharmacotherapy, which action best reflects the CanMEDS Health Advocate role and the CFPC Indigenous Health guidance?

Accepted Answer

Advocating with local leadership for improved access to healthy foods and culturally safe diabetes programmes

Answer

Focusing solely on medication adherence without addressing social determinants

Answer

Advising her to relocate to an urban centre to access care

Answer

Telling her diabetes is entirely her personal responsibility

Answer

Avoiding discussion of cultural or community context to prevent offence

ca-mccqe1 MCQ (SBA): Type 2 diabetes in Indigenous community and Health Advocate role