A 56-year-old man of First Nations ancestry lives in a remote northern community. He has type 2 diabetes, poorly controlled hypertension, and limited ...

Question

A 56-year-old man of First Nations ancestry lives in a remote northern community. He has type 2 diabetes, poorly controlled hypertension, and limited access to fresh food. His HbA1c is 9.0%. According to Diabetes Canada and Indigenous health principles, what is the most appropriate initial approach?

Accepted Answer

Engage in a collaborative care plan that includes intensifying pharmacotherapy and addressing social determinants such as food insecurity, with culturally safe communication

Answer

Increase medication doses without discussion of social context

Answer

Advise him that non-adherence is the sole cause of his high HbA1c

Answer

Discharge him back to community without follow-up because resources are limited

Answer

Transfer him permanently to an urban centre for diabetes care

ca-mccqe1 MCQ (SBA): Type 2 diabetes in Indigenous patient