Question

A 50-year-old Métis woman with poorly controlled type 2 diabetes (A1C 9.2%) lives 3 hours from the nearest endocrinologist. She missed several appointments because of cost and childcare. What is the most appropriate health-advocacy action by her family physician?

Accepted Answer

Arrange virtual specialist consultation and connect her with community support services for transportation and childcare

Answer

Note non-compliance and discharge her from the practice

Answer

Insist she travel regardless of cost as specialist care is essential

Answer

Delay diabetes intensification until she can attend in-person endocrinology

Answer

Switch her to insulin without any specialist input or education

Practice question

A 50-year-old Métis woman with poorly controlled type 2 diabetes (A1C 9.2%) lives 3 hours from the nearest endocrinologist. She missed several appointments because of cost and childcare. What is the most appropriate health-advocacy action by her family physician?