A 38-year-old Cree woman living in a rural community presents with poorly controlled type 2 diabetes (HbA1c 9.0%) and limited access to fresh fruit an...

Question

A 38-year-old Cree woman living in a rural community presents with poorly controlled type 2 diabetes (HbA1c 9.0%) and limited access to fresh fruit and vegetables. She works irregular shifts and cares for extended family. Which intervention best reflects the Health Advocate CanMEDS role in addressing social determinants of health?

Accepted Answer

Work with local community programmes to connect her to culturally appropriate diabetes education and subsidies for healthy food

Answer

Provide a generic diet sheet without considering local food access

Answer

Advise her to "try harder" with lifestyle changes

Answer

Focus only on medication intensification and ignore social context

Answer

Discharge from the practice due to non-adherence

ca-mccqe1 MCQ (SBA): Social determinants and diabetes in Indigenous communities