A 52-year-old First Nations woman with type 2 diabetes, obesity and hypertension is seen in a community clinic on-reserve. Her HbA1c is 9.2% despite m...

Question

A 52-year-old First Nations woman with type 2 diabetes, obesity and hypertension is seen in a community clinic on-reserve. Her HbA1c is 9.2% despite metformin and diet advice. She reports difficulty accessing fresh food and limited safe spaces for physical activity. As her family physician, which action best reflects the CanMEDS Health Advocate role alongside guideline-based care?

Accepted Answer

Work with her and local community resources to improve access to healthy food and culturally safe diabetes education while optimising pharmacotherapy

Answer

Increase metformin dose only and ignore social factors

Answer

Tell her to be more disciplined with diet and exercise

Answer

Prescribe insulin and discharge her from follow-up

Answer

Advise her to travel to an urban centre for all care without engaging local services

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