Question

A 55-year-old Cree woman living on reserve with long-standing type 2 diabetes has HbA1c 8.6% despite metformin and lifestyle advice. She reports historical experiences of racism in healthcare and worries about "being judged" for her diet. Which approach best reflects guideline-based care and Indigenous cultural safety?

Accepted Answer

Explore her goals, acknowledge systemic barriers, adjust therapy (e.g., add SGLT2 inhibitor or GLP-1 RA), and offer connection to culturally safe diabetes education

Answer

Tell her she must "be compliant" and intensify insulin without discussion

Answer

Discharge care to a specialist in the city only

Answer

Advise strict Western diet rules without considering traditional foods

Answer

Avoid discussing complications to prevent anxiety

Practice question