Test Your Knowledge #511: A 52-year-old Mexican American woman has had Type 2 diabetes for 10 years....
A 52-year-old Mexican American woman has had type 2 diabetes for 10 years.
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She works full time as a clerk at a local convenience store and lives with her husband and three grandchildren. Her medications are metformin, pioglitazone, glyburide, neutral protamine Hagedorn (NPH) insulin, an angiotensin-converting enzyme inhibitor, a statin, hydrochlorothiazide, and aspirin.
At her annual evaluation, her body mass index is 30, blood pressure is 155/90 mm Hg, and hemoglobin A1c value is 8.9%. These results are consistent with her previous results. In fact, nothing seems to have changed a great deal over the past 10 years except the number of medications she has been prescribed. As always, she says she will do better next time.
Which of the following would be most helpful for this patient at this time?
A. Recommend that she join a support group.
B. Refer her for diabetes self-management education.
C. Provide her with diabetes self-management educational materials in Spanish.
D. Assess her financial, cultural, emotional, and other barriers to diabetes management.
E. Set a behavioral goal to exercise 3 days each week.
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