When we first met this patient, he did not think he was getting the right treatment. One week later…
Patient visited one week later. When I asked him, and told him I would not judge him, he admitted to drinking a tea his mother recommended to bring down his glucose. He then mentioned several other supplements. His glucose was not lower, but higher.
I informed him I am not against all supplements, but at this time, until we get to know him and his numbers better, could he hold off on all vitamins and supplements until together we get his numbers more in the target range. I explained that although some supplements can be helpful, they are not regulated as are the medications we are recommending at this time. Some supplements can even raise his numbers because we don’t always know what other ingredients are in many supplements.
I assured him that once we have things better managed, I’d be happy to work with him to see what we can add. He assured me he would take nothing different than what we discussed, and had a big smile on his face because something that means a lot to him would not be forgotten, but he was willing to go one step at a time. That’s shared decision making!
He has since visited with our dietitian and he has kept in touch with me. There have been a few simple changes thus far and from what he’s told me, his glucose and blood pressure are now in target range. I’ll find out when I see him.
Joy Pape, FNP-C, CDE
Medical Editor, DiabetesInControl.com
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Joy Pape, FNP-C, CDE
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