A 35-year-old Cree woman living on-reserve has type 2 diabetes diagnosed 5 years ago. Her HbA1c is 9.0% despite metformin and basal insulin. She repor...

Question

A 35-year-old Cree woman living on-reserve has type 2 diabetes diagnosed 5 years ago. Her HbA1c is 9.0% despite metformin and basal insulin. She reports difficulty accessing healthy food and limited transport to clinic. Which statement best reflects a culturally safe, CanMEDS-aligned approach?

Accepted Answer

Explore barriers including food insecurity and transport, involve community health workers, and adapt her care plan collaboratively

Answer

Emphasise non-adherence and threaten to discharge her from care

Answer

Insist she move to an urban centre to receive proper care

Answer

Increase insulin dose without discussing her social context

Answer

Provide written instructions only and schedule review in 1 year

ca-mccqe1 MCQ (SBA): Indigenous health - culturally safe diabetes care

A 35-year-old Cree woman living on-reserve has type 2 diabetes diagnosed 5 years ago. Her HbA1c is 9.0% despite metformin and basal insulin. She reports difficulty accessing healthy food and limited transport to clinic. Which statement best reflects a culturally safe, CanMEDS-aligned approach?