[Expert Solution]: Part C Two years later, you see Mrs

Part C Two years later, you see Mrs. SW again. She has only been in once over that time but has been seeing the doctor. She says the doctor has sent her back “to learn more” because she has gained some weight and her blood glucose control is slipping again. She had started glargine one year ago in the doctor’s office and is now up to 24 units every night. At first, her blood glucose results were in target and her A1C went down to 6.9%, but this last time it has gone back up to 7.6%. She has continued to implement strategies discussed with the dietitian “most of the time” and is walking twice a week. Medications: metformin 1000 BID Diamicron MR 120mg daily Lipitor 10 mg daily Effexor XR 75 mg daily hydrochlorothiazide 25 mg daily Altace 10 mg daily glargine 24 units at bedtime BMI 32 LDL 2.2mmol/l Triglycerides 2.6 mmol/l BP 145/90 Urine ACR – 3 occasions 15 mg/mmol, 22 mg/mmol, 18 mg/mmol eGFR 70 mL/min/1.73m2 1. How did you approach her regarding the fact she has not been in for two years, assuming you had worked out a follow up plan with her after the last visit? 2. What do you think of the comment that she has to learn more? 3. Did you have any concerns regarding her medication at this point? Explain and say what you did about any concerns. 4. What sort of nutrition information did you ask about now? How did she respond and did you give her any advice? 5. How did you suggest moving forward with Mrs. SW at this point Answer should be in an interview dialogue and referencing Diabetes Canada 2018