A 19-year-old woman with type 1 diabetes has an A1C of 9.1% reports difficulty using CGM consistently, frequently cancels appointments, and becomes guarded when clinicians ask about self-management behaviors. During a visit, they mention experiencing significant adversity during childhood and says that healthcare settings often make them feel anxious.
Which intervention is most appropriate?
A. Document the history of childhood adversity and prioritize insulin intensification because the A1C remains above target.
B. Acknowledge their concerns, ask what would help them feel more comfortable during visits, and collaborate on one self-care goal.
C. Explore the specific childhood events in greater detail to determine which experiences are contributing to their current diabetes-related behaviors.
D. Refer her to behavioral health services and postpone further diabetes education until the effects of the past trauma have been addressed.
Want to Learn More about this Question?
Join Coach Bev July 30th for our
The Impact of Adverse Childhood Experiences on Health: A Personal Story of Resilience & Hope Webinar
Understand the link between adverse childhood experiences and diabetes — and learn trauma-informed strategies to foster resilience and improve outcomes.
Adverse childhood experiences (ACEs) are associated with an increased risk of diabetes, heart disease, cancer, and a variety of other health consequences in adults. This course reviews how diabetes care and education specialists can provide screening, assessment, and trauma-informed care to individuals who have experienced ACEs and are living with toxic stress. We’ll explore strategies to address ACEs, improve outcomes for individuals and communities, and support self-care with a focus on recognizing and promoting resilience.
