KC has type 2 diabetes, diagnosed 5 years ago. They report low physical activity, frequent sugar-sweetened beverage intake, and high stress related to work. Last A1c was 8.2%. KC reports previous advice to “exercise more and drink less soda,” but reports making minimal changes. They express interest in improving health but feels overwhelmed by where to start.
Which of the following responses best aligns with the 2026 ADA Standards of Care recommendations for facilitating positive health behavior change?
- Advise KC to stop sugary drinks and record physical activity minutes daily.
- Ask KC, “What makes improving your health important to you right now?”
- Focus the visit on intensifying glucose lowering medications first and revisit lifestyle changes at the next appointment.
- Recommend KC find social support for activity at the local gym and work with KC to set goals to avoid sugar-sweetened beverages.
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