A 45-year-old man with type 2 diabetes is referred to a diabetes health professional with a persistently elevated A1c (9.4%). Shares that he recently lost his job and is staying intermittently with friends. He often skips meals due to finances. A Diabetes Distress Scale (DDS) score indicates moderate distress, and a PHQ-9 score is 4 (minimal depressive symptoms). He denies suicidal ideation.
Which of the following is the most appropriate next step for the Diabetes Healthcare Professional?
- A. Refer immediately to a psychiatrist for evaluation of and to initiate pharmacologic treatment.
- B. Provide structured problem-solving support, address social needs, and coordinate with appropriate team members.
- C. Delay intervention until glycemia improves, then reassess psychosocial concerns.
- D. Focus primarily on intensifying glucose monitoring and medication adherence strategies.
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