JR has type 1 diabetes and tells you, “My doctor just doesn’t seem to understand how to manage type 1 diabetes. Sometimes, I just skip my appointments because it feels like a waste of time.” JR’s most recent A1C was 8.7% and their time in ranges keeps decreasing with each visit.
Based on this, you realize that JR’s provider-related diabetes distress
- has intensified to clinical depression.
- requires urgent referral to a mental health professional.
- could be responsive to self-management coaching.
- may be a sign of disordered eating.
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