A 55-year-old woman with a 5-year history of Type 2 diabetes reports increasing thirst and frequent urination. Her HbA1c is 9.8%. What steps should be taken?
These symptoms of increased thirst and urination, along with an elevated HbA1c, suggest poorly controlled diabetes. The first step would be to assess her current diabetes management, including medication regimen, diet, and physical activity. A review of her self-monitored blood glucose records, if available, would also be helpful. It may be necessary to adjust her medications or start her on insulin therapy. Reinforcing the importance of a balanced diet, regular exercise, and routine self-monitoring of blood glucose should also be part of the management plan.