Case vignette

Educating a BIPOC patient navigating their chronic condition.

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Educating a BIPOC patient navigating their chronic condition.

After receiving the news that she has diabetes, Marisol turns to her doctor for help on her new eating regimen.

Doctor

How have you been managing with your new diagnosis of type 2 diabetes?

Marisol

I feel like I am unable to eat anything! I’m from a Caribbean household, so this is very frustrating…I don’t know what to do and the holidays are coming up.

Doctor

I know that sharing meals with family means a lot to you and with this recent diagnosis, it’s also important to continue to make some lifestyle changes. During gatherings, you can take the opportunity to share and educate your lifestyle changes with family members. It’s natural to feel that having diabetes means giving up on everything you used to eat before the diagnosis. However, basic changes like vegetable intake and portion control will help you manage your diabetes while giving you the freedom to eat some of your favorite Caribbean food.

Marisol

Yeah, I’d love to get them involved! It would also be cool to continue cooking some of my family recipes while adding more fiber, lean proteins, and vegetables into my meals.

Doctor

This is a good start! Being healthy can be adapted in your home, family gatherings, community, and culture.

Marisol

Doctor

Marisol

Doctor

Marisol

Doctor

Marisol

Doctor

Marisol

Things to consider.

01

Socioeconomic factors, lifestyle behaviors, social environment, and access to clinical preventative services contribute to the racial/ethnic health disparities that may lead to chronic conditions in the BIPOC community.

02

In addition to high rates of chronic illnesses, the BIPOC community face cultural norms, stigma, lower wages, and insufficient insurance coverage which limits their access to treatment often forcing them to work while ill.

Question to think about:

How would you educate and encourage your BIPOC patients to make realistic healthier lifestyle choices?

Ask for pronouns
Ask how the patient is doing
Ask for consent before touching
All of the above