What to do when your patient takes a diabetes holiday
Last week, I saw a patient who I had not seen in a long time. When I reviewed his chart it looked like he had not been seen for more than a year. Back in 2015, we worked hard to help him get control of his diabetes with a regimen of walking, healthy eating, and a combination of medications. All of this work resulted in a hemoglobin A1c we were both happy with. He was feeling confident that he had a routine that he could manage and maintain, so we set a 3-month follow-up visit. However, 18 months later, he returned with his hemoglobin A1c double what it was before.