A patient with type 2 diabetes has poorly controlled A1C despite reporting adherence. During the visit, you learn they work night shifts. Which psychosocial and practical factor should be addressed first?
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A
Recommend the patient change careers for better health
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B
Explore how shift work affects sleep, meals, and medication timing
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C
Add a second oral agent without further assessment
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D
Refer to endocrinology without gathering more history