MetFix Medical Nutrition

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Foundational4 decision points

The Resistant Patient

Applying motivational interviewing to dietary change resistance

Learning Objectives

  • Apply motivational interviewing techniques to dietary change resistance
  • Identify and respond to sustain talk without confrontation
  • Use the Harvard PON framework to reframe the dietary conversation
Step 1 of 4Presentation

Thomas G., 58M, presents for follow-up of his T2DM. His HbA1c has risen from 7.8% to 8.6% over the past year despite metformin and glipizide. His endocrinologist has recommended adding a GLP-1 agonist. Thomas is resistant: 'I've tried diets before and they don't work for me. I'm not going to give up the foods I enjoy. Just give me the injection.'

Thomas's statement 'I've tried diets before and they don't work for me' is best characterized as: