MetFix Medical Nutrition

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Foundational4 decision points

The Overwhelmed Patient

Simplifying dietary prescription for low health literacy

Learning Objectives

  • Adapt dietary counseling for patients with low health literacy
  • Identify and address practical barriers to dietary change
  • Use the 'focus on interests, not positions' principle in dietary negotiation
Step 1 of 4Presentation

Maria S., 47F, presents with newly diagnosed T2DM. She works two jobs, has three children, and has a household income of $38,000/year. She shops at a discount grocery store and relies heavily on processed foods for convenience. Her physician has given her a 4-page handout on the 'diabetic diet' with detailed macronutrient targets, glycemic index tables, and meal planning templates. She returns 2 weeks later: 'I tried to read it but I don't understand it. I don't have time for all this.'

The primary barrier to Maria's dietary adherence is: