Climate change is now an accepted threat to our planet but there is not enough political action to control excessive consumerism and pollution do you agree ?

I am writing to refer to your care Ms Naomi Barnes, who has had Diabetes Mellitus type 2 since 2015. She requires your management and monitoring. Her laboratory results are as follows: FBS 205 mmol/L, HBA1c 12.2 per cent her BMI is 29.8. She was

then

referred to a general practitioner, who

then

prescribed oral hypoglycemics,

however

, she is not compliant.

In addition

, she cooks her own meals on weekends cereals, pasta, bread and frozen meals.

Hence

, during weekends she opted for a meal delivery service. It is beneficial for Ms Barnes if you could advise her to comply with her regular medication.

Additionally

, prepare a diabetic meal plan and recommend a healthy meal for her to aid in the reduction of her weight and manage her diabetes. Please monitor her blood sugar levels. She is known to be a chain smoker and she was extremely busy at her work.

Subsequently

, her alcohol intake is increased since her husband passed away in 2020. Encourage her to limit her alcohol intake and monitor her consumption. It is

also

highly appreciated if you could introduce her to a local smoking cessation program. I would be grateful if you could refer her to a general practitioner to rule out peripheral neuropathy. If you have any questions, do not hesitate to contact me.