Including social determinants of health in the clinical management of diabetes

Diabetes educators improve the lives and futures of people with diabetes by helping them improve their glycaemic management. Along with other approaches, behaviour change around smoking, nutrition, alcohol and physical activity are central to this improvement. However despite passionate educator intent, and desperate client willingness, sometimes changes are not possible because of the environment the client lives, and has grown up in. These in Health (SDoH). Addressing SDoH, even in a clinical setting, may lead to improved glycaemic management, and increased choice and control over life for people with diabetes.