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Comprehensive and Detailed Comprehensive and Detailed Explanation:

Skipping meals due to limited food availability may indicate food insecurity, which is an important social determinant of health affecting diabetes management. Food insecurity can make it difficult for patients to follow meal plans, maintain consistent carbohydrate intake, take medications safely, and achieve stable glucose control.

The CDCES should assess access to nutritious foods, financial challenges, transportation issues, and available community resources. Care plans should be realistic and account for the patient’s actual circumstances rather than simply providing dietary recommendations.

Food insecurity is associated with increased risk of poor glycemic control and diabetes complications. Addressing social barriers through referrals to community programs, nutritionassistance resources, and coordinated healthcare support is an important part of comprehensive diabetes care.