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Social determinants of health for Andrew is now 59 years old. He does not regularly see a healthcare provider for his Type II diabetes care due to his long shifts at work, however he has several chronic diagnoses such as type II diabetes mellitus, hypertension, congestive heart failure, diabetic retinopathy, and borderline inadequate dentition (too few teeth to properly chew solid foods). He is not consistent with his blood pressure and diabetes medications, due to forgetting to take them and sometimes not being able to afford them. Due to this, his primary care doctor that he rarely sees other than needing to refill his prescriptions on occasion, has tried different pharmacotherapy regimens to get better compliance or avoid high drug prices. He continues to live in his mobile home with his wife of 23 years, and he still has a couple cousins living nearby. He remains on the same diet of fast foods and says he has started to pick softer foods as chewing has become more difficult. Over the past 30 years, he has been brought to the emergency department 3 times for episodes of diabetic ketoacidosis, where he is treated and discharged. He continues to drink alcohol (3-6
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