Monica is 82 years old, loves to travel and has been planning her dream holiday in the Caribbean with her new partner, Lionel. She leads a busy life, regularly volunteering at a suicide prevention helpline and frequently visiting family and friends.
She was diagnosed with type 2 diabetes last year after routine blood tests performed by her GP found a high serum glucose. While at her primary care centre for a diabetes review, she mentioned occasional palpitations to the practice nurse who performed a 12-lead ECG, diagnosing atrial fibrillation (AF).
Considering her age and comorbid diabetes, how would you approach Monica from the perspective of managing her AF?