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Treatment of Diabetes Has Changed - Vive la Difference!

Modern diabetes treatment has changed significantly in recent decades - not only due to new treatment and monitoring options, but also because of a fundamental shift toward patient-centered care.

With the realization that many of the strict rules and prohibitions of the past were actually counterproductive, today's emphasis is on encouraging self-management and on a two-way relationship between the patient and provider. Modern, enlightened guidance puts you, the patient, in the driver's seat.

Old treatment framework New treatment framework
Tight glycemic control is the primary endpoint Tools of intensive management are a means of increasing your freedom
Focus is on organizing life routines and eating patterns around insulin action profiles Focus is on developing an insulin regimen that is flexible and fits into the demands of your daily life
Implied message: good diabetes control is synonymous with giving up flexibility and choice, allowing diabetes to control your life Implied message: you can have good diabetes control without having to yield control of your life to the disease

Source:  Wolpert HA, Anderson BJ. Management of diabetes: are doctors framing the benefits from the wrong perspective? British Medical Journal, Oct. 27, 2001;323:994-996.

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