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.