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I saw a 57-year-old Caucasian female with a past medical history of diabetes, hypertension, hyper cholesterol and coronary artery disease. Apart from taking a history, doing a physical examination planning assessment and plan, I always ask this question, “What else do you want to know about diabetes?” Diabetes is a complex disease and if I ask, “Do you have questions?” Most of the time my patients’ answer is nothing. If I ask do you know about diabetes, their answer is always affirmative as they know everything about diabetes. I think either patient knows everything or knows nothing. Asking a closed-ended question usually ends the communication with the patient and health caregiver goes to the next patient room. After the encounter with the patient, usually a medical assistant, or a nurse prints out diabetic education material which some patients leave in their cars, others throw in the trash or put in a shredder. Giving a pamphlet and checking the box to appease insurance companies is considered patient education. Can we change habits by just handing a pamphlet?
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