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Fam Pract Manag. 2025;32(5):31

HAVE A “NEW DIAGNOSIS” CONVERSATION

When a patient is diagnosed with type 2 diabetes, the first conversation you have with them is a chance to build their confidence in their ability to manage their condition.

  1. Assess their knowledge. Use motivational interviewing skills, such as open-ended questions and reflective listening, to find out what they know about diabetes, and tailor the conversation to their needs.

  2. Emphasize the seriousness of their condition. Be frank about the risk of complications. Tell patients they may not feel any different when their blood sugar is high, but treatment adherence is key to keeping their condition in check.

  3. Handle the conversation with care. A new diagnosis can evoke lots of emotions. While you need to be honest about their disease, avoid being harsh, negative, or too casual.

  4. Encourage them to take an active role. Emphasize their ability to positively impact their health by making behavioral changes, such as increasing physical activity, improving diet, monitoring blood sugar, and adhering to the treatment plan.

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Practice Pearls presents readers' advice on practice operations and patient care, along with tips drawn from the literature. Submit a pearl (250 words or less) to FPM at fpmedit@aafp.org.

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