Dr. Smith is seeing Mrs. Deborah Tanner for routine follow-up. Labs done during last visit reveals a new diagnosis of diabetes. Dr. Smith has noted that Deborah has been losing weight and suspected diabetes. He has already formulated a care plan for her involving further testing, diet, and exercise.

Dr. Smith: “Do you remember we ran some tests on you last month?”

Mrs. Tanner: “Yes.”

Dr. Smith: “Your blood sugar was 344”?

Mrs. Tanner: “344? Is that bad?”

Dr. Smith: “ Yeah! I think you may have diabetes.”

Mrs. Tanner: “Diabetes? But I don’t even like sweets!”

Dr. Smith: “Yeah. I have ordered some other tests.”

Mrs. Tanner: “Does that mean insulin shots for the rest of my life?”

Dr. Smith (hurriedly): “Maybe…. I have ordered a Glucose Tolerance Test and….”

Mrs. Tanner (still in mild shock): “But no one in my family has diabetes.”