[Proposals for comprehensive approach to patient education for the care of type 2 diabetic patients]

The diagnosis of type 2 diabetes is generally put within the context of a medical check-up at a person more or less predisposed to the disease. From the patient's point of view the reality of the disease is thus at this moment at least abstracted, and can go from banalisation to dramatization. This aspect is going to influence how the patient is going to get involved in the approach of care and thus in the therapeutic educational process. We suggest being interested in this difficulty through three fundamental questions of the experience of the patient: the question of the identical break, the question of the sense and the question of self-efficacy. Because never definitively resolved, these questions will accompany the reflection of the patient and caregiver all along the route of care. By illustrating here a posture of care which legitimizes such a glance on the experience of the carrier of the disease, we defend an approach of the therapeutic education of the patient integrated into the care.