This is an example of using the patient empowerment tools. 

In the old model, the provider just assumes, the patient is not doing anything to control their blood glucose and uses insulin as a threat.

In the new empowering model, the provider acknowledges the patient has been trying to reach their goals.  The provider lets the patient know that it is not their fault.  They work as a team.  The provider also allows the patient to voice their concerns.