Providers Need to Practice Goal Directed Design   Post written by Joyce Lee   I take care of children with type 1 diabetes in my clinic, and in comparison with other chronic diseases, there is an abundance of health data available about my patients. Blood glucose meters and continuous glucose monitoring systems provide anywhere from 4 up to 300+ blood glucose measures a day; insulin is being dosed anywhere from 4 to 12 insulin times a day, and carbohydrate information can be infinite with every meal and snack ingested. Furthermore, at the quarterly medical visits we have with our patients, there are additional measures available like Hemoglobin A1c, a blood test which provides the average blood glucose level over a 3 month period. We as healthcare providers tend to come from scientific and statistical backgrounds, and we have very little training in the psychosocial and emotional management of diabetes. Therefore, we have a tendency to focus on the numeric aspects of diabetes. As a result, the typical interaction that happens between the healthcare provider and the patients and caregivers of individuals with type 1 diabetes goes something like this: