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Connection Over Correction: Transforming Judgment into Partnership

Making a connection is healing for the person in our care and for us too.

JT arrived for their clinic visit looking downcast. I asked how things were going, and JT replied, “I am worried that my provider is going to yell at me, since my A1C has gone up to 7.3% since the last visit.”
 
In health care, there is a hard truth many of us have witnessed in clinics and hospitals, and in hallway conversations.  People with diabetes are often assigned a disproportionate load of stigma and shaming by well-meaning colleagues who feel compelled to point out where the person with diabetes is falling short with their behavior change or medication regimen.
Judgment doesn’t energize change. Unfortunately, research shows judgment and scare tactics close the door to behavior change, follow-up, and return visits.  According to a study by Abbott, up to 40% of missed appointments are due to people being worried about being shamed or judged by the healthcare professional. Judgment also intensifies diabetes distress, increases hopelessness, and quietly drives people away, as evidenced by accumulating no-shows.
 
I believe we can revolutionize our approach by starting with curiosity when caring for people with diabetes and by encouraging our colleagues to do the same.
 
The first step is easy. Instead of kicking off the visit by focusing on lab results, medication use, and food choices, let’s check in and see how people are feeling—and use what we learn to guide truly meaningful care.

ABC Approach to Curiosity

This is why I developed what I call the ABC Worksheet — a simple framework rooted in forging genuine connections rather than focusing on corrections:

  • Awareness: Notice without Judgment
    • Before we teach, guide or advise, we observe with curiosity.
  • Belonging: Create Emotional Safety
    • People learn and heal when they feel safe
  • Collaboration: Teach With, Not To
    • When we collaborate and keep it person-centered, we create connection.

This simple ABC approach shifts the tone of care. Instead of asking, “Why aren’t you doing this?” we ask, “I’m curious, what’s the hardest thing about managing your diabetes right now?”

A person with diabetes is not defined by their disease

Diabetes is just one aspect of their complete humanity. Diabetes is a common chronic condition that disrupts the usual orchestration of glucose management. No one can give themselves diabetes. And, the individual with diabetes is not to blame for this glucose dysregulation. It’s due to a combination of genetics, early childhood experiences, and social factors that shape health.

I give all of us permission to free ourselves from being responsible for patients’ choices. Our job is to listen and help the individual discover their own internal wisdom. The best way to tap into their self-knowledge is to allow space for reflection and to ask permission before offering our well-intentioned insights.  

As I write in my book, “Engaging in active listening is considered a therapeutic intervention on its own. When we focus on listening with curiosity first, something powerful happens. A bridge is built – a connection is made.”


But what about when judgment creeps in? (Because It Will)

As healthcare professionals, we are encouraged to evaluate the people in our care. But sometimes that evaluation slips into judgment. Don’t beat yourself up, just take a moment to notice your feelings and explore where they might be coming from. Take a deep breath and shake it off.  With this reset, you are now ready to reconnect.
 
When you’re getting into a judgy place, ask yourself:
  • Am I trying to fix or trying to understand?
  • Is my tone creating a sense of safety or pressure?
  • What does this person need most right now—information or connection?

Addressing Diabetes Distress

This bridge of active listening provides the perfect segue to dive into diabetes distress and the emotional weightiness of life with diabetes.

Diabetes distress acts like a brake. If we don’t first address fear, shame, or diabetes overwhelm, not even the best diabetes education plan will stick. But when we assess emotional well-being early, we release that brake — and forward movement becomes possible. (Here is a link to Diabetes Distress Screening Tools)

And here is the beautiful part: this approach doesn’t just help the person with diabetes. It sustains us.

“In the end, a person-centered approach doesn’t only support the person with diabetes—it also supports the healthcare professional by fostering authentic connection, shared responsibility, and a greater sense of purpose in your work.”  

Investing in connection reduces burnout and increases the likelihood of success. It frees us from being responsible for their choices. We are simply the coach, helping them discover the wisdom they already possess. This partnership can restore our purpose and allow us to be present in this healing journey.  Compassion is re-energizing for us and for the person in our care.

So instead of saying, “I know you don’t want to get diabetes complications, so you need to really work on your weight loss goals,” we greet the person and ask them, how are you feeling? 

Instead of focusing on their weight at the scale, we ask them, how are you feeling in your body?  

Instead of focusing on the weight they have gained, we focus on the behavior changes they have made (meeting with the RDN, eating more veggies, and decreasing their soda intake).

How good does that feel for both the health care provider and the person in their care? It feels great.

💜 Teaching through Connection?

Download the ABC’s of Teaching Through Connection Worksheet and begin integrating Awareness, Belonging, and Collaboration into your daily practice.

And if this message resonates with you, I invite you to explore Healing through Connection for Healthcare Professionals. Coach Beverly wrote this book to help you care for others while finding yourself in the process.

👉 Download the Worksheet
👉 Order the Book Here

Let’s move from judgment to partnership.
Let’s lead with connection and curiosity.
Coach Bev 💜

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