Written contracting can be an effective supplement to patient education. This case report demonstrates the development and use of a contract between the diabetes educator and CR, a 34-year-old certified public accountant. CR achieved better glucose control through the process of contracting and insulin adjustment. The contract was designed to be clear, fair, and honest—three essential components of a contract. As CR met each of the specific contractual goals, he was rewarded with an educator's time and praise. Through a systematic process of education, contracting, and follow-up, CR was able to obtain the desired outcome of better glucose control.
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