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Copyright: © 2019 The Authors. Published by Archetype Health Pty Ltd. This is an open access article under the CC BY-NC-ND 4.0 license. SUMMARY Involving patients as active and engaged participants in their own health care is imperative for effective diabetes management. Shared decision-making is the leading model for this process yet medication adherence remains at sub-optimal levels. Currently, much of the decision-making conversation is still physician-directed and centres on therapeutic target setting, which is unrealistic and unachievable for many patients. Perhaps it is time to rethink a one-size-fits-all target destination and instead focus on a pathway built by patient-led sustainable and achievable goals.

Finding Joe: Patient-directed goal setting on the journey to therapeutic targets in diabetes care