While working as an embedded care manager within a primary care clinic, Ellen Woody, RN, met Mr. Gordon Harder, a patient with Type 2 Diabetes who struggled to control his blood sugar. Despite the doctor’s recommendation to take insulin, Mr. Harder refused. Ellen urged him to follow the doctor’s recommendation, but he was adamant that he could manage his blood sugar without insulin. Understanding that some patients need more time than others to make decisions concerning their care, Ellen gave Mr. Harder her contact information and encouraged him to call her if he had any questions or concern.