bill of rights

The Type 2 Diabetes Bill of Rights

November 24, 20255 min read

Your Right to Know: The Type 2 Diabetes Bill of Rights

How empowerment, education, and lifestyle science are reshaping diabetes care for women and men over 40.


When most people are diagnosed with Type 2 diabetes, they hear the same message:
“Take your medications. Try to eat better. You’ll manage this for the rest of your life.”

But what if that message is incomplete?
What if you were never told about all the options available to you?
And what if you were never told that remission is possible?

But this message leaves out something important.
You also deserve to know that treatment options go beyond medication, and that remission is possible for many people when lifestyle changes are supported and applied correctly.

The Type 2 Diabetes Bill of Rights, created by the American College of Lifestyle Medicine (ACLM), helps ensure people get complete and ethical information about their care. This includes lifestyle-based approaches and the possibility of remission.
(Reference: ACLM Type 2 Diabetes Bill of Rights, lifestylemedicine.org)

For women over 40, who often deal with stress, hormone shifts, and chronic inflammation, this information can be life-changing.


What Is the Type 2 Diabetes Bill of Rights?

TheACLM Type 2 Diabetes Bill of Rightsoutlines what every person with Type 2 diabetes should have access to. These rights include:

  1. The right to know that remission is possible
    Many people never hear this from their healthcare team.

  2. The right to fully informed consent
    This means hearingalltreatment options, including lifestyle approaches such as food, movement, sleep, and stress care.

  3. The right to root-cause treatment
    Diabetes is linked to insulin resistance, inflammation, sleep, stress, and lifestyle — not only blood sugar.

  4. The right to personalized care
    Treatment should fityourlife, your schedule, your stress level, and your health history.

  5. The right to collaborative decision-making
    You have a voice in your care plan.

  6. The right to ethical, evidence-based care
    No shame. No fear. No judgment.

  7. The right to support for lifestyle change
    Lifestyle is powerful medicine, but you should not have to do it alone.

  8. The right to hope
    You deserve to know that improvement is possible.

(Reference: American College of Lifestyle Medicine, 2024, lifestylemedicine.org)


Why This Matters Now

There has been a major shift in how diabetes is understood and treated.

1. Remission is now officially recognized in medical coding

The FY 2025–2026 ICD-10 code update includes E11.A — Type 2 Diabetes in Remission.
This means clinicians can now document that a patient has reached remission.
(Reference: CDC ICD-10 Updates; Avalere Health Advisory)

2. Research supports lifestyle-driven remission

Studies show that lifestyle changes — such as whole-food eating patterns, weight loss, regular movement, and better sleep — can help many people reach diabetes remission, especially early in the diagnosis.
(Reference: Diabetes Canada Remission Guideline, 2022; Taylor R. et al., Diabetologia; DIRECT Trial)

3. Lifestyle medicine is now recognized as first-line care

The ACLM guidelines place therapeutic lifestyle change as the leading treatment for Type 2 diabetes and pre-diabetes.
(Reference: American Journal of Lifestyle Medicine, 2024)

This shift gives patients more options — and more hope.


Why Women Over 40 Need This Information

Women in their 40s, 50s, and 60s often deal with:

  • Hormonal changes

  • Increased belly fat

  • Higher stress

  • Sleep disruption

  • Caregiver roles

  • Slower metabolism

  • Emotional eating

  • Chronic inflammation

These factors raise insulin resistance, which raises blood sugar.

Lifestyle medicine directly targets these root causes through:

  • Fiber-rich whole foods

  • Strength training

  • Stress reduction

  • Better sleep routines

  • Emotional support and community

Women deserve care that addresses the real reasons their blood sugar rises — not just their lab numbers.


Breaking Down Your Rights (Simple Version)

1. You have the right to know remission is possible

Not guaranteed — but possible for many people.

2. You have the right to hear all treatment options

This includes food, movement, sleep, stress work, and coaching.

3. You have the right to root-cause care

Insulin resistance improves with lifestyle. That matters.

4. You have the right to personalized care

Your life situation is part of your treatment plan.

5. You have the right to advocate for yourself

Asking questions is not disrespectful — it is responsible.

6. You have the right to support

No one should have to change habits alone.

7. You have the right to be treated with respect

Diabetes is not a moral failure.

8. You have the right to hope

Better health is possible at any age.


How to Use the Bill of Rights in Your Next Appointment

1. Know your numbers

Write down:

Awareness helps your doctor help you.

2. Ask the right questions

Try asking:

  • “Can we make a plan that aims for remission?”

  • “What lifestyle changes would help me lower insulin resistance?”

  • “If my numbers improve, how do we adjust medications safely?”

  • “Can I get support with nutrition, sleep, and stress?”

Most providers welcome these conversations.

3. Take one simple action this week

Chooseone:

  • Add one cup of non-starchy vegetables to your plate

  • Walk 10–15 minutes after meals

  • Go to bed 30 minutes earlier

  • Practice 2 minutes of deep breathing before eating

Simple steps change blood sugar in powerful ways.


The Real Message: You Are Not Powerless

The purpose of the Diabetes Bill of Rights is simple:

✨ You deserve full information.
✨ You deserve transparency.
✨ You deserve support.
✨ You deserve hope.

You are not stuck. You are not broken.
And you are not alone.

Lifestyle medicine gives you the tools to reclaim energy, lower blood sugar, reduce medications safely, and improve how you feel every single day.


Diabetes care is changing, and you have the right to be part of that change.
Understanding your rights helps you make informed choices and take back your health with confidence.

If you want weekly support and step-by-step guidance, the Blood Sugar Reset Membership is here to help you apply these rights in your daily life. Join Now for Free for two months, offer good until the end of November.

You have the right to a healthier future — and the tools to reach it.


Dr. Alexandra Santamaria is a health coach, clinical pharmacist, and functional medicine advocate who helps busy adults with Type 2 diabetes lower blood sugar, lose weight, and reduce medications naturally. She combines science, personal experience, and compassionate coaching to empower lasting health transformation.

Alexandra Santamaria, PharmD, CDCES

Dr. Alexandra Santamaria is a health coach, clinical pharmacist, and functional medicine advocate who helps busy adults with Type 2 diabetes lower blood sugar, lose weight, and reduce medications naturally. She combines science, personal experience, and compassionate coaching to empower lasting health transformation.

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