In 1983, Prochaska et. al published "Stages and Processes of Self-Change of Smoking: Toward an Integrative Model of Change" in the Journal of Consulting and Clinical Psychology, Volume 51, No. 3, 390-395. Although the paper targeted smoking cessation, this change model has been applied and is appropriate in many clinical situations. The ability to manage diabetes is not a static process. There are periods in the lives of those with diabetes in which management may not be the number one...

