The Framework
Network Based Diabetes Care
Seven interconnected nodes that describe how type 2 diabetes actually behaves in real life, and how it responds to care.
Nutrition
How food composition and timing shape insulin, glucose, and hunger day to day.
Physical Activity
Movement as a therapeutic lever: cardio, strength, and non-exercise activity.
Sleep
Sleep quality and circadian rhythm as measurable inputs to metabolic control.
Stress & Mood
The HPA axis, cortisol, and the emotional dimensions of chronic disease.
Medication
How each drug class fits into, or works against, the rest of the network.
Monitoring
Which numbers to track, how often, and what they actually mean.
Community & Care Team
The people around the patient: family, clinicians, and support systems.
Why "against the network"?
Most diabetes advice targets a single node: a diet, a drug, a step count. NBDC argues that durable outcomes require reading the whole network at once. When one node shifts, the others respond. Understanding those responses is the difference between managing numbers and changing trajectories.