I went to see my Endo the other day, and was surprised by a patient's response when asked if she ate before her appointment. First patient, answered, "No." When the nurse walked away, patient turns to husband arguing, "It's none of her business what I ate. Why do they need to know?" I interjected, "Excuse me, I don't mean to pry. For your benefit the doctor needs to know if you breakfast affected your blood sugar reading so he can make necessary adjustments." Even though the nurse and doctor explained this to her for the pass ten years, she sees no reason for it. In addition, she believes that sharing the truth leads to further questioning. The husband nodded in agreement with a wink, without wife's knowledge. "Listen," I said, "nobody's perfect. Food, not eating, stress, and other situations can cause blood sugar to rise or fall. The physician needs to know how to care for you." She thought about what I said, then told nurse that she at a bagel.