Que sont devenues trois inventions du siècle dernier : l'evidence-based medicine, l'éducation thérapeutique du patient, et l'application à la médecine du principe d'autonomie ?

At the end of the last century, when diabetes care entered its modern era, three simultaneous conceptual inventions transformed the practice of medicine, and, in particular, that of chronic diseases: evidence-based medicine, patient education and the application to medicine of the principle of autonomy. The purpose of this article appearing in a special issue celebrating the tenth anniversary of Médecine des maladies Métaboliques is to describe, forty years later, the current use of these inventions.