As a diabetic and patient advocate, Michel Chapeaud emphasizes that engaging with peers is a form of therapy for chronic disease. During patient therapeutic education (PTE) sessions with people with diabetes, he isn’t there to co-manage the individual’s behavioral changes; rather, he says, “it is the patients themselves who get back on track with our support.” He notes a turning point over the past decade: adapted physical activity (APA) is finally recognized as one of the three key factors benefiting diabetic patients, alongside diet and therapy—which he defines as management through medication and medical-grade digital tools. However, APA is not systematically covered by health insurance. And according to this patient expert, doctors remain largely unresponsive to patient therapeutic education and its physical activity component. Finally, he highlights the missed opportunities for diabetic patients: PTE and APA often come too late in their treatment journey.