In this article we describe the process of assuming control from the patient's perspective. A qualitative study into the meaning of control and freedom of people with type 2 diabetes was conducted. Insight into the responsibility and loss of freedom that diabetes entails created emotional strain, but learning to know the body's reactions and how to test blood glucose gave a feeling of security. Participants emphasised personal choice in everyday life at the same time as feelings of fear and guilt about lapses in self care. A positive view of life made it easier for people with diabetes to find a suitable lifestyle and establish a feeling of freedom. An encouraging approach to caring for people with diabetes helped to build self-confidence and freedom.