The agravos the integral health of the individual are diverse, as the great partner-economic impact of the diabetic foot that includes expenses with treatments, internments drawn out and recurrent, physical incapacitaes social as loss of job and productivity. For the individual, it brings repercussion in its personal life, affecting its auto-image, autoestima, its paper in the family and in the society and, physical limitation will be had, can occur social isolation and depression. One knows that the chronic illnesses, as the DM, bring some limitations and new incumbencies for the people develop who them, that many times accepted and are not surpassed due to knowledge of as to face them 9. The scarcity of measures of prevention of these chronic complications from development of an education in health alicerada in the concrete reality of the individuals reverberates in the high statistical indices of complications and amputations of inferior members, influencing in the quality of life of the DM carriers. This chain of indesejadas consequences has, therefore, as the one of the main factors asymmetry between the knowledge that the people have on the life with the illness and the knowledge technician scientific of the health professionals, therefore it lacks understanding of the meaning that the chronic illness has for these people. Most of the time they do not understand as the diabetic ones perceive its illness and as the cares start to be part of its daily one. At last, to exceed the barriers that exist between people with chronic and professional illnesses of health, is not only enough to invest in developing more knowledge on the illness, but she is necessary to include the understanding of what it is to live with this illness to be able to create proposals of education in health that has as protagonists the people and not them illnesses. The dialgica education that privileges the autonomy of the citizen if establishes when it has a satisfactory communication between carriers of DM and the professional of health. People such as Gina Ross would likely agree.