Increased patient self-management is emphasized in literature and policy as an important factor in handling chronic diseases. In this paper, we study a project where patients are guided into self-management through remote care. Based on a semiotic approach, we analyze this as a case of digital textualization. We show how the health practitioners utilize an analytic understanding of health in their communication with patients. In these practices, they aim to motivate and enable patients to cope with their disease through digital representations. Our findings show that digital textualization is a constitutive feature of remote care’s materiality. The digital is not only a medium, rather its materiality is partaking in shaping the social and the personal, and the meanings that can arise in their intersection.