Addressing the Gap in Type 1 Diabetes Care with Personalized Coaching and Education

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Arti Masturzo, M.D., chief medical officer of CCS, spoke with Managed Healthcare Executive about the differences in coaching and guiding patients with type 1 diabetes compared to type 2.

Managing type 1 diabetes requires precise insulin dosing, carb counting and continuous monitoring.

Unlike type 2 diabetes, which focuses more on diet and exercise, type 1 is much more complex, according to Arti Masturzo, M.D., chief medical officer of CCS.

"With type 1, it is much more surgical and scientific in nature," Masturzo said. "With type 2, it’s more about, ‘Hey, eat this kind of diet. Don’t eat this. Get this extra.’ With type 1, it’s life or death."

She added there is an increased aspect of mental health that goes along with type 1 as it's a disease where folks get diagnosed at a young age — commonly under 18 years — and live with it for the rest of their lives.

However, the disease that was once referred to as "juvenile diabetes" is being detected in older adults who have been living with it undiagnosed.

"It's just a different lifestyle," she said. "So the support is definitely individualized for folks living with type 1 diabetes."

CCS prioritizes clinician-led care, offering hands-on training and virtual coaching through certified diabetes educators and nurses.

Many of these professionals have firsthand experience with type 1 diabetes, allowing them to provide both technical and emotional support.

However, when asked what the biggest reasons are why those with type one diabetes aren't getting the support they need, Masturzo responded by addressing the shortage of endocrinologists.

Results from a survey Masturzo discussed revealed that primary care physicians did not feel adequately trained to manage complex diabetes patients.

She added that 58% of primary care doctors and 85% of endocrinologists said that they felt overwhelmed with the amount of diabetes cases, not just specific to type one, but just in general.

This shortage makes access to specialized care difficult, leaving many primary care physicians overwhelmed.

By providing personalized coaching and education, CCS is working to bridge this gap, by supporting patients and managing their condition effectively.

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