Prioritizing Patient Experiences in the Management of Diabetes and Its Complications: An Endocrine Society Position Statement

Author:

Kalyani Rita R1ORCID,Allende-Vigo Myriam Z2,Antinori-Lent Kellie J3,Close Kelly L4,Das Sandeep R5,Deroze Phyllisa6,Edelman Steven V7,El Sayed Nuha A8,Kerr David9,Neumiller Joshua J10,Norton Anna11

Affiliation:

1. Division of Endocrinology, Diabetes, & Metabolism, Johns Hopkins University School of Medicine , Baltimore, MD 21287 , USA

2. Endocrine Section, University of Puerto Rico , San Juan 00936, Puerto Rico

3. UPMC Shadyside , Pittsburgh, PA 15213 , USA

4. Close Concerns Inc , San Francisco, CA 94117 , USA

5. Division of Cardiology, UT Southwestern Medical Center , Dallas, TX 75390 , USA

6. dQ&A, The Diabetes Research Company , San Francisco, CA 94117 , USA

7. Division of Endocrinology, Diabetes & Metabolism at the University of California at San Diego , San Diego, CA 92103 , USA

8. American Diabetes Association, Harvard Medical School , Boston, MA 02215 , USA

9. Director of Digital Health, Diabetes Technology Society , Santa Barbara, CA 94010 , USA

10. Department of Pharmacotherapy, College of Pharmacy and Pharmaceutical Sciences, Washington State University , Spokane, WA 99202 , USA

11. DiabetesSisters, #180, 1112 W Boughton Road , Bolingbrook, IL 60440 , USA

Abstract

Abstract Diabetes can be an arduous journey both for people with diabetes (PWD) and their caregivers. While the journey of every person with diabetes is unique, common themes emerge in managing this disease. To date, the experiences of PWD have not been fully considered to successfully implement the recommended standards of diabetes care in practice. It is critical for health-care providers (HCPs) to recognize perspectives of PWD to achieve optimal health outcomes. Further, existing tools are available to facilitate patient-centered care but are often underused. This statement summarizes findings from multistakeholder expert roundtable discussions hosted by the Endocrine Society that aimed to identify existing gaps in the management of diabetes and its complications and to identify tools needed to empower HCPs and PWD to address their many challenges. The roundtables included delegates from professional societies, governmental organizations, patient advocacy organizations, and social enterprises committed to making life better for PWD. Each section begins with a clinical scenario that serves as a framework to achieve desired health outcomes and includes a discussion of resources for HCPs to deliver patient-centered care in clinical practice. As diabetes management evolves, achieving this goal will also require the development of new tools to help guide HCPs in supporting PWD, as well as concrete strategies for the efficient uptake of these tools in clinical practice to minimize provider burden. Importantly, coordination among various stakeholders including PWD, HCPs, caregivers, policymakers, and payers is critical at all stages of the patient journey.

Funder

Abbott, Medtronic, Novo Nordisk, and Vertex

Publisher

The Endocrine Society

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