--- title: How to Make Chronic Care Fit Into Patients’ Lives description: Health leaders on how chronic care can better accommodate patients canonical: https://time.com/collection/time100-leadership-forums/2026/designed-for-life-rethinking-chronic-care-around-patients/ article:content_tier: free article:published_time: 2026-09-11T01:05:49.000Z article:modified_time: 2026-09-11T20:36:56.995Z article:section: Health og:title: How to Make Chronic Care Fit Into Patients’ Lives og:description: Health leaders on how chronic care can better accommodate patients og:url: https://time.com/collection/time100-leadership-forums/2026/designed-for-life-rethinking-chronic-care-around-patients/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt1c73aeca14f5b6ad/6aa34dde2c02dd83a7357c36/260910_Time100Health_Programming_00061.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 1200 og:image:height: 675 og:image:alt: How to Make Chronic Care Fit Into Patients’ Lives og:type: article twitter:card: summary twitter:title: How to Make Chronic Care Fit Into Patients’ Lives twitter:description: Health leaders on how chronic care can better accommodate patients twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt1c73aeca14f5b6ad/6aa34dde2c02dd83a7357c36/260910_Time100Health_Programming_00061.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 --- Sep 11, 2026 # Experts Discuss How to Make Chronic Care Fit Into Patients’ Lives > Sponsored content. 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Terms and conditions apply. * Savings buckets are a feature of Ally Bank's Savings Account. * No ATM fees from Ally Bank at Allpoint and Moneypass ATMs plus we reimburse for fees charged by other ATM owners nationwide up to $10 per statement cycle. * Early direct deposit offers eligible direct deposits up to two days sooner. * Spending buckets are a feature of Ally Bank's Spending Account. ## Video: Experts Discuss How To Make Chronic Care Fit Into Patients’ Lives [Watch (HLS stream): Experts Discuss How To Make Chronic Care Fit Into Patients’ Lives](https://cdn.jwplayer.com/manifests/vjZSzqNW.m3u8) (22:36)  _Published 2026-09-11. Health leaders on how chronic care can better accommodate patients_ by [Angela Haupt](https://time.com/author/angela-haupt/) ## Angela Haupt When Garrett Vogel was 11, his parents thought he had the flu. They gave him Gatorade—lots of it—not realizing he was actually experiencing symptoms of Type 1 diabetes. By the time he reached the hospital, his blood sugar was well over 1,000. “The doctor looked at me like, ‘How are you still walking?’” Vogel said Thursday at the [TIME100 Health Leadership Forum](https://time.com/article/2026/09/09/time-convenes-leaders-shaping-the-future-of-health-for-third-annual-time100-health-leadership-forum/) in New York. Vogel, an on-air host for _Elvis Duran and the Morning Show_ and a Type 1 diabetes advocate, recalled this moment in a conversation with psychiatrist and researcher Dr. Judith Joseph and Ashley McEvoy, president and CEO of Insulet, which sponsored the event, about how chronic care could better accommodate patients’ daily lives. For Vogel, that starts with recognizing how much emotional work follows a diagnosis. As a kid, he didn’t immediately understand that diabetes wasn’t something that would disappear the next day. His endocrinologist gave him the medical facts, he said, but his parents were left to do much of the emotional “heavy lifting.” More than three decades later, Vogel said he’s still learning how to live with the condition. Technology has made managing it easier—but so has becoming more comfortable asking questions and talking to other people who understand what it’s like. One of the most important lessons, he said, has been “not being scared to ask questions.” Even strangers living with Type 1 or Type 2 diabetes can find common ground in the daily work of managing diabetes. McEvoy, who leads [Insulet](https://time.com/article/2026/05/12/worlds-most-impactful-companies-2026/), the maker of the wearable, tubeless Omnipod insulin pump, said designing better technology requires understanding the details of patients’ days—not simply examining their clinical data. She also stressed that Type 2 diabetes is a chronic, progressive disease, and due to misconceptions, people who have it don’t always receive the same compassion as those with Type 1\. “There’s not as much empathy in Type 2,” she said. Insulet is working on technology for people with Type 2 diabetes that would reduce the number of decisions they have to make. McEvoy described an automated system designed so patients wouldn’t have to administer mealtime insulin doses, manually adjust their dosage, or enter settings. That could make it easier for primary-care doctors—not only endocrinologists—to recommend the technology and oversee patients who use it. Joseph emphasized that treating a chronic illness means paying attention to what’s happening psychologically, too. Medical environments can feel sterile and frightening, she said, leaving patients feeling as though their doctors don’t truly see them. “The body is under a lot of stress, especially mental stress,” Joseph said. “It’s hard to heal.” Paying attention to the mind-body connection, she added, can improve patients’ health outcomes. Online communities can provide another source of support. Joseph described studying people with a rare condition who had felt “unseen” and “invisible” until they found each other on social media. Patients who don’t get the answers they need from one doctor can now turn to people with similar experiences, learn from them, and bring that information back to their health care providers. Patients aren’t simply receiving care anymore, Joseph said. Increasingly, they’re helping teach health professionals what they need. She ended by urging people with chronic conditions to reject the idea that illness is somehow proof they—or their child—did something wrong. “Challenge that feeling of shame,” Joseph said. _The TIME100 Health Leadership Forum was presented by the American Cancer Society, Kite—a Gilead Sciences company, Insulet, Musely, and NMDP._ ## Transcript We're here today to explore how chronic care can be designed for people's actual lives. Um, chronic obviously means you're living with it something for an extended period. So we need to design care for those lives. Uh, thank you all for being here. Um, when you hear that something is designed for life, what does that mean to you? And I'll start with you, Ashley. Yeah. Thank you. Emma. It's great to be here. Um, listen, we I wanted to give an acknowledgement to my right hand partner here who's, who's a fellow potter, but, um, we 25 years ago, uh, a gentleman, John Brooks, who grew up in venture in Boston, had a son with type one diabetes. And he quite simply thought that there could be a better way. And he wanted his kid to feel normal and take a shower and go on sleepovers and take vacations. And we now just crossed 25 years and feel really Uber committed to reach hundreds of thousands of more potters. But we spent a lot of time with people in their homes. Uh, not only do they come to act in Massachusetts as, uh, is where this was born, but just really seeing a day in their life of like, where are they storing their insulin? Where is their shower? How many kits do they have on hand? You know, what, what kind of lotions are they using so that the adhesive can stick? So just a little bit about a day in the life of what matters most for all of us in our daily routines. What about you, Garrett? Well, for me, uh, I would love to figure it out. 31 years ago, I'm going on 31 years of living with type one diabetes. I honestly thought when I went into the hospital 31 years ago, I was walking out the next day. There was no way possible. So to to understand it as as you grow older, it's weird. You think that you would understand it as a, as an 11 year old, but it's a day by day thing. And I'm still learning about to be 42 and I'm still learning. My wife would appreciate that I'm learning still. So, um, but it's, it's interesting because you think as an 11 year old, it's just something that will go away the next day, but it's something that I've learned to live with now, for now, 31 years. And Doctor Judith, what what does that mean to you and your patients also? Well, as a therapist, I know that people just want to be seen. And we were talking earlier about when you were younger, you just wanted to be like everyone else. And I think that when you live with chronic illnesses, a lot of times you feel like you're invisible. People don't see the struggle because they can't visibly see something's wrong with you. And so I think it can be very lonely for people living with chronic illnesses. And so people want to be validated. They want to be heard, they want to be seen, they want to belong. And it's really important to make sure that we're meeting them where they are. I don't think a lot of people think about changing, you know, syringes or having to arrange child care every time you have a big appointment. All of these things impact so many parts of your life. And so the world has to expand a bit to accommodate people and to see them. Ashley, you mentioned you spend a lot of time with patients. Um, as you guys are designing products, you're looking at hard data, but you're also talking to real people using your products. What are some of the things that you've learned and put into practice just based on, on customer feedback as opposed to data? No, it's great. I mean, we always, um, at insulin, we always kind of consider ourselves a little bit at the nexus of kind of three distinct industries. Uh, the first is consumer health. And we all know that because we all have our favorite brand, our Apple Watch or ring and, you know, understanding what matters most to Garrett in everyday life, uh, and the power of brand as a teacher. Omnibot. Um, where healthcare company because we do a lot of clinical trials. Uh, and obviously we're in the business of metabolic disease and highly regulated and life saving device. And then we, you know, this tiny, miniaturized, life saving device has a lot of engineering ingenuity and a lot of data. You know, we dispense insulin every five minutes and it's connected to your phone and it's connected to to the cloud. And our mission is to use all of that to really deliver more precise care. Every five minutes. For people like Garrett and to really have life in front of you and really have diabetes, you know, the burden of diabetes behind you. And, and that's really what our objective is. I mean, I can't say much after that. She she covered it. I mean, having to not have to think as much, uh, is, is pretty incredible. I mean, given, yes, I need to watch my health and monitor it, but wearing technology that, uh, 30 years ago didn't even exist. It's incredible. I just got on the technology band of wearing Omnipod and my Dexcom to monitor my blood sugar. Um. I now feel like I'm Iron Man. Like it's. And that's what I tell little kids when I meet them for the first time that are experiencing living with type one diabetes for the first time, where they have no idea and to be able to have such cool opportunities and technology that I didn't have growing up. It just makes the story and relatability that much more easier to to tell to people. Well, take us back to You were diagnosed at 11. Yes. Take us back to what that was like. You, um, aren't feeling well, and suddenly you discover that you have this thing that you have to manage as an 11 year old. Oh, yeah. So growing up, uh, my parents at the time thought I had the flu. It was February. You know, everybody was getting a cold at that point. Um, and I had my flu shot though, so, uh, so I stayed home from school. Watch some TV and what parents do in the early 90s When you're sick, they give you Gatorade. I had lots of Gatorade, so much Gatorade where it's almost. When I tell the story, it's like price is right. My blood sugar going in. Anybody want to guess what my blood sugar was going into the hospital? You know the answers. Yeah, well, over a thousand. Well, over a thousand. And it was the doctors looked at me like, how are you still walking? I don't know. I was, but, uh, it was, it was that it was that crazy where again, I didn't know what diabetes was. Like, I wasn't learning about it in sixth grade science. You know, I was I was learning about earth science. Um, so I got a real advanced lesson in, in life and science itself at a very early age. But from there, after I was able to leave the hospital, then it was just learning to manage, you know, what was like, you know, taking out a syringe in public and, and pulling insulin and testing, pricking my finger for blood sugars. Um, and it was a crazy wear to the fact where I was such an old dog that I never wanted to switch anything because it was what I was comfortable with. Up until recently, over the last five years, where I turned that corner and said, why am I doing something so, so stupid? And I should have leaned into this a little bit more and went, if I could go back to the future and do it, I would. But what I could do now is just let those that are questioning, why should I be on the forefront of technology? Because it will make it that much better down the road for me. So what was your emotional experience as a preteen and teen dealing with that, and what do you think? What do you wish you had known differently? Oh, I wish a lot of people knew a lot of things. Uh, like for, for me. And we were talking doctor and I were talking about this too. It's having that relatability to a patient. My endocrinologist at the time, I called him scar from Lion King because I was just scared of him, because he was just he was a very mean guy. Doctor Noto. I don't have any. We could talk about that later. Um, but he just. He treated it like. Like a doctor does just straight facts, but, uh. So I didn't. To me, I put up that, that block of not wanting to, to learn and just relied on mom and dad to do most of the heavy lifting for me. Um, should I have been a little bit more open? Yeah, but could he have been nicer? Probably. Um, but but for me, it was scary. But then you start finding that community of people that are going through the same thing too. And once you find people that you can relate to and talk to and have a conversation with and know where you're coming from and understand, you know, you're trying to trying to go play a video game, you know, on a Friday night or go to the movies with friends. And, uh, it, it made it easier once you found that community of people to talk to. So at first scary and it felt like a mountain that I would never be able to accomplish to get to the top of. But once I got to the top, it was like, it's pretty easy to get here. And now let's, let's be able to share that with everybody. Well, thank you for sharing your. No problem. Uh, doctor Judith Garrett's story really speaks to the emotional toll and the stress that managing a chronic condition can bring. How has research shown that this can affect the actual condition as well as your mental health? Well, people who live with chronic illnesses have a higher chance of having a mental health co-occurring condition. Right? It makes sense. The mind body connection is real. And to what you're saying about, you know, doctors and walking into sterile environments in medical school, we're taught, all right, you present with the data and then you jump into the recommendations. But that's not how regular people learn. They really learn by the stories. And so your story is so powerful because we can connect a struggle to a person. And, you know, when you work with young people and you're telling them about what you went through. It's powerful because they can envision a future. I think a lot of times when we go into doctor's offices, it's so sterile and it can be so scary that we just think of the end. We don't see hope. And so there's a real shift in medicine to now create these trauma informed systems so that even when you go into a waiting area, it's supposed to be therapeutic. The environment itself can be healing. So to answer your question, when the body is under a lot of stress, especially mental stress, it's harder to heal. And there are studies that show this. It's harder for wounds, scars to heal. So we have to pay attention to that mind body connection. It improves our outcomes. And in medicine, it helps the bottom line. It just helps us across the board in terms of malpractice. We have to take care of a person, mind and body and spiritually as well. So you're a mental health doctor, but how can non-mental health doctors put that into practice and provide a better experience that takes into account the the mental well-being of their patients. Well, a lot of people don't know this about me, but I started off as an anesthesiologist. I did that for two years and I realized I was like, I'm depressed. And so I went to my, my attending at the time and he was like, everybody's depressed. And I was like, no, I want to be happy. And I pivoted to psychiatry. And it was so different because being in the operating room, it's so sterile. There's a lot of noise. No one's talking to anyone. Psychiatry. All you do is talk about your feelings, you process your feelings, and that makes you a better doctor. And I think that in healthcare, there is this culture of, you know, don't complain. Put your head down, forget about your joy. Take care of the patient. But when doctors are more happy, when they're more joyful, their outcomes are better. They don't make as many mistakes. So I think within healthcare, we have to really take care of ourselves first, and then we become better providers. Better professionals. So more vacation days for doctors is what you're advocating for. More, you know, tapping into who you were before you were a doctor? You know, like I, my lab conducted the first study in the world on high functioning depression. And, you know, when I first did this work, a lot of psychiatrists are like, oh, that's not real. Like, why are you taking the attention away from clinical depression? And I was like, listen, there's enough depression out there for everybody. Like, but then, you know, now they're like, oh my gosh, you are describing me. Exactly. Healthcare professionals are the ones that reach out to me. They're like, that is me because there's something called anhedonia. It literally means a lack of pleasure, a lack of interest, a lack of joy in life. And so you feel me, blah. But a lot of people feel like, oh, that's just life. No, we were built with the DNA for joy. It is our birthright. So if you feel as if you're not getting that joy out of life, no, you don't have to be happy all the time. But if you feel as if you're not feeling that pleasure, then something's wrong. You got to tap into, you know, what is it that used to light you up? So many healthcare professionals forget why they even went into it. So they have to reevaluate themselves. And again, happier, joyful people are better at their jobs. They're better in terms of their physical health, better in their relationships. They're more likely to give back to communities. So we should all invest in our joy. You got to just figure out what the science of your happiness is. Okay? So actually, when you're thinking about designing tools for patients who are incredibly stressed by the burden of this care, and you're seeking to remove some of that stress, how are you designing a device that reduces the burden of that care while not cutting corners? Thank you. Emma. I'm going to remember the science of happiness. We're going to take that note back Doctor Judith. Um well a couple of things. I mean you know Garrett. Garrett knows this, but, um to get the therapy you do have to bolus, um, to get the very strong clinical outcomes. And one of the things that we're working on, Garrett, is type one. We just got an indication. So we've been serving the community with type one for 25 years. We're relatively new about 20 months into serving the type two community. Um, and like you said, there's a lot of empathy for our kids with type one and adults with type one different etiology, but huge empathy of type two is in fact a disease and a chronic progressive disease. And there's not as much empathy in the type two community. And I'm really pleased to see our company working to go get kind of a transformative offering in the type two community, where if any of you raise your hand, if you're wearing a continuous glucose monitor, anybody here wearing okay, I see a couple hands. There you go. Garrett. I have one on two, so there's probably about ten of us. Um, so you don't have to prick your finger anymore. Garrett. And it really monitors your blood sugar, um, continuously so you don't have to prick your fingers anymore. Um, and our offering within two years is going to be the industry's first truly fully closed loop system, predominantly for people with type two diabetes. And you put it on and there's no bolusing, no manual intervention needed at all on the device. No, no manual titration, no settings needed to put. So that means that the primary care audience, in addition to Endos can can really recommend this with confidence and get comfortable managing the community of type two because there is a lot of burnout. We have tremendous empathy for our endocrinologists, as well as our pcp's. And about 70% of people with type two diabetes actually see their primary care. They can't get into an endo. So we want to support both the endo as well as the PCP. But one other thought just on mental wellbeing to share with with Doctor Judith, I wanted to give an acknowledgment to my team here. They came up with a very clever partnership because 60% of people with type one and type two do want to have a support system for mental wellbeing. And so we created a partnership with a company called calm, and it really underscores mindfulness and health and wellbeing. And so this is just in addition to the pod really creating kind of an ecosystem of support for the community. That's great. And Garrett, as you've dealt with the stress and the burden of having to manage chronic care throughout your life, what are the techniques on top of the technological advancements that you've experienced, that have, that have helped you? It's more of not being scared to ask questions like, because you want to, you want to feel like you know everything, but you also don't know everything. So being able to be open and asking your health care professionals or companies that, that you're, you're using their product like Omnipod and Dexcom and, and just ask those questions and not feel like you're an idiot, you know, like, and, and, and being able to just ask a stranger that you might have just met that is living with type one diabetes or even type two. Even though there are two different things, there's still that bridge of relating, of managing of, you know, do you do you go for, you know, what your exercise routine or what your favorite food? You know, a lot of it's pizza sometimes, but, um, but having, having that just common ground of whoever you're talking to and not being scared to, to, to learn, like having that open mind. As much as we want to say that we've learned everything at our age. I mean, to have that open mind, it goes a long way. Doctor Judith, I know in addition to being a practicing doctor, you're also one of the time 100 most influential creators. Uh. Congratulations. So community is big for you. I know you do a lot of public health informing. How do you think about setting up community for your patients and for patients who, who are dealing with chronic care. I love this question because a couple of years ago, my lab did a study with a very people don't know about this condition, but it's a pain condition. And we did this study and it was the most remarkable thing. It was a rare condition, but there were so many people within the community that were that were calling our site, oh, how do I get involved? Because because they felt unseen and they felt invisible. They created a community amongst themselves and it spread like wildfire over social media. And I think we're at a very exciting time where people are getting so much information online and they're realizing that, listen, if I go to one clinic or one doctor and I don't get the right answer, I can go to this community. I can learn from their experiences, especially with severe mental health issues many times. And whenever I'm at an event or a conference, people come up and they're like, do you know a doctor in this state? Do you know a doctor in this state? The families, they feel so alone and they're in it. You know, they feel so separated from everyone else. There's so much shame. But they find each other in these communities. So I think in the future, a lot of people are going to be setting up communities. It's happening now. They're going to be getting their information in these tiny, you know, micro groups, and then they're going to be taking that information back to their providers. I'm seeing it already, and they're going to be like, well, I learned this. Can you try this? And then it's really causing health professionals to then go back to school because we always have to go back and learn continuing medical education. But we're learning a lot from our patients because they're forming these communities where they're learning from each other. So I do think that the world for them is becoming less lonely, but they're becoming more empowered. And they're teaching us, they're teaching the health professionals. And so they're becoming a really active part of the treatment team, which I think is going to improve health care outcomes. So they're talking in this community, Maybe they find out about a treatment possibility. Maybe it's not accessible to them or it's hard to reach. Ashley, how do you think about making some of these innovations more accessible, more affordable? Possible to actually use? Yeah. No, I mean, it's really, you know, part of our company mission is obviously to have an impact one one potter at a time. And there's a lot of people around the world that are in need. And so this is kind of where technology does come in. And as it's a small thing we started, I don't know if you have it yet Omnipod discover, but basically it's a patient, it's a customer data platform that in addition, it allows a patient to see, you know, their time and range. And it also allows like a two way conversation a little bit, dare I say, like a, a consumer friendly health coach. Um, that gives encouragement to say, wow, you had a great, you know, run last night, but I noticed this morning a slower start. Why don't you consider this? It also enables a two way conversation with their doctor. So their doctor, rather than have eight forms, can have one form. It shows all the glucose levels. It shows all of the insulin delivery. They love to see the strength of the algorithm. And it will allow kind of a more live time, two way text that you don't have to wait till 8:00 at night. And so I think technology can help us really prudently scale to allow more access to technology. Okay. So we're just about at the end of our time, but I'd like to end on asking each of you, what is one practical change that you would make today to help patients with chronic diseases live more fully on a daily basis? Personally, I think not to be scared. I think a lot of people are scared and showing compassion and friendship and openness of just being able to embrace the things that are out there and not just put up a wall will go so much further, like, break down that wall as soon as possible. The sooner you break it down, the further you'll be able to go. Yeah. And I would just say, don't be satisfied. I mean, diabetes is one of the top five leading mortality, mortality and morbidity. And it's still one of the diseases where mortality rates are still increasing. Yet we have tremendous interventions. So don't be satisfied and have a high bar. And and people want to help. And I would say challenge that feeling of shame because I think there's something called the just world theory that just world hypothesis where people like by default think good things happen to good people, bad things happen to bad people. And I see this all the time with chronic illnesses is that, well, you must be bad. Your lifestyle must be bad. That's why you have this. And I think challenging that and saying, no, things happen and I don't have anything to be ashamed about because shame and stigma gets in the way of quality care. Fantastic. Note to end on. Thank you all so much for being here. Thank you. Thank you, thank. 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