Dr. Shadia Grishma

diabetes rather than a whole cocktail of drugs which can cost huge amounts of money every year you know it's funny that it is full circle that our knowledge we what we were doing before we had a therapeutic and you know insulin was an incredible discovery and saved the lives of many many people with type 1 diabetes and poorly controlled type 2 diabetes but i think somewhere along the line we lost the sort of nutritional component of controlling metabolic health and it was easier to write a prescription

diabetes rather than a whole cocktail of drugs which can cost huge amounts of money every year you know it's funny that it is full circle that our knowledge we what we were doing before we had a therapeutic and you know insulin was an incredible discovery and saved the lives of many many people with type 1 diabetes and poorly controlled type 2 diabetes but i think somewhere along the line we lost the sort of nutritional component of controlling metabolic health and it was easier to write a prescription

diabetes rather than a whole cocktail of drugs which can cost huge amounts of money every year you know it's funny that it is full circle that our knowledge we what we were doing before we had a therapeutic and you know insulin was an incredible discovery and saved the lives of many many people with type 1 diabetes and poorly controlled type 2 diabetes but i think somewhere along the line we lost the sort of nutritional component of controlling metabolic health and it was easier to write a prescription

And, you know, we live in an obesogenic world now with toxic food environment, inadequate sleep, inadequate activity. And even with the way we deliver care, you know, patients are frustrated. They don't have enough time with their clinicians. They're paying more. They're having worse outcomes. And frankly, clinicians are also frustrated.

And, you know, we live in an obesogenic world now with toxic food environment, inadequate sleep, inadequate activity. And even with the way we deliver care, you know, patients are frustrated. They don't have enough time with their clinicians. They're paying more. They're having worse outcomes. And frankly, clinicians are also frustrated.

And, you know, we live in an obesogenic world now with toxic food environment, inadequate sleep, inadequate activity. And even with the way we deliver care, you know, patients are frustrated. They don't have enough time with their clinicians. They're paying more. They're having worse outcomes. And frankly, clinicians are also frustrated.

You know, they're on this hamster wheel of, you know, metrics that aren't around quality, but, you know, how many widgets are patients you see in an hour, which are called RVUs. So the specialties that deal with prevention and metabolic health are not valued appropriately. So, I mean, the whole system sets it up for high cost, poor outcomes.

You know, they're on this hamster wheel of, you know, metrics that aren't around quality, but, you know, how many widgets are patients you see in an hour, which are called RVUs. So the specialties that deal with prevention and metabolic health are not valued appropriately. So, I mean, the whole system sets it up for high cost, poor outcomes.

You know, they're on this hamster wheel of, you know, metrics that aren't around quality, but, you know, how many widgets are patients you see in an hour, which are called RVUs. So the specialties that deal with prevention and metabolic health are not valued appropriately. So, I mean, the whole system sets it up for high cost, poor outcomes.

And so part of the reason why I was super excited when I found Virta is one, the nutritional intervention really does flip that mantra of continuous progressive chronic disease of type two diabetes, like a one way trolley track, right? Like, You add metformin when you start, then by two to three years, you add a second agent. And by eight to 10 years, everyone's on insulin.

And so part of the reason why I was super excited when I found Virta is one, the nutritional intervention really does flip that mantra of continuous progressive chronic disease of type two diabetes, like a one way trolley track, right? Like, You add metformin when you start, then by two to three years, you add a second agent. And by eight to 10 years, everyone's on insulin.

And so part of the reason why I was super excited when I found Virta is one, the nutritional intervention really does flip that mantra of continuous progressive chronic disease of type two diabetes, like a one way trolley track, right? Like, You add metformin when you start, then by two to three years, you add a second agent. And by eight to 10 years, everyone's on insulin.

So we flipped that at Virta and we have great data from our IUH trials that we can sustain remission and weight loss and deprescription of medications over two years. I see this every day in my practice at Virta. The second piece is the model of delivery, the care model we have at Virta. So my old practice, which is a traditional brick and mortar clinic, I was there for, um,

So we flipped that at Virta and we have great data from our IUH trials that we can sustain remission and weight loss and deprescription of medications over two years. I see this every day in my practice at Virta. The second piece is the model of delivery, the care model we have at Virta. So my old practice, which is a traditional brick and mortar clinic, I was there for, um,

So we flipped that at Virta and we have great data from our IUH trials that we can sustain remission and weight loss and deprescription of medications over two years. I see this every day in my practice at Virta. The second piece is the model of delivery, the care model we have at Virta. So my old practice, which is a traditional brick and mortar clinic, I was there for, um,

After finishing fellowship, I was there for about 12 years. And, you know, my patients, they were lucky if they could even see me every six months because my panel was full. So talk about access. They come in, then they're rushed through that appointment because you've only got 30 minutes to download their glucometer, their CGM, update their med list, you know, get the labs, the pre-check labs.

After finishing fellowship, I was there for about 12 years. And, you know, my patients, they were lucky if they could even see me every six months because my panel was full. So talk about access. They come in, then they're rushed through that appointment because you've only got 30 minutes to download their glucometer, their CGM, update their med list, you know, get the labs, the pre-check labs.

After finishing fellowship, I was there for about 12 years. And, you know, my patients, they were lucky if they could even see me every six months because my panel was full. So talk about access. They come in, then they're rushed through that appointment because you've only got 30 minutes to download their glucometer, their CGM, update their med list, you know, get the labs, the pre-check labs.

And then they get to the room with you and you've literally got 15 minutes to solve all their metabolic health issues. It's unrealistic. So the way we do it at Virta is we've got this continuous remote platform where patients are able to log their biomarkers. So their glucose, their weight, their ketones, their blood pressure.

And then they get to the room with you and you've literally got 15 minutes to solve all their metabolic health issues. It's unrealistic. So the way we do it at Virta is we've got this continuous remote platform where patients are able to log their biomarkers. So their glucose, their weight, their ketones, their blood pressure.