Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

Bridging the Chasm: The Systematic Breakdown of Evidence-Based Diabetes Care

24 Jul 2026 · 1 min

Watch on YouTube

0:47

Dr. Jaiwant Rangi identifies fifty distinct gaps where diabetes care breaks down between clinical guidelines and what actually happens in primary care. Despite solid evidence and clear recommendations, front-line providers rarely follow them, revealing systemic failures at every stage from dissemination to implementation.

Chapters

So what I did was I tried to look for this answer that in spite of the best science and the best evidence, why are the guidelines that are created by these organizations not getting to the primary care providers or to the real ground-level medicine that is practiced every day? So together, after learning from everywhere, it became clear to me that the document had close to almost 50 gaps or separate gaps in diabetes care. So it is not something that if I'm observing it, I'm of course of course, not the first one. It's been observed, it's been documented, and they understand there are at least almost 50 gaps or more. 50 places where the system is breaking down.