For endocrinology & diabetes
A1c tells you what
happened. It doesn't tell
you what to change.
Between quarterly visits your patients' glucose, weight, side effects and adherence all shift - invisibly. Ziva captures that daily record so your next decision is grounded in data, not an estimate.
CGM & glucometer integration · Continuous glucose data · Thyroid & metabolic protocols · RPM & CCM eligible
Continuous data · this week
Carol M., 61* · Type 2 diabetes
Time in range 54%, down from 71% last month
Jenna K., 29* · Type 1 diabetes
3 overnight lows this week
Priya M., 47* · Hypothyroidism
Energy score up, weight stable for 3 weeks
Isabella
"Three overnight lows this week, all between 2 and 4am, all following evening exercise. Not a dosing error — a timing pattern. Flagged for basal review before her Thursday appointment."
*Stories are inspired by real patient experiences and health patterns observed in care. Names, images, quotes, and certain details have been changed or combined to protect privacy. Individual experiences and outcomes may vary.
The gap
Ninety days of decisions,
reviewed in fifteen minutes.
Endocrine decisions depend on data generated between visits - glucose, sleep, weight, symptoms. Most of it never reaches you.
Decisions on stale data
A quarterly A1c averages away the hypoglycaemia, the post-prandial spikes and the two weeks the patient stopped tracking anything.
Data without context
CGM and glucometer data exists, but arrives as a bulk download at the appointment, unconnected to sleep, meals or activity.
Conditions treated in isolation
Thyroid, obesity, CKD, hypertension and mood run alongside diabetes and each affects the others - reviewed separately, if at all.
The continuous care experience
The ninety days, recorded.
The continuous care experience gives every endocrine patient daily contact and a continuous metabolic record - so the story of the interval is available before you make the next decision.
01
Glucose and weight stream in
CGM, connected glucometer and scale data captured continuously, with context rather than as a raw export.
02
Daily symptom and side-effect check
Nausea, hypoglycaemia symptoms, injection-site issues, fatigue and appetite change logged as they happen.
03
Isabella finds the pattern
Overnight lows clustered after exercise, post-prandial spikes tied to specific meals, side effects tied to dose escalation timing.
04
Coaching that prevents dropout
Side-effect management, injection technique, meal timing and dose-escalation expectations delivered when the patient needs them.
05
Visit-ready summary
Time in range, hypoglycaemia events with context, adherence and weight trajectory in your hands before the visit.
Patients stay on therapy because someone helped them through the difficult weeks. You decide on ninety days of evidence instead of one number and a conversation.
How Ziva helps
What Ziva does
for an endocrine practice.
Metabolic care is multi-variable by nature. Ziva keeps all the variables on one timeline and does the daily work of holding the patient to the plan.
Glucose
CGM and glucometer context
Glucose data joined to meals, activity, sleep, stress and medication timing - the context that makes the curve actionable.
Adherence
Medication adherence tracking
Timestamped dosing across insulin, oral agents and thyroid medication - a missed dose is a visible pattern, not a guess.
Safety
Hypoglycaemia pattern detection
Timing, frequency and antecedents of lows surfaced as patterns rather than isolated events.
Metabolic
Weight and body composition
Continuous weight trajectory alongside glucose, so metabolic response is visible across both axes.
Thyroid
Thyroid symptom tracking
Energy, weight and mood symptoms tracked daily and correlated with TSH and free T4 trends for the thyroid half of your panel.
Continuity
No patient falls through the gap
Every enrolled patient gets a continuous data record, not just the one flagged today - so nobody drifts unnoticed between visits.
Impact
What changes with
continuous metabolic data.
Better glucose control, fewer dropouts, fewer hypoglycaemic events, and documented care management revenue on a panel that overwhelmingly qualifies.
Sooner
Pattern detection
Hypoglycaemia timing and side-effect patterns surfaced before the next visit
Daily
Continuous glucose data
Isabella surfaces glucose and weight trends daily, not just at the visit
Proactive
Adherence tracking
Pillbox and timing-aware logging for levothyroxine and other therapies
Illustrative
Program revenue
Modeled RPM/CCM revenue for your panel - see the calculator below
Directional framing based on Ziva's platform capabilities; actual results depend on panel size and payer mix.
The full care journey
From enrollment
to follow-up - Ziva runs every step.
Diabetes, obesity and thyroid protocols run concurrently on the same record. You keep clinical authorship - Ziva handles delivery, capture and documentation in between.
Thyroid symptom tracking
Energy, weight and mood symptoms tracked daily and correlated with TSH and free T4 trends on the same record.
Comorbidity-aware
CKD, hypertension, sleep apnoea and mood protocols run alongside and cross-reference the metabolic data.
No care manager to hire
Isabella covers daily monitoring and coaching. Clinical review stays with your team.
Works with your labs
TSH, free T4, lipid panels and A1c results import onto the same timeline as daily glucose and weight data.
Proof
Continuous data that
changed the decision.
Conditions covered
Endocrine and metabolic conditions.
Ziva runs concurrent condition protocols - most endocrine patients need more than one.
Reimbursement
A panel that
overwhelmingly qualifies.
Diabetes plus at least one comorbidity is the typical endocrine patient, which means most of your panel meets CCM's requirement. Device-based glucose and weight monitoring supports RPM concurrently.
RPM — 99453 / 99454 / 99457 / 99458
Device-based physiologic monitoring, 16+ transmission days per month
99453One-time setup & patient education — ~$19
99454Device supply + daily transmission — ~$46/mo
99457First 20 min interactive care management — ~$48
99458Each additional 20 min — ~$39
CCM — 99490 / 99439
Patients with two or more chronic conditions expected to last 12+ months
99490First 20 min clinical staff time / month — ~$62
99439Each additional 20 min — ~$47 (up to 2×)
Complex CCM — 99487 / 99489
60+ minutes/month and moderate-to-high complexity medical decision making
99487First 60 min / month — ~$130
99489Each additional 30 min — ~$67
Ziva's time logs, monitoring records and monthly reports supply the documentation these codes require. Confirm eligibility and rates with your billing team and MAC.
Program revenue estimate
Enrolled patients
110
10typical enrollment ramp500
Program type
Device supply (99454)—
First 20 min (99457)—
Additional 20 min (99458)—
Estimated monthly program revenue
—
— annually
Illustrative national-average estimates. Actual reimbursement varies by MAC, locality, payer mix and documented time.
Self-pay option
Not billing insurance? Charge patients directly.
Set your own price for a monthly monitoring program, membership or package. Connect your payment system to Ziva and get paid directly, alongside or instead of CPT billing.
Get Started
Start with your
T2D or thyroid cohort.
Most practices begin where retention pressure is highest, then expand across the panel.
✓Cohort eligibility and enrolment analysis
✓CGM and device integration review
✓Glucose and weight targets, alert configuration
✓Program revenue modelling by payer mix
Request a 30-minute demo
We'll walk through enrolment, alert configuration, and the revenue model for your practice.
Book my demo →No commitment. We'll follow up within 1–2 business days.
Security & compliance
Built for healthcare.
Trusted by clinical teams.
Ziva was designed from the ground up for clinical environments - not adapted from a consumer app. Every data flow, access control, and integration meets the standards your compliance team requires.
🔒
HIPAA compliant
BAA available. All PHI encrypted in transit and at rest.
✅
End-to-end encrypted
All PHI encrypted in transit and at rest. HL7 FHIR R4 compliant data exchange.
🏥
US data residency
All patient data stored and processed within the United States.
📋
Audit-ready logs
Consent records, access logs, and billing documentation stored and exportable.
Questions
Endocrinology FAQ
Dexcom and Abbott Libre CGM data, plus connected glucometers and cellular scales. CGM data is placed on the same timeline as meals, activity, sleep, medication timing and symptoms, so the curve arrives with context rather than as a standalone report.
Insulin, oral agents and thyroid medication are logged with timing, so a missed or mistimed dose is visible as a pattern rather than discovered at the next A1c or TSH. Isabella reinforces timing and technique daily and escalates sustained non-adherence to your team.
Generally yes where the time and activities are separately documented. Diabetes plus a comorbidity satisfies CCM; device-based glucose and weight monitoring supports RPM. Ziva logs the two time streams separately. Confirm specifics with your billing team and MAC.
Yes. For type 1 the emphasis shifts toward hypoglycaemia pattern detection, overnight event context, exercise and insulin timing, and technology troubleshooting. Alert thresholds and escalation rules are configured per patient.
Ziva runs full thyroid protocols - levothyroxine dose timing relative to food and interacting supplements, symptom tracking, and correlation with TSH, free T4 and antibody results. See the thyroid provider page for detail.
Yes. Fully HIPAA compliant with BAA available, PHI encrypted in transit and at rest, US data residency, and no sale or advertising use of patient data. Security documentation and a DPA are available for review.