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Chronic Care Management (CCM)

Care management is intensive clinical management that supports patient self-management efforts through education, counseling, specialized services, evidence-based practices, and decision support.

Our current care program for diabetics

Together with your primary care physician, the EFA clinical practice coordinator forms and coordinates a proactive and interprofessional care team that is right for you.

Our practice coordinator will assist you with topics including:

  • Counseling sessions on the chronic disease diabetes mellitus (nutrition, exercise, etc.)
  • Various controls (e.g. diabetic foot controls etc.)
  • Various instructions (e.g. blood glucose self-measurement etc.)
  • Various trainings (e.g. hyperglycemia and hypoglycemia. etc.)
  • Medication Management
  • Joint development of action plans and targets
  • Guidance and support in self-management
  • Coordination of referrals to specialists and other healthcare institutions.



The goal of CCM is to familiarize you with the diagnosis and help you lead a largely independent and active lifestyle. You will be considered an important team member with your experience, who will receive further training, advice and support from the practice coordinator regarding your chronic illness. To empower them to take an active role in managing their chronic disease.

In this way, you can recognize changes in the long term, react to them in a way appropriate to the situation, improve your quality of life in the process and avoid late effects.

Do you have any obligations?

No. You have the option to withdraw from the care program at any time. Treatment costs are covered by health insurance in accordance with the Health Insurance Act (KVG).

Therapy goals

Individualized therapy goals are set together with you for: Lifestyle (changes), glucose metabolism, lipid status (fat metabolism), body weight, blood pressure. Among other things, age, other diseases, social situation and quality of life are always taken into account.

Foot control

A serious late consequence of diabetes mellitus can be diabetic foot disease. If this is not detected early and treated properly, it can lead to problems. Don't let it get that far in the first place. That is why, together with you, we attach great importance to a regular and well-founded clinical foot examination.


Lifestyle habits such as diet is a critical building block in diabetes. The practice coordinator will work with you to lay the groundwork for this. For more extensive and detailed nutritional counseling, a referral to the practice's in-house nutritional therapist can be made without any complications.

What else you can expect


  • Getting to know your disease together
  • Help in the jungle of medical terms
  • Reorganization of your everyday life
  • Finding tools and their application
  • Referral to specialized agencies in your social environment
  • Contact person for all your problems
  • Showing measurable disease progression (blood sugar, blood pressure, weight...)
  • Contact person also for your relatives
  • Our expertise is up to date for you
We give you our fullest trust - Will you give us yours?



Being chronically ill or accompanying chronically ill persons can be difficult...

...talk to those affected!

Self-help groups


Diabetes and taxes

In the canton of Zug, people with diabetes can deduct lump sums from their taxes.
A medical certificate must be enclosed with the tax return. Fee CHF 20.-

Medical certificate



Do you want to make an appointment?

Patricia Pirovino, MPK EFA, Chronic Care Management

Last Updated on 27. January 2024 by eschalch