Abstract: The system disclosed here includes a computer-implemented patient therapy management and coaching system, a database system to collect and maintain patient data associated with a plurality of medical device users that includes a trainee patient assigned to a coach, and a user device communicatively coupled to the patient therapy management and coaching system and associated with the coach. The management and coaching system is operative to: receive a patient request for coaching; process the request to automatically identify goals to be achieved by the trainee patient; communicate the goals to the coach's user device; receive an accepted goal selected from the identified goals; create a patient coaching program for the accepted goal; generate insight messages based on patient data collected for the trainee patient, the generated insight messages related to the patient coaching program; and deliver the generated insight messages to the user device associated with the coach.