Our approach to diabetes treatment is different than most people are used to. We address all the causes and co-existing conditions of this extremely challenging disease—not just a superficial review of lab tests and medication prescriptions. We spend time helping people understand the disease. We talk about diet, obesity, nutritional deficiencies, mental health, digestive problems, hormones, and genetics, and discuss the treatment for each. We spend time on menu planning, goal setting, and exercise options. We carefully explain the medication options and have many samples to choose from.

 

The first step to diabetes control is education--understanding the disease and what you can do to control it.

• Diet: Carbs are the main contributor to the blood sugar rise. Our dietitian, Alisha, can help you understand how to implement a low-carbohydrate diet and intermittent fasting if appropriate. Call us to request an appointment with her. 

• Exercise: 

• Blood sugar monitoring: This is essential to help you monitor your progress, identify dangerous blood sugar fluctuations, and to help us decide what changes to make in your treatment. You can use either a glucometer or a CGM (continuous glucose monitor). We can help you connect your monitor online so we can view it together. We will send you an invite to join one of these sites:

  • LibreView​

  • Dexcom Clarity

  • OneTouch Reveal

  • Accu-Chek Connect

• Medication options: oral medications. GLP-1. For those on insulin, we have a tried and true insulin protocol that helps you dial-in your insulin dosing precisely. We will help you understand how to adjust your long-acting and short-acting insulin to keep your blood sugars stable.

• Our favorite references: 

  • Dr. Bernstein's Diabetes Solution​

  • Dr. Jason Fung's Diabetes Code

  • Dr. Mark Hyman's Blood Sugar Solution

• Tips and tricks:​

  • Watch the video on getting started with the Libre CGM

  • Watch the video on how to connect your Libre (or another Abbott brand glucometer) to the online LibreView system​

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 a wide range of glucose testing options and connect with you electronically. Visit their websites:

Freestyle Libre continuous glucose monitor

DexCom continuous glucose monitor

Accu-Chek Connect

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