Diabetes Mellitus (DM) Management

How long does it take to schedule a new patient appointment for a patient with DM?

Typically only a couple of days. If you pay out of pocket we can see you in the next business day. If you want to use your insurance, it may take 3-5 days while we wait for approval.

Do you accept new patients with DM?

Yes, we do. We ask you to bring available blood tests from other providers and the current regimen of medications.

Do you routinely screen for DM in the office?

Yes, we routinely ask questions about common symptoms of DM, examine patients for physical signs of DM , do a finger prick for fasting glucose, HA1C and urinalysis.

Can I transfer DM, to my children?

Like type 1 diabetes, type 2 diabetes is inherited. This means a group of genes that can lead to type 2 is passed down from mothers and fathers to their children. Not everyone who inherits the genes will develop type 2 diabetes, but if you have the genes, you have a greater chance of developing it.

What are the main causes of DM Type 1 and 2?

Type 1 diabetes occurs when your immune system, the body’s system for fighting infection, attacks and destroys the insulin-producing beta cells of the pancreas. Scientists think type 1 diabetes is caused by genes and environmental factors, such as viruses, that might trigger the disease.

Type 2 diabetes has several causes: genetics and lifestyle are the most important ones. A combination of these factors can cause insulin resistance when your body doesn’t use insulin as well as it should. Insulin resistance is the most common cause of type 2 diabetes. Type 2 diabetes can be hereditary.

Who is mostly affected by DM?

The risk of developing type 2 diabetes increases with age. The number of children diagnosed with type 2 diabetes is growing due to more overweight youth. Still, it is much less common in children and young adults than it is in older people.

You are more likely to develop type 2 diabetes if you

  • are overweight or obese
  • are age 45 or older
  • have a family history of diabetes
  • are African American, Alaska Native, American Indian, Asian American, Hispanic/Latino, Native Hawaiian, or Pacific Islander
  • have high blood pressure
  • have a low level of HDL (“good”) cholesterol or a high level of triglycerides
  • have a history of gestational diabetes or gave birth to a baby weighing 9 pounds or more
  • are not physically active
  • have a history of heart disease or stroke
  • have depression
  • have polycystic ovary syndrome, also called PCOS
  • have acanthosis nigricans—dark, thick, and velvety skin around your neck or armpits

What are the most common complications of untreated or poorly treated DM?

Heart disease and a higher risk for heart attack and stroke. Eye and vision problems, including blindness. Kidney disease that can lead to kidney failure. Neuropathy (nerve damage) that can cause tingling and pain the hands and feet.

Is life expectancy affected by DM?

Diabetes cuts years off the Life Span of many Americans. Research shows that older adults with diabetes have a lower life expectancy at every age compared to people who do not have the disease. For example, researchers say, the difference at age 60 is 5.4 years; it’s one year by 90.

What is the best course of action for patients with DM?

We encourage people with diabetes and their families to learn as much as possible about the latest medical therapies and approaches, as well as healthy lifestyle choices. Good communication with your doctor and early aggressive sugar control, lifestyle modification and exercise are your key to success.

How frequently do you typically need to follow up for good control?

Well controlled DM without complications and side effects from the medications usually requires office visits once every 2-3 months and laboratory tests 2-3 times a year. About once a year we do an eye exam, ECG, ultrasounds, and consultation with a dietician.

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