Get your A1C under control.
Type 1 or Type 2, we build a plan around your actual life — not a generic handout — combining medication, nutrition, and monitoring that you'll realistically stick with.
What diabetes care includes here
Medication Optimization
Oral medications, insulin, and GLP-1s, adjusted as your needs change.
Glucose Monitoring
Guidance on continuous glucose monitors and how to actually use the data.
Meal Plans You'll Keep
Personalized nutrition built around your food preferences, not a one-size-fits-all diet sheet.
Exercise Prescriptions
Activity plans matched to your current fitness level, not a generic "move more."
Types of diabetes we manage
"Diabetes" isn't one condition — and the right plan looks very different depending on which one you have. Getting the diagnosis precise is the first step toward blood sugar that actually stays where it should.
Type 2 Diabetes
The most common form, driven by insulin resistance and strongly shaped by weight, activity, and genetics. Often manageable with lifestyle change plus oral or injectable medication — and, for many, pushed into remission.
Type 1 Diabetes
An autoimmune condition where the body stops making insulin, so insulin replacement is always required. We coordinate insulin dosing, continuous glucose monitoring, and complication screening.
Prediabetes
An A1C of 5.7–6.4% — the window where progression to Type 2 is most preventable. This is where focused nutrition, movement, and sometimes metformin can turn things around before they become permanent.
Diabetic Neuropathy
Nerve pain, numbness, or tingling from long-standing high blood sugar. We manage it with tighter glucose control, targeted medication, and medical acupuncture, which research shows can meaningfully reduce neuropathy pain.
How we diagnose and monitor diabetes
Good diabetes care is about far more than one A1C number. We confirm the diagnosis, track how well your plan is working over time, and screen regularly for the complications diabetes can quietly cause — catching them early, while they're still reversible:
- A1C: your average blood sugar over about three months — used to diagnose diabetes (6.5% or higher) and to guide every dose adjustment after
- Fasting blood sugar (FBS): used alongside A1C to confirm the diagnosis and distinguish prediabetes from diabetes
- Continuous glucose monitoring (CGM): real-time data on how food, activity, stress, and sleep move your blood sugar — and coaching on how to actually use it
- Kidney screening: annual urine microalbumin and eGFR, since the kidneys are often the first organs diabetes strains
- Cardiovascular monitoring: lipid panels and blood pressure checks, because diabetes, cholesterol, and hypertension travel together and compound each other's risk
- Eye & foot exams: regular neuropathy and circulation checks, plus referral for dilated retinal exams to protect your vision
A plan that fits your life, not a diet sheet.
Most new patients are seen within a week, in person or via telemedicine.
Diabetes medication options
Diabetes medication has changed dramatically in the last few years — several newer options lower blood sugar while also protecting the heart and kidneys or supporting weight loss. We match the medication to your whole health picture, not just your glucose.
Metformin
The standard first-line medication for Type 2 — it improves insulin sensitivity, has decades of safety data, and is inexpensive. A sensible starting point for most patients.
GLP-1 & GIP/GLP-1 Agonists
Semaglutide (Ozempic) and tirzepatide (Mounjaro) lower A1C substantially and support meaningful weight loss — often a turning point for Type 2 diabetes.
SGLT2 Inhibitors
Empagliflozin (Jardiance) and similar medications lower blood sugar while also protecting the heart and kidneys — especially valuable for patients who already have cardiovascular or kidney risk.
Insulin & Others
Always required for Type 1 and used in Type 2 when needed, dosed carefully alongside CGM. DPP-4 inhibitors and other agents round out the options when they fit better.
Whichever medication you start on, the goal is the same: the lowest effective dose that keeps your A1C on target without leaving you exhausted or hypoglycemic. As lifestyle changes take hold, many patients are able to step medications down — safely, and only under supervision.
Related services that support diabetes care
Weight Management
Losing even 5–10% of body weight can dramatically improve A1C — and GLP-1 medications tie the two together directly.
Learn moreChronic Disease Care
Diabetes rarely travels alone. We manage it alongside blood pressure, cholesterol, and thyroid in one coordinated plan.
Learn moreBlood Pressure Control
Diabetes and hypertension multiply each other's cardiovascular risk — controlling both together protects your heart and kidneys.
Learn moreFrom Our Blog: Prediabetes + Diet
What to eat to reverse prediabetes before it becomes Type 2.
Read the guideFrom Our Blog: Lower A1C Naturally
Real, evidence-based ways to lower A1C, and where metformin genuinely fits.
Read the guideDiabetes care questions
Can Type 2 diabetes be reversed?
For many patients, yes. Weight loss, dietary changes, exercise, and sometimes medication can bring A1C from the 8s down to under 6 without medication. It takes real commitment, but remission is achievable for many people.
How often will I need appointments?
Initially every 2–4 weeks while we get your diabetes under control. Once stable, visits move to every 3–6 months for A1C checks and medication adjustments.
Does acupuncture really help diabetes?
Research shows acupuncture can improve insulin sensitivity, reduce blood sugar levels, and meaningfully help diabetic neuropathy pain — typically alongside medication, not as a replacement.
What's a good target A1C?
For most people, under 7% is the goal. Some patients do better with tighter control under 6.5%, while others with complications are better served around 7–8%. Targets are personalized to your health status, age, and risk factors.
Can I stop my diabetes medications if my A1C improves?
Many patients reduce or discontinue medication as blood sugar stabilizes through lifestyle change — but only under medical supervision. Never stop medication on your own; we taper safely as your health improves.
Do you work with my endocrinologist?
Yes. With your permission, we share treatment plans and progress updates with your endocrinologist for coordinated care — you don't have to choose between conventional and integrative medicine.
What's the difference between Type 1 and Type 2 diabetes?
Type 1 is an autoimmune condition where the body stops making insulin and always requires insulin replacement — it usually appears in childhood or young adulthood but can start at any age. Type 2, the far more common form, is driven by insulin resistance and is strongly influenced by weight, activity, and genetics; it's often managed with lifestyle change and oral or injectable medications, and in many cases can be pushed into remission.
Do you prescribe GLP-1 medications like Ozempic and Mounjaro?
Yes. GLP-1 and dual GIP/GLP-1 medications (semaglutide, tirzepatide) can lower A1C substantially while also supporting weight loss, and they've become a central tool in Type 2 diabetes care. We help determine whether one is appropriate for you and work to get it covered by your insurance — see our weight management program for how we approach this.
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