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Diabetes mellitus is a chronic disorder of carbohydrate, protein and fat metabolism that occurs when when the pancreas fails to secrete sufficient insulin, or when the cells of the body become resistant to the insulin produced. Diabetes mellitus is characterized by fasting elevations of blood sugar (glucose) as well as a significantly increased risk of heart disease, kidney disease, vascular disease, stroke, infection and loss of nerve function (peripheral neuropathy). Diabetes mellitus is divided into two major categories: type I and type II. The classic symptoms of diabetes mellitus are frequent urination, and excessive thirst and appetite.


Type I, also called insulin-dependent diabetes mellitus (IDDM), occurs most often in children and adolescents. It is associated with complete destruction of the beta-cells of the pancreas which manufacture the hormone insulin. IDDM patients usually require daily monitoring of blood glucose levels as well medicating with insulin. Dietary and lifestyle modifications are still important.

Type II, or non-insulin dependent diabetes mellitus (NIDDM), usually presents with a later onset of around 40 years of age or later. About 90% of all diabetics are type II. In NIDDM patients insulin levels are usually elevated which indicates a loss of sensitivity to insulin by the cells of the body. Obesity is a major contributing factor with approximately 90% of individuals with type II diabetes being obese. Achieving ideal body weight in these patients is associated with restoration of normal blood glucose levels in the majority of cases.

In type II diabetes, diet is of primary importance. Thus, there is a high success rate with dietary intervention alone. There have been many published studies on the importance of lifestyle intervention in treating diabetes. For instance, the New England Journal of Medince (2001;345(11):790-97) published a study stating: “Lifestyle changes and treatment with metformin both reduced the incidence of diabetes in persons at high risk. The lifestyle intervention was more effective than metformin.” Metformin is a drug used in the treament of diabetes.


• secondary diabetes - a form of diabetes that is secondary to certain conditions and syndromes such as pancreatic disease, hormone disturbances, drugs, and malnutrition
• gestational diabetes - refers to glucose intolerance occurring during pregnancy
• diabetes insipidus- refers to excessive urination resulting from either inadequate amounts of antidiuretic hormone or failure by the kidneys to respond to the antidiuretic hormone
• impaired glucose tolerance - a condition that includes prediabetic, chemical, latent, borderline, subclinical, and asymptomatic diabetes.


• Physical Exams- Screening for general health
• Laboratory Blood Tests – Fasting Blood Glucose, Insulin, Hgb A1c, Cholesterol…
• Bioimpedance Analysis – Assesses lean body mass, fat mass, cellular integrity and basal metabolic rate

After the initial consultation to review test results, health history, health profile and goals, you will receive a comprehensive First Line Therapy treatment plan tailored to the individual including:
• Meal plan – We’ll determine a meal plan for you based on the glycemic index considering your Basal Metabolic Rate, activity level, food allergies and weight/health goals
• Exercise Plan – We’ll develop an aerobic and strength training program to help you reach healthy cardiovascular and musculoskeletal fitness levels, building lean mass and deceasing excess fat mass
• Supplement recommendations - Various supplements can improve your insulin sensitivity and blood sugar levels
• Stress management techniques – Reducing stress can improve eating habits, insulin sensitivity, hormone levels, sleep and general well being
• Possible intravenous therapies

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