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It starts with a full metabolic workup: A1C, fasting insulin, and the broader panel most annual physicals don't run, so you're working from where you actually stand rather than a single number flagged in passing. From there, Diamond — a Certified Diabetes Care and Education Specialist — builds a plan around your labs, history, and goals, reading body composition and nutrition alongside the bloodwork instead of treating them as separate problems.

Visits are unhurried enough to actually explain what the labs mean, and follow-ups keep tracking your numbers over time so you know the plan is working well before your next annual physical rolls around.

A note on established diabetes

Already managing type 1 or type 2?

Concierge management is available for established type 1 and type 2 patients who want direct clinician access on a cash-pay basis. Ongoing diabetes care tends to be extensive though — supplies, insulin, frequent monitoring — and most patients leaning heavily on insurance for that portion of care find it works better as a complement to this practice than a full replacement. If that sounds like your situation, we're happy to talk through what makes sense.

Yes, especially you. This program is aimed at patients who aren't diabetic yet: borderline A1C, insulin resistance, PCOS-related metabolic issues, or a family history you'd rather get ahead of.

Concierge management is available for established type 1 and type 2 patients who want direct clinician access on a cash-pay basis. Ongoing diabetes care tends to be extensive though, so most patients leaning heavily on insurance for supplies and medications find this practice works better as a complement than a full replacement.

A full metabolic panel, including A1C and fasting insulin, establishes where you actually stand so the plan reflects your real risk instead of a generic screening result.

Time and specialization, mostly. This is a decade of dedicated diabetes and endocrine background, applied in unhurried visits rather than a metabolic flag mentioned in the last five minutes of an annual physical.

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Bring us your labs. We'll tell you what they actually mean.