Diabetes Care

The Family Doctor would be pleased to help you manage your Type 2 Diabetes. We can do many of the necessary lab tests in our office during your visit, including the HbA1c and microalbumin tests. In addition, we have on-staff a certified diabetes educator, Naomi Slifkin, RN, MEd, CDE.

Dr. Withrow is a Recognized Provider by the ADA / NCQA. The Provider Recognition Program, co-sponsored by the American Diabetes Association (ADA) and the National Committee for Quality Assurance (NCQA), is a voluntary effort to identify physicians who provide diabetes care consistent with ADA 's Standards of Medical Care and the Diabetes Quality Improvement Project. Dr. Withrow is awarded Recognition for 3 years, beginning February 2000.

Your Diabetes Check-up

 

You should have a diabetes check-up every three to six months. In addition to the physical exam, maintenance care for your Type 2 Diabetes includes:

  • Blood test for HbA1c (every 3 - 6 months)
  • Blood test for cholesterol and triglycerides (every year)
  • Blood test for anemia (at least once per year)
  • Urine test for protein or microalbumin (every 6 - 12 months)
  • EKG to monitor the health of your heart (every 1 - 2 years)
  • Blood tests as needed to monitor the health of your thyroid, liver, and kidneys
  • For many men, a test of your testosterone (should be done in the morning once per year)

Along with the American Diabetes Association, we also recommend that you have a dilated retinal eye exam every year (ideally with retinal photographs), a dental check-up and cleaning every six months, and see a podiatrist for any problems with your feet. For detailed assistance with meal planning, we refer to the registered dietitians at Profile Associates.

If you have diabetes, the attention that you give to yourself is as important as seeing your health provider regularly and taking your medication. Our diabetes educator, Naomi Slifkin, RN, MEd, CDE can help you learn to take better care of yourself. We recommend that you meet with her at least once each year and more often if your blood sugar levels are not well-controlled.

 

If You are Newly Diagnosed with Diabetes

 

If you are newly diagnosed, we advise that you meet with Naomi several times over the next few months. Topics that may be covered include:

  • What is diabetes
  • How to use a blood glucose meter
  • How your medication works
  • How to treat low and high blood sugar
  • Guidelines to increase regular exercise
  • Guidelines to improve your diet
  • Reading nutrition labels
  • Foot care
  • How to give insulin shots / use an "insulin pen"
  • Management of sexual problems