Diabetes

Yes. Genetics, hormones, medications, and muscle mass all affect insulin sensitivity. Some people with diabetes are lean, while others with obesity never develop it. Weight alone doesn’t determine risk.

Many people don’t notice symptoms or are asymptomatic early on. As blood sugar rises, common signs include increased thirst, frequent urination, fatigue, blurry vision, or unexplained weight loss.

We combine symptoms with labs, most notably fasting glucose, A1C, and sometimes fasting insulin. Diabetes is typically diagnosed when fasting glucose is ≥126 mg/dL on two separate tests. We recheck A1C about every 4 months to confirm progress.

The core biology is similar, but hormones can make a difference. Perimenopause or menopause can increase insulin resistance in women, while low testosterone can do the same in men. We address these factors as part of a personalized treatment plan.

Yes. Magnesium helps insulin bind effectively to its receptor, supporting glucose control. Many people with Type 2 Diabetes are magnesium-deficient, so we test levels and replete when needed.

No. GLP-1 medications (like Tirzepatide) improve glucose control and provide cardiovascular and metabolic benefits, even for patients whose primary goal isn’t weight loss.

If you’re insulin-deficient, such as with Type 1, LADA, or later-stage Type 2 Diabetes, insulin therapy is essential. We often co-manage with endocrinology to incorporate continuous glucose monitors and insulin pumps for precise, convenient dosing.

Fasting glucose and insulin often improve within weeks; A1C typically shows meaningful change with each ~4‑month cycle. Your timeline depends on baseline levels, adherence, and coexisting conditions.

Type 2 diabetes and prediabetes can often be brought into remission with sustained lifestyle change and appropriate medications. Ongoing maintenance is key, because insulin resistance tends to “wait in the wings.”

Certain long-term steroids and some atypical antipsychotics can raise blood sugar and increase insulin resistance. Never stop a prescribed medication on your own, we’ll help review options and discuss safer alternatives when appropriate.