• Comprehensive Initial Diabetes consultation with Dr. Casian (2-hour) 

• Detailed in-person assessment of medical history and current health conditions

• Detailed assessment of diabetic treatment plans and response

• Assessment of current glycemic status by reviewing recent hemoglobin A1c and blood glucose levels

• Detailed assessment of nutrition, activity, sleep and psychological history

• Comprehensive blood workup 

• DEXA scan to asses total body composition​

• CT Coronary Calcium Score 

• Diabetes specific recommendations for lifestyle modifications

CREATE

• Review of laboratory, home blood glucose, DEXA and CT Calcium Score results with Dr. Casian (1-hour)

• Develop an action plan by using shared decision making approach

• Establish patient centered diabetes care goals and time frames

• Implement personalized, diabetes specific, intensive lifestyle interventions

• Personalized care plan to optimize glucose control, blood pressure control and lipid control

• Extensive counseling and education for prevention or delay of diabetes associated comorbidities

MONITOR

• Monthly diabetes focused follow-up visits (1-hour)

• Review home blood glucose, assess adherence to medication and lifestyle recommendations

• Evaluate medication efficacy and make dose adjustments as clinically indicated

• Explore and identify personal barriers

• Adjust nutrition and exercise to maximize glycemic control

• Refer to regular specialist evaluations per diabetes care guildlines

MAINTAIN

• Regular monitoring of hemoglobin A1c and other metabolic markers

• Implement changes in therapy based on hemoglobin A1c, glucose data and patient preferences

• Build a health-optimized routine for long lasting results

• Reach and maintain optimal fasting blood glucose and hemoglobin A1c levels