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Diabetes

Services and Programs

Outpatient Program

The Diabetes Self-Management Education Program is designed to help patients and their primary care provider maintain control of blood glucose, blood pressure, and cholesterol through education, medication, monitoring, and nutrition and exercise recommendations. These behaviors may be challenging to establish but research has shown that even small changes can lead to helpful improvements. This outpatient program offers comprehensive diabetes care in conjunction with nutrition, podiatry, ophthalmology, cardiology, and dental services.

Comprehensive Diabetes Management 

The team approach to ongoing diabetes management includes individualized health evaluations by an endocrinologist, diabetes nurse practitioner, and certified diabetes educators (including nurses and dietitians.) The diabetes team works with patients’ primary care physicians to prepare a plan tailored to their unique circumstances. The comprehensive diabetes management track is flexible based on a patient’s changing needs. Patients may wish to be referred for a one time consultation with an endocrinologist, and then resume their diabetes care with their PCP.

The Diabetes Self-Management Education Program aims to enhance diabetes self-care knowledge and skills, support behavioral change, promote general health, and reduce the risk of complications associated with diabetes.

Continuous Glucose Monitoring (CGM)

CGM uses a special glucose sensor connected to a tiny catheter worn discreetly under the skin that wirelessly sends sugar values to a receiver every five minutes for up to seven days. The sensor data shows sugar trends and patterns and gives the provider a detailed analysis of sugar values over a period of time.

Insulin Pumps

Insulin pump therapy provides another way to optimize control for patients with diabetes. Pump therapy provides convenience and flexibility for many patients with both Type 1 and Type 2 diabetes. Insulin pumps are not appropriate for everyone and the diabetes team will help decide if a patient is a candidate for an insulin pump therapy.

The insulin pump program includes a multi-step educational program including a team of pump educators, diabetes focused nurse practitioners, and endocrinologists.

Inpatient Adult Diabetes Service

Clinical research has identified hyperglycemia (high blood glucose or blood sugar) as a factor that increases length of stay, hospital complications, and even inpatient mortality. The inpatient program is designed to meet current national standards for glycemic control in hospitalized patients, for those with known diabetes, and those with newly identified hyperglycemia. The team can initiate insulin therapy in the hospital if appropriate, teaching all the necessary skills for independent management. The team of endocrinologists and nurse practitioners follow patients throughout their stay. The goal of the program is to improve the transition from inpatient care to outpatient care while designing an individualized regimen.

Diabetes and Pregnancy Program

High risk patients with diabetes during pregnancy require very intensive glucose control and close management during pregnancy and immediately after delivery, to reduce the risk of complications to the mother and baby. This special program is led by obstetricians and is designed for mothers who develop diabetes during pregnancy (a condition called gestational diabetes) and those women who have diabetes before they become pregnant.

Appointments

Call: 617.638.7470
Fax: 617.638.7449

Center for Endocrinology, Diabetes, Nutrition and Weight Management
Preston Family Building
732 Harrison Avenue, 2nd floor,
Boston, MA 02118

Refer a Patient

Call: 617.638.7470
Fax: 617.638.7449

Comprehensive Diabetes Management Individualized evaluations and interventions by a team that includes an endocrinologist/diabetes nurse practitioner, Certified Diabetes Educators including a nurse and dietitian, in conjunction with the primary care provider.

Our Comprehensive Diabetes Management Program is recommended for all patients with type 1 diabetes, and patients with type 2 diabetes with:

  • Suboptimal control on oral agents/insulin, A1c >7%
  • Insulin initiation
  • Insulin pumps
  • Diabetes with complex co-morbid conditions
  • Recent hospitalization with a lack of health care coordination
  • Labile blood sugar patterns
  • Hypoglycemic unawareness, frequent or severe hypoglycemiaore intensified diabetes treatment and/ or management needs

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