History and medications
First, review your diagnoses, glucose trends, treatments, and side effects. Discuss any challenges with following your care plan.
Physician-guided diabetes care
Personalized Diabetes Management
Understand your glucose patterns, reduce avoidable risk, and build a practical care plan around your health, medications, nutrition, activity, and goals.
- Individual evaluation
- Medication management
- Ongoing monitoring
Care beyond one number
Diabetes Management Starts With the Full Picture
Blood glucose is one part of diabetes care. We also review blood pressure, cholesterol, kidney health, weight, and medicines. Sleep, food, activity, and heart health matter too.
Type 2 diabetes
Prediabetes
Insulin resistance
Metabolic risk
Your clinical baseline
A More Complete Diabetes Evaluation
Laboratory assessment
Testing may include A1C, glucose, kidney function, lipids, urine albumin, and other indicated studies.
Complication risk
Review risks to your heart, kidneys, eyes, nerves, and feet. Arrange referrals when needed.
Daily patterns
Consider nutrition, activity, sleep, stress, glucose monitoring, and the realities of your routine.
Individualized care plan
Managing Glucose While Protecting Long-Term Health
Your provider bases recommendations on your diabetes type, A1C, other conditions, and risks. Your preferences, costs, and treatment results also guide the plan.
Monitoring and prevention
- A1C and home-glucose goals individualized to the patient
- Continuous glucose monitoring when appropriate
- Kidney, eye, nerve, and foot-health surveillance
- Blood-pressure and cholesterol risk management
Daily health support
- Personalized nutrition and carbohydrate awareness
- Movement, aerobic activity, and resistance training
- Weight-management support when relevant
- Sleep, medication routines, and sustainable behavior change
Medication management
The Right Treatment Depends on the Patient
First, your provider reviews glucose goals, heart and kidney health, and the risk of low blood sugar. Weight, side effects, cost, coverage, and your preferences also matter.
Metformin and other oral medicines
May be appropriate depending on diagnosis, kidney function, tolerability, and treatment goals.
GLP-1 or dual GIP/GLP-1 medicines
Ozempic® and Mounjaro® are approved for type 2 diabetes; suitability and coverage vary.
SGLT2 inhibitors and insulin
Your provider may consider these options based on glucose levels, organ health, safety, and your care needs.
Medication is prescribed only after an appropriate evaluation. Do not stop insulin or another diabetes medication without guidance from the prescribing clinician.
Everyday foundations
Small, Consistent Actions Matter
Nutrition
Build meals around suitable portions, protein, fiber-rich foods, and less-processed carbohydrates. Also consider how your glucose responds.
Movement
Regular aerobic activity and resistance training can support glucose management when medically appropriate.
Monitoring
Use glucose readings, symptoms, laboratory results, and follow-up to understand patterns and adjust care.
Understanding diabetes
Type 1 And Type 2 Diabetes Require Different Care
Both conditions affect how the body manages glucose, but their causes and treatment needs are different. Your care plan should reflect your diagnosis, medications, health history, glucose patterns, and personal goals.
Insulin Is Essential
Type 1 diabetes is an autoimmune condition in which the pancreas produces little or no insulin. Daily insulin and careful glucose monitoring are necessary. Care commonly involves an endocrinology team.
- Requires lifelong insulin therapy
- Glucose monitoring or CGM is central to care
- Education includes dosing, meals, activity, hypoglycemia, ketones, and sick-day planning
Care Is Individualized
Type 2 diabetes typically involves insulin resistance and a gradual decline in insulin production. Treatment varies and may change as glucose levels, other health conditions, and individual needs evolve.
- Nutrition, activity, sleep, and weight care when relevant
- May include oral medication, injectable medication, or insulin
- Heart and kidney health may influence medication selection
Continuous glucose monitoring
See Glucose Patterns Between Visits
A continuous glucose monitor, or CGM, estimates glucose in the fluid beneath your skin, day and night. It can reveal trends that a single finger-stick reading may miss. These trends can help you and your clinician make care decisions.
CGM is especially important for many people who use insulin and may also be appropriate for selected people with type 2 diabetes or prediabetes. Device eligibility and insurance coverage vary. You may still need a finger-stick check based on device instructions or when symptoms do not match the sensor reading.
Meal responseOvernight trendsActivity patternsLow and high alerts
Connected care between visits
Remote Patient Monitoring & Chronic Care Management
Eligible patients can receive additional support between appointments through connected monitoring and coordinated monthly care.
Medicare and some commercial insurance plans may cover qualifying RPM or CCM services when eligibility, medical necessity, consent, and billing requirements are met. Deductibles, coinsurance, copays, device requirements, and plan rules may apply. Our team can verify benefits before enrollment.
Compatible devices can securely share readings such as glucose, blood pressure, or weight. Your care team can then review them to help manage treatment.
For eligible patients with several chronic conditions, CCM may include a care plan and medicine review. It can also provide care coordination and monthly support.
Regular readings help the team spot concerning trends. They can then decide whether you need follow-up or a treatment review.
When appropriate, we coordinate care with pharmacies, labs, specialists, and other members of your healthcare team.
Ongoing clinical support
Your Care, Step by Step
01Evaluate
First, review your history, medicines, risks, glucose data, and priorities.
02Personalize
Next, set suitable goals and choose practical treatment strategies.
03Monitor
Then track glucose, A1C, side effects, safety, and risks of complications.
04Adjust
Refine medication and lifestyle recommendations as needs change.
Common questions
Diabetes Management FAQ
Clear answers about evaluation, monitoring, medications, coverage, and ongoing care.
Do you offer telehealth for diabetes management?
Telehealth follow-up may be available for established, qualifying patients where our providers are licensed. Some examinations, laboratory testing, urgent concerns, or treatment decisions may still require in-person care.
What is an A1C test?
A1C estimates average blood glucose over roughly the previous two to three months. Your provider sets your personal target and testing schedule.
What is a continuous glucose monitor, and do I need one?
A CGM measures glucose throughout the day and can reveal patterns related to meals, activity, sleep, and medication. Suitability and insurance coverage vary.
Are Ozempic® or Mounjaro® appropriate for everyone?
No. These prescription medicines have contraindications, precautions, and possible side effects. Selection requires an individualized medical evaluation.
Will I need insulin?
Not everyone with type 2 diabetes needs insulin. It may be necessary in some circumstances. People with type 1 diabetes require insulin.
Can prediabetes improve?
Many people can lower glucose and reduce progression risk through appropriate nutrition, activity, weight management, and medical care. Outcomes vary.
Can hormones affect blood glucose?
Endocrine conditions can influence glucose, but hormone therapy is not a routine diabetes treatment. Your provider may assess this when findings suggest a separate hormone disorder.
Are RPM and CCM covered by insurance?
Medicare and some commercial plans may cover qualifying services. Eligibility, medical necessity, consent, plan rules, deductibles, coinsurance, or copays may apply.
Do you coordinate with primary-care physicians and specialists?
Yes. With your authorization and when appropriate, we coordinate with other providers. These may include primary care, hormone and heart specialists, eye care, pharmacies, and labs.
When should I seek urgent medical care?
Seek urgent or emergency care for severe hypoglycemia, confusion, fainting, seizures, persistent vomiting, difficulty breathing, chest pain, signs of stroke, or very high glucose with significant illness.
Diabetes care in Pasadena
Book Your Diabetes Appointment
Meet with an Alpha Hormones® medical provider to review your glucose control, current treatment, health risks, and available care options.
