Type 1 & Type 2 Diabetes
Diabetes mellitus:
According to the Centers for Disease Control and Prevention (CDC), over 34 million Americans have diabetes and face its devastating consequences. In the State of California, approximately 3,209,418 people in California, or 10.5% of the adult population, have diagnosed diabetes. An additional 884,000 people in California have diabetes but don’t know it, greatly increasing their health risk.
Our endocrine and diabetes specialist Dr. Makhija is an expert in diabetes care. She understands the disease process and how it affects each patient as well as their families’ life. Dr. Makhija and her team offers wholistic and comprehensive diabetes care throughout the Central California and via telemedicine to all residents in the state of California. The medical care includes weight management, nutrition counseling, lifestyle medicine, medications/injectables, insulin pump care, and other advanced diabetes management. Call Unified Endocrine office at 559-272-9192 or email us for an appointment.
Type 1 Diabetes: Diabetes mellitus occurs when the blood glucose, also called blood sugar, is too high. In most people with type 1 diabetes, the body’s immune system, attacks and destroys the cells in the pancreas that make insulin (autoimmune disease). As a result, the pancreas stops making insulin. Without insulin, glucose can’t get into the body cells and individuals have to take insulin every day to stay alive. The presence of certain types of autoantibodies is common in type 1 but not in type 2 diabetes. Experts think type 1 diabetes is caused by genes and factors in the environment, such as viruses, that might trigger the disease. Type 1 diabetes typically occurs in children and young adults, although it can appear at any age. Having a parent or sibling with the disease may increase your chance of developing type 1 diabetes. In the United States, about 5 percent of people with diabetes have type 1.
Type 2 Diabetes: Diabetes mellitus occurs when the blood glucose, also called blood sugar, is too high. Type 2 Diabetes mellitus is the most common form of diabetes. In most people, the main cause is insulin resistance. In type 2 diabetes, the body doesn’t make enough insulin or the cells are unable to use the insulin well (insulin resistance). There are several risk factors for developing Type 2 Diabetes mellitus such as higher body weight, age 35 or older, family history of type 2 diabetes, physical inactivity, prediabetes, gestational diabetes, African American, American Indian, Asian American, Hispanic/Latino, or Pacific Islander ethnicity. Children and teens are also at higher risk of developing type 2 diabetes.
Gestational Diabetes: a type of diabetes in pregnancy diagnosed in pregnant women who did not have a prior history of diabetes mellitus. It needs close monitoring, and strict glucose control to ensure a successful and healthy pregnancy.
Frequent Asked Questions
Q: What can I expect from the initial diabetes consultation at Unified Endocrine?
A: At your first visit with us, you can expect a personalized, comprehensive, and elaborate evaluation for diabetes care. Dr. Makhija will perform a thorough physical examination and discuss the root causes of the symptoms. After the entire assessment, an individualized health plan and goals are created for the patient. We provide patients with customized resources where to start, one-on-one expertise on foods, nutrition, recipes along with telemedicine visits with our own expert diabetes educator.
A concierge or direct specialty care doesn’t bill your health insurance for the consultation which allows Dr. Makhija to spend ample amount with you as a patient, listening to your concerns and questions, offering treatment as well as educating amd empowering you with the right tools to optimize your health goals.
The initial consultation is 60-90 minutes with Dr. Chhaya Makhija.
Our Follow up visits vary between 4-10 visits in a year depending on the patient’s health needs. This includes telemedicine visits, secure messaging, in-person visits and house calls if clinically indicated for patients residing in the state of California.
Q: How is Diabetes mellitus managed at Unified Endocrine?
A: Health goals are prioritized as addressing the root causes, minimizing, or preventing complications and reducing risks for other diseases. Other than Internal Medicine, Diabetes, Endocrine & Metabolism, Dr. Makhija is also board certified in Lifestyle medicine. She provides coaching and counseling to her patients to take control of their health.
All FDA-approved medications and injections are prescribed based on a patient’s medical assessment and shared decision-making. Non insulin injectables like Ozempic, Mounjaro, Trulicity and class of GLP-1 agonists have shown to improve glycemic control as well as weight loss in patients with Type 2 Diabetes mellitus.
These are all a part of diabetes care:
Individualized diet, nutrition, and assessment of deficiencies
Physical activity
Stress management
Sleep assessment
Weight loss
Continuous glucose monitoring training
Remote monitoring of blood pressure and glucose
Insulin pump training and management
Weekly to Bimonthly follow ups
Body composition analysis
Risk factor assessment
Referrals as clinically indicated
Our membership-based approach helps patients to get continuous coaching and expert care.
OUR PATIENTS RECEIVE ADDITIONAL FREE DIABETES EDUCATION VISITS WITH OUR EXPERT DIABETES EDUCATOR
Q: Do you use Diabetes Technology?
A: At Unified Endocrine, we use advanced tools for our patients. Continuous blood glucose monitoring devices like FreeStyle Libre and Dexcom G6, G7 CGM System, Insulin pump devices such as Tandem®, or the Omnipod® platform for adults. Insulin pen devices, Insulin patches etc. We also provide remote monitoring of blood sugar readings/sensor readings.
Appointments can be made based on the patient’s needs, via phone, text, or video call.
To learn more about Dr. Makhija’s comprehensive and holistic diabetes care, call Unified Endocrine at 559-272-9192 or email us for an appointment.
