Manageable routines
Practical nutrition support and activity goals that consider your preferences and family life.
Led by pediatric endocrinologists
Prediabetes & type 2 diabetes care
Ages 0–26Virginia & Maryland
Get a clear plan for an elevated A1C, prediabetes or type 2 diabetes—with medical care, nutrition and follow-up built around your life.
Have existing results? Bring them. You don’t need new lab tests to request an appointment.
Understand the result
Understand what the result means
Insulin is the hormone that helps glucose enter cells for energy. These related terms describe different things.
Insulin resistance
Your body responds less effectively to insulin. Blood sugar may still be in the usual range.
Prediabetes
Blood sugar is above the usual range but below the diabetes range. It does not mean diabetes will necessarily develop.
Type 2 diabetes
The body does not use insulin effectively and cannot make enough to keep blood sugar in range. Treatment and follow-up help manage it.
Blood tests help identify diabetes, but the result alone does not establish which type. Your clinician considers symptoms, medical history and any additional testing needed.
Your first visit
A clearer picture. A practical next step.
Start with your concerns
Talk about symptoms, questions and what feels difficult in daily life.
Review the full picture
We consider existing results, growth, family history and current medicines.
Discuss appropriate care
Explore whether testing, nutrition support, glucose monitoring or medicine may help.
Make the next step clear
Understand the priorities, any recommended tests and your follow-up plan.
Make room for everyday life
School, work, meals with friends and activities you enjoy belong in the conversation. Your priorities help shape the plan.
Treatment & follow-up
Blood sugar care that works with your life
Care depends on your diagnosis, age and health needs. Together, we choose the support that fits.
Individualized treatment
Your clinician explains appropriate options based on your blood sugar, health history and goals.
Purposeful follow-up
Review results, questions and how you are feeling, then adjust the plan when needed.
Where a CGM fits
A continuous glucose monitor (CGM) can help some people with diabetes see glucose patterns throughout the day. Your clinician helps decide whether it fits your needs.
A fitness tracker records activity. It does not replace a glucose monitor.
Getting started
Endocrinology care from home
Meet by video while in Virginia or Maryland. We’ll explain if an in-person assessment is needed and help you understand the next steps.
Request an appointmentDo we need labs before requesting an appointment?
No. You can request care without new lab tests. Share existing blood sugar results if you have them; your clinician decides whether more testing is needed.
Does one high result mean diabetes?
Not always. Your clinician reviews the test, how high the result is and any symptoms. Some results need repeat testing to confirm a diagnosis.
Do you see new patients with type 1 diabetes?
We are not currently accepting new patients for type 1 diabetes. Ask your primary care clinician for a referral to a diabetes care team.
Can a young adult request their own visit?
Yes. Young adults ages 18–26 can request their own appointment, with family involved if they choose.
Will I need a continuous glucose monitor?
Not everyone needs a CGM. Your clinician considers your diagnosis, treatment and how often glucose needs to be checked, then explains the monitoring options that fit your care.
Get a clear answer about blood sugar
Share your blood sugar concerns or existing results. We’ll help you understand the next step.
Request an appointment
(571) 480-6053