Diabetes

AI Smart Summary

Diabetes Therapy

At Patients Medical in NYC, Diabetes Therapy is an integrative, root-cause-focused program designed to help people with Type 2 diabetes, prediabetes, and metabolic imbalance achieve improved blood sugar control, reduced insulin resistance, and long-term metabolic health.

Rather than simply managing numbers, this program combines comprehensive testing, nutrition, lifestyle optimization, medication management, targeted supplements, and cutting-edge metabolic therapies to restore balance and reduce disease progression. You’ll learn how insulin sensitivity, inflammation, gut health, hormones, and stress influence diabetes — and get a personalized plan to improve energy, weight management, and long-term outcomes.

Fast Facts

Consultation Focus

Review of medical history, blood sugar patterns, diet, exercise, sleep, stress, medications, and quality-of-life goals

Advanced Evaluation

A1C, fasting glucose, insulin, lipids, inflammation markers, metabolic hormones, and possibly continuous glucose monitoring

Integrative Approach

Combines conventional endocrinology with functional medicine, nutrition therapy, and lifestyle medicine

Common Treatment Types

Nutrition & carb quality optimization, exercise prescriptions, stress reduction, targeted supplements, gut health support, and hormone optimization

Goal

Better glycemic control, reduced insulin resistance, improved metabolic flexibility, and prevention of complications

HOW DIABETES THERAPY WORKS

Personalized Assessment

Lab panels to understand insulin dynamics, inflammation, micronutrient status, and metabolic hormones

Nutrition & Carb Strategy

Individualized eating plans to stabilize glucose and reduce spikes

Movement & Exercise

Plans to improve insulin sensitivity and metabolic rate

Supplement Support

 Evidence-based micronutrients and botanicals that help insulin action and reduce oxidative stress

Lifestyle Medicine

Sleep, stress, and behavior optimization

Monitoring & Adjustments

Regular follow-ups to track progress and fine-tune the plan

POPULAR SYMPTOMS & CONDITIONS WE SUPPORT

TOP QUESTIONS ANSWERED

Recommended Next Steps

Schedule a Comprehensive Diabetes Evaluation

Complete Advanced Glucose & Metabolic Testing

Begin a Personalized Diabetes Therapy Program

Monitor Glucose Trends & Adjust Plans

Integrate Preventive Strategies for Long-Term Health

Diabetes Therapy at Patients Medical

Who We Are & How We Practice

At Patients Medical, we are a physician-led integrative medical clinic in New York City dedicated to treating the root causes of disease, not just symptoms. Our Diabetes Therapy program blends conventional endocrinology with functional medicine to create a personalized roadmap toward better metabolic health.

We evaluate hormones, inflammation, nutrition, gut health, stress response, and lifestyle patterns to optimize outcomes while reducing risks.

Quick Facts About Patients Medical

Established: 1974
Location: Midtown Manhattan
Specialties: Functional medicine, integrative diabetes care, metabolic optimization, hormone balancing, nutrition therapy
Team: MDs, DOs, nutritionists, diabetes educators
Care Model: Root-cause diagnostics + individualized treatment plans

Conditions & Symptoms We Commonly Treat

Our Whole-Person Integrative Care Model

We believe diabetes is rarely a single-system disease — it affects and is affected by:

Diabetes – Symptoms, Causes, Natural Treatments & Integrative Solutions

Why Diabetes Needs a New Approach

At Patients Medical in New York City, we offer a comprehensive Diabetes Therapy program that integrates conventional medicine with holistic practices. Our personalized approach aims to manage blood sugar levels, address underlying causes, and enhance overall well-being.

Understanding Diabetes
Diabetes is a chronic condition characterized by elevated blood sugar levels due to the body’s inability to produce or effectively use insulin. There are primarily two types:

  • Type 1 Diabetes: An autoimmune condition where the pancreas produces little to no insulin.
  • Type 2 Diabetes: A metabolic disorder resulting from insulin resistance or deficiency.
    Proper management is crucial to prevent complications such as cardiovascular disease, kidney damage, and neuropathy.
Diabetes1-1

Common Symptoms of Diabetes

Many people have diabetes for years without realizing it. Here are some red flags:

Causes and Risk Factors

Root-CausesDiabetes

Benefits of Our Program

Improved blood sugar control

Reduced dependence on medications

Enhanced energy and vitality

Weight loss and improved metabolism

Prevention of diabetes-related complications

Our Integrative Treatment Approach

Medical Management

Effective diabetes care often involves medications such as Metformin to reduce hepatic glucose production, insulin therapy to manage blood sugar spikes, and GLP-1 receptor agonists that improve insulin secretion and promote satiety. These medications help maintain optimal glycemic control, reduce the risk of complications, and are tailored to each patient’s unique needs based on disease progression, lifestyle, and comorbid conditions under medical supervision.

Nutritional Counseling

Personalized nutritional counseling focuses on creating balanced meal plans that regulate blood glucose levels and support weight management. This involves educating patients on portion control, the glycemic index of foods, carbohydrate counting, and nutrient-dense eating. Dietitians work closely with individuals to accommodate preferences, cultural backgrounds, and medical conditions, fostering sustainable eating habits that contribute to long-term diabetes control and overall health improvement.

Lifestyle Modifications

Incorporating regular physical activity, such as aerobic and resistance exercises, helps improve insulin sensitivity and lower blood glucose levels. Stress reduction techniques like mindfulness, yoga, and meditation mitigate cortisol spikes that can disrupt glucose control. Prioritizing quality sleep also plays a crucial role in hormonal balance and metabolic regulation. Together, these lifestyle modifications form a foundational approach to managing diabetes and enhancing overall well-being

Supplementation

Targeted supplementation with key vitamins and minerals—such as vitamin D, magnesium, chromium, and alpha-lipoic acid—can support glucose metabolism and insulin sensitivity. These nutrients address common deficiencies found in individuals with diabetes and may aid in reducing oxidative stress and inflammation. Supplements are most effective when used as part of a comprehensive care plan and should be selected based on lab evaluations and professional guidance

IV Therapy

IV nutrient therapy delivers essential vitamins, minerals, and antioxidants directly into the bloodstream, ensuring maximum absorption and rapid effects. This approach is often used to correct nutritional deficiencies, boost energy, and support cellular health in individuals managing diabetes. Common infusions may include B-complex vitamins, vitamin C, magnesium, and glutathione. IV therapy is typically administered under medical supervision and complements other diabetes management strategies.

IV Nutrient Therapy

Specialized Programs

Fertility & Preconception Support

Diabetes and insulin resistance can impact fertility and pregnancy outcomes. We optimize glucose before conception.

What Is Male Infertility?
What Are Menopausal Problems?

Hormonal Health & BHRT

Hormones influence metabolism. We evaluate and balance thyroid, sex hormones, and stress hormones as needed.

Gut & Digestive Health

The gut plays a key role in insulin signaling and inflammation; repairing it supports metabolic health.

Customized Plans
Nutritional-Support

Detoxification & Environmental Medicine

Toxin exposure can worsen insulin resistance; we support detox pathways safely.

Mental Health & Integrative Psychiatry

Depression, anxiety, and emotional eating affect diabetes management; we integrate mind-body support.

Stress Management

How Our Process Works – Step by Step

Initial Consultation & History

Advanced Laboratory Evaluation

Customized Diabetes Treatment Plan

Structured Nutrition & Movement Program

Ongoing Monitoring & Adjustment

Long-Term Wellness Planning

Patient Case Study

Patient: John D., 58, Manhattan
Symptoms: Elevated A1C, fatigue, weight gain, insulin resistance

Findings:
• A1C 7.8%
• High fasting insulin
• Inflammation markers elevated

Treatment:
• Low-glycemic Mediterranean-style nutrition plan
• Exercise prescription for insulin sensitivity
• Targeted supplements
• Stress & sleep optimization

Results:
• A1C reduced to 6.2% in 12 weeks
• Weight loss of 12 lbs
• Better energy and sugar control

Real Case Study: Maria’s Journey to Reversal

Maria, age 52, came to us with an A1C of 7.2 and fatigue so extreme she couldn’t get through the day. She was taking metformin but still felt unwell. After testing, we discovered elevated cortisol, leaky gut, and borderline hypothyroidism.

We customized a 3-month integrative plan with:

  • Gut repair protocol
  • Anti-inflammatory meal plan
  • Adrenal support herbs
  • Low-dose thyroid therapy
  • Nutrient IVs weekly

Three months later, Maria’s A1C dropped to 5.8, her energy returned, and she was off all medications—with her endocrinologist’s support.

Real Case StudyMaria Journey to Reversal

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

With lifestyle changes and proper management, some individuals can achieve remission.

 We are an out-of-network provider but offer superbills for reimbursement.

 Frequency varies based on individual treatment plans, typically every few weeks.

Integrative care looks at root causes—nutrition, hormones, inflammation, gut health, stress and sleep — not just glucose numbers.

Yes, for many patients, tailored nutrition strategies greatly improve glucose control when combined with lifestyle support.

A1C, fasting glucose, insulin levels, lipids, inflammation markers, micronutrients, hormones, and sometimes continuous glucose monitoring.

Yes. Stress hormones like cortisol can raise glucose and worsen insulin resistance.

Some, like magnesium, berberine, chromium, α-lipoic acid, and vitamin D, can help insulin sensitivity when personalized.

Only with medical supervision. We work with your provider and monitor labs to adjust medications safely.

Nutrition quality, activity, sleep consistency, stress management, and gut health have huge effects on metabolic outcomes.

 Yes, when administered by qualified professionals, IV therapy is safe and effective

Balanced diet, regular exercise, stress management, and adequate sleep are key.

Some patients notice improved energy and stabilization in 2–4 weeks; lab changes often appear in 8–12 weeks.

Yes, when guided by physicians with appropriate testing and monitoring.

Yes, if there’s insulin resistance or metabolic imbalance, teens may benefit from structured programs.

Some lab tests and consultation may be covered; therapy often involves self-pay components.

Yes — metabolic optimization often leads to healthier weight regulation.

In many cases of early Type 2 and prediabetes, significant improvement or remission is possible with personalized care.

It can provide valuable insights; we assess this need case by case.

Yes — sustainable habits, monitoring, and adjustments support lifelong metabolic health.

Why Choose Patients Medical in NYC

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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