Medical Group’s Endocrinology Department is committed to a comprehensive
program of diabetes education. Our
goal is to empower our patients to become active participants in their care and
the self-management of their diabetes.In
order to accomplish this, we promote a team approach to individualized
patient-centered diabetes education.
Who We Are
core team consists of Barbara R. DiLello-Smith, RN, BS, CDE, CPT, certified diabetes educator; Allison Holzer RD, nutritionist;
and Drs. Zorayda Pretto, Randy Stein, Kenneth Weiser, Preeti Kishore and Shelly Im—all
What We Do
provide instruction on the use of both insulin and non-insulin diabetes
injectable medications and discuss the signs and symptoms of hyper and
hypoglycemia and the appropriate treatments. We educate our patients as to the rationale for treatment regimens, such
as oral medications, insulin, and non-insulin injectable; the mechanism of
action, side effects, dose and adverse reactions; and the steps to take should
a side effect or adverse reaction occur. We discuss the short- and long-term risks of diabetes--both micro and
macro vascular complication--and the prevention of and treatment of known
each visit, we reinforce the information previously taught and use handouts and
educational Web sites when appropriate. We provide our patients with the most up-to-date information about diabetes
management and treatment and explain the choices they have in their treatment. For example, we discuss multiple daily
injections or an insulin pump, home glucose monitoring or a continuous glucose
sensor. Our approach to education is individualized,
patient-centered, age-sensitive and culture-sensitive. Our program is most definitely not “one size fits all."
patients are instructed in home blood glucose monitoring along with
carbohydrate counting. Patients with
Type 1 and Type 2 diabetes learn the role of exercise and diet in their
self-care. As part of our patients’ nutrition counseling, we provide
information on dining out and grocery shopping as part of controlling blood
also work closely and proactively with our ophthalmology and podiatry departments to ensure that our patients are evaluated for the development of
ophthalmic and podiatric complications. Educational
materials on eye and foot care are provided at every visit. Both micro and macro-vascular complications
and treatment are discussed with patients. We stress the importance of regular
follow-up appointments with these specialists, in addition to the
endocrinologists, nurse practitioner and nutritionist.
team also works very closely with the OB/GYN Department for the education and
management of patients with gestational diabetes and pre-gestational diabetes. This intense approach leads to safe deliveries for mom and baby.
summary, we have a comprehensive multispecialty, patient-centered diabetes
education program that addresses the various needs of all of our patients.