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Smart Snacking

PREDIABETES

COMPRHENSIVE PLAN FOR MANAGING INSULIN RESISTANCE AND PREDIABETES

Abnormal glucose metabolism, including insulin resistance and prediabetes, can be detected years before the onset of diabetes. This early detection presents a critical window of opportunity to intervene and potentially prevent or delay the progression to type 2 diabetes. Evidence-based lifestyle interventions play a key role in achieving this significant wellness goal.

ASSESS

  • Comprehensive Initial consultation with Dr. Casian (2-hour) 

  • Detailed in-person assessment of medical history and coexisting health conditions

  • Assessment of current glycemic status by reviewing recent hemoglobin A1c

  • Detailed assessment of nutrition, activity, sleep and psychological history

  • Comprehensive blood workup 

  • DEXA scan to asses total body composition​

  • CT Coronary Calcium Score 

  • MASLD (metabolic dysfunction associated steatotic liver disease) risk assessment

  • Recommendations for lifestyle modifications

CREATE

  • Review of laboratory, , DEXA and CT Calcium Score results with Dr. Casian (1-hour)

  • FIB-4 score assessment to identify risk for MASLD and to implement appropriate clinical interventions​

  • Develop an action plan by using shared decision making approach

  • Establish patient centered care goals and time frames

  • Implement personalized intensive lifestyle interventions

  • Extensive counseling and education for prevention or delay of diabetes

MONITOR

  • Month four follow-up visit (30-minutes)

  • Assess adherence to lifestyle recommendations

  • Explore and identify personal barriers

  • Adjust nutrition and exercise as clinically indicated

MAINTAIN

  • Month six follow-up visit (30-minutes)

  • Review repeated hemoglobin A1c and additional biological markers

  • Implement lifestyle modifications based on hemoglobin A1c and patient preferences

  • Build a health-optimized routine for long lasting results

  • Reach and maintain optimal fasting blood glucose and hemoglobin A1c levels

Prediabetes 6-month Program $700

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