Diabetes

Diabetes

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It’s not easy to control your blood sugar when you have diabetes. Diet and exercise are necessary steps for everyone with diabetes. You may need to carefully plan meals, frequently monitor your blood sugar, or give yourself insulin. You may also require daily medications or insulin therapy. Our endocrinologists understand your body’s insulin needs and fluctuations and develop the right treatment plan for you. Our program emphasizes patient support. Our group classes and individual sessions are led by certified diabetes educators and registered dietitians. Together, we empower you to control your diabetes with confidence.

Our Doctors

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Treatments

Healthy Diet and Exercise

We help you start a regular exercise plan and introduce you to a healthy diet, whether you have type 1 diabetes, type 2 diabetes, or gestational diabetes. We offer comprehensive group classes and one-on-one instruction to teach every aspect of diabetes nutrition to help lower blood glucose. Some people with diabetes may have to count carbohydrates; we offer a class to teach you how.

Weight Loss Surgery

Some people with type 2 diabetes who have difficulty losing weight may consider bariatric surgery.

Continuous Glucose Monitoring

A sensor is inserted into your abdomen, and the device is worn under your clothing. It records hundreds of blood sugar measurements each day over 72 hours or longer. The data recorded shows us patterns and fluctuations in your daily blood glucose, which help us develop the most effective treatment for you.

Insulin

We offer all options for insulin therapy: syringes, pens, and pumps. You choose the method that makes you most comfortable, and our nurses, physician assistants, and certified diabetes educators teach you how to use it. Insulin therapy is necessary for people with type 1 diabetes, to replace the insulin your body cannot produce. Some people with type 2 and gestational diabetes may also need this treatment.

Oral Medications

If a healthy diet, exercise, and weight loss don't successfully bring your blood glucose to a normal range, we may prescribe oral medications to help you maintain control. 

Our Locations

Duke Health offers locations throughout the Triangle. Find one near you.

Tests

Glycated Hemoglobin (A1C) Test

Measures your average blood sugar for the past two to three months.

Blood Sugar Test

Measures your blood glucose at a random time or after fasting.

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Why Choose Duke

Personalized Medical Therapy
Every case of diabetes is different. Your medication and insulin therapies are tailored to your needs. Some people need very aggressive control of their diabetes, which may involve close blood sugar monitoring and insulin adjustments. We develop a plan to regulate your blood sugar and prevent complications often associated with diabetes.

U-500 Insulin Expertise
Most people with diabetes take U-100 insulin and need 20-50 units of insulin each day. We specialize in treating people who require 200 to 500 units a day. U-500 insulin is a concentrated option and requires close supervision from experienced doctors.

Adult Diabetes Education Program
Our certified diabetes educators run monthly, comprehensive group classes 
that focus on all aspects of diabetes management, including learning about pre-diabetes and gestational diabetes, insulin pump therapy, continuous glucose monitoring, and carbohydrate counting. If you need to learn more about any topic, you can do so in individual sessions.

Consistently Ranked Among the Nation’s Best Hospitals

In addition to being one of the best in the country, Duke University Hospital is proud to be nationally ranked in 11 adult and nine pediatric specialties.

Team Approach to Diabetes Management
Our physician assistants, nurse practitioners, and certified diabetes educators are trained to help you take care of your diabetes. Our nurses can teach you how to use glucose meters, insulin syringes, and insulin pens. Our certified diabetes educators also have advanced training to teach you to use continuous glucose monitors that check your blood sugar every few minutes over a period of days or longer. We review the results together to make insulin adjustments. 

Heart Disease Risk Assessment
We manage all heart and vascular conditions that affect people with diabetes, including high blood pressure and high cholesterol. When necessary, we refer you to Duke cardiologists for treatment. They become part of your team.