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.
Duke Health offers locations throughout the Triangle. Find one near you.
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.
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.
When it comes to your care, you want the very best. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our diabetes and endocrinology program is nationally ranked, and the highest ranked program in North Carolina, according to U.S. News & World Report for 2021–2022.
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.
Advanced Treatment for Diabetic Neuropathy
People who experience painful diabetic neuropathy may benefit from spinal cord stimulation, an approach used to treat other types of nerve pain but now proving effective in treating pain and protecting sensation in people with diabetes. This implantable neurostimulation device targets specific nerves and affects how the brain perceives pain signals from those nerves. Research performed at Duke and elsewhere indicates this option can be successful in people who have not gotten relief from pain medications and other treatments.