Disease Management
Treatment guidelines are based on the recommendations of the American diabetic Association in American society of Endocrinology. Referrals are made appropriately to subspecialties depending on complications.
- Diabetes-Related Complications
- Guidelines for ongoing, comprehensive medical care for patients with Diabetes
Disease Management Services
Services offered
Services offered include Diabetes Early detection of insulin resistance and impaired glucose tolerance (prediabetes) and initiation of appropriate patient centered and individualized therapy to help reverse and improve insulin resistance and Prediabetes to prevent the development of full-blown diabetes mellitus. Early diagnosis and effective treatment of diabetes mellitus with the appropriate control of glucose levels targeting evidence-based hemoglobin A1 C levels prevents development of Microvascular and macrovascular complications of diabetes mellitus.
Treatment guidelines
Treatment guidelines are based on the recommendations of the American diabetic Association in American society of Endocrinology. Referrals are made appropriately to subspecialties depending on complications. In patient care is carefully coordinated with the subspecialties including endocrinologist, Kidney doctors, eye doctors, foot doctors, vascular doctors and cardiologists.
Guidelines for ongoing, comprehensive medical care for patients with Diabetes
Optimized and individualized glycemic control
Self-monitoring of blood glucose (individualized frequency)
HbA testing (2-4 times/year)
Patient education in diabetes management (annual); diabetes self-management education and support
Medical nutrition therapy and education (annual)
Eye examination (annual and biannual)
Foot examination (1-2 times a year by physician; daily by patient)
Screening for diabetic nephropathy
Blood pressure measurement (quarterly)
Lipid profile and serum creatinine (estimate GFR)
Influenza/pneumococcal/hepatitis B immunizations
Consider antiplatelet therapy
Routine patient counseling
We provide patient counseling on health risk behaviors and health education, weight management, diet, smoking, alcohol use, lifestyle modification, among others medical problems. These are fundamental competency of Dr. Obeng medical practice.
Useful Links
Diabetes-Related Complications
Other comorbid conditions associated with diabetes (relationship to hyper-glycemia is uncertain): depression, obstructive sleep apnea, fatty liver disease, hip fracture, osteoporosis (in type 1 diabetes), cognitive impairment or dementia, low testosterone
Microvascular
- Eye disease
- Retinopathy (nonproliferative/proliferative)
- Muscular edema
- Neuropathy
- Sensory and motor (mono and polyneuropathy)
- Autonomic
- Nephropathy (albuminuria and declining renal function)
Macrovascular
- Coronary heart disease
- Peripheral arterial disease
- Cerebrovascular disease
Other
- Gastrointestinal (gastroparesis, diarrhea)
- Genitourinary (uropathy/sexual dysfunction)
- Dermatologic
- Infectious
- Cataracts
- Glaucoma
- Cheiroarthropathy
- Periodontal disease
- Hearing Loss
