Diabetes
Management Take back control of your health.

Comprehensive, personalized diabetes care combining A1C monitoring, medication management, nutritional guidance, and complication prevention, guided by a physician who treats the whole person, not just the number.

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Living With Diabetes Management That
Actually Moves the Needle

A diabetes diagnosis changes things, but it does not have to define them. At Superior Health Medical & Wellness, Dr. Akers provides individualized diabetes care that goes far beyond a prescription and a printed diet sheet. She reviews your labs, your history, your day-to-day habits, and your goals to build a care plan that is clinically rigorous and realistic for your actual life.

Whether you are newly diagnosed, managing long-standing diabetes, or working to reverse prediabetes, Dr. Akers brings board-certified expertise and genuine continuity of care to every appointment. No rushed visits, no generic advice. Just expert management from a physician who understands the full picture of your health.

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Diabetes management at Superior Health Medical and Wellness
Diabetes Management What We Manage

Diabetes management at Superior Health is comprehensive, not transactional. Dr. Akers addresses every dimension of your condition, from blood sugar control and medication management to cardiovascular protection and lifestyle support. Explore what your care plan covers below.

Type 2 diabetes is one of the most manageable chronic conditions when treated with clinical precision and genuine lifestyle support. Dr. Akers builds individualized management plans combining medication, A1C monitoring, nutritional guidance, weight management, and regular lab review to bring your blood sugar into a healthy range and keep it there over the long term.
Type 1 diabetes requires ongoing, attentive management as insulin needs shift with activity, stress, illness, and life changes. Dr. Akers provides primary care support for patients with type 1 diabetes, coordinating with endocrinology specialists when needed and ensuring your overall health, not just your blood sugar, is managed comprehensively.
Prediabetes is the window when intervention is most effective. An A1C between 5.7 and 6.4 percent does not have to become type 2 diabetes. Dr. Akers works with prediabetic patients through targeted nutritional guidance, structured physical activity recommendations, weight management, and regular monitoring to reverse the trajectory before a diagnosis occurs.
A1C is the most reliable measure of average blood sugar over time. Dr. Akers monitors your A1C at every visit, interprets trends rather than single readings, and adjusts your care plan based on movement in your numbers. She also reviews fasting glucose, post-meal patterns, and any home glucose monitoring data to build a complete picture of your blood sugar control.
Diabetes medications range from oral agents like metformin to injectable therapies including GLP-1 receptor agonists, SGLT-2 inhibitors, and insulin. Dr. Akers prescribes and manages the full spectrum of diabetes medications, selecting and adjusting based on your A1C, kidney function, cardiovascular risk, weight, and personal preferences to find what actually works for your body.
GLP-1 receptor agonists including semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro) have transformed type 2 diabetes management by simultaneously lowering blood sugar, supporting weight loss, and reducing cardiovascular risk. Dr. Akers evaluates whether GLP-1 therapy is appropriate for you, prescribes it when indicated, and manages side effects and titration to maximize outcomes.
Diet is one of the most powerful tools in diabetes management. Dr. Akers provides evidence-based nutritional guidance tailored to your specific glucose patterns, medications, and metabolic profile. This includes practical guidance on carbohydrate impact, meal timing, portion management, and food choices that support blood sugar stability without unrealistic restriction.
Long-term elevated blood sugar damages nerves, kidneys, eyes, and blood vessels. Dr. Akers monitors for early signs of diabetic neuropathy, retinopathy, nephropathy, and peripheral vascular disease, coordinating specialist referrals when needed and maintaining the aggressive blood sugar control that prevents these complications from developing or progressing.
Diabetes is the leading cause of kidney disease in the United States. Dr. Akers monitors kidney function through regular creatinine, BUN, eGFR, and urine microalbumin testing, adjusting medications that affect renal function and initiating kidney-protective strategies early when any decline is detected, rather than waiting for significant damage to occur.
Adults with diabetes have significantly elevated cardiovascular risk. Dr. Akers actively manages lipids, blood pressure, and inflammatory markers alongside blood sugar as a unified strategy for protecting your heart. She selects diabetes medications with proven cardiovascular benefits when appropriate and builds a comprehensive risk reduction plan that addresses every modifiable factor.
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Why It Matters Why Consistent
Management Matters
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01 Uncontrolled Diabetes
Has a Cost

Every year of poorly controlled blood sugar accelerates damage to kidneys, nerves, eyes, and blood vessels. These complications develop silently for years before producing symptoms. Consistent A1C management is not optional maintenance, it is the difference between decades of healthy function and preventable disability.

02 More Than
Just Blood Sugar

Blood sugar is the most visible metric in diabetes care, but it is not the whole story. Blood pressure, cholesterol, kidney function, weight, cardiovascular risk, and mental health all require active management in a patient with diabetes. Dr. Akers tracks every dimension of your health at each visit, not just your A1C.

03 Continuity Makes
the Difference

Diabetes is a condition that shifts with stress, illness, seasons, age, and medications. A physician who has followed you for years can detect changes that a new provider would miss entirely. Dr. Akers maintains a continuous relationship with her diabetic patients, adjusting your plan as your life and your condition evolve.

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Understanding Your A1C What Your A1C Actually Tells You

Your A1C reflects your average blood sugar over the past two to three months, not a single-day reading. An A1C of 7.0 percent corresponds to an average blood sugar of approximately 154 mg/dL. Understanding this relationship helps Dr. Akers set meaningful targets for your specific situation rather than simply aiming for a number that looks good on paper.

A1C targets are individualized. The standard goal of below 7.0 percent is appropriate for many patients, but some patients with hypoglycemia risk, advanced age, or significant other health conditions may have higher personalized targets. Dr. Akers sets your target based on your full clinical picture, discusses what achieving it realistically requires, and tracks your progress at every visit.

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Medication & GLP-1 Therapy The Right Medication For Your Situation

Diabetes medications are not interchangeable. Metformin remains the most commonly prescribed first-line agent, but the optimal regimen for your situation depends on your A1C, weight, kidney function, cardiovascular risk, cost tolerance, and how you tolerate side effects. Dr. Akers selects medications based on your full profile rather than defaulting to a one-size-fits-all protocol.

GLP-1 receptor agonists have added a new dimension to diabetes management by simultaneously improving blood sugar, reducing weight, and protecting the heart and kidneys. If GLP-1 therapy is appropriate for you, Dr. Akers prescribes and manages it directly in-office, titrating your dose and managing any gastrointestinal side effects to help you get the full benefit of the medication.

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Frequently Asked Questions Diabetes Management
Questions Answered
Type 1 diabetes is an autoimmune condition in which the body does not produce insulin. It requires lifelong insulin therapy and typically develops in childhood or early adulthood. Type 2 diabetes involves insulin resistance, where the body produces insulin but cannot use it effectively. It develops gradually, is strongly associated with lifestyle factors, and can often be significantly improved with medication, diet, and exercise.
An A1C of 6.5 percent or higher on two separate tests confirms a diabetes diagnosis. An A1C between 5.7 and 6.4 percent indicates prediabetes. Below 5.7 percent is considered normal. These numbers reflect average blood sugar over the past two to three months, making them more reliable than a single fasting glucose reading.
Type 2 diabetes can be put into remission in some patients, particularly those who are early in the course of the disease and achieve significant weight loss. Remission means achieving A1C levels below the diabetic threshold without medication. Dr. Akers works with eligible patients toward this goal through a combination of dietary changes, weight management, and GLP-1 therapy when appropriate.
Most patients with diabetes are seen every three months to review A1C, labs, medications, and any symptoms or concerns. Once blood sugar is well-controlled and stable, some patients transition to every six months. Patients with complications, frequent blood sugar fluctuations, or recent medication changes may need more frequent visits. Dr. Akers determines your schedule based on where you are in your management.
GLP-1 receptor agonists including semaglutide (Ozempic) and tirzepatide (Mounjaro) lower blood sugar by stimulating insulin release, reducing appetite, and slowing gastric emptying. They are among the most effective diabetes medications available and also support significant weight loss. Candidacy depends on your A1C, kidney function, insurance coverage, and personal health goals, which Dr. Akers evaluates at your visit.
A standard diabetes panel includes A1C, fasting glucose, comprehensive metabolic panel (kidney and liver function), lipid panel, urine microalbumin (kidney screening), CBC, and vitamin B12 if you are on metformin long-term. Dr. Akers orders these at regular intervals and reviews every result in the context of your full clinical picture rather than flagging individual values in isolation.
Diabetic neuropathy is nerve damage caused by prolonged elevated blood sugar. It most commonly affects the feet and legs, causing tingling, numbness, burning, or pain. Prevention is achieved through consistent blood sugar control. Dr. Akers screens for neuropathy at every visit and manages early symptoms with appropriate medications and monitoring to prevent progression.
Yes. Diabetic nephropathy is one of the leading causes of kidney failure in the United States. It develops gradually and is detectable through urine microalbumin testing before significant kidney function loss occurs. Dr. Akers screens for it regularly and uses kidney-protective medications including SGLT-2 inhibitors and ACE inhibitors when early signs of nephropathy are present.
Prediabetes is the most actionable stage in the progression toward type 2 diabetes. Research shows that structured lifestyle intervention can reduce the risk of developing diabetes by over 50 percent. Dr. Akers works with prediabetic patients on nutritional changes, weight management, physical activity guidance, and monitoring to reverse elevated blood sugar before it reaches the diabetic threshold.
Most insurance plans cover diabetes management visits, A1C testing, and standard diabetes medications including metformin. GLP-1 medications are covered by many plans when prescribed for diabetes, though coverage for weight loss alone varies. Dr. Akers's office works with you on prior authorizations and coverage verification to ensure you have access to the medications you need.
Yes, significantly. Physical and emotional stress triggers the release of hormones including cortisol and adrenaline that raise blood sugar levels. Illness, surgery, life events, and chronic stress can all produce blood sugar elevations that are not explained by diet or medication changes. Dr. Akers evaluates stress as a clinical variable in your diabetes management and addresses it as part of your overall care plan.
Severe hyperglycemia (blood sugar above 300 mg/dL with symptoms) and severe hypoglycemia (blood sugar below 70 mg/dL with symptoms) are medical emergencies requiring prompt attention. Dr. Akers provides her patients with clear, personalized guidance on threshold values and action steps based on their specific medications and history, so they know exactly what to do before an urgent situation arises.