Diabetes Care
Diabetes and Prediabetes Care in Bradenton, FL
Ongoing management of prediabetes and Type 2 diabetes at Manatee Primary Care. We partner with you on A1C control, medication management, lifestyle changes, and preventing long-term complications.
Diabetes Management as Part of Primary Care
More than 37 million Americans live with diabetes, and tens of millions more have prediabetes. For most patients with Type 2 diabetes, primary care is the right setting for ongoing management. Your primary care physician knows your full medical history, manages the conditions that commonly coexist with diabetes, and can coordinate specialist care when it is needed.
At Manatee Primary Care, diabetes management is one of our core areas of focus. We provide regular A1C monitoring, medication management, nutrition and lifestyle counseling, and monitoring for the complications that diabetes can cause over time.
We are not an endocrinology practice. We manage the majority of Type 2 diabetes cases within primary care and coordinate referrals to endocrinology when the complexity of your care warrants it.
What we manage
- Prediabetes identification and lifestyle intervention
- Type 2 diabetes diagnosis and ongoing management
- A1C monitoring (in-office testing available)
- Oral medication management and adjustment
- GLP-1 receptor agonist prescribing when clinically appropriate
- Insulin initiation and management coordination
- Nutrition and lifestyle counseling
- Blood pressure and cholesterol management (commonly coexist with diabetes)
- Kidney function monitoring
- Annual foot examination and diabetic foot wound evaluation
- Referral coordination to endocrinology, podiatry, nephrology, and ophthalmology
Understanding A1C and What We Monitor
A1C Monitoring
The A1C test reflects your average blood sugar over the past two to three months. We test A1C in the office at regular intervals, typically every three to six months depending on how well your diabetes is controlled. For most patients, the target is below 7%, though we individualize goals based on your age, other health conditions, and risk of low blood sugar.
Medication Management
We prescribe and manage oral diabetes medications, and we discuss GLP-1 receptor agonists when they are clinically appropriate for a patient. Insulin initiation and management are coordinated as part of your care plan. If your medication regimen becomes complex, we coordinate with endocrinology.
Cardiovascular and Kidney Risk
Diabetes significantly increases the risk of heart disease, stroke, and kidney failure. We monitor blood pressure, cholesterol, and kidney function as part of your diabetes care, and we address these risk factors with the same attention we give to blood sugar control.
Foot Monitoring
Nerve damage and poor circulation from diabetes increase the risk of foot wounds that can become serious. We perform annual foot examinations and evaluate diabetic foot wounds within primary care. Dr. Milian holds the CWSP credential and can assess wounds that are not healing as expected. See our wound care page for more detail.
Prediabetes: Acting Early Makes a Difference
Prediabetes is defined as an A1C between 5.7% and 6.4%, or a fasting glucose between 100 and 125 mg/dL. It affects an estimated 96 million American adults, and most do not know they have it.
Prediabetes is not inevitable diabetes. With meaningful lifestyle changes, including modest weight loss, increased physical activity, and dietary adjustments, many people with prediabetes can return to normal blood sugar levels or significantly delay the progression to Type 2 diabetes.
We screen for prediabetes at annual physicals and provide counseling and follow-up monitoring for patients who are at risk or who have already been identified as prediabetic. For a detailed guide to day-to-day diabetes management strategies, see our blog post.
Diabetes follow-up visits available via telehealth
Many diabetes management visits, including medication reviews and A1C result discussions, can be conducted as virtual primary care visits for patients throughout Florida.
Frequently Asked Questions
Do you manage Type 2 diabetes and prediabetes?
Yes. Diabetes management is one of our core areas of focus. We provide ongoing care for prediabetes and Type 2 diabetes, including A1C monitoring, medication management, lifestyle counseling, and coordination with specialists when needed.
Can I get my A1C tested at your office?
Yes. Hemoglobin A1C testing is available in the office. Comprehensive laboratory panels are typically processed through an external laboratory, and we will let you know what to expect when we order tests.
When would you refer me to an endocrinologist?
We manage the majority of Type 2 diabetes cases within primary care. We coordinate referrals to endocrinology when blood sugar is difficult to control despite optimized primary care management, when insulin regimens become complex, or when there are other endocrine concerns that benefit from specialist evaluation.
Do you provide diabetic foot care?
We perform annual foot examinations as part of diabetes management and evaluate diabetic foot wounds within primary care. Dr. Milian holds the Certified Wound Specialist Physician (CWSP) credential. When a foot wound requires podiatry or vascular surgery, we coordinate that referral.
Ready to get your diabetes under better control?
Manatee Primary Care is accepting new patients in Bradenton, FL. Call us or book online to schedule your diabetes management visit.