Four specialists.
One question each.
The questions your patients actually ask — answered with clinical precision, not patient-portal boilerplate.
Dr. Kavitha Suresh
MD, FACE · Board Certified Endocrinology
Patient Question
"Why do my mornings spike even when I ate nothing after 8pm?"
Clinical Finding
70% of T1 patients experience dawn phenomenon. Most go undiagnosed for years.
The Answer
That's the dawn phenomenon — cortisol and growth hormone rise between 2am and 8am, signaling your liver to release stored glucose. On a CGM trace, it looks like a slow, predictable climb starting around 3:30am that has nothing to do with what you ate. We see it in about 70% of Type 1 patients and 40% of Type 2s. The fix is protocol-specific: a small basal insulin adjustment, or in some cases, timing your breakfast differently. We can usually resolve this in one session once we have two weeks of overnight data.
Christine Ellwood
CDCES · Certified Diabetes Care & Education Specialist
Patient Question
"Can I ever stop metformin, or is this forever?"
Glucos Outcome Data
28% of newly diagnosed T2 patients at Glucos achieve medication reduction within 18 months.
The Answer
That depends on a specific set of numbers, not a general rule. Metformin discontinuation is possible when fasting glucose is consistently below 100, A1C holds under 6.5% for at least six months, and you've made measurable lifestyle changes — not just 'eating better.' We've seen it happen in about 28% of our newly diagnosed Type 2 patients within 18 months. But the conversation is always about the data, not the calendar. Your medication list is a protocol, not a sentence.
Rosa Menchaca
RD, CDE · Diabetes Nutrition Specialist
Patient Question
"What should I actually order at a restaurant?"
Dietary Protocol Data
Protein-first ordering reduces post-meal glucose peak by an average of 23% in our patient cohort.
The Answer
The honest answer is: it depends on your CGM pattern from the last seven days. But there are principles that hold across most patients. Protein before carbohydrate — even 10 minutes — blunts the post-meal spike by 20 to 30%. Fiber first: a salad or vegetables at the start of a meal slows gastric emptying significantly. Avoid the bread basket not because bread is evil, but because refined starch with no buffer hits your bloodstream like a wave. We give every patient a laminated restaurant card with five ordering sequences that work for their specific profile.
Jordan Whitfield
MS, ACSM-CEP · Clinical Exercise Physiologist
Patient Question
"Why does my glucose go up during a run instead of down?"
Exercise Protocol Finding
Zone 2 exercise after dinner reduces overnight fasting glucose by an average of 11mg/dL.
The Answer
High-intensity exercise triggers adrenaline, which tells your liver to dump glucose — the same mechanism as stress. You'll see it on the CGM as a spike that peaks about 20 minutes into a hard effort and resolves 40 to 90 minutes post-exercise. Zone 2 cardio — walking briskly, easy cycling — does the opposite: it uses glucose directly without the adrenaline response. We build every patient's exercise prescription around their CGM data from the first three weeks. For most people, a 20-minute walk after dinner is worth more than a 45-minute gym session in the morning.
Three diagnoses.
One standard of precision.
You just got the number. We help you understand what it means.
Most newly diagnosed patients leave their first appointment with a prescription and a pamphlet. We start differently: with your CGM data from week one, we map your personal glucose response to food, sleep, and stress before recommending any protocol changes.
1.8pts
Avg. A1C reduction
first 6 months
64%
Patients who avoid insulin
at 12 months
Your A1C moved and no one can explain why.
Long-managing T1 patients often plateau — or backslide — without obvious cause. We look at CGM variability patterns, not just averages. Unexplained drift usually traces to one of three sources: timing changes, stress physiology, or sensor calibration artifacts.
Time-in-range improvement
avg. at 90 days
Your OB referred you. Here's what the next 20 weeks look like.
Gestational cases require weekly oversight without weekly in-person visits. We coordinate directly with your OB, review your CGM data every 7 days, and adjust targets as your pregnancy progresses. No surprises at delivery.
OB coordination calls
throughout pregnancy
Three documents.
Every appointment, better.
Built by our clinical team from the questions patients ask most. Free to download — no appointment required.
Printable Glucose Log
A 14-day structured log designed for CGM users and fingerstick trackers alike. Includes columns for fasting, pre-meal, post-meal, and bedtime readings, plus a notes column for context (stress, illness, unusual meals).
Meal Timing Cheat Sheet
The five ordering sequences that consistently reduce post-meal spikes across our patient cohort. Includes a laminated restaurant card version, a home cooking guide, and timing windows for common scenarios (travel, shift work, social eating).
Medication Question List
Twelve specific questions to bring to your next appointment — covering dosing windows, interaction risks, discontinuation criteria, and what your A1C needs to reach before the conversation about reducing medication is worth having.
Get all three documents,
immediately.
Enter your email and we'll send the full Starter Kit as a single PDF. No follow-up sequence, no sales cadence — just the documents.
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We review your existing records — CGM data, lab history, current medication list — and tell you within 48 hours whether we can offer a materially different approach. No commitment required.
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