Diabetes Managed Care NYC - Dr. John Salerno

Comprehensive Integrative and Functional Diabetes Management by Salerno Wellness in Manhattan, NY and Connecticut

Managing diabetes can feel overwhelming, but you’re not alone. I’m Dr. John Salerno, and I’m here to help you take control of your health with a personalized, integrative approach to diabetes care. Together, we’ll identify and address the root causes of your high blood sugars, so you can enjoy better blood sugar control, improved energy, and the confidence to live each day to its fullest. From diet plans to advanced therapies, my goal is to provide the support you need to thrive.

-Dr. John Salerno

What is Diabetes Managed Care NYC

Diabetes managed care refers to a comprehensive, patient-focused approach designed to control blood sugar levels and prevent complications associated with diabetes. Unlike one-size-fits-all treatments, this care focuses on personalized strategies to address the unique needs of each patient. Managed care often combines medical treatments, lifestyle guidance, and ongoing monitoring to optimize health outcomes. It’s not just about treating symptoms but about improving day-to-day quality of life and long-term health. By pinpointing contributing factors like diet, weight, or hormonal imbalances, diabetes managed care aims to create sustainable changes. Over time, patients can achieve better glucose levels, reduced dependency on medications, and increased overall energy. This care model is particularly beneficial for those who struggle with traditional treatment paths or experience complications requiring proactive and integrative attention.

Common Symptoms of Patients Living With Diabetes 

Many patients with diabetes experience a range of symptoms that can worsen over time without proper management. These symptoms can impact daily life and overall well-being.

• Frequent Thirst and Urination - Diabetes causes high blood sugar levels, leading to frequent urination and intense thirst as the body attempts to flush out excess glucose. 

• Unexplained Weight Loss - Despite normal or increased food intake, individuals may lose weight due to the body breaking down muscle and fat for energy instead of effectively using glucose.

• Unexplained Weight Gain - Diabetics can gain weight due to increased appetite caused by insulin or certain diabetes medications, which may lead to overeating. Additionally, fluctuations in blood sugar levels and reduced physical activity due to fatigue can contribute to weight gain.

• Fatigue and Weakness - Constant high sugar levels can make it difficult for your body to convert blood glucose into usable energy, leaving you feeling exhausted. 

• Blurred Vision - Diabetes can cause fluid levels in the eyes to fluctuate, leading to blurry vision or difficulty focusing on objects. 

Common Causes of Diabetes 

Diabetes does not have a single cause but rather arises from a combination of genetic, lifestyle, and environmental factors. Obesity and poor dietary habits are some of the most significant contributors to Type 2 diabetes, where insulin resistance commonly develops over time. A sedentary lifestyle, marked by little to no physical activity, further exacerbates risk factors.

Hormonal imbalances and chronic stress have also been linked to impaired glucose regulation. Much of diabetes' progression can be traced to metabolic dysfunction and inflammation caused by processed or sugary diets. Family history plays a strong role in diabetes susceptibility, but environmental factors like exposure to pollutants and toxins also influence insulin sensitivity. Lastly, low-grade inflammation in tissues, heightened by oxidative stress, can cause long-term damage to metabolic function. 

Related Medical Conditions That Can Be Treated by Dr. John Salerno

Left unchecked, diabetes can lead to multiple related medical conditions, each with unique challenges. Fortunately, these can be addressed with a comprehensive care plan. 

• Neuropathy - This condition causes nerve damage, often resulting in numbness, tingling, or pain, particularly in the hands and feet. Proper diabetes management can reduce nerve damage progression. 

• Cardiovascular Disease - Diabetes significantly heightens the risk of heart-related complications like hypertension, heart attack, and stroke. Lifestyle adjustments and nutrient therapies can support heart health. 

• Kidney Disease - Chronic high blood sugar can damage kidney function and lead to complications like proteinuria. With a managed care plan, kidney function can stabilize, reducing further decline.  

Dr. Salerno's A1C Goal for You

A1C, also known as glycated hemoglobin, is a blood test that measures the average blood sugar levels over the past 2 to 3 months. It reflects the percentage of hemoglobin, the protein in red blood cells that carries oxygen, that is coated with sugar. The A1C test is a vital tool in diabetes management as it provides a broader picture of long-term glucose control than daily blood sugar checks. 

• A1C 6.0% : Average blood sugar is approximately 126 mg/dL.
• A1C 6.5% : Average blood sugar is approximately 139 mg/dL.
• A1C 7.0% : Average blood sugar is approximately 154 mg/dL.
• A1C 7.5% : Average blood sugar is approximately 169 mg/dL.
• A1C 8.0% : Average blood sugar is approximately 183 mg/dL.
• A1C 8.5% : Average blood sugar is approximately 197 mg/dL.

For most people with diabetes, an A1C goal of less than 7% is recommended to reduce the risk of complications, though personal targets may vary depending on age, health status, and other factors. Dr. John Salerno can help determine an appropriate goal tailored to your specific needs. Maintaining a healthy lifestyle, including balanced nutrition, regular exercise, and consistent medication adherence, plays a fundamental role in achieving and sustaining target A1C levels.

How Dr. John Salerno Treats Diabetic with Diabetes Managed Care NYC 

Dr. John Salerno takes an integrative and functional approach to diabetes care, focusing on the whole person rather than isolated symptoms. Your treatment plan may start with diagnostic testing to identify areas of imbalance, such as blood glucose levels or hormonal imbalances. Based on these findings, I take a personalized approach by curating the ideal combination of advanced therapies like IV nutrient therapy for diabetes and bioidentical hormone replacement. Lifestyle counseling, including tailored exercise and stress-reduction plans, is also a core part of the process. Importantly, they’re paired with weight loss or metabolic optimization programs designed exclusively for each patient. With a commitment to consistent monitoring, I ensure long-term success for all my patients.

Possible Side Effects of Treatment 

Diabetes managed care is generally well-tolerated, but mild side effects may occur. For instance, IV therapy may result in minor discomfort at the injection site or slight fatigue afterward as your body adapts to supplement absorption. Weight-loss treatments or exercise plans can lead to manageable soreness, a sign of progress in most instances. Some patients may experience initial fluctuations in blood sugar as regimens take time to stabilize. However, your condition will be heavily monitored, ensuring adjustments are made to optimize your results.

What Can Happen if Diabetes is Left Untreated 

Without managed care, diabetes often progresses into complications that are difficult to reverse. Uncontrolled blood sugar levels cause nerve damage and heighten the risk of infections and neuropathy. Vision problems, including blindness, may arise from diabetic retinopathy as high sugar damages small blood vessels in the eyes. Worse still, persistent issues can lead to cardiovascular disease, kidney disease, or even amputation of limbs. Mental health conditions like anxiety and depression may also increase without clear care plans. Struggling patients often find that their energy levels drop and their quality of life suffers long-term.

Case Study for Diabetes Managed Care NYC 

Emma, a 47-year-old mother of two, came to my office frustrated with managing her Type 2 diabetes. Despite her efforts, her blood sugar levels were erratic, and she often felt fatigued. After running some diagnostic tests, I noticed imbalances in her insulin resistance and provided her with an integrative treatment plan that included peptide injections, IV nutrient therapy, and a personalized nutritional plan. Within weeks, Emma reported stabilized energy levels and significant weight reduction, and by her third monthly check-in, she noted improved blood sugar levels that stayed consistent. 

Why Patients Choose Dr. John Salerno 

Choosing Dr. Salerno offers a commitment to personalized care. With years of experience in functional medicine and integrative protocols, my treatments don’t just manage diabetes but improve your life overall. Located in Manhattan and Connecticut, I prioritize convenience for my clients while combining state-of-the-art technology with evidence-backed therapies. 

Additional References

• Living with Diabetes - Centers for Disease Control and Prevention (CDC)
• Managing Diabetes - National Institutes of Health (NIH)