Monitoring & management
Diabetes Care
Diabetes doesn’t need to hold you back from leading an active, healthy life. We’re passionate about giving you the tools and support you need to take charge of your diabetes—and manage your care with confidence.
Services
We can help with
Blood Glucose Monitoring
Expert guidance on effectively monitoring and managing your blood sugar levels.
Medication Management
Personalized guidance on the use of insulin and oral medications to help you achieve and maintain optimal blood sugar control.
Lifestyle Counseling
Advice on diet, exercise, and lifestyle changes to improve cholesterol levels.
Dedicated Team Monitoring
Our team of care managers will assist you with monthly care plans assigned by provider.
FAQ's
Our program is designed to support patients living with diabetes through personalized care plans, ongoing monitoring, preventive screenings, and education. Each patient is paired with a dedicated case manager who coordinates care between your primary provider, specialists, and support services.
Most major insurance plans, including Medicare and many commercial payors, provide coverage for diabetes care management services. Coverage may include:
- Chronic Care Management (CCM)
- Remote Patient Monitoring (RPM)
- Preventive screenings and lab work
- Ongoing education and nutrition support
We recommend checking with your insurance provider to confirm coverage details, copayments, or deductibles.
Remote Patient Monitoring uses cellular based devices such as glucose monitors, blood pressure cuffs, or weight scales provided by us, that transmit data to our care team. This allows your provider to track trends, identify concerns early, and adjust your care plan without waiting for your next clinic visit. RPM improves outcomes by keeping your care team informed in real time.
CCM is a program that provides ongoing support for patients with chronic conditions such as diabetes, hypertension, or heart disease.
Through CCM you’ll receive:
- Monthly check-ins from your case manager
- A personalized care plan
- Coordination with specialists and community resources
This ensures your care is consistent and proactive.
Diabetes management is more than just blood sugar monitoring.Â
Preventive and maintenance services include:
- Routine lab testing (A1C, cholesterol, kidney function)
- Annual foot and eye exams
- Blood pressure monitoring
- Nutrition and lifestyle counseling
By focusing on prevention, we help reduce the risk of complications such as kidney disease, vision loss, or heart disease.
At enrollment, you’ll undergo a comprehensive health assessment, which may include:
- Medical history and medication review
- Lifestyle and nutrition evaluation
- Risk assessments for heart disease, neuropathy, and other complications
These assessments guide your personalized care plan.
Yes! Every patient in the program is paired with a dedicated case manager who:
- Coordinates care between your primary provider, specialists, and hospital services
- Ensures timely follow-up on labs, medications, and preventive screenings
- Acts as your direct point of contact for questions or concerns
- RPM patients: Your care team monitors your readings daily and will reach out if there are concerns.
- CCM patients: You’ll receive at least one monthly check-in, with additional support as needed.
- Clinic visits: Preventive and follow-up visits are scheduled as recommended by your provider.
- A willingness to stay engaged with your care plan
- Regular communication with your case manager and care team
Our staff will provide training on any monitoring devices and help set everything up.
Enrollment is simple. Speak with your primary care provider at Family Hospital or call our care management team directly. We will verify your insurance, complete your initial assessment, and assign you a case manager.
