Diabetes & Endocrine Center
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Upper Chesapeake Medical Center
Pavilion II, 5th Floor
510 Upper Chesapeake Drive, Suite 510
Bel Air, Maryland 21014
Hours of operation:
Monday through Friday from 8 a.m. to 4:30 p.m.
Our Services |
Our Team |
Our Programs |
Our Educational Offerings
see our schedule for diabetes support group meetings.
Achieve Success in Managing Diabetes
At the Upper Chesapeake Diabetes and Endocrine
Center, we believe individuals living with diabetes can realize success
in managing this disease. Our team of Endocrinologists and Certified
Diabetes Educators can help you can enjoy a better quality of life and
avoid serious health complications through careful planning, monitoring,
Our services are comprehensive and yet
flexible enough so you can make choices that best suit your lifestyle.
We recognize that each individual diagnosed with diabetes has unique
challenges. Let us guide you on a course that celebrates your successes
and addresses your challenges.
A team approach to managing diabetes has
been proven to achieve the best results. You are a vital member of
the team. At your side is the Upper Chesapeake Diabetes and Endocrine
Center team of Endocrinologists and Certified Diabetes Educators
(registered nurses and dietitians), your Primary Care Physician,
and other appropriate specialists. They offer you support, treatment
You and your Primary Care Physician
are important members of the team as are other appropriate specialists
such as the podiatrist, ophthalmologist, dentist, and other healthcare
providers that you see. Together, we help you manage your diabetes
successfully and avoid the complications of diabetes, such as heart
disease, stroke, blindness, and kidney failure.
At the Diabetes and
Endocrine Center, we utilize the latest in medicine and technology, including
pumps and continuous glucose sensors to help individuals manage their
diabetes to the best of their abilities.
Insulin pumps deliver rapid- or short-acting insulin 24 hours a day
through a catheter placed under the skin. Your insulin doses are separated
- Basal rates
- Bolus doses to cover the carbohydrate in your meals
- Correction or supplemental
Basal insulin is delivered continuously
over 24 hours, and keeps your blood glucose levels in range between
meals and overnight. Often, you program different amounts of insulin
at different times of the day and night.
Continuous glucose sensors deliver readings
every few minutes around the clock. This enables individuals and their
physicians to constantly measure trends, track highs and lows, and identify
problems and make adjustments to insulin, meal, or exercise regimens.
The sensors have alert systems to let you know if your blood glucose
is on the way up or down. Safety alarms also alert you to hypoglycemia
(dangerously low glucose levels) and to hyperglycemia (dangerously high
Referral to Our Service
You can access our physician
management program or just the diabetes education programs with a referral
from your physician.
Download Physician Request for Services Form
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Our board certified endocrinologists
are trained to diagnose and treat diabetes and endocrine problems.
They take care of many conditions including diabetes, thyroid diseases,
metabolic disorders, menopause, and osteoporosis.
We recommend that anyone
who has been diagnosed with Type 1 diabetes as well as individuals
who have difficulty with complications of diabetes, disease management
or have other endocrine diseases (i.e., thyroid disease, Cushing's
Syndrome, Grave's disease, pituitary disease) be seen by an endocrinologist.
Diabetes Educators (CDE)
Our Certified Diabetes Educators (CDE) are registered
nurses and registered dietitians who focus on assisting people with
diabetes through behavioral change, which in turn, leads to better
diabetes control, improved health, and delay or prevention of complications.
Our CDE's apply in-depth knowledge, communication, and counseling skills
to provide diabetes self-management education.
We recommend that all
individuals diagnosed with diabetes see an educator. Studies show that
people who have had comprehensive diabetes education are better able
to manage their diabetes, and are better able to prevent the complications
Diabetes Self-Management Education in the 21st
century focuses on helping people with diabetes make informed self-care
management choices. The best results occur when the education is tailored
to the individual's needs and preferences, includes follow-up support,
and counseling for psychosocial issues. These three elements are among
the goals of the Upper Chesapeake Health Diabetes and Endocrine Center
Anyone who has complications of diabetes or who
is not meeting the ABC target levels for diabetes management as listed
below would also benefit from diabetes education:
- A1c under 7%
- Blood Pressure under 130/80
- Total Cholesterol
Under 200 mg/dl
- Triglyceride Under 150 mg/dl
- HDL over 50mg/dl for women over 45 mg/dl for men
- LDL under 100mg/dL (under 70 mg/dL if CVD risk increased)
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Team Management of Diabetes
is assessed and managed by the Diabetes Management Team consisting
of the Endocrinologist, Nurse Practitioner, and Certified Registered
Diabetes Educators (registered nurses and dieticians).
Diabetes education, also known as
diabetes self-management training (DSMT), is a collaborative process
through which people with diabetes gain the knowledge and skills needed
to modify behavior and successfully self-manage the disease and its
related conditions. The education process helps individuals achieve
optimal health status, obtain a better quality of life, and reduce
the need for costly health care.
At our Center, individuals are assessed
and educated by the RN Certified Diabetes Educators (CDE). An individualized
education plan for Diabetes Self Management Education is established,
and education is provided over subsequent visits. The individual's
progress and behavioral goals are regularly communicated to the referring
primary care physician.
Endocrine Consultation, Evaluation
Individuals referred for an endocrine
consult are evaluated by the endocrinologist and a plan of care is
established and communicated with the referring physician.
Our Educational Offerings
- Newly Diagnosed
During these visits, basic diabetes physiology, the natural history of
diabetes and diabetes self-management are explained with emphasis on
meal planning, exercise, and medication if applicable.
- Problem-Solving Referral
These educational visits focus on determining the challenges you are
facing with achieving optimal control (A1c under 7%). The AADE-7 Self-Care
BehaviorsTM and appropriate skills are reviewed. Your understanding of
diabetes is assessed, your medications are monitored and your adherence
to your medication is discussed.
- Insulin Administration Referral
The purpose of these visits is to initiate insulin treatment to improve
control. You should have a beginning understanding of diabetes physiology,
monitoring, and meal planning before you are competent to use insulin
safely and effectively.
- Insulin Pump Therapy
Insulin pump therapy is appropriate for any individuals utilizing an
insulin pump to improve glucose control. Successful pump therapy requires
highly motivated individuals who have well established diabetes self-care
behaviors including problem solving skills and frequent monitoring habits.
Primary care physicians can refer you for insulin pump therapy education
only, while they maintain responsibility of dose calculations and adjustment,
or your primary care physician may refer you to our Center and our diabetes
team will evaluate, initiate, and manage your insulin pump therapy.
- Yearly Review and Reassessment of Diabetes Knowledge, Skill and
In order to support you and assist you in attaining behaviors for effective
management of diabetes, the American Diabetes Association recommends
annual visits to assess diabetes understanding and self-management behaviors
and skills to assist in problem solving issues of control.
- Diabetes Self Management Training (DSMT) (term for diabetes education
for Medicare Beneficiaries)
DSMT for Medicare beneficiaries must be performed in a group format unless
the referring primary care physician identifies that the you are unable
to function in a group setting due to physical, emotional or cognitive
reasons. Each Medicare beneficiary referred for DSMT has an initial 1
hour individual assessment by a CDE and will be scheduled for the next
class series. Each class series consists of three classes one week apart
with a final class in three months.
- Gestational diabetes (GDM) or diabetes complicated by pregnancy
You can be referred to diabetes team management or for education only.
- GDM Education Program
If you are referred for education only, you will see both the RN/Certified
Diabetes Educator, as well as the Certified Registered Dietitian. A glucose
meter to monitor blood glucose will be provided to you during your first
- Continuous Glucose Monitoring (CGM)
You can be referred for CGM to identify
problems in glucose control, hypoglycemia, and hyperglycemia. CGM is
an excellent tool to increase your understanding of the inter-relationship
of food, activity, and insulin. It allows you to see, in real time,
the effect of food choices, exercise and/or medication doses on glucose,
and is an effective tool for behavior change.
To learn more about the services
at the Upper Chesapeake Diabetes and Endocrine Center, please call
and talk to one of our Certified Diabetes Educators at 443-643-3200. For
more information on the
University of Maryland Center for Diabetes and Endocrinology and other
programs throughout the State of Maryland, visit the main website at:
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