Adult Type 1 Diabetes Center
In Houston, approximately 20,000 persons have been diagnosed with Type 1 diabetes, of which 72.5% are 18 years or older. While the incidence of new type 1 diabetes cases continues to increase, there is no dedicated center for the management of Type 1 diabetes in adults in the Houston area. To that end, the goal of the program is to become the geographic home for adults with type 1 diabetes in the Houston metro area.
- To prevent the complications of diabetes, one patient at a time
- To ease the burden of managing type 1 diabetes with the use of technology
Individualized Approach to Patient Care
1. Prevent the “lost to follow-up syndrome” when adolescents leave pediatric care by keeping them engaged with healthcare
2. Assist patients with transition to independent self care through the Transition Program for teenagers and young adults
3. Understand each patient’s experience with diabetes and customize a treatment plan for their needs
4. Build rapport with patients by being non-judgmental
5. Empower patient to manage their own diabetes
6. Focus on the positive
7. Understand the impact of family dynamics on patient outcomes and barriers to control
8. Create a support system with technology, using web based methods of communication
9. Provide a Type 1 “social hour” (support group) for patient interaction
10. Collaborate with JDRF to implement the mentoring program with all willing patients
11. Collaborate with DESA to promote exercise activities, group events and education
12. Provide comprehensive inpatient care for patients who are admitted to the hospital
John D. Mucha, MS, PA-C, CDE
Kittie Wyne, MD, PhD, FACE, FNLA
Contact us at: email@example.com
Transplant Endocrinology Program
This is a comprehensive program for the management of patients before, during and after transplantation. Dr. Archana Sadhu has worked closely with the Transplant Center to create screening tools for early identification of patients at risk for New-Onset Diabetes After Transplant (NODAT), intervene immediately in the post transplant period to prevent complications of graft dysfunction and infections and to follow patients’ long term to reduce their cardiovascular risk and mortality.
Inpatient Diabetes Program
The goal of the program is to provide safe and effective glucose management that will achieve recommended glucose targets, improve patient outcomes, and decrease length of stay and hospital costs. Using evidence-based national guidelines, we have set forth a campaign of education, clinical practice changes and new therapeutic insulin protocols so that our patients benefit from a reduction of the incidence of both hyperglycemia and hypoglycemia. We have adopted glucose targets recommended by national organizations such as the American Diabetes Association, American Association of Clinical Endocrinologist and The Endocrine Society to achieve this balance. All elements related to the practice of glucose management from the measurement of glucose at the patient’s bedside to the delivery of appropriate therapy in the hospital and post-discharge are targeted in this program.
Diabetes Advisory Council
With 150-200 patients in TMH diagnosed with diabetes, the Council was developed to improve the long-term diabetes care of TMH patients to avoid serious fluctuations in plasma glucose levels (>300mg/dl and <40 mg/dl).