Type 2 Diabetes (Insulin Resistance & Metabolic Disfunction)

About This Condition

Type 2 diabetes is a chronic metabolic disorder characterized by elevated blood glucose resulting from progressive insulin resistance and eventual pancreatic beta-cell dysfunction. It affects over 37 million Americans, with tens of millions more in a pre-diabetic state. Standard care focuses almost exclusively on glycemic control — lowering HbA1c via medication — without addressing the underlying metabolic dysfunction. The result: patients stay on escalating drug regimens while the disease continues to progress. Common comorbidities include hypertension, dyslipidemia, nonalcoholic fatty liver disease, peripheral neuropathy, and increased cardiovascular risk.

Our Approach

We don't manage your diabetes — we work to reverse its root cause. Our evaluation begins with a comprehensive metabolic panel that goes far beyond standard glucose and HbA1c: we assess fasting insulin, C-peptide, HOMA-IR (insulin resistance index), advanced lipid fractionation (LDL particle number, sdLDL), inflammatory markers (hsCRP, IL-6), and adiponectin. We use iDXA body composition scanning to quantify visceral adipose tissue — the metabolically active fat directly correlated with insulin resistance — rather than relying on BMI alone. Treatment is individualized and may include therapeutic carbohydrate reduction protocols, time-restricted eating frameworks, GLP-1-based pharmacotherapy (including compounded semaglutide or tirzepatide where appropriate), targeted supplementation (berberine, inositol, magnesium), and progressive resistance training prescriptions. As your DPC physician, we have the time to actually implement and adjust these interventions monthly — not manage refills quarterly.