Diabetes Specialist

Carolina G. Sierra, MD

Endocrinologist & Internist located in Midtown East, New York, NY

Dr. Sierra offers a variety of services to her patients from Midtown and throughout New York including diabetes screening and treatment. At her practice, Dr. Sierra can provide advance care options including blood glucose testing, insulin and oral medications, as well as information about long-term care.

Diabetes Q & A

What is Diabetes?

Diabetes describes a group of illnesses which affect a person’s ability to process sugars. It refers to a person whose blood glucose levels are high because the person’s body is not producing enough insulin or who body’s cells are not responding to insulin the way they should, and sometimes both. Diabetes can come in multiple types including type 1 and 2, gestational diabetes, and precursory form known as prediabetes. People with type 1 diabetes cannot produce insulin and will need to take insulin injection their entire life. Those with type 2 do not produce enough insulin or the cells in their bodies do not react to insulin. Some people with type 2 diabetes may be able to take control of the disease by losing weight and monitoring their blood glucose levels while others may need to take insulin injections. Gestational diabetes affects pregnant women.

What Symptoms Are Associated with Diabetes?

The typical signs and symptoms of diabetes include:

  • Frequent urination
  • Extreme fatigue
  • Weight loss even though the person is eating more (type 1)
  • Blurry vision
  • Feeling extreme thirst
  • Cuts and bruises which are slow to heal
  • Feeling very hungry even though the person is eating
  • Tingling, pain, or numbness in feet and hands (type 2)

It is important to know that many people with type 2 diabetes experience symptoms which as so mild they can go unnoticed.

How is Diabetes Treated? 

Diabetes can be treated a variety of ways depending on the type which a person has been diagnosed with. One of the key components to living with diabetes is the testing of blood glucose levels. Keeping a log of each daily blood glucose levels and how they fluctuate throughout the day is essential. People who should be checking their blood glucose include those that are taking insulin, pregnant women, those having a hard time controlling the levels, those who have consistently low or high blood glucose levels, and those who have ketones as a result of high blood glucose levels. Our office can help you monitor your blood glucose levels and make sure it is staying right where you need it.