Radiant Primary Care • Millburn, NJ
Diabetes & Prediabetes Doctor in Millburn, NJ
A1c testing, prediabetes and insulin resistance care, and type 2 diabetes management with board-certified internists. Nutritionist referrals for every patient, blood draws in our office, appointments Monday through Saturday.
✓ A1c Blood Draws In-Office
✓ Prediabetes & Type 2 Diabetes
✓ Ozempic & Mounjaro When Appropriate
✓ New Patients Welcome
✓ Appointments Mon–Sat
Why Manage Diabetes Here
One Doctor for Your Blood Sugar and Everything Else.
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Unhurried Visits
We take the time to go through your numbers, medications, diet and goals, not just refill a prescription.
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Labs Under One Roof
Your A1c, kidney and cholesterol labs can be drawn in our office, so there’s no separate trip.
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The Whole Picture
Diabetes affects your heart, kidneys, eyes and feet. We track all of it, along with blood pressure and cholesterol.
Testing for Prediabetes and Diabetes
Type 2 diabetes and prediabetes often cause no symptoms for years. A simple A1c blood test shows your average blood sugar over the past 2–3 months, and no fasting is needed. Screening is recommended for adults 35 to 70 who are overweight, and earlier for people with a family history, high blood pressure or a history of diabetes in pregnancy. Signs worth getting checked include more thirst, frequent urination, blurred vision, slow-healing cuts and unexplained weight loss.
What Diabetes Care Includes
• A1c and blood sugar testing, with results usually in 1–3 days
• A referral to a nutritionist and a personalized plan for food, activity and weight
• Medication when needed, such as metformin, GLP-1 medications like Ozempic or Mounjaro, or insulin
• Starting and adjusting insulin in our office
• Continuous glucose monitors, such as Dexcom or Libre, prescribed and reviewed with you
• Regular A1c checks and medication adjustments
• Kidney function and urine protein tests
• Blood pressure and cholesterol management
• Foot checks and reminders for your yearly eye exam
• Vaccines recommended for people with diabetes
• Coordination with specialists if you need one
Prediabetes and Insulin Resistance: The Best Time to Act
Prediabetes means your blood sugar is higher than normal but not yet in the diabetes range, and it’s usually driven by insulin resistance. It’s common, and it’s often reversible. Modest weight loss and regular activity can cut the risk of type 2 diabetes by more than half. We refer every patient with prediabetes or diabetes to a nutritionist to build an eating plan that helps reverse insulin resistance. When appropriate, we also prescribe medication, such as metformin, and talk through whether medical weight loss makes sense for you. We recheck your A1c to track your progress.
Type 2 Diabetes Management
Good diabetes care is more than one number. We set an A1c goal that fits your age and health, choose medications that also protect your heart and kidneys when that makes sense, start and adjust insulin when you need it, review your glucose meter or sensor data, and watch for side effects and low blood sugar. Most patients are seen every 3 months while we adjust treatment, then less often once things are stable. Medicare patients can combine follow-up with their Medicare Annual Wellness Visit.
When to Get Help Right Away
Call 911 for confusion, fainting or a seizure from low blood sugar, or for very high blood sugar with vomiting, trouble breathing, a fruity breath smell or severe drowsiness. For readings that are running higher than usual or a new illness that’s affecting your sugars, book a same-day sick visit.
Insurance and What to Bring
Diabetes visits and lab tests are billed to your insurance, and we accept Medicare. Your usual copay, deductible or coinsurance applies. Medication coverage depends on your plan. See insurance & billing.
Please bring: your insurance card, a list of your medications and supplements, your glucose meter or sensor readings if you check at home, and any recent lab results from other doctors.
Diabetes & A1c Questions
What A1c level means prediabetes or diabetes?
An A1c below 5.7% is normal. An A1c of 5.7% to 6.4% means prediabetes, and 6.5% or higher on two tests means diabetes. We’ll go over your number and what it means for you.
Do I need to fast for an A1c test?
No. The A1c reflects your average blood sugar over the past 2–3 months, so you don’t need to fast. If we also order a fasting glucose or cholesterol test, we’ll tell you ahead of time.
Can prediabetes be reversed?
Often, yes. Prediabetes is usually driven by insulin resistance, which improves with weight loss, better eating and regular activity. In the national Diabetes Prevention Program, people who lost 5–7% of their body weight cut their risk of developing type 2 diabetes by more than half. We refer every patient with prediabetes to a nutritionist, and when appropriate we prescribe medication, such as metformin, to lower your risk.
Do you prescribe Ozempic or Mounjaro for diabetes?
Yes, when they’re a good fit for you. Ozempic and Mounjaro are approved for type 2 diabetes, and we also use metformin, insulin and other medications. Coverage depends on your insurance plan, and some plans require prior authorization.
Do I need to see an endocrinologist?
Most people with prediabetes or type 2 diabetes can be cared for by a primary care internist. If your diabetes is hard to control or needs specialist care, we’ll refer you and keep coordinating with your specialist.
How often should my A1c be checked?
Usually every 3 months while we’re adjusting treatment or if you’re not at goal, and at least twice a year once your blood sugar is stable. With prediabetes, we typically recheck about once a year.
This page is general information, not medical advice. Your goals and treatment depend on your own health history. If you are having a medical emergency, call 911.