Metabolic and Diabetes Specialty Care

 

At Tennessee Direct Endocrinology, we are the first and only Lifestyle Management Center for Diabetes and metabolic disease in East Tennessee!  This includes treatment of Type 2 diabetes, insulin resistance, impaired fasting glucose, high cholesterol, high triglycerides, fatty liver, some types of PCOS and fatty liver disease.

We want to walk, run and fight with you toward HOPE of new life! At Tennessee Direct Endocrinology, we want to learn YOUR diabetes.

Dr. Sarah will listen, ask questions, provide education related to your diabetes, perform an exam, obtain specialized labs to look at your personal pancreatic function, and work together to define goals and establish a personalized plan. 

Dr. Sarah pursued a fellowship in Endocrinology, Diabetes and Metabolism FOR DIABETES.  She has always wanted to treat patients and families in the daily race with diabetes. She believes in the value of the face-to-face, doctor-patient relationship with her patients and increasing connectivity to improve the disease. You don’t have to do this alone anymore - Let’s work together!

We have many exclusive Tennessee Direct Endocrinology tools to help you meet your goals:

 

OPTIFAST

OPTIFAST is a prescription only meal replacement product line that is made by Nestle Health Sciences. The plan has been shown to help fight hunger, immediately decrease insulin requirement and is backed by research to show reversal of diabetes.

Anti-obesity medications

Dr. Sarah’s expertise includes using medications for diabetes and obesity in a personalized and strategic way.

CARIUM connectivity

In our Premier Membership, we have included an exclusive program called CARIUM which provides a real-time connection to your physician for analysis of your data and ongoing management. This program includes a nutritional data bank with personalized settings and can connect real-time data from a blood sugar meter, continuous glucose monitor, home scale, blood pressure cuff and activity monitor.

Dr. Sarah believes that each person’s interaction with carbohydrates, exercise, insulin, stress and weight change is UNIQUE - and your diabetes should be treated just as uniquely.

Untangling YOUR diabetes takes time and we want to frequently connect with you to provide troubleshooting.  For this reason, our Premier Membership has been created as your best value option to connect you DAILY with your physician and walk together through our “stepping-stone” approach to diabetes.  There is so much to do with diabetes, Dr. Sarah believes it is best accomplished one step at a time – and each patient’s steps and time are different!

 

In that plan, the real question is this – Is TREATMENT alone your goal?

 

In that plan, the real question is this – Is TREATMENT alone your goal?  Treatment implies medications.  Yes, that will be accomplished, and immediate control of your blood sugar is a must for safety, however what if your treatment could be MORE. With Type 2 Diabetes, it is possible to REVERSE your diabetes, REDUCE medication burden, and REGAIN natural hormonal function!

We will work together! For each patient in our Premier Membership, we will set up personalized thresholds that will auto-alert your physician any time you have need for trouble-shooting. You can also directly message/text the physician directly about your values from the Carium app. Time parameters and communication type will be established to fit your schedule and keep your privacy while on the go.

Dr. Sarah would love to partner with you to TOGETHER gain strength to PUSH your diabetes into remission. This requires a different, HEALING, approach. This is Dr. Sarah’s goal for each patient – HEALING, not just medical treatment.