Welcome to East Coast Medical Associates


Diabetes comes in many different varieties. The cause of most types of diabetes is uncertain, but all types are manifested by elevated levels of blood glucose (sugar).

Type 1 diabetes is characterized by a near complete or complete lack of insulin production by the pancreas. Type 1 diabetes is thought to be caused by immune destruction of pancreatic cells making insulin.

Type 2 diabetes is the most common type of diabetes responsible for as much as 95% of diabetes in the United States. Risk factors for the development of type 2 diabetes include too much weight, too little exercise, genetic history, and ethnicity. Prediabetes, a disorder characterized by minimal or mild blood glucose abnormalities, often develops into type 2 diabetes. Type 2 diabetes is characterized by insulin production which is inadequate to keep blood glucose levels in the normal range. Type 2 diabetes can progress over time to behave like type 1 diabetes.

Other types of diabetes include gestational diabetes, diabetes associated with use of drugs, diabetes caused by inflammatory diseases of the pancreas, diabetes caused by pancreatic surgery, and diabetes associated with other hormonal disorders.

Any type of diabetes can potentially lead to complications. However, the risk of developing complications of diabetes can be lowered by achieving adequate diabetic control. Complications may include diabetic neuropathy, diabetic kidney disease, diabetic eye disease, and vascular disease leading to increased risk for strokes, heart attacks, and peripheral vascular disease.

Our team of professionals would like to work with you to manage your diabetes. Many new treatments and medications have become available over the last few years. We can discuss if and how you might benefit from these new treatments.