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Diabetes is a chronic disease characterized by high levels of sugar in the blood (blood glucose). Nearly 21 million Americans, or 7% of the population, have diabetes. Unfortunately, more than 6 million people (or nearly one-third of them) are unaware they have the disease. Healthcare providers can conduct a test to determine if a patient has pre-diabetes or diabetes. These include fasting plasma glucose (FPG) test, hemoglobin A1C, or an oral glucose tolerance test (OGTT). Good self-management of blood sugar through food, medication, exercise, and stress management effectively prevents or significantly reduces the complications of diabetes.


(Formerly called Juvenile Diabetes)

  • Frequent urination 
  • Unusual thirst 
  • Extreme hunger 
  • Unusual weight loss 
  • Extreme fatigue and irritability  

(Formerly called Hyperglycemia)

  • Any of the signs listed under Type 1 symptoms 
  • Frequent infections
  • Blurred vision 
  • Cuts or bruises that are slow to heal 
  • Tingling or numbness in the hands or feet 
  • Recurring skin, gum, or bladder infections 
  • People with type 2 diabetes often have no symptoms 

Gestational diabetes is when diabetes is first diagnosed during pregnancy. The Outpatient Diabetes Resource Institute at Catholic Medical Center is one of New Hampshire’s finest community resources, dedicated to the education and support of patients diagnosed with gestational diabetes. Our certified diabetes educators work with you and your obstetrician to assess blood glucose trends and develop a nutrition and exercise plan to help you manage your diabetes during your pregnancy. The Outpatient Diabetes Resource Institute is proud to be recognized by the American Diabetes Association since 2000 for meeting and exceeding National Standards of Diabetes Self-Management Training

Uncontrolled high blood glucose can lead to the following: 
  • Eye complications: glaucoma, cataracts, retinopathy
  • Nerve damage: neuropathies can occur causing numbness and tingling in feet, trouble walking, pain in calves
  • Kidney damage: nephropathy can occur when blood pressure and blood glucose are not in control
  • Cardiovascular disease (heart and blood vessel): leading to heart attack or stroke 

The Diabetes Resource Institute at Catholic Medical Center is dedicated to the education and support of people with diabetes or pre-diabetes. We help our patients and their families learn how to live well with diabetes.

If you have diabetes, our team of professional educators works collaboratively with your primary care provider and/or your endocrinologist to deliver comprehensive and personalized diabetes self-management skills. At our diabetes clinic, you will learn about day-to-day solutions for nutrition, exercise and medication management to help you manage your diabetes.

The key to managing diabetes is knowledge – knowing what to expect, what to do and whom to call for assistance. This knowledge gives diabetes patients greater freedom and control over your life. Close control of your blood sugar can also reduce and even REVERSE some of the long-term complications of diabetes.


Individualized Diabetes Care

Your care begins with an appointment with a diabetes educator. She will review your medical history, risk factors, diabetes knowledge and skills, culture, health beliefs and behavior. Additional individual appointments may be scheduled with a diabetes educator if you have special needs or you desire further education after your group classes are completed. Group classes are offered monthly. You and your diabetes educator will choose which classes are right for you.

Medical Nutrition Therapy

Medical nutrition therapy is a new way to think about food and diabetes. It focuses on what you CAN eat and how much, not on what you can’t eat. Balancing food consumption with physical needs, medications and exercise is vital to a diabetic treatment plan. A registered dietician provides you with personalized meal plans that are healthy, satisfying and easy to follow.

Post-Education Follow-up

After you complete the curriculum, you will have a follow-up visit four to six weeks later. This appointment allows you and your diabetes educator to address new questions or concerns. This is a very important appointment, as once you are used to your lifestyle and diet changes, you may be interested in setting new goals for your diabetes self-management.

Gestational Diabetes Education

Gestational diabetes happens when pregnant women who have never had diabetes have high blood sugar (glucose) levels during pregnancy.  The condition affects about 4% of all pregnant women. Having gestational diabetes that is untreated or poorly controlled can put you and your baby at risk. If you have been diagnosed with gestational diabetes, we offer education and support that can help you and your baby be healthy.

Learning to Manage Diabetes

Good blood glucose control starts with diabetes education. Whether you are newly diagnosed with diabetes or have had it for years, the Diabetes Resource Institute offers individual consultations and a variety of classes to help you take charge of your diabetes.

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Insulin Pump Training and Continuous Glucose Monitor (CGM) Training

Educators help with pre-pump training for successful pump starts as well as personal and professional use of CGM technology.

Answer the following questions

Could you be at risk for pre-diabetes?

  • Is your blood pressure > 130/80 mmHg?
  • Is your waist measurement > 35 inches (female) or > 40 inches (male)?
  • Is your triglyceride level > 150 mg/dl?
  • Is your HDL < 50 mg/dl (female) or < 40 mg/dl (male)?
  • Is your fasting blood glucose (FBS) > 110 mg/dl (some references state > 100mg/dl)?
If you answered “yes” to three or more of these questions, speak to your primary care provider or call the Diabetes Resource Institute.


Diabetes Connection

Sign-up today to receive our diabetes email newsletter, designed to link individuals affected by diabetes to local resources in order to promote healthy living and diabetes management. Simply send your email address to us by clicking the link below.

National Recognition
Get With The Guidelines Stroke Award—Gold Plus

We’re proud to be recognized by the American Heart Association for our commitment to excellence in stroke care. CMC has received the Get With The Guidelines Stroke Award every year since 2013. This year, we are honored to be awarded with Target: Stroke Honor Roll and Target: Type 2 Diabetes Honor Roll. Congratulations to our dedicated staff!
August 2021

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National Standards for Diabetes Self-Management Training

The Diabetes Resource Institute at Catholic Medical Center is proud to be recognized by the American Diabetes Association (ADA) for meeting the National Standards for Diabetes Self-Management Training. This recognition guarantees that we have knowledgeable staff members who provide state-of-the-art education in diabetes self-management.

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Your Certified

Diabetes Educators

Our staff is composed of certified diabetes educators who are registered dieticians specially trained in the field of diabetes education. Our certified diabetes educators serve as an excellent resource for those diagnosed with diabetes and pre-diabetes:

  • Lori Muller, RD, LD, CDCES
  • Kristie Lloyd, MS, RDN, CDCES
  • Amie Stephens, RD, LD, CDCES

Diabetes Education

If you have pre-diabetes or diabetes, education is the key to successful self-management.

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