Type 2 Diabetes Care:
Sequoia Medical 360

Restoring Balance With Precision Endocrinology

Type 2 Diabetes (T2D) is the most common form of diabetes, accounting for over 90% of cases. It develops when the body’s cells become resistant to insulin’s effects, and over time, the pancreas may also produce less insulin. The result is elevated blood sugar, which—if left untreated—can cause long-term damage to the heart, kidneys, eyes, nerves, and blood vessels.

Unlike Type 1 Diabetes, which is autoimmune, Type 2 often emerges gradually, frequently without obvious early symptoms. Many patients discover it through routine labs showing elevated glucose or A1c levels. Risk factors include

Family history of diabetes
Overweight or obesity, especially abdominal fat
Sedentary lifestyle
Poor sleep or high stress
Hypertension, high cholesterol, or metabolic syndrome

Symptoms, when they appear, may include increased thirst, frequent urination, fatigue, blurred vision, or slow-healing wounds.

At Sequoia Medical 360 in Bronxville, NY, we view Type 2 not as a “sugar problem” but as a complex metabolic disease. Our mission is not just glucose control — it is full metabolic restoration, using advanced diagnostics, precision therapies, and proactive cardiovascular protection.

Our Approach at Sequoia Medical 360

Comprehensive Diagnostics

We go far beyond standard labs:

Metabolic screening: Fasting glucose, hemoglobin A1c, insulin, C-peptide, and advanced lipid testing.
Body composition analysis (InBody®): Tracks visceral fat, lean muscle mass, and hydration.
VO₂ max testing: Measures aerobic capacity to assess cardiovascular and metabolic health.
Screening for comorbidities: Hypertension, sleep apnea, fatty liver disease, and early kidney changes.
Evidence-Based Therapies

Our treatment plans are always personalized, balancing lifestyle optimization with modern pharmacology:
Lifestyle Transformation:

Precision nutrition guidance tailored to improve insulin sensitivity.
Structured fitness regimens emphasizing resistance and aerobic training.
Sleep and stress management strategies to reduce metabolic burden.

Pharmacotherapy (when indicated):

Metformin as a safe, proven foundation.
GLP-1 receptor agonists (Ozempic, Wegovy, Rybelsus) for weight reduction and glucose control.
GLP-1/GIP dual agonists (Mounjaro, Zepbound) for enhanced weight and metabolic outcomes.
SGLT2 inhibitors (Jardiance, Farxiga) to protect kidneys and heart while lowering blood sugar.
Other advanced therapies including DPP-4 inhibitors, sulfonylureas, or insulin when clinically appropriate

Technology Integration

Continuous Glucose Monitoring (CGM): Beyond fingersticks, CGMs allow real-time visibility into how food, stress, and exercise impact glucose. At Sequoia, we use CGM even in early Type 2 Diabetes to uncover hidden patterns and accelerate metabolic recovery.
Digital coaching & remote monitoring: Direct review of CGM, nutrition, and fitness data between visits.

The Sequoia Medical 360 Advantage

What makes our approach to Type 2 Diabetes different:

Quadruple board-certified physician in Internal Medicine, Endocrinology, Clinical Lipidology, and Obesity Medicine.
Dual fellowship training in Preventive Cardiology and Endocrinology, Diabetes & Metabolism.
Integrated philosophy: We don’t just lower blood sugar — we address the root drivers of metabolic disease.
Commitment to longevity: Every plan is designed not only to prevent complications, but to extend your healthspan.

Holistic Health & Risk Reduction

Because Type 2 Diabetes rarely exists in isolation, we proactively manage every interconnected risk:

Cardiovascular prevention: Advanced lipid screening, blood pressure optimization, VO₂ max–based fitness tracking.
Kidney protection: Regular urine microalbumin and eGFR monitoring.
Neuropathy & eye health: Early screening to prevent complications.
Weight management synergy: Integration with our concierge obesity medicine program.

Begin Your Type 2 Diabetes Journey

Type 2 Diabetes does not need to be a life of restrictions. With precision endocrinology, advanced medications, and concierge accessibility, you can reclaim metabolic balance and prevent long-term complications.

Explore related pages:

https://sqmed360.com/
Located in Bronxville, serving Westchester & all of New York State.
(914) 292-0300
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