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Diabetes Management

When it comes to diabetes management, knowledge is power.  The power to manage symptoms, your health and your life can be yours with the help of our expert diabetes education team. 

Phelps Medical Group has two providers specializing in diabetes management: Russell Carlston, DMP, and Mileah Panter, DNP, APRN. Phelps Memorial Health Center, in conjunction with Bryan Health in Lincoln, is recognized by the American Diabetes Association for quality self-management education and support.  Educators include: Karen Bunnell RD, LMNT and Jenny Spaulding RN, CDE.

About Diabetes

Diabetes is a chronic disease that causes high blood glucose (sugar) levels in the blood.  The main source of fuel for our bodies is a simple sugar called glucose.  A hormone called insulin is the key that unlocks our cells, allowing glucose to enter.

There are three possible reasons people develop diabetes:

  • The body does not make any insulin.
  • The body does not make enough insulin (insulin deficiency).
  • The body does not use the insulin properly (insulin resistance).

Diabetes cannot be cured but it can be managed. Through proper eating, exercise and medication you can live a long, healthy life.  About 29 million people in the United States have diabetes, and many people are unaware they have diabetes.

Diabetes can lead to serious problems, such as, blindness, nerve damage, foot damage, kidney failure, loss of limbs and increased risk of heart attack and stroke.  Eventually, diabetes complications can be disabling or even life threatening.  The good news is you can greatly reduce the risk of complications by managing your blood glucose levels.

Types of Diabetes


Prediabetes means that your blood sugar level is higher than normal, but it’s not yet high enough to be classified as type 2 diabetes.  Still, without intervention, prediabetes is likely to become type 2 diabetes in 10 years or less.  And, if you have prediabetes, the long-term damage of diabetes, especially to your heart and circulatory system, may already be starting.

There’s good news, however.  Prediabetes can be an opportunity for you to improve our health, because progression from prediabetes to type 2 diabetes isn’t inevitable.  With healthy lifestyle changes, such as eating healthy foods, including physical activity in your daily routine and maintain a healthy, you may be able to bring your blood sugar back to normal.

Please learn more about PMHC’s Simple Solution Class

Type 1 Diabetes

People with type 1 diabetes must take insulin because their bodies produce little or no insulin.  Type 1 diabetes can occur at any age but is most commonly seen in younger people.  About five to ten percent of all people with diabetes fall into this group.

Type 2 Diabetes

People with type 2 diabetes either do not produce enough insulin or cannot use the insulin properly in the body.  Type 2 diabetes may be  controlled with proper eating and exercise alone or in combination with oral medications and insulin.  About 90-95 percent of all adults with diabetes fall into this group, and about 30-50 percent of children diagnosed with diabetes fall into this group.

Gestational Diabetes

This type of diabetes begins or is first diagnosed during pregnancy.  About four percent of this groups actually have type 2 diabetes that was previously undiagnosed.  Women with gestational diabetes are at increased risk of developing type 2 diabetes in the future.  It is important that women with gestational diabetes be retested six weeks after delivery and take steps to prevent or delay the onset of type 2 diabetes.

Risk Factors/Symptoms of Diabetes

Factors beyond our control:

  • Being of African American, Hispanic/Latino, Asian American or Pacific Islander, Native American or Alaskan Native descent.     
  • A close family member with diabetes
  • Diabetes during pregnancy or giving birth to a baby that weighed over nine pounds
  • Over age 40

Risk factors influenced by lifestyles:

  • Lack of regular exercise
  • Overweight
  • Triglycerides 150mg/dl or higher
  • HDL less than 40mg/dl for men; less than 50mg/dl for women
  • Blood pressure greater than or equal to 130/80
  • Polycystic ovarian syndrome (PCOS).
  • Prediabetes
Symptoms of Diabetes
  • Frequent thirst
  • Frequent urination
  • Extreme tiredness
  • Extreme hunger
  • Unexplained weight loss
  • Sores that are slow to heal
  • Dry, itchy skin
  • Loss of feeling or tingling in the feet or hands
  • Blurry eyesight
Diabetes and Your Feet

Poor diabetes management can lead to nerve damage and circulation problems which can lead to sores not healing up on feet.  If the sores get infected, an amputation may be needed.  Daily foot care and yearly foot exams are vital to preventing an amputation.

Diabetes Education

At Phelps Memorial Health Center, our comprehensive education program will help you manage your diabetes.  Strategies taught include meal planning, exercise, blood sugar monitoring, and medication administration.

Phelps Memorial Health Center, in conjunction with Bryan Health in Lincoln, is recognized by the American Diabetes Association for quality self-management education and support.  Educators include: Karen Bunnell RD, LMNT and Jenny Spaulding RN, CDE.

If you are interested in losing weight, learning how to prevent diabetes, and learning how to make lifestyle changes towards better health, then Phelps Memorial Health Center’s Simple Solutions Program is for you!

At this time, a new Simple Solutions class starts about every 6 months: January and August.  It is a year long program.  Classes meet every week for 4 months, every other week for 2 months, and then once a month for the last 6 months.

Simple Solutions Program Criteria:

  • Be 18 years of age or older with
  • BMI greater than or equal to 25 for Non-Asian
  • BMI greater than or equal to 23 for Asian-American
  • Within the past year diagnosed with prediabetes or
  • History of gestational diabetes or
  • Screen positive for prediabetes based on the National Diabetes Prevention Program Risk Test

Phelps Medical Group

1315 Tibbals Street  //  Holdrege, Nebraska 68949
phone: 308.995.6111  //  fax: 308.995.4868
Llame al 1-308-995-2847

For Appointments Call 308.995.6111

Monday  //  8 a.m. - 12 p.m.  //  1 p.m. - 6:00 p.m.
Tuesday - Friday  //  8 a.m. - 12 p.m.  //  1 p.m. - 5 p.m.