Diabetes Care


Dr. Karpa has completed a cerificate course in diabetes education. She has been seeing patients since 2005.

The prevalence of diabetes rose dramatically during the 1990s. Nearly 800,000 new cases are diagnosed each year. Even more patients have diabetes, but have not been diagnosed yet. Because of increasing problems with obesity, the diabetes epidemic is expected to escalate even more.

The costs associated with uncontrolled diabetes are very high. Patients with diabetes have health care costs that are four times higher than those of the general population. However, the costs of diabetes are reduced dramatically when patients maintain adequate control of their disease. 

Recent clinical trials have illustrated that intensive treatment and monitoring substantially reduces the risk of blindness, kidney disease, nerve damage, and cardiovascular disease. 

Additionally, numerous studies have also illustrated that when pharmacist implement diabetes patient-management programs, overall health improves (ie. reductions in hemoglobin A1c, improvements in cholestrol, etc) and health care costs are reduced. 

If you have diabetes, do you know what that can do to improve your health and in the future? 

Our mission is to educate you. Consultations provided for diabetic patients may include the following( with approval / consent of your physician): 

Diabetes medication counseling: 

  • Assess wether oral drugs are working 

  • Monitor undesirable adverse effects 

  • Consider whether additional drugs may be beneficial 

  • Provide assistance in selecting appropriate nonprescription medications 

  • Educate on ways to reduce risk factors to prevent complications 

  • Instruct on diatary / exercise considerations 

  • Perform blood pressure checks 

  • Educate about necessary foot care 

  • Educate about the importance of/assist with referrals to other health care profesionals(ie. podiatrists, dentists, opthomologists, dieticians, etc.). 

Blood glucose meter training/self-managment education: 

  • Appropriate use of home blood glucose monitoring 

  • How/when to check blood sugar 

  • Maintain a diary of results 

Insulin instructions: 

  • Timing and amount of each insulin injection 

  • Correct injection technique 

  • Correct storage 

  • Expected results 

  • Adverse effects