Diabetes Management
Functional medicine support tailored to uncover the root cause of complex symptoms.
Consult with our care team to understand next steps and build a personalized plan.
Serving Denver Metro, Fort Collins, and Colorado Springs.
About This Condition
Type 2 diabetes mellitus is a chronic metabolic disease characterized by hyperglycemia due to a combination of insulin resistance and relative insulin secretory deficiency. It typically develops in adults but is increasingly seen in adolescents, especially in the setting of excess adiposity, sedentary lifestyle, and metabolic syndrome.
Clinical presentation ranges from asymptomatic hyperglycemia detected by screening to symptoms such as polyuria, polydipsia, nocturia, blurred vision, fatigue, and recurrent infections. Many individuals have long-standing, subclinical disease at the time of diagnosis, with established microvascular or macrovascular complications. Cardiovascular disease, chronic kidney disease, retinopathy, neuropathy, and peripheral arterial disease are major drivers of morbidity and mortality.
Diagnosis is based on standardized glycemic criteria using fasting plasma glucose, oral glucose tolerance testing, or hemoglobin A1c, interpreted in clinical context. Management focuses on lifestyle modification, pharmacologic glucose-lowering therapies, and aggressive treatment of associated risk factors such as hypertension, dyslipidemia, obesity, and tobacco use to reduce complications and improve long-term outcomes.
Common Symptoms
- •Polyuria and nocturia
- •Polydipsia and increased thirst
- •Unintentional weight loss or failure to gain expected weight in the setting of marked hyperglycemia
- •Fatigue, low energy, or reduced exercise tolerance
- •Blurred vision or visual fluctuations
- •Recurrent or slow-healing infections, particularly skin, soft tissue, or genitourinary infections
- •Numbness, tingling, or burning sensations in the feet or hands suggestive of peripheral neuropathy
- •Asymptomatic hyperglycemia detected on routine screening or preoperative evaluation
Conventional Treatment Options
Personalized nutrition
Glycemic monitoring
Medication optimization
Lifestyle changes
Our Functional Medicine Approach
A1c is a snapshot, not a strategy
Most patients with type 2 diabetes or prediabetes have been told to lose weight, take metformin, and recheck in three months. The plan rarely changes even when the numbers don't move. Diabetes lives inside a system — insulin resistance, hepatic fat, mitochondrial efficiency, sleep, cortisol, gut microbiome, muscle mass, and meal-timing patterns all push glucose around in real time. Treating the A1c without the system is why patients plateau.
How Spire works the root cause
Our Metabolic Health Program pairs advanced labs (fasting insulin, HOMA-IR, ApoB, hsCRP, liver enzymes, full thyroid, sex hormones) with continuous glucose monitoring so you actually see how meals, sleep, and stress move your numbers in your real life. Where appropriate, semaglutide is one tool in the kit — physician-supervised, paired with nutrition, training, and a deliberate off-ramp so results last past the prescription.
Who this is for
Adults with prediabetes or type 2 diabetes who want measurable improvement, patients already on metformin or GLP-1s who want a real plan around them, and anyone with strong family history who wants to act before numbers drift further.