Diabetes Specialist

Washington Healthcare Center

Internists & Podiatrists located in Pasadena, CA

According to the Centers for Disease Control and Prevention, over 100 million US adults are living with diabetes or prediabetes. If you’re one of them, you can count on expert medical treatment and management, including diabetic foot care, from Dr. Marina Manvelyan, Dr. Gregor Paronian, and Dr. Michael Avakian, the team at Washington Healthcare Center in Pasadena, California. Call or schedule an appointment online today.

Diabetes Q & A

What is diabetes?

Diabetes is a chronic health condition that affects the way your body converts glucose (blood sugar) into energy. There are three primary types of diabetes:

Type 1

Type 1 diabetes is typically diagnosed during childhood and is also known as juvenile diabetes. When you have type 1 diabetes, your body doesn’t produce enough insulin, the hormone that helps your body transfer glucose to your cells where it’s used as energy.

While the exact cause of type 1 diabetes is not fully understood, physicians and medical researchers know that your immune system mistakes the insulin-producing cells in your pancreas for a threat and destroys them.  

Type 2

Type 2 diabetes is the most common form of the disease and occurs when your body doesn’t use insulin properly; it’s sometimes referred to as insulin resistance. Your pancreas responds by making more insulin, but ultimately, it can’t keep up with your body’s needs.

The exact cause of type 2 diabetes is unknown, but your weight, diet, and physical activity levels contribute to your risk of developing the disease.


Gestational diabetes can develop during the second trimester of pregnancy. While you’re pregnant, your body produces hormones that impair your body’s use of insulin, which raises your blood sugar.


How is diabetes managed?

The doctors at Washington Healthcare Center provide customized treatments and advice to help you manage your diabetes. For example, if you have type 1 diabetes, you'll need to take insulin every day to control your symptoms, and you'll need to limit the sugar in your diet.

Type 2 diabetes is often managed with changes to your diet and exercise habits. Not only do these lifestyle adjustments help you lose weight, which is a factor in type 2 diabetes, but exercise helps your body use blood sugar more efficiently. If an improved diet and exercise plan isn’t sufficient, your doctor may also prescribe medication or insulin.


What is diabetic foot care?

Diabetic foot care is the specialized examination and treatment of the feet of patients with diabetes. This includes everything from simple grooming to keep your toenails and skin clean and healthy to treatments and care for wounds and skin ulcers that can cause serious complications for diabetics.


Why is foot care important for diabetics?

When you have diabetes, your sustained high glucose levels can lead to a variety of serious health concerns, including nerve damage. This causes a loss of feeling in your extremities, and if you don’t take care of your feet properly, a small injury can cause serious health complications like foot ulcers and even gangrene.

Dr. Avakian, the podiatrist at Washington Healthcare Center, offers a range of diabetic foot care services to monitor and protect your feet.

If you’re concerned about diabetes, call or schedule a consultation online today.