Diabetes Management Specialist

Nader Ewaida, MD -  - Internal Medicine

Hope Internal Medicine and Sleep Clinic

Nader Ewaida, MD

Internal Medicine & Sleep Medicine Specialist located in North Richland Hills, TX

More than 9% of Americans have diabetes, with Type 2 diabetes accounting for 90%-95% of all cases. Dr. Nader Ewaida at Hope Internal Medicine & Sleep Clinic has years of experience helping those who are at risk of Type 2 diabetes prevent the disease, and providing ongoing diabetes management to patients diagnosed with Type F of the disease. To learn more about individualized diabetes management, call the office in North Richland Hills, Texas or book an appointment online.

Diabetes Management Q & A

What is the difference between Type 1 and Type 2 diabetes?

Both forms of diabetes develop from a problem producing insulin or using the insulin that’s produced. Insulin removes excess sugar (glucose) from your bloodstream. Without the right amount of insulin, blood sugar gets too high and causes serious complications.

Type 1 diabetes

Although Type 1 diabetes is typically diagnosed between the ages of 4 and 14, it can develop at any age. In this type of diabetes, the pancreas doesn’t produce insulin.

Type 2 diabetes

This type of diabetes is usually diagnosed in adults, but it also develops in older children and young teens. Two problems cause Type 2 diabetes. The pancreas produces some insulin, but not enough. Additionally, patients develop insulin resistance, which means they can’t use the insulin that’s produced.

What health complications arise due to diabetes?

Health complications develop when your blood sugar rises above the normal range. Over time, high blood sugar damages small blood vessels, which significantly increases your risk of developing:

  • Cardiovascular disease
  • Nerve damage
  • Chronic kidney disease
  • Vision loss
  • Foot ulcers that don’t heal and foot amputation
  • Skin infections
  • Alzheimer’s disease or vascular dementia

The serious impact of complications caused by diabetes should never be underestimated. Type 2 diabetes is one of the top two causes of kidney failure. Adults with diabetes have double the risk of dying from heart disease. It’s also a leading cause of adult-onset blindness.

What are the symptoms of diabetes?

You can have diabetes for a long time before it causes symptoms. Once they develop, you’ll experience:

  • Increased thirst and urination
  • Increased hunger
  • Blurry vision
  • Fatigue
  • Sores that are slow to heal
  • Numbness or tingling in your feet

How is diabetes managed?

Once diabetes is diagnosed, it must be managed to keep your blood sugar within normal limits. Dr. Ewaida specializes in diabetes management, creating customized plans that include:

Lifestyle changes

You’ll learn how to monitor carbohydrate consumption and the importance of losing weight. If you smoke, you’ll discover why you need to quit. Exercise is also important in diabetes management because it supports your overall health and helps lower blood sugar.


If you have Type 1 diabetes, you’ll need to take insulin. Those with Type 2 diabetes may need insulin or another medication to lower blood sugar if lifestyle changes aren’t enough.

To get ongoing diabetes management, call Hope Internal Medicine & Sleep Clinic or book an appointment online.