
Understanding Root Causes of Pre-diabetes & Diabetes
Blood sugar imbalances are often signals of deeper metabolic dysfunction. During perimenopause and menopause this becomes even more pronounced due to drops in testosterone which impacts insulin levels even when women’s diets have not changed at all. At Sayana Medical, we investigate multiple factors that can affect glucose regulation:
- Insulin resistance and cellular metabolism
- Inflammation and oxidative stress
- Gut microbiome imbalances
- Hormone dysregulation
- Environmental toxin exposure
- Nutrient deficiencies
Beyond Blood Sugar
While conventional treatment focuses on blood sugar management through medication, our functional medicine approach identifies and addresses the underlying factors that drive metabolic dysfunction, potentially reversing pre-diabetes and improving diabetes management.
Our Comprehensive Approach
Our multi-faceted treatment approach includes:
- Advanced metabolic testing
- Personalized nutrition protocols
- Blood sugar balancing strategies
- Exercise programming
- Stress management
- Sleep optimization

Common Symptoms We See
- Energy Fluctuations
- Fatigue, especially after meals
- Weight Changes
- Difficulty losing weight despite efforts
- Increased Thirst
- Frequent urination and dehydration
- Slow Healing
- Delayed wound healing and recovery
- Blood Sugar Swings
- Mood and energy fluctuations
- Vision Changes
- Blurred vision and eye health issues
Associated Health Concerns
Physical Impact
- Cardiovascular health
- Kidney function
- Nerve health
- Eye health
Quality of Life Impact
- Energy levels
- Emotional well-being
- Sleep quality
- Physical activity
Our Approach to Blood Sugar Management
At Sayana Medical and Wellness Center, we implement a multi-faceted treatment strategy:
1. Comprehensive Testing
Advanced metabolic testing to identify underlying imbalances affecting glucose regulation.
Root Cause Resolution
Targeted interventions that address the underlying causes of metabolic dysfunction.
Lifestyle Integration
Sustainable strategies for long-term blood sugar control and metabolic health.

“Pre-diabetes and diabetes are not just about blood sugar – they’re signals that your body’s metabolic systems need support. Through our functional medicine approach, we can help restore metabolic balance and prevent complications while improving overall health and vitality.”
– Dr. Sayana, Medical Director, Sayana Medical and Wellness Center
Dr. Sayana MD, Serena Teddy PA-C, and Annie Shaltz, NP-C, are highly rated and trained medical practitioners that use the best in both conventional and functional medicine to partner with patients, helping them resolve or manage their diabetes symptoms. These treatments are offered to residents of Los Angeles, Sherman Oaks, Studio City, Encino, Beverly Hills, Santa Monica, North Hollywood, Tarzana, Toluca Lake, Valley Village, Valley Glen, Burbank, Van Nuys, and surrounding areas in CA.
*If you live outside of CA you need to have your 1st appointment in person and the rest can be virtual.
Take Control of Your Metabolic Health
Start your journey to optimal blood sugar control with our comprehensive functional medicine approach.
