OC Diabetes and Endocrinology

Chronic Care Management in Orange County

Living with diabetes, a thyroid disorder, or another hormone-related condition means managing your health every single day, not just on the days you visit the clinic. Between appointments, medications, blood sugar checks, and daily choices, it's easy for small things to slip through the cracks. Our Chronic Care Management (CCM) program gives patients across Orange County steady support between visits, not just during them.

Each month, a dedicated member of our care team checks in, reviews your progress, and keeps your care plan up to date, so you always know who to call and what comes next.

2+Endocrine conditions supported
MonthlyCare team check-ins
1Coordinated care plan
Care coordinator reviewing a chronic care management plan with a patient
Ongoing care between visits Your care plan reviewed every month
How our CCM program works

Ongoing Chronic Care Management Between Visits

Care team member reviewing a patient's chronic care management plan

When you are living with two or more long-term endocrine conditions, such as diabetes along with a thyroid disorder, a few minutes in the exam room every few months is rarely enough. Medications change, blood sugar and hormone levels shift, and questions tend to pop up long after the appointment is over. Without regular support, small problems can quietly grow into bigger ones.

At OC Diabetes and Endocrinology, our Chronic Care Management program gives you a dedicated care team member who checks in with you every month. We review how you are doing, update your care plan, coordinate your lab work and specialist follow-ups, and make sure you always know who to call when you need help.

Who CCM is for

Endocrine conditions we help you stay on top of

01

Diabetes (Type 1 & Type 2)

Diabetes is a daily job, and a few visits a year can't cover all of it. With CCM, someone from our team calls you every month to go over your numbers, talk through what's been hard, and make sure your plan still fits your life.

  • Blood Sugar Trend Reviews
  • Insulin & Medication Support
  • Diet & Routine Guidance
  • Early Complication Checks
02

Prediabetes & Insulin Resistance

Prediabetes is a warning sign, not a diagnosis you have to live with. Monthly check-ins help you make steady changes, track your numbers, and give your body the best chance of staying out of diabetes territory.

  • Blood Sugar Monitoring
  • Nutrition & Activity Coaching
  • Lab Follow-Up Reminders
03

Thyroid Conditions

Thyroid problems can creep in slowly and are easy to blame on stress or a busy life. If any of these sound familiar, regular follow-up helps us get your treatment right.

  • Constant tiredness
  • Unexplained weight changes
  • Racing heart or feeling cold all the time

We keep an eye on your lab results and symptoms so your dose stays right for you.

04

PCOS & Hormonal Imbalance

Irregular cycles, stubborn weight gain, and acne are often brushed off as "just hormones." Ongoing follow-up helps us track what's changing, adjust your treatment, and keep your long-term health in view.

  • Symptom & Cycle Check-Ins
  • Medication Reviews
  • Lifestyle Guidance
05

Weight, Obesity & Metabolic Syndrome

Lasting weight loss rarely happens on willpower alone. Monthly check-ins give you someone to report to, a place to talk about setbacks, and a plan that gets adjusted instead of abandoned.

  • Small, Realistic Goals
  • Nutrition Coaching
  • Activity Planning
06

Osteoporosis & Bone Health

Weak bones often go unnoticed until a fracture happens. Ongoing follow-up helps you stay on your treatment, keep up with scans, and lower the risk of falls and breaks.

  • Treatment Follow-Up
  • Calcium & Vitamin D Guidance
  • Fall-Prevention Tips
07

Adrenal & Pituitary Disorders

Hormone conditions often need careful, long-term medication management. Regular contact lets us catch side effects and symptom changes early and keep your treatment balanced.

  • Hormone Medication Reviews
  • Symptom Check-Ins
  • Lab & Specialist Follow-Up
08

Your Monthly Care Call

Once a month, a member of our clinical team calls to hear how you're doing. It's a short, friendly conversation, and it's often where small problems get caught early.

  • Same Familiar Team Member
  • Questions Answered
  • Plan Adjusted When Needed
Why patients choose us

Why Choose Our Chronic Care Management Team?

If you're living with diabetes, a thyroid disorder, or another long-term hormone condition, you shouldn't have to keep track of everything alone. Patients across Orange County choose our endocrinology team for chronic care management because we stay involved month after month, not just on the day of an appointment.

OC Diabetes and Endocrinology chronic care management team

Endocrine Specialists Who Know Your History

Our board-certified endocrinology team understands how diabetes, thyroid, and other hormone conditions affect each other, so your monthly care is guided by the full picture.

A Monthly Check-In You Can Count On

A familiar member of our team calls every month to review how you're feeling, go over your blood sugar or lab trends, answer questions, and make sure your treatment is still working.

One Care Plan That Stays Current

Your conditions, medications, and goals are kept in a single written plan, updated as your needs change and shared with your other doctors.

Appointment Form Section
Get in touch

Request an Appointment

Tell us a little about what you're managing and a preferred time to talk. Our care team will confirm your appointment within one business day.

Call the clinic+1 845-561-5972
Email usinfo@ocdiabetes.com
Visit us5159 B Rt 9 W , Newburgh, NY, United States, 12550