Diabetes

Managing chronic conditions like Type 2 diabetes is about more than blood sugar—it’s about preserving your whole-body health, especially when reproductive goals are part of the picture. At Holistic Reproductive Wellness Group in Baltimore, Maryland, nurse practitioners Aastasshia Lacy, FNP-BC, and Alicia Tomlinson, WHNP, offer comprehensive, patient-centered diabetes care through a reproductive health lens. Whether you’re planning to conceive or maintaining balance in your current phase of life, the team partners with you to help manage your condition, reduce risk, and support your long-term wellness. To get started, schedule a telehealth visit online or by phone today.

What is diabetes?

Diabetes is a chronic health condition that affects how your body turns food into energy. Normally, your body breaks down most of your food into glucose (sugar), which enters your bloodstream. When your blood sugar rises, your pancreas releases insulin, a hormone that helps glucose enter your cells to be used for energy.

With Type 2 diabetes, the body either doesn’t make enough insulin or doesn’t use it effectively. This leads to elevated blood sugar levels, which over time can cause serious health complications, including heart disease, nerve damage, and reproductive issues. Many individuals also experience pre-diabetes, a condition where blood sugar levels are higher than normal but not high enough to be diagnosed as diabetes.

Maintaining healthy blood sugar is essential for overall health and especially important when preparing for pregnancy, managing hormonal conditions, or supporting fertility.

What is chronic condition management for diabetes?

Holistic Reproductive Wellness Group provides specialized care for individuals managing Type 2 diabetes (A1c below 9%), pre-diabetes, and metabolic syndrome, with a unique focus on reproductive health. This means considering how blood sugar levels, insulin resistance, and other metabolic factors impact not just daily well-being, but also fertility, hormone balance, and pregnancy outcomes.

This service is ideal for clients seeking to stabilize their condition before pregnancy, maintain health during their reproductive years, or receive tailored care that considers their full health history and future goals.

What diabetes-related services are offered?

The team provides a full range of non-insulin-dependent diabetes support services, including:

• Chronic disease counseling tailored to reproductive health and fertility goals
• Medication review and optimization to support hormonal balance and safety
• Lifestyle coaching on nutrition, mindful movement, and stress reduction
• Lab monitoring with collaborative goal setting and A1c tracking
• Personalized care plans for clients trying to conceive or preparing for pregnancy
• Education on the impact of diabetes on ovulation, fertility, and pregnancy

Clients receive compassionate, ongoing support designed to reduce risk factors, enhance wellness, and empower informed decision-making.

Am I eligible for this service?

This program is designed for individuals with stable diabetes, meaning:

• You do not currently use insulin
• Your A1c is below 9%
• You’re managing your condition without recent acute complications

It’s a perfect fit for clients who are trying to conceive (TTC), planning a future pregnancy, or simply seeking maintenance care that’s thoughtful, preventative, and centered on reproductive wellbeing.

How do I access diabetes care?

Holistic Reproductive Wellness Group offers convenient telehealth visits so you can receive expert, integrative care from the comfort of home. You’ll work directly with providers who understand the connection between metabolic health and reproductive outcomes—no need to navigate fragmented care.

Call the office or book online to learn more and begin building a proactive plan that supports both your diabetes management and reproductive health.