A diabetes diagnosis: What it means and how your primary care physician can help

By Dr. Alexis Goswitz, family medicine physician, Hoag Medical Group
Hearing the words “you have diabetes” can feel overwhelming. The good news is that diabetes is a condition we manage every day in primary care—and you don’t have to navigate it alone.
What a diabetes diagnosis means
A diagnosis of type 2 diabetes typically means your blood sugar levels are consistently higher than normal. This happens when the body doesn’t use insulin effectively or doesn’t make enough of it.
Diabetes is a chronic condition, but it is also highly manageable. Many people live full, healthy lives with good blood sugar control.
Why primary care plays a central role
Your primary care physician (PCP) is often your main partner in diabetes care. We help:
Confirm the diagnosis and explain what it means
Set individualized blood sugar goals
Monitor labs such as A1c, kidney function, and cholesterol
Adjust medications as needed
Coordinate care with specialists when appropriate
Just as importantly, we help you understand how diabetes fits into your overall health—not just your blood sugar numbers.
Managing diabetes as a risk factor
Diabetes increases the risk of heart disease, kidney disease, nerve damage, and vision problems. That’s why management goes beyond glucose alone. We focus on:
Blood pressure control
Cholesterol management
Nutrition and physical activity
Preventive screenings and vaccinations
Remember…
A diabetes diagnosis is not a failure—it’s a turning point. With the right support and a clear plan, many patients successfully control their diabetes and reduce long-term complications.

