Individual Consultation for Diabetes Mellitus

Type 2 diabetes mellitus rarely occurs alone. Usually overweight, poor sleep, and unfavorable eating habits play a role — and that's exactly where we intervene. Not with a single medication, but with counseling that understands all four problem areas.

Why this combination?

The four areas are directly connected:

• Sleep medicine: Obstructive sleep apnea significantly worsens insulin sensitivity.^[1] Patients who don't sleep well can't stabilize their blood sugar values, and weight loss becomes harder.
• Obesity medicine: Overweight increases insulin resistance. The DiRECT study (Lean et al., 2018) showed: with weight loss of 10–15 kg, 57% of type 2 diabetics achieved diabetes remission.^[2]
• Nutritional medicine: Nutrition has immediate effects on glucose metabolism. The NVL Type 2 Diabetes recommends structured nutritional therapy as a basic treatment measure.^[3]
• Diabetology: Medical adjustment with insulin or oral antidiabetics is necessary, but only of limited benefit if the other three areas are not addressed.

Focus areas of consultation

• Nutritional strategies: Communication of evidence-based nutritional concepts that lead to stable blood sugar and satiety
• Weight management: BIA-supported monitoring of body composition — not just weight, but also the ratio of fat to muscle mass matters
• Movement recommendations: Everyday movement goals that fit the patient's life situation
• Follow-up checks: Regular monitoring with glucose sensor evaluation (CGM/FGM) and therapy adjustments
• Long-term support: Chronic diseases need long-term support. We accompany you over months and years.