Diabetes Specialist

Mano Zachariah, MD -  - Internal Medicine

Total Med MD

Mano Zachariah, MD

Internal Medicine & Geriatrics located in Orangeburg, NY

About 1.5 million Americans are diagnosed with diabetes every year. Out of these, over 25% are adults over age 65. Board-certified internal medicine physician Mano Zachariah, MD, helps adults manage diabetes at his practice, TotalMedMD, in Orangeburg, New York. For personalized care in diabetes treatment, call or book an appointment online today.


What is diabetes?

Diabetes is a condition that causes your blood sugar (glucose) to be too high. This occurs because of a problem with insulin, the hormone your body makes to help glucose get out of your blood and into your cells.

Glucose is the main source of energy for the cells in your body. When you have diabetes, your body either doesn’t make insulin or it doesn’t use insulin properly. This means glucose remains in your blood while your cells go hungry.

Over time, high blood sugar can cause health problems, such as:

  • Heart disease and stroke
  • Kidney disease
  • Foot problems such as ulcers
  • Nerve damage

Although there’s no cure for diabetes, Dr. Zachariah creates a personalized plan to control your blood sugar and help you live a healthy life.

What are the different types of diabetes?

Dr. Zachariah treats the two main types of diabetes:

Type 1 diabetes

Type 1 diabetes means your body doesn’t make enough insulin. This type used to be called juvenile diabetes because it’s more commonly diagnosed in children and young adults. This type causes your immune system to attack the insulin-producing cells in your pancreas. When you have Type 1 diabetes, you need to take insulin every day.

Type 2 diabetes

Type 2 diabetes is much more common, accounting for about 90-95% of all cases. This type means your body doesn’t make or use insulin properly. You can develop Type 2 diabetes at any age, but this disease is more prevalent in adults over age 45.

What are diabetes’ symptoms?

Many adults with Type 2 diabetes don’t know they have it until they get a blood test, which is why routine physicals are so important. Symptoms of diabetes can be so mild they remain unnoticed, but may include:

  • Excessive thirst
  • Frequent urination
  • Unexplained weight loss
  • Increased hunger and fatigue

Symptoms of Type 1 diabetes tend to come on more suddenly while Type 2 diabetes symptoms can progress gradually.

How is diabetes diagnosed and treated?

First, Dr. Zachariah performs a physical exam and reviews your medical history. He can diagnose diabetes by taking a blood sugar test.

Once he confirms you have diabetes, Dr. Zachariah discusses the best treatments and lifestyle changes to manage your condition. Depending on the type of diabetes you have, treatment may include:

  • A healthy diet
  • Regular exercise
  • Blood sugar monitoring
  • Insulin and diabetes medicines

If you think you may have diabetes, call TotalMedMD or book an appointment online today.