Metabolic Diseases

Type 1 Diabetes (formerly called juvenile-onset or insulin-dependent)

In type 1 diabetes, the immune system attacks the cells in the pancreas that make insulin, a hormone that enables the body to use glucose found in foods for energy.  As a result, the body does not produce insulin; people with this condition must take insulin daily by injections or an insulin pump. Type 1 diabetes is an autoimmune disorder and the diagnosis occurs in in childhood or young adults.               There is no known way to prevent type 1 diabetes, and there is no cure. In adults, type 1 diabetes accounts for approximately 5% of all diagnosed cases of diabetes.


Gestational diabetes

Gestational diabetes is a form of type 2 diabetes that can develop during the third trimester of pregnancy. After delivery, blood glucose levels generally return to normal; although some women develop type 2 diabetes within 15 years. Because glucose crosses the placenta, a pregnant woman with diabetes can pass high levels of blood glucose to the fetus. This can cause excessive fetal weight gain, which can cause delivery complications as well as increased risk of breathing problems. Children born to women who have gestational diabetes have an increased risk of developing obesity and type 2 diabetes.


Prediabetes and Risk Factors

An estimated 1 in 3 U.S. adults age 20 and older have pre-diabetes and the CDC predicts 15% to 30% of people with prediabetes will develop type 2 diabetes within 5 years. An alarming number of people with prediabetes referred for education decline. Many insurance policies do not cover education for prediabetes; most do once a diagnosis of diabetes is made. But don’t wait until then. Prediabetes can be a “symptomless” preview of declining health & wellness or a path to preventing or delaying type 2 diabetes.  When the level of (glucose in the blood rises it causes damages to the small blood vessels in the body, and to the heart even in prediabetes.

Risk factors besides being overweight or obese or being age 45 or older are:

  • being physically inactive
  • having a parent, brother, or sister with diabetes
  • having a family background that is African American, Alaska Native, American Indian, Asian American, Hispanic/Latino, or Pacific Islander
  • having gestational diabetes-diabetes
  • having other conditions associated with insulin resistance, such as acanthosis nigricans, characterized by a dark, velvety rash around the neck or armpits
  • history of cardiovascular disease or high blood pressure
  • HDL below 35 mg/dL, or a triglyceride level above 250 mg/dL
  • having polycystic ovary syndrome (PCOS)


Type 2 (formerly called adult-onset or non-insulin-dependent)

Type 2 diabetes (T2D) is the most common form of diabetes; accounting for approximately 95% of cases.  It is a metabolic disease involving hormones such as cortisol, leptin, glucagon, and insulin. Leptin regulates blood sugar and helps control appetite as well as fat storage. Leptin also tells the liver what to do with its stored glucose. Insulin is secreted by the beta cells (a type of islet cell) of the pancreas and released when blood glucose is high.   The pancreas normally produces enough insulin to handle blood glucose after food is eaten.  Insulin is key in releasing blood glucose into the cells where it is converted to energy. Individuals with T2D produce insulin, but their bodies don’t use it correctly; which causes insulin resistant. When someone has insulin resistance the cells do not respond to the insulin as well; and blood glucose cannot enter the cells as easily to produce energy. Because of this, excess glucose builds up in the bloodstream causing type 2 diabetes.


T2D usually occurs in people who are over 40, overweight, have a family history of diabetes, or women who had gestational diabetes. However, T2D is on the rise for adolescents.


Diabetes is an Epidemic (the website editor will decide how to best place this)

  • 4 percent of the U.S. population has diabetes.
  • Diabetes is the 7th leading cause of death in the U.S.
  • One in 4 Americans with diabetes do not know that they have it.
  • The IAF Diabetes Model projects that between 2015 and 2030, the total number of people with type 2 and type 1 diabetes will increase by 19,629,000 to 54,913,000 people, a 54% increase. The cost of diabetes will increase to $622.3 billion, a 53% increase.
  • Researchers estimate that the number of Americans with prediabetes will climb from 90.6 million in 2015 to 107.7 million in 2030.

We believe the best way to address this epidemic is to prevent prediabetes and stop the progression to diabetes in the first place.


The longer you have insulin resistance, the more harmful diabetes is to the body.
Our expertise helps you to reduce your insulin resistant and live a healthier and happier life.

Diabetes and Cancer

Type 2 diabetes increases the risk for certain types of cancer, according to a consensus report from the American Diabetes Association and the American Cancer Society. Diabetes doubles the risk for developing liver, pancreatic, or endometrial cancer. Certain medications used for treating type 2 diabetes may possibly increase the risk for some types of cancers.


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By Dr. Deepti

Dr. Deepti Sadhwani

Internal & Bariatric Medicine

Dr. Deepti is respected around the world for her work as a nutritional and weight management expert. She specializes in disease prevention and chronic disease reversal.

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Dr. Harish Sadhwani

Internal & Bariatric Medicine

Dr. Harish has an innate knowledge to accurately diagnose all diseases of the body, determine the appropriate treatments, as well as the necessary steps that one can take in preventing most diseases and their symptoms.

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Mark Hasenauer, P.A.

Internal & Bariatric Medicine

Mark was born in Fort Lauderdale and raised in Sebastian, Florida. He attended Florida Institute of Technology for his undergraduate education.

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Joel Shields, B.D.O / H.N.C

Joel Shields has a burning desire and passion to help others live a more fulfilling and healthy life and working alongside Dr. Deepti and the rest of the staff at QHC Wellness Institute has allowed him to do just that.

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Nicole Bladin, APRN

Nicole is a Nurse Practitioner certified through the American Association of Nurse Practitioners (AANP). Nicole has been working in the medical field, starting as a Certified Nurse’s Assistant, since the age of 18.

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