Complete Guide to Diabetes Care & Management
Diabetes affects over 537 million adults worldwide, including approximately 5% of Kenya’s adult population. At Michoe’s Medical Centre, we provide comprehensive, evidence-based diabetes care from diagnosis through long-term management. This guide covers everything you need to know about preventing, monitoring, and thriving with diabetes.
Understanding Diabetes Types
Type 1 Diabetes
Autoimmune destruction of pancreatic beta cells leads to absolute insulin deficiency. Accounts for 5-10% of cases, typically diagnosed in children and young adults. Requires lifelong insulin therapy. Symptoms include rapid weight loss, excessive thirst, frequent urination, and diabetic ketoacidosis risk.
Type 2 Diabetes
Accounts for 90-95% of cases. Characterized by insulin resistance and relative insulin deficiency. Strongly associated with obesity, physical inactivity, family history, and age over 45. Often asymptomatic initially; diagnosed through routine screening.
Gestational Diabetes
Develops during pregnancy (2-10% of pregnancies). Increases risk of future type 2 diabetes for mother and child. Managed through diet, exercise, and sometimes insulin. Resolves after delivery but requires long-term follow-up.
Prediabetes
Blood glucose levels above normal but below diabetes threshold. Reversible with lifestyle intervention. Affects 1 in 3 Kenyan adults. Critical window for prevention.
Screening & Diagnostic Tests at Our Lab
Fasting Blood Glucose (FBG)
Normal: <5.6 mmol/L | Prediabetes: 5.6-6.9 mmol/L | Diabetes: ≥7.0 mmol/L. Requires 8-hour fasting. Price: Ksh 500
CTA: Book Fasting Blood Sugar →
HbA1c (Glycated Hemoglobin)
Measures average glucose over 3 months. Normal: <5.7% | Prediabetes: 5.7-6.4% | Diabetes: ≥6.5%. No fasting required. Price: Ksh 2,000
CTA: Book HbA1c Test →
Oral Glucose Tolerance Test (OGTT)
Gold standard for gestational diabetes and prediabetes diagnosis. Requires 8-hour fasting, then blood draw 2 hours after glucose drink. Price: Ksh 2,500
CTA: Schedule OGTT →
Random Blood Glucose
Diabetes diagnosis when ≥11.1 mmol/L with symptoms. No preparation needed. Price: Ksh 400
Diabetes Management Services at Michoe’s
Physician-Led Diabetes Clinic
Weekly diabetes specialty clinic with endocrinologist consultation, medication adjustment (metformin, sulfonylureas, SGLT2 inhibitors, GLP-1 agonists, insulin titration), and complication screening. Every Wednesday 2-5 PM.
Price: Ksh 4,000 (initial) | Ksh 2,500 (follow-up) | NHIF accepted
CTA: Book Diabetes Clinic Appointment →
Diabetes Nutrition Counseling
Registered dietitian develops personalized meal plan focusing on carbohydrate counting, glycemic index, portion control, and cultural food preferences (ugali, chapati, sukuma wiki, etc.). Includes grocery shopping guidance.
Price: Ksh 3,500 initial | Ksh 2,000 follow-up | Package: 4 sessions Ksh 9,000
CTA: Meet Diabetes Dietitian →
Diabetes Education & Self-Management Program
Certified Diabetes Care and Education Specialist teaches: blood glucose monitoring technique, insulin injection training, sick day management, foot care, hypoglycemia recognition/treatment, and travel with diabetes. 4-session program.
Price: Ksh 8,000 for full program | Individual session Ksh 2,500
CTA: Enroll in Education Program →
Diabetes Eye Screening (Retinal Photography)
Annual dilated eye exam to detect diabetic retinopathy, leading cause of blindness. Non-invasive retinal imaging with ophthalmologist interpretation. Early detection prevents 95% of vision loss.
Price: Ksh 5,000 (includes ophthalmologist report)
Diabetic Foot Clinic
Multidisciplinary foot care including neurological assessment (monofilament testing), vascular assessment (ABPI), podiatry (callus/nail care), therapeutic footwear fitting, and wound care for diabetic ulcers. Prevents amputations.
Price: Comprehensive foot exam Ksh 3,000 | Podiatry Ksh 2,000
CTA: Book Foot Clinic →
Diabetes Support Group (Free)
Monthly peer support meeting every first Saturday 10 AM – 12 PM. Share experiences, learn from others, guest speakers on diabetes topics, and free blood glucose screening. No registration required.
CTA: Learn About Support Group →
Monitoring & Complications Prevention
Recommended Annual Screening for People with Diabetes
- HbA1c (every 3-6 months) – Ksh 2,000
- Lipid profile – Ksh 2,500
- Kidney function (creatinine, eGFR, urine albumin) – Ksh 2,800
- Liver function tests – Ksh 3,000
- Dilated eye exam – Ksh 5,000
- Foot exam – Ksh 3,000
- ECG – Ksh 2,500
Diabetes Annual Checkup Package: All above tests plus physician consultation for Ksh 18,000 (save Ksh 5,800)
CTA: Book Annual Diabetes Package →
Lifestyle Management for Diabetes & Prediabetes
Physical Activity Recommendations
150 minutes/week moderate-intensity exercise (brisk walking, swimming, cycling). Resistance training 2-3x/week improves insulin sensitivity. Our physiotherapist designs safe exercise programs.
CTA: Book Exercise Consultation →
Medical Nutrition Therapy Targets
Limit added sugars, choose whole grains (brown rice, whole wheat chapati), non-starchy vegetables (sukuma wiki, spinach, kunde), lean proteins, healthy fats. Avoid sugary drinks, processed snacks, excess ugali/rice.
Weight Management Program
Losing 5-10% body weight significantly improves blood glucose. Our 12-week program includes nutrition counseling, exercise planning, behavioral coaching, and weekly weigh-ins. Average weight loss: 5-8 kg.
Price: Ksh 25,000 full program | Monthly payment Ksh 9,000
CTA: Join Weight Loss Program →
FAQ: Diabetes Care at Michoe’s
How often should I check my blood sugar at home?
Can diabetes be reversed?
Do you stock insulin and diabetes medications?
Do you offer home blood glucose monitoring supplies?
Emergency Diabetes Care
Our 24/7 urgent care handles diabetic emergencies: severe hypoglycemia (unconsciousness, seizures), diabetic ketoacidosis (nausea, vomiting, rapid breathing, fruity breath), and hyperosmolar hyperglycemic state. Walk-ins accepted or call 0700-000-000.
CTA: Emergency Diabetes Protocol →
Insurance & Payment Options
NHIF comprehensive cover includes diabetes consultations, medications, and lab tests (limited annual amounts). Private insurance (AAR, Jubilee, APA, CIC, First Assurance) accepted with direct billing. Self-pay discounts available for package purchases.
Take Control of Your Diabetes Today
Uncontrolled diabetes leads to heart disease, kidney failure, blindness, and amputations. But with proper care, people with diabetes live long, healthy lives. Our team is ready to support you every step.
📞 Call: 0700-000-000 | WhatsApp: 0712-345-678 | Visit: Westlands Road, Nairobi (opposite Westgate Mall)
Online Booking: Book Diabetes Appointment → | Diabetes Services Price List →
