Adults with Type 1 Diabetes
Intensive Care and Management for Adults with T1D, LADA, & T2D
Managing diabetes as an adult comes with unique challenges. At Integrated Diabetes Services (IDS), we provide specialized support and guidance for adults living with Type 1 diabetes (T1D), Latent Autoimmune Diabetes in Adults (LADA), or Type 2 diabetes (T2D), helping you take control of your health with confidence.
Our team of diabetes educators is passionate about helping adults live well with diabetes – and we understand your challenges firsthand, because we live with diabetes ourselves.
We know this disease never takes a break, which is why we go above and beyond to be there when you need us.
Whether you’re preparing for surgery, struggling with lows during a new workout, or deciding which pump or CGM is best for you, we provide personalized guidance and practical solutions. Most importantly, we respond quickly – usually within hours -so you’re never left waiting for the help you need.

Since 1995 IDS has helped thousands of adults with diabetes improve their health and quality of life. Our services include:
- A1c Improvement: Proven strategies to tighten blood sugar control
- Hypoglycemia Management: Reduce and prevent dangerous lows
- Insulin Optimization: Fine-tune doses and pump settings for safety and effectiveness
- Pump & CGM Support: Guidance for starting, upgrading, or mastering technology
- Hybrid Closed-Loop Systems: Maximize results from automated insulin delivery
- Exercise & Lifestyle Management: Balance blood sugars during workouts and daily activities
- Long-Term Complication Prevention: Protect your health with evidence-based strategies
- Carb Counting & Nutrition: Improve accuracy and reduce post-meal spikes
- Weight Management: Practical support for losing or maintaining weight
- LADA & T2D Support: Specialized care for those in transition
- Educate partners and caregivers to gain knowledge and confidence
- ...and much, much more!
A Personalized Approach to Living Well with Diabetes
Every person with diabetes is unique, and so is their care. At IDS, we provide customized strategies for T1D, LADA, and T2D management, all delivered through one-on-one coaching, virtual sessions, or in-person visits.
You don’t have to face diabetes alone! With IDS, you gain a trusted partner who understands your challenges and provides practical, compassionate solutions to expertly manage your diabetes.
What Patients Are Saying:
“I wanted to share how grateful I am for the impact that you and your team are having on my life and my health. Both my numbers and my quality of life have improved in a major way. My latest A1C is BY FAR the lowest I’ve ever achieved, and we did it without the many lows and sleepless nights I used to have!“
– Miranda Silvious (Burke, VA, USA)
“IDS is NOT like going to a regular endo for a quick meet-up with a doctor or nurse. It is state-of-the-art training with highly skilled professionals who know all the nuances and details of diabetes care. The best part is that every team member is not only a highly skilled CDCES but also has in-depth knowledge of specific components of diabetes care!!!”
– Carole, USA
“We were paired up with Tavia and without exaggeration, she literally saved us! Living with Type 1, she had firsthand knowledge of not only what we were going through physically, but also emotionally. She’s an expert at OmniPod and taught us how to interpret settings, explained glycemic index and how to bolus for certain food types and worked hard at fine-tuning every aspect of our management.“
– Karan Peterla (Hamilton, NJ, USA)

Meet IDS patient Anastasia Wasylyshyn, MD.
Anastasia is an Infectious Disease Doctor who’s had Type 1 Diabetes since 2002
Q: What brought you to IDS?
A: Gary trained me on my first insulin pump back in 2003 at DuPont Children’s Hospital. That’s how we got
hooked up.
Q: Who have you worked with at IDS?
A: Gary, exclusively.
Q: What challenges did you have with your diabetes that you were able to work through?
A: I think medical residency was one of the most challenging periods of my life– 24-hour shifts, night calls, emergencies. My schedule would change every week, and there were a lot of situations where I could not let my blood sugar get in the way. I was weirdly reluctant to use a CGM until then but finally gave it a try. It literally changed my life. It allowed me to focus on my job instead of worrying about my blood sugar.
Q: What do you do in life that is easier or better since you’ve worked with Integrated Diabetes Services?
A: I spend all day thinking about and helping other patients. The last thing I want to do is analyze my own data and make a ton of decisions about my own care. Working with IDS means that I can jettison that mental effort/responsibility/care plan to another human that I trust so that I don’t have to treat myself
like a patient. I really like being able to have monthly check-ins, review of data, and recommended changes.
Q: What new skills/strengths have you been able to build in your diabetes management?
A: Adding relatively low-effort routines that make a difference – like setting up the weekly Dexcom Clarity summaries, and planning ahead for exercise.
Q: What would you say to someone who’s struggling with their diabetes management right now?
A: A significant portion of my professional life is treating patients with complications from diabetes. It only gets harder to dig out as things start piling up. I would encourage you to try to pinpoint one thing specifically that sucks, and how can you make that take up less brain power to get back on track. If it feels like you’re stuck in the same routine, check out some of the new technology and consider a switch to see if that helps. If it is diet/exercise, consider meeting with a nutritionist or personal trainer to see if there is a new avenue that you haven’t considered before. Everybody in the world is dealing with something about their health that bothers them, so you’re really not in this alone.
Q: What are your hopes for diabetes management in the future?
A: Give me a fully closed loop system! Or make islet cell transplantation/survival actually viable.