Our multi-disciplinary team of Certified Diabetes Educators

Integrated Diabetes Services features a multi-disciplinary team of Certified Diabetes Educators (CDCES) with a true passion and talent for diabetes care and diabetes education. All of our diabetes clinicians live with diabetes personally.  Our office staff is dedicated to serving our patients with sensitivity to their needs and concern for their satisfaction.

gary scheiner

Gary Scheiner MS, CDCES

Owner, Clinical Director

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An award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. He was named 2014 Diabetes Educator of the year by the American Association of Diabetes Educators.

Gary earned a Bachelor of Arts in Psychology from Washington University in St. Louis and a Master of Science in Exercise Physiology from Benedictine University. He received his diabetes training with the world-renowned Joslin Diabetes Center. Gary serves on the faculty of Children With Diabetes and is an active volunteer for the American Diabetes Association, Juvenile Diabetes Research Foundation, Diabetes Sisters and Setebaid Diabetes Camps. He also serves on the clinical advisory boards for several diabetes device manufacturers and pharmaceutical companies.

Gary has authored six books: You Can Control Diabetes (1997), Think Like A Pancreas (2004, 2012, 2020), The Ultimate Guide to Accurate Carb Counting (2007), Get Control of Your Blood Sugar (2009), Until There’s A Cure (2012), Practical CGM (2015) and Diabetes-How To Help (2018), as well as dozens of published articles related to diabetes education for consumer and trade magazines and diabetes websites. He speaks at local, national and international conferences on a multitude of topics in diabetes care.  Gary is certified to train on all models of insulin pumps, continuous glucose monitors and hybrid closed loop systems, and has personally used every system that is currently on the market.

A devoted husband and father of four, Gary enjoys exercising (especially basketball, bicycling, running and weight lifting) and cheering on his local Philadelphia sports teams.

IDS Fun Facts!



Hobbies:  Working out, Cheering on Philly sports teams (win or lose)
Pets:  One cat, one hamster, 4 kids who don’t take care of the cat or the hamster
Lifelong Ambition:  Play basketball until I’m 100 (age, not blood sugar)
Likes:  Movie theater popcorn, barbecue, all-day bike rides in the summertime
Dislikes:  Slow drivers in the left lane, people who stand on moving walkways, bureaucracy
Fun Fact:  Diagnosed with diabetes in SUGARLAND, Texas

jenny smithJennifer Smith, RD, LD, CDCES

Director of Lifestyle and Nutrition

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Jennifer has also lived with type 1 diabetes since she was a child, so she has first-hand knowledge of the day-to-day events that affect diabetes management. She attended a diabetes-specific sports training camp in 2008 where she discovered her passion for achieving fitness goals while living healthfully with diabetes. In 2009 she successfully completed her first triathlon. This brought a deeper understanding of athletic training requirements and the importance of nutrition to realize athletic goals.

Jennifer holds a Bachelor’s Degree in Human Nutrition and Biology from the University of Wisconsin. She is a Registered (and Licensed) Dietitian, Certified Diabetes Educator, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. She is an active member of the American Diabetes Association, American Association of Diabetes Educators and Team WILD (We Inspire Life with Diabetes). She is also a contributing author for the Diabetes Sisters website. As a talented dietitian, diabetes educator, athlete and person with diabetes, Jennifer is in a unique position to assist Integrated Diabetes Services’ intensively managed clients.

Jennifer and her husband Nathan, an Ironman athlete in his own right, share their home with their sons Oskar and Conan, their dog Fillmore and cat Cornelius. In her free time, Jennifer enjoys running, cycling, swimming, yoga, and kayaking. She also loves hiking with Nathan, Oskar and Fillmore. A culinary “experimenter”, she is fond of cooking and baking, with an eye on vegetarian options. Tops on her annual “to-do” list is to travel to strange and exotic places outside the US.

IDS Fun Facts!



Hobbies:  Running, Biking, Yoga, hiking, cooking/baking and reworking recipes for lower carb/gluten-free needs, playing super-heroes with my boys
Pets: Chocolate Lab – Franklin, 2 black panthers (cats really) – Buster and Lucille (we call them the Thunder cats)
Lifelong Ambition: Visit all 50 states (not just travel through them)
Likes: Dark, dark chocolate (it’s more of a love here!), dill pickles, taking a run in a nice slow rain, thunder/lightning storms, the sound of rain on a tent (maybe I should live in Seattle!?), commuting via subway
Dislikes: People who stand on the left of an escalator (stand on the right, walk on the left is proper etiquette of course!), the length of time it takes to get things to change/get things approved in the world of diabetes technology, gawkers
A Fun Fact: I have hiked the Inca Trail to Machu Picchu, climbed Huayna Picchu and have completed two 70.3 mile Half-Ironman triathlons

alicia downs

Alicia Downs RN, MSN, CDCES

Director of Patient Care and Education

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Alicia’s diverse nursing career has given her experience with a broad range of clients and a variety of health conditions in addition to diabetes. One of her passions is advocating for the needs of her patients, whether it be in overcoming insurance restrictions, obtaining community resources, or coordinating with school systems and medical providers. Alicia is a proud graduate of the Cecil College School of Nursing and received her Bachelor’s and Master’s of Science in Nursing from Western Governors University. She is an active member of the American Association of Diabetes Educators and Maryland Nurses Association.

Alicia manages her diabetes with an insulin pump and continuous glucose monitor. Her rocky road included years of mis-diagnoses and ineffective treatments during her college years. That experience gave Alicia the incentive to take the lead in her own health care and educate those around her.

“In this day and age, everyone with diabetes deserves state-of- the-art care, treatment and education,” professes Alicia. “Nobody should have to go through what I went through early on.”

After years as a director of a childcare center, Alicia made the career leap into nursing with the goal of becoming a diabetes educator. Her life has included many unique medical challenges including multiple auto-immune diagnoses and orthopedic conditions. However, Alicia chooses to view these as opportunities to grow stronger rather than as barriers, and applies this approach to her clinical practice.

Alicia’s talents and passions are not restricted to diabetes education. She can be found as a regular performer on stage/film projects and with local bands.  As an award winning steampunk and cos-play designer, she enjoys building costumes and fashion pieces for her husband Tim and son Asher. Alicia and Tim also share black belt martial arts training (Alicia holds a first-, and Tim a third-degree black belt in Tang Soo Do). In more sedate moments, Alicia can be found curled up with a cup of tea, good book and her dogs Billie and Wicket.

IDS Fun Facts!



Hobbies:  Theatre, singing, cosplay and steampunk
Pets: A beagle named Billie and a Shorkie named Wicket
Lifelong Ambition: To someday be well-rested and bored.  Unlikely as the mom of a toddler.
Likes:  Books, sci fi and a good cuppa tea
Dislikes: People who wait to the very end of the lane to merge!!! People who do the bare minimum.
A Fun Fact: Lived in the UK for a year studying Shakespeare and stage combat.

Dana Roseman

Dana Roseman, MPH, CDCES, RDN, LDN

Director of Technology and Applied Research

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Dana is a Certified Diabetes Care & Education Specialist and Registered Dietitian.  She holds certifications in insulin pump therapy and obesity interventions for adults.  Dana received a Master’s in Public Health at the University of Illinois at Chicago after receiving a Bachelor’s in Science with Honors at the University of Texas at Austin.  After college, Dana served as an AmeriCorp volunteer on a variety of health education initiatives and played a key role in establishing the first school-based health clinic in the city of Chicago.

After being diagnosed with Type 1 Diabetes and working closely with her diabetes educator, Dana was inspired to help others with their diabetes management.  She went on to earn a degree in Clinical Nutrition from UT Southwestern Medical Center in Dallas, and became a Registered Dietitian and Certified Diabetes Care and Education Specialist.  For almost 20 years, Dana has focused on helping improve patients’ lives through diabetes technology and applied research.  She has trained patients on every currently-available model of insulin pump and continuous glucose monitor and has been involved in over 20 cutting-edge clinical trials related to advanced diabetes and obesity interventions.  Dana is also a pioneer in the area of closed loop “artificial pancreas” systems and uses a hybrid closed-loop system personally.

Dana serves as the Research Information Liaison for the Dallas chapter of JDRF and serves on the JDRF National Speakers Bureau.  Dana also serves on the boards of several non-profit organizations and is active with many local community service projects, including Camp Sweeney (a summer camp for children living with T1D).

Dana loves to stay physically active and is committed to the belief that T1D need not slow anyone down.  She is proud to have completed the New York Marathon (finishing with a blood sugar of 150 mg/dl!).  Dana lives in Dallas, Texas with her husband of 22 years and three teenage children.  Whenever a spare moment, Dana enjoys trail running, yoga and downhill skiing.  In quiet moments, she enjoys making jewelry and reading historical fiction.

IDS Fun Facts!



Hobbies: Yoga, running, gardening organic vegetables
Pets: Best border collies in the world – Annie and Reba
Lifelong ambition: To get the most out of every day with family and friends
Likes: Fish tacos and homemade guacamole, traveling anywhere new, and exploring nature
Dislikes: Excuses and negativity
Fun Fact: I was a competitive figure skater and then ice skating coach through college

meet Tavia VitalTavia Vital BSN, BA, RN, CDCES

Director of Intensive Diabetes Management

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Tavia is a Registered Nurse, Certified Diabetes Care and Education Specialist, and Certified Trainer on most makes/models of insulin pumps and continuous glucose monitoring systems. She earned a Bachelor of Science degree in Nursing from Regis University in Denver, Colorado after receiving a Bachelor of Arts degree in Spanish from the University of Iowa. Tavia’s professional experience includes inpatient and outpatient nursing in endocrinology, diabetes, and metabolism, as well as a high-risk diabetes and pregnancy clinic.

Even though Tavia has lived with Type 1 Diabetes for over 40 years, she understands that each person’s experiences and needs are unique. She strives to be an expert resource on intensive diabetes management options. She enjoys learning about the newest medications, strategies and technologies available that may help her clients reduce the diabetes burden while improving diabetes self-management skills. Tavia is an active listener, a passionate expert, and a true advocate for people with diabetes. She can be relied upon to provide strong support for clients facing any life challenges.

Tavia is fluent in English and Spanish. She lives in Iowa with her husband and their two children. She loves playing tug with her Husky, Sysko, and talking to her cockatiels, Piper and Daisy. Tavia enjoys walking and kayaking with her family.

IDS Fun Facts!



Hobbies: Kayaking, gardening, bird watching, singing Karaoke
Pets: Siberian Husky: Sysko and Cockatiels: Piper & Daisy
Lifelong Ambition: To be a source of positivity in the world around me
Likes: traveling, camping, being outdoors, dancing, trying new foods, learning
Dislikes: apathy
A Fun Fact:  I played steel drums and participated in Capoeira in college

kristi paguio

Kristi Paguio LMSW, CDCES, CSOWM

Diabetes/Mental Health Specialist

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Kristi is a licensed clinical social worker, diabetes care and education specialist, and certified specialist in obesity and weight management. Kristi has been working in the field of diabetes since 2007 and has had the privilege of working with people across the lifespan who are impacted by diabetes.  She has experience working with adults, children, athletes, pregnancy, and weight management.

Kristi was diagnosed with type 1 diabetes in 2000 and has specialized in the mental and emotional aspects of diabetes since that time.  She is passionate about empowering those living with diabetes to live their fullest life possible and builds on the strengths of those she works with. Kristi incorporates enthusiasm and a great sense of humor, as she employs a real-life, practical approach to optimizing life with diabetes. Kristi has had the privilege to speak on state and national platforms, advocating and educating about the mental and emotional aspects of diabetes. She is also fluent in Spanish after living abroad in Argentina.

Kristi received her master’s degree in Clinical Social Work from Michigan State University in 2002 and earned her bachelor’s degree in Psychology from Liberty University in 1997.

On a personal note, Kristi lives with her husband Ron in Grand Rapids, Michigan where she enjoys taking her kitty (Jarvis) on hikes to explore the great outdoors. Kristi loves fitness, yoga, kayaking, swimming, dancing, roller skating, and gardening.

Call Kristi: 616-287-3114

IDS Fun Facts!



Hobbies: Cooking, painting, gardening, traveling, and exercising.
Pets: Three crazy kitties: Jarvis, Wilbur, and Friday (a rescue) who showed up on our doorstep and would not leave. Soon to adopt a dog…more to come.
Lifelong Ambition: To never stop learning and stretching myself. To live courageously each day.
Likes: Movie theater popcorn, being outside all day, spending time with beloved friends and family, and any activity that involves being on the water.
Dislikes: Being sedentary, violence in movies and ice cream spilled on the ground.
A Fun Fact: I would like to learn to make either wood, metal, or stone sculptures.

kristen garron

Kristen Garron RD, LDN, CDCES

Director of Group Education

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Kristen joined IDS in 2018 after working for seven years as a clinical dietitian in a community hospital and eight years as lead instructor for a diabetes self-management education company. With a knack for making complex issues seem simple and relating to people with a strong sense of empathy, group diabetes education has become her specialty and her passion.

“I think it’s important to create a warm, welcoming atmosphere,” says Kristen. “Everyone at IDS is that way – with patients and with each other. It’s tough enough living with diabetes; the least we can do is make those around us feel like family.”

A graduate of LaSalle University (go Explorers!), Kristen majored in Nutrition while earning All- Conference honors in division-1 lacrosse. In keeping with IDS tradition, she remains very active
with distance-running and weight-lifting.

Kristen lives in West Chester, PA with her husband Tim, daughters Grace & Sadie, and dog Kirby. She enjoys traveling (visited 30 of 50 states and more than a dozen foreign countries so far), scrapbooking, and being outside with the kids and Kirby.

IDS Fun Facts!



Hobbies: shopping at Home Goods, home decorating, going on vacation, trying new adventures with the kids, lifting weights
Pets: the one and only, Kirby man (dog-wheaten terrier)
Lifelong Ambition: to visit all 50 states and as many countries as possible
Likes: all things chocolate, all things peanut butter (my daughter once asked Amazon Alexa “Why does Mommy like peanut butter so much?”), being a mom, a new challenge, diner breakfast on the weekend, sitting around the fire-pit on a cool fall night pretending to make s’mores while my kids just eat all the marshmallows, and eating at the tallest restaurant in all the cities we visit
Dislikes: mean people, losing power every time there is bad weather or a gentle breeze
A Fun Fact:I have scuba dived in the Great Barrier Reef in Australia, visited 12 countries in Europe, and completed my first and only marathon!

sarah picklo halabu

Sarah Picklo Halabu MS, RDN, LDN, CDCES, BC-ADM

Director of Nutrition Education

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Sarah Picklo Halabu is a Certified Diabetes Care & Education Specialist and Masters-level Registered (and Licensed) Dietitian Nutritionist. She has lived with type 1 diabetes for more than twenty years. The advancement in diabetes-related technologies and commitment to compassionate diabetes care is what drives her to tackling some of the biggest challenges in diabetes care today.

Sarah attended the University of Dayton where she completed dual degrees in Dietetics and Spanish. She went on to complete her clinical nutrition training at the University of California San Francisco Medical Center. After earning a Masters of Science in Human Nutrition at the University of Alabama, she achieved board certification in Advanced Diabetes Management. Sarah is a certified product trainer for several devices and holds a certificate in adult weight management. She served as a board member for the West Michigan JDRF chapter and faculty for Camp MIDICHA. Sarah is a member of the Academy of Nutrition and Dietetics, Association of Diabetes Care & Education Specialists, and American Diabetes Association.

Professionally, Sarah has served as a nutrition and diabetes clinician, digital health consultant, and global clinical director in the diabetes tech industry. In addition to her clinical experience, Sarah has also co-authored over 80 nutrition publications and has pioneered the development of award-winning digital health programs for diabetes.

Her personal journey with diabetes has included a full range of diabetes therapies and technologies. Most recently, Sarah has seen the positive impact of diabetes technology while using a hybrid closed loop system during her pregnancy (amidst the pandemic!). She also follows a gluten-free diet to manage her celiac condition.

Sarah currently lives in Michigan with her husband, their son, and cat. Most days, you can find her cooking, gardening, and spending time with family. A fearless adventurer, she dreams about traveling the world again and walking the streets of San Francisco, Chicago, and New York City.

IDS Fun Facts!



Hobbies: Staying active, exploring new places, cooking, vegetable gardening, ceramics/pottery, and trying not to forget my Spanish
Pets: Tortishell cat, Stella who has the fluffiest tail and has moved with us along our adventures in 5 states
Lifelong Ambition: Traveling and eventually living abroad
Likes: Shoes, travel and adventure, beaches, cats, perfecting a gluten-free recipe from scratch
Dislikes: Coffee, snow, watching tv, and when gluten-free menus aren’t actually gluten-free
A Fun Fact:I met my husband in 7th grade algebra


Kathryn Gentile, , ACSM-CEP, EIM II, CPT, CSNC, DCES

Clinical Exercise Physiologist, Administrative Assistant

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Kathryn Gentile began her career in diabetes as an exercise physiology intern / diabetes educator in-training at Integrated Diabetes Services in 2019.  She has since assumed administrative responsibilities, provides one-on-one guidance for patients looking for individualized exercise plans, runs group exercise classes, and provides diabetes education.

Kathryn received her Bachelor of Science in Exercise Physiology from Ave Maria University in Florida and is currently pursuing a Masters in Clinical Exercise Physiology from West Chester University in Pennsylvania.  She is Certified by the American College of Sports Medicine as well as the International Sports Science Association.

Kathryn was diagnosed with Type-1 Diabetes at the age of twelve.  She managed her diabetes independently from the getgo, switching from multiple daily injections to pump therapy to a hybrid closed loop system.  Along the way, she has studied the effects of various forms of exercise on glucose levels and enjoys developing basic and advanced exercise prescriptions for patients.

An avid weight lifter, Kathryn is currently into CrossFit.  She participated in competitive cheerleading through high school and college and coached at the college level.  She and her cat Theo share an apartment near West Chester University.  Her aspirations include hiking the Appalachian Trail, and perhaps pursuing a doctorate degree.

IDS Fun Facts!



Hobbies: CrossFit, long walks, and tumbling (flips… not falling)
Pets: One cat named Theo that my boyfriend Kenny insists on calling Gunther

Lifelong Ambition: To leave an impact in the field of exercise physiology
Likes: watermelon, green plants, lavender, spending time outdoors
Dislikes:  Airplanes, bridges (heights in general), elevators, and people yelling


Nancy Siegel

Office Administrator

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Nancy comes to IDS with a background in education from Temple University.  She has worked in the fitness industry with her son and helped manage his fitness center. Her interest in nutrition and exercise continues to play a major part of her lifestyle.  She has worked in the high end fashion market for many years.   These careers have given Nancy tremendous passion for helping others — something that fits in perfectly at Integrated Diabetes Services!  Her boundless energy and enthusiasm aren’t just an asset; they are also contagious.

In her role as Office Administrator, Nancy oversees the front desk operations of the practice, including client service/support, special events, website maintenance, medical correspondence and e-mail communications. Nancy enjoys cooking and entertaining friends and family. Nancy has two children, Scott and Blair and two precious grandchildren, Taylor and Sia. Both of Nancy’s sisters have diabetes, so she is an official “Type-3”.

IDS Fun Facts!



Hobbies:  Pilates, Cooking
Pets:  All my cats in heaven (20yrs, 15yrs, 14yrs)
Lifelong Ambition:  Live near the water, Travel
Likes:  Gardening, days on the beach with a good book, being with my children and grandchildren
Dislikes:  Rudeness!
A Fun Fact:  I appeared on a TV show (Say Yes to the Dress) with my daughter and 91 yr old Mom.