Barbara J. Smith, MSN, RN, FNP-BC, CDE

Cedars Healthcare LLC only provides services to people who have diabetes, pre-diabetes, or are at risk for getting diabetes. This includes weight management and nutrition education and any other issues that affect the control of diabetes. Cedars Healthcare is not a primary care, acute care or walk-in clinic.

We encourage people to establish and maintain a primary care provider.

We accept Medicare, TennCare, TriCare, VA Fee-Based care, and most private insurances.

DON'T LET DIABETES OR THE FEAR OF GETTING DIABETES CONTROL YOUR LIFE!

WHAT CAN I DO FOR YOU?

As an experienced Family Nurse Practitioner and Certified Diabetes Educator, I can:

• Help you learn to manage your diabetes - avoid the high and low blood sugars as much as possible
• Help you understand the medications you are taking for diabetes, how they work in your body, and how to take them so that they benefit you the most
• Help you prepare for pregnancy
• If you are on an insulin pump, we can help make the pump as effective as possible to control your diabetes

CONTROLLING YOUR DIABETES MAY HELP YOU FEEL BETTER - If your diabetes is not controlled you may have a lack of energy, have mood swings as your blood sugar goes up or down. This can affect your life and how you interact with the people in your life.

BORDERLINE/PRE-DIABETES - If you have been told you have either of these conditions we can help you learn how to decrease your risks of becoming a diabetic. The earlier diabetes is identified and treated, the less damage it may do to all parts of your body.

IF YOU DEVELOPED "GESTATIONAL DIABETES" OR GAVE BIRTH TO A BABY OVER 8 POUNDS - We can help you identify and reduce your risks of getting diabetes later in life.

IF YOU HAVE IMMEDIATE FAMILY MEMBERS WITH DIABETES - We can help you understand and reduce the risks of developing diabetes.

WEIGHT AND NUTRITION CONCERNS - We can work with you to reduce your chances of developing diabetes with weight loss, weight control, and developing a "healthy eating" and exercise plan.

I AM A CERTIFIED TRAINER FOR:

INSULIN PUMPS - Everyone's response to insulin is different due to many factors. If you are on a insulin pump or are interested in an insulin pump, we will work together to make it be an effective diabetes management tool for you. Your insulin pump can be downloaded either at the clinic or at home - if you have a computer and internet connection - and the information used to fine tune settings, and improve control of your diabetes.

PERSONAL SENSOR (PERSONAL CONTINUOUS GLUCOSE MONITOR ) – This is a tool that you use to monitor your glucose on a real time basis. It alerts you when glucose is rising or falling outside your glucose targets. Personal sensors can also be downloaded, either at the clinic, or at home - if you have a computer and internet connection. The information is used to help you adjust eating patterns, activity patterns, to adjust pump settings, and again, improve control of your diabetes.

72-HOUR CONTINUOUS GLUCOSE MONITORS - This tool provides the same information as a personal sensor, but can be used for people who do not have, do not want, or do not qualify for a personal sensor. Placing the monitor is a simple office procedure, covered by many health insurance companies. You are instructed on the data you need to collect while wearing this sensor, the data are stored, then downloaded and reports generated. Once interpreted, the information is shared with you, to help us better control your diabetes.

OUR GOAL IS TO WORK AS A TEAM – to ensure that you have all the information needed to help you manage and control your diabetes or minimize your risk of developing diabetes.

For support and safety, I am available to established patients, for questions or concerns, day or night.

Please consider us as an extension to the services you provide to your patients, without the cost of adding staff to your clinic. Use our experience to improve diabetes care, insulin management, diabetes education, and nutrition education for your patients.

Patients can be referred for:

• Management of diabetes, to include medication management
• Diabetes education - initial and refresher
• Pre-pregnacy diabetes management
• Evaluation for insulin pump starts
• Training on and management of insulin pumps
• Evaluation for personal continuous glucose monitors (CGM)
• Training on and management of personal continous glucose monitors (CGM)
• 72-hour continuous glucose monitoring; results to primary provider for management
• 72-hour continuous glucose monitoring; interpretation and management by this clinic

We also welcome referrals to assist you with patients who need extra clinical time to help them reach chronic health goals related to diabetes, pre-diabetes, hypertension, elevated cholesterol, and/or weight problems.

I40 East - take exit 417, Highway 92, toward Jefferson City. We are 5 miles on the right just before the Fastop gas station. We are in the same building as the Patriot Center for Hearing Loss.

Highway 11E, Andrew Johnson Highway East, to Jefferson City. Go past the intersection for Jefferson Memorial Hospital to the next traffic light. Take a right ( sign says HWY 92 South to I40 ). We are about 1.5 miles on the left just past the Fastop gas station.

I40 West - take exit 417, Highway 92, toward Jefferson City. We are 5 miles on the right just before the Fastop gas station. We are in the same building as the Patriot Center for Hearing Loss.

Highway 11E, Andrew Johnson Highway West, to Jefferson City. As you enter Jefferson City you will pass Walmart on the right; continue to the traffic light by the Burger King - on the right. Be in the left lane; turn left. Proceed to the first traffic light; be in the left turn lane and turn left onto Highway 92. We are 1 mile on the left just past the Fastop gas station.