Understanding Diabetes, Not Just Managing It
Puerto Rico has one of the highest diabetes rates under the U.S. flag. Education on type 1 diabetes, type 2 diabetes, prediabetes, insulin therapy, and glucose monitoring with Dr. Sheila S. Mercado Méndez.
- Learn what your A1C actually measures and why it differs from daily glucose readings.
- Understand how meals, sleep, stress, and activity move your numbers hour to hour.
- Know the difference between type 1, type 2, and prediabetes — and why treatment differs.
- Learn how insulin works in the body and why timing matters as much as dose.
- Understand what continuous glucose monitoring shows that finger-sticks cannot.
- Recognize the early warning signs worth calling the clinic about, not waiting out.
Why Weight Is a Medical Question, Not a Willpower One
Education on obesity, insulin resistance, and body composition — including how thyroid and hormonal factors influence weight that will not shift with diet alone.
- Understand why obesity is classified as a chronic medical condition, not a lifestyle failure.
- Learn how insulin resistance drives weight gain and why it often goes undiagnosed.
- Know what BMI does and does not tell you about your actual metabolic health.
- Understand the difference between muscle, body fat, and visceral fat on a body composition report.
- Learn why thyroid and hormonal conditions must be ruled out before weight treatment begins.
- Understand how GLP-1 and other medications are evaluated on an individual clinical basis.
Reading Your Thyroid Results With Clarity
Education on hypothyroidism, hyperthyroidism, Hashimoto’s disease, and thyroid nodules — for patients whose symptoms have been dismissed as normal.
- Learn what TSH, T4, T3, and thyroid antibodies each indicate about your gland.
- Understand why symptoms can persist even when lab results are called normal.
- Know how thyroid function influences weight, energy, mood, heart rate, and fertility.
- Learn why levothyroxine absorption depends on timing, food, and other medications.
- Understand what a thyroid nodule is and when imaging or biopsy is warranted.
- Recognize how autoimmune thyroid disease progresses and what to monitor over time.