Is This Right for You?
Common reasons patients come to us
You may be a good fit if you have been told your blood sugar or A1c is "a little high," if you carry extra weight around your middle, or if you have PCOS, fatty liver, high triglycerides, or a family history of type 2 diabetes. We also see women whose blood sugar changed during perimenopause or after gestational diabetes.
​
Many of our patients were told to "keep an eye on it" and come back in a year. We would rather act now, while it is easiest to turn around.
How We Evaluate Your Metabolism
More than a single A1c
Care begins with a 60-minute consultation with Dr. Roehnelt. She reviews your history, medications, sleep, stress, and past labs. Testing is chosen for you and may include fasting glucose, A1c, fasting insulin, a lipid panel, liver tests, and thyroid labs.
​
We also use an InBody body composition scan to see muscle and fat, not just weight. Some patients use a continuous glucose monitor for a few weeks to see how their own body responds to meals.
Treatment That Fits Your Life
Matched to your health, not a one-size plan
Lifestyle change is the foundation. In the Diabetes Prevention Program, people with prediabetes who lost about 7% of their weight and exercised 150 minutes a week cut their risk of type 2 diabetes by 58%. We turn that into a plan you can actually follow, built around protein, fiber, strength training, and sleep.
​
When lifestyle alone is not enough, Dr. Roehnelt may recommend metformin or a GLP-1 medication. She also checks for related problems, such as fatty liver, high blood pressure, high cholesterol, and PCOS, and treats them as part of the same plan.
​
Sources: Diabetes Prevention Program Research Group, New England Journal of Medicine (2002); American Diabetes Association, Standards of Care in Diabetes; CDC, National Diabetes Statistics Report.
Why It Matters for Women
Hormones and blood sugar are connected
Insulin resistance often shows up during perimenopause, as falling estrogen makes it easier to gain fat around the middle. It is also common in PCOS and after gestational diabetes, and it can make weight loss feel impossible.
​
As an endocrinologist, Dr. Roehnelt looks at your hormones, thyroid, and metabolism together, so the plan treats the cause and not just the number.
Common Questions
Short answers to what patients ask most
What is the difference between insulin resistance and prediabetes? Insulin resistance means your body needs more insulin to keep blood sugar normal. It often starts years before blood sugar rises. Prediabetes means blood sugar is already above normal, with an A1c of 5.7% to 6.4%.
​
Can prediabetes be reversed? Often, yes. Many people bring their blood sugar back to normal with weight loss, exercise, better sleep, and sometimes medication. The earlier you start, the better your chances.
​
Do I need a GLP-1 medication? Not always. Many patients do well with lifestyle changes and metformin. A GLP-1 may be a good fit if you also have significant weight to lose or other health risks.
​
Is a continuous glucose monitor right for me? For many people, a few weeks of wearing one is eye-opening. It shows how your own body responds to foods, exercise, and sleep. Dr. Roehnelt can help you decide whether it is worth it for you.
​
Can I do this by telehealth? Yes. Dr. Roehnelt sees patients virtually in New Jersey, New York, and Florida.
Ready to Take the Next Step?
Begin with a new patient consultation. Ongoing care is provided through our membership.
Medically reviewed by Alessia Roehnelt, MD. Last reviewed October 2026.
Location & Telehealth
-
In-person Care: 189 Elm Street, Lower Level, Westfield, NJ 973-559-2933
-
Virtual Care: NJ, NY, and FL
Insurance & Medicare Notice
EndoHealth MD is a direct-pay practice and does not bill insurance.
We provide superbills you may submit for possible out-of-network reimbursement.
Dr. Roehnelt has opted out of Medicare; services cannot be submitted to Medicare for reimbursement.
Insulin Resistance & Prediabetes Care in Westfield, NJ
Endocrinologist-led metabolic care, in person or by telehealth in NJ, NY & FL
EndoHealth MD offers insulin resistance and prediabetes care led by Dr. Alessia Roehnelt, a double board-certified endocrinologist. Care includes a full metabolic evaluation, a realistic plan for food, exercise, and sleep, and medication such as metformin or a GLP-1 when appropriate.
More than 1 in 3 American adults has prediabetes, and most do not know it. Catching it early gives you the best chance to turn it around.
Schedule a consultation to find out where your blood sugar really stands.