endocrinology and diabetes center


Did you know that more than 10 percent of adults living in Ohio have diabetes? Diabetes is a common metabolic disorder that occurs when your body cannot make enough insulin, or you become resistant to your own insulin.

The endocrine system is complex and includes hormones that control your metabolism, body growth, and sexual development. The goal of treatment is to restore your body back to as normal a balance as possible.

Diabetes Care Center

The Diabetes Care Center, at Firelands Regional Medical Center - Center for Coordinated Care, is committed to providing the highest quality of care for patients with diabetes and metabolic disorders, including:

  • Prediabetes
  • Diabetes: Type 1 diabetes and Type 2 diabetes
  • Insulin pumps or continuous glucose monitoring systems
  • Metabolic syndrome
  • Obesity: Related to endocrine disorders

If you have been diagnosed with one of the above conditions, the Diabetes Care Center is now accepting self-referrals; or your primary care provider may refer you.

Our office staff includes clinicians who specialize in the care of people with diabetes:

  • Donald Cundiff, M.D.
  • Aaron LePoire, PharmD
  • Tondra Mapus APRN, FNP-C

As one of our patients, information regarding your current therapy is communicated to your primary care provider’s office after each visit. We recognize that communication with you and your healthcare providers allows for continuity of care. We also work very closely with the Diabetes Self-Management Education program at Firelands Regional Medical Center, which is staffed by diabetes nurse educators and registered dietitians.

Even if you have had diabetes for many years, patients have been shown to benefit greatly from learning new tools, medications, and management techniques i this ever-advancing field.

Diabetes Self-Management Education

Diabetes is a life-changing diagnosis. It takes ongoing education and commitment to properly self-manage the disease. If you or a loved one has received a diabetes diagnosis, ongoing support is available in the form of diabetes self-management education at Firelands Regional Medical Center.

Who should consider diabetes self-management education?

This program is for individuals diagnosed with diabetes and their families. It’s designed to provide educational information and self-management skills while encouraging patients to live an active lifestyle and prioritize their health.

The diabetes self-management education program is beneficial to those with diabetes (Type 1 or Type 2) who are newly diagnosed OR longstanding.

What are the benefits of the diabetes self-management education program?

Over time, diabetes patients who participate in this program may experience:

  • Improved glucose (blood sugar) control
  • More energy and overall improved health
  • A decrease in risk of diabetes complications

What exactly is included in the program?

Through the diabetes self-management education program, patients receive:

  • A one-on-one, individualized appointment with a Registered Nurse (RN) Diabetes Educator.
  • A one-on-one, individualized appointment with a registered dietitian who specializes in diabetes.
  • Four, two-hour group classes. Classes include discussions about the disease itself, treatment options, short term complications, long term complications, and nutrition.

Note: patients are invited to bring a support person with them to the classes.

Also included in the program:

  • An annual follow-up with the diabetes educator and registered dietitian.
  • Progress notes sent to the patient’s primary care physician (PCP), endocrinologist, or whoever is managing their diabetes.
  • Optional comprehensive medical review with clinical pharmacist

Do I need a doctor referral?

Yes. A diabetes patient must have a referral from a provider. If you call and would like to set up an appointment, a referral request is sent to your PCP. If you do not have a PCP, the Firelands Center for Coordinated Care can assist you with establishing with a primary care physician.

How do I know if I am eligible?

  • Patients must have a provider referral.
  • Medicare beneficiaries are qualified for diabetes education.
  • Medicaid beneficiaries are qualified for diabetes education.
  • Many private insurances cover the service. Call the customer service number on your insurance card to determine your coverage.

Who do I contact for more information?

To learn more, please call 419-557-6992.


Prediabetes means your blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. According to the Centers for Disease Control and Prevention, approximately 84 million American adults—more than 1 out of 3—have prediabetes.

If you have prediabetes, the CDC-led National Diabetes Prevention Program can help you make lifestyle changes proven to to prevent or delay type 2 diabetes in high-risk patients

How Does PreventT2 Work?

PreventT2 empowers patients with prediabetes and those at risk for type 2 diabetes to take charge of their health and well-being. Participants meet in groups with a trained lifestyle coach to learn ways to incorporate healthier eating and moderate physical activity, as well as problem-solving, stress-reduction, and coping skills, into their daily lives. Groups meet for a year — weekly for the first 6 months, then once or twice a month for the second 6 months to maintain the skills they have learned.

Who is Eligible for PreventT2?

To participate, patients must:

  • Be at least 18 years old;
  • Be overweight (BMI ≥ 24; ≥ 22 if Asian);
  • Have no previous diagnosis of type 1 or type 2 diabetes; or
  • Have been diagnosed with prediabetes within the past year or previously diagnosed with gestational diabetes.

Recommending Patients is Easy

Simply use the recommendation form available to share information about your local PreventT2 program and recommend those patients who are at risk for type 2 diabetes. To learn more or to request recommendation forms, please contact:

Firelands Center for Coordinated Care
1221 Hayes Avenue
Suite F
Sandusky, OH 44870

Contact Us

To schedule an appointment,
please call us.