Error message
Warning: unserialize(): Error at offset 0 of 62 bytes in Drupal\hg_features\Controller\APIController->export() (line 527 of modules/custom/hg_features/src/Controller/APIController.php).
Drupal\hg_features\Controller\APIController->export() (Line: 249) Drupal\hg_features\Controller\ContentAPIController->export() (Line: 461) Drupal\hg_features\Controller\NodeAPIController->export() (Line: 916) Drupal\hg_features\Controller\NodeAPIController->list() (Line: 455) Drupal\hg_mercury_card\Plugin\Block\ContentFeedBlock->__construct() (Line: 723) Drupal\hg_mercury_card\Plugin\Block\ContentFeedBlock::create() (Line: 21) Drupal\Core\Plugin\Factory\ContainerFactory->createInstance() (Line: 76) Drupal\Component\Plugin\PluginManagerBase->createInstance() (Line: 62) Drupal\Core\Plugin\DefaultSingleLazyPluginCollection->initializePlugin() (Line: 57) Drupal\block\BlockPluginCollection->initializePlugin() (Line: 80) Drupal\Component\Plugin\LazyPluginCollection->get() (Line: 45) Drupal\block\BlockPluginCollection->get() (Line: 88) Drupal\Core\Plugin\DefaultSingleLazyPluginCollection->setConfiguration() (Line: 104) Drupal\Core\Plugin\DefaultSingleLazyPluginCollection->addInstanceId() (Line: 55) Drupal\Core\Plugin\DefaultSingleLazyPluginCollection->__construct() (Line: 34) Drupal\block\BlockPluginCollection->__construct() (Line: 158) Drupal\block\Entity\Block->getPluginCollection() (Line: 147) Drupal\block\Entity\Block->getPlugin() (Line: 118) Drupal\block\BlockAccessControlHandler->checkAccess() (Line: 109) Drupal\Core\Entity\EntityAccessControlHandler->access() (Line: 329) Drupal\Core\Entity\EntityBase->access() (Line: 63) Drupal\block\BlockRepository->getVisibleBlocksPerRegion() (Line: 138) Drupal\block\Plugin\DisplayVariant\BlockPageVariant->build() (Line: 270) Drupal\Core\Render\MainContent\HtmlRenderer->prepare() (Line: 128) Drupal\Core\Render\MainContent\HtmlRenderer->renderResponse() (Line: 90) Drupal\Core\EventSubscriber\MainContentViewSubscriber->onViewRenderArray() call_user_func() (Line: 111) Drupal\Component\EventDispatcher\ContainerAwareEventDispatcher->dispatch() (Line: 186) Symfony\Component\HttpKernel\HttpKernel->handleRaw() (Line: 76) Symfony\Component\HttpKernel\HttpKernel->handle() (Line: 53) Drupal\Core\StackMiddleware\Session->handle() (Line: 48) Drupal\Core\StackMiddleware\KernelPreHandle->handle() (Line: 28) Drupal\Core\StackMiddleware\ContentLength->handle() (Line: 201) Drupal\page_cache\StackMiddleware\PageCache->fetch() (Line: 138) Drupal\page_cache\StackMiddleware\PageCache->lookup() (Line: 87) Drupal\page_cache\StackMiddleware\PageCache->handle() (Line: 48) Drupal\Core\StackMiddleware\ReverseProxyMiddleware->handle() (Line: 51) Drupal\Core\StackMiddleware\NegotiationMiddleware->handle() (Line: 36) Drupal\Core\StackMiddleware\AjaxPageState->handle() (Line: 51) Drupal\Core\StackMiddleware\StackedHttpKernel->handle() (Line: 741) Drupal\Core\DrupalKernel->handle() (Line: 19)
Geckle Diabetes & Nutrition Center at GBMC
Providing personalized diabetes self-management training, nutrition education, and emotional support to help people achieve optimal health
The Geckle Diabetes and Nutrition Center is here to support you in managing type 1, type 2, and gestational diabetes through personalized care, education, and training. Our goal is to empower you with the knowledge and skills to confidently take control of your diabetes and improve your overall health and well-being.
Expert Team
Our team of Certified Diabetes Care and Education Specialists (CDCES), all registered dietitians, works closely with you to create a customized diabetes management plan. We understand that every individual is unique, so we ensure that your care plan aligns with your lifestyle, health needs, and personal goals.
What We Offer
- Diabetes Self-Management Education recognized by the American Diabetes Association (ADA), ensuring you receive high-quality, evidence-based care
- Hands-on training in blood glucose monitoring, insulin pump therapy, and the use of continuous glucose sensors, essential tools for managing diabetes
- Guidance on nutrition, meal planning, and physical activity to help you maintain better blood sugar control
- Support in understanding how medications impact blood sugar levels and how to incorporate them into your overall care plan
- Ongoing coaching to help reduce the risk of complications and improve your quality of life
Beyond Diabetes Care
In addition to diabetes management, our registered dietitians provide Medical Nutrition Therapy (MNT) for patients with Stage 3 and Stage 4 kidney disease. This therapy helps to slow disease progression and manage symptoms with personalized dietary guidance.
Why Choose Geckle?
- An ADA-recognized program, ensuring you receive the latest evidence-based practices in diabetes care
- A comprehensive, patient-centered approach to managing your diabetes and improving your health outcomes
- A focus on education, empowerment, and long-term health to support you in living a more active, fulfilling life
At the Geckle Diabetes and Nutrition Center, we’re here to support you every step of the way with the resources, expert advice, and ongoing support you need to live a healthier life.
Getting out of the Prediabetes 'Danger Zone'
More than 29 million people in the United States have diabetes, but many more are at risk and are living with a condition called prediabetes. Patients whose blood glucose is too high to be considered normal but are not diabetic are considered to be in the danger zone.
New Patients
If you have already scheduled an appointment, you may download and print our forms below. We ask you to arrive 15 minutes before your scheduled appointment time so that registration can be completed.
Please:
- If possible, keep a record of all the foods and beverages you eat and drink for 2 to 3 days prior to your visit. Include a description and amounts. If you prefer to use our form to record this information, please click on the link below to download and print the form.
- If you have diabetes and are checking your blood glucose levels, please bring your meter and records of your blood glucose results.
Forms
Please click on the link below to download and print the forms. If you are unable to print the forms, please call us. We will be happy to mail copies to you.
IMPORTANT: Completion of these forms in advance and arriving 15 minutes prior to your scheduled appointment time will speed your check-in process and will ensure that your visit runs smoothly. If you wait until the time of your visit to complete your forms we will not be able to see you on time. If you arrive 20 minutes after your scheduled time, we will almost certainly need to reschedule your appointment.
For Patients with NON-Diabetes Medical Nutrition Therapy Appointment:
For Physicians:
Patient Resources
Patient Stories
- Aaron, a newly diagnosed type 1 diabetes patient with an A1c of 14.8%, arrived at the Geckle Diabetes and Nutrition Center anxious and overwhelmed, grappling with a confusing insulin regimen and a painful continuous glucose monitor (CGM) site. His CGM falsely indicated low blood sugar, prompting him to consume juice prior to the visit, yet an in-office check revealed his blood sugar was over 500 mg/dl. After physical evaluation by the educator, an infected wound at the CGM site was identified to be the culprit. Despite his hesitation to visit the ER due to a busy work schedule and multiple doctor appointments, the Geckle Diabetes Center educator emphasized the urgency, removed the sensor, educated on safe re-placement areas to accommodate his recent weight loss, and reviewed insulin dosing and carb estimation. Aaron was sent to the ER for rehydration at the end of the visit. At his follow-up, he was confidently using his CGM, administering insulin correctly, and improving with treatment for the infection. “Thank you for caring about my health,” he said, grateful for the guidance that empowered him to manage his condition effectively. In three months, he has brought his A1c down to 7.2%.
- Jane is a 74-year-old woman who has lived with diabetes for more than 10 years. When she was first seen by the Geckle Center, her illness was poorly controlled. She was a caretaker for her husband and didn't always take the time to think about her own needs. In April 2025, her A1c was 9.9%. She had tried a Dexcom G7 continuous glucose monitor in the past but was unable to learn how to use it. Her physician thought this was an important part of her diabetes care and referred her to the Geckle Center to learn how to put on the Dexcom G7, how to interpret it, and how to use the data. Her first visit with the Geckle Center was in early May 2025. At that visit, she had 19% lows and 5% very low. The goal is 5% or less lows (which are defined as less than 70). The educator reduced her basal insulin to help lessen the lows and worked closely with her on important lifestyle changes that would help to reduce her excessive lows. At her visit in early June 2025, she only had 1% lows and 68% of blood sugars were within the 70-180 range. The goal is to have greater than 70% in the target range. She was able to put the Dexcom G7 on independently. By late July, she reduced her A1c to 7.4%. The goal for most patients is to achieve an A1c of less than 7% if this can be achieved without too many lows. She now understands much more about her diabetes and her confidence level has improved tremendously. Unfortunately, her husband passed away in July, but the lessons were so well learned that her sugars only fluctuated slightly during this difficult time. When she met with the educator in early August 2025, her lows had increased a little to 5% with less than 1% very low and she had 66% in target. She knew this was due to not eating consistently and making a few poor food choices. She is aware that she has more work to do and will be following up with the Geckle Center in another month. She is grateful that she has the resources of support to continue to work on being even healthier.
Patient Quotes
- "I have my husband back!"
- "Thank you for being my advocate!"
Allison Ashcraft, MS, RD, LDN, CDCES
Sheila Sweeney
Ryan Toth
