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Diabetes Management & Endocrinologist in Miami

Diabetes management in Miami for Type 1, Type 2, prediabetes, CGMs, insulin pumps, medications, and long-term endocrine care.

S&S Endo Inc provides comprehensive diabetes care from its Miami office with telehealth follow-up when appropriate. Irina C. Delgado Varela, MD evaluates blood sugar patterns, medications, technology options, and related health risks to build a plan that fits each patient's medical needs.

Care Overview

Type 1 diabetes and insulin management

Type 2 diabetes and insulin resistance

Prediabetes and prevention-focused care

Gestational diabetes follow-up after pregnancy

Continuous glucose monitoring with Dexcom and FreeStyle Libre when appropriate

Insulin pump support including Omnipod and Tandem when appropriate

Schedule an Appointment

7392 NW 35th Terrace, Suite 306, Miami, FL 33122

What diabetes is

Diabetes develops when the body cannot make enough insulin, cannot use insulin effectively, or both. Insulin helps move glucose from the bloodstream into cells for energy. When glucose stays high over time, it can affect the heart, kidneys, nerves, eyes, and circulation.

Conditions we treat

  • Newly diagnosed diabetes
  • Difficult-to-control diabetes
  • High blood sugar symptoms
  • Low blood sugar and hypoglycemia prevention
  • Diabetes with obesity, high cholesterol, or high blood pressure
  • Diabetic kidney disease, neuropathy, eye-disease risk, and foot-health coordination

Diagnosis and testing

Evaluation may include A1C testing, fasting glucose, review of home glucose readings, kidney and cholesterol testing, and discussion of individualized glucose and A1C goals. A1C reflects average blood sugar over about three months and helps guide treatment decisions.

Treatment and technology

  • Personalized plans using nutrition, physical activity, oral medications, injectable medications, or insulin when appropriate
  • CGM data review to identify overnight, fasting, and after-meal glucose patterns
  • Insulin adjustment and pump management when clinically appropriate
  • Coordination with primary care and specialists for cardiovascular risk and complication prevention

When to see an endocrinologist

Consider endocrine care if your blood sugar remains above goal, you have frequent hypoglycemia, you use insulin or a pump, you are considering a CGM, or diabetes is occurring with obesity, kidney disease, neuropathy, high cholesterol, or other endocrine concerns.

Why choose S&S Endo

Patients receive physician-directed diabetes care in Miami with attention to glucose data, medication safety, prevention of complications, and practical follow-up. Telehealth may be available for eligible follow-up visits in Florida.

Medically reviewed by

Irina C. Delgado Varela, MD

Board-certified in Internal Medicine; Endocrinology, Diabetes & Metabolism; and Obesity Medicine.

Last reviewed/updated: September 22, 2026

Insurance

Accepted Insurances

Medicare logoMedicare
Oscar logoOscar
Aetna logoAetna
Cigna logoCigna
Devoted Health logoDevoted Health
Solis logoSolis
Molina Healthcare logoMolina Healthcare
Simply Healthcare logoSimply Healthcare
Curative logoCurative

Insurance participation subject to eligibility and plan verification.

Frequently Asked Questions

When should I see an endocrinologist for diabetes?
You should consider an endocrinologist if diabetes is newly diagnosed, difficult to control, associated with frequent low blood sugar, or requires insulin, a CGM, or an insulin pump.
What A1C level indicates diabetes?
An A1C of 6.5% or higher is commonly used to diagnose diabetes, while 5.7% to 6.4% is considered prediabetes. Your clinician interprets results with your full medical picture.
How often should A1C be checked?
Many patients have A1C checked about every three months when treatment is changing or glucose is above goal, and less often when diabetes is stable.
What is the difference between Type 1 and Type 2 diabetes?
Type 1 diabetes is usually caused by autoimmune loss of insulin production. Type 2 diabetes is commonly related to insulin resistance and progressive changes in insulin production.
What is insulin resistance?
Insulin resistance means the body's cells do not respond to insulin efficiently, so the pancreas must make more insulin to keep blood sugar controlled.
Can Type 2 diabetes go into remission?
Some people can reach blood sugar levels below the diabetes range with sustained weight loss and treatment, but ongoing monitoring remains important.
What is a continuous glucose monitor?
A continuous glucose monitor, or CGM, is a wearable sensor that tracks glucose trends throughout the day and night.
Who may qualify for a CGM?
CGM eligibility depends on diabetes type, insulin use, glucose variability, hypoglycemia risk, and insurance rules.
When is an insulin pump used?
An insulin pump may be used when frequent insulin dosing is needed and the patient can safely manage pump therapy with clinical support.
Can an endocrinologist manage my insulin pump?
Yes. S&S Endo can help appropriate patients with insulin pump review, settings, glucose pattern analysis, and ongoing insulin management.
Can weight loss improve Type 2 diabetes?
Weight loss can improve insulin resistance and blood sugar control for many people with Type 2 diabetes, though results vary and care should be individualized.
Is prediabetes reversible?
Prediabetes can often improve with weight management, nutrition changes, activity, and sometimes medication, but continued monitoring is important.
Does insurance cover CGMs or insulin pumps?
Coverage varies by plan and clinical criteria. The office can help patients understand documentation needs for CGMs or insulin pumps.

Talk with S&S Endo about your next step