Miranda Center for Diabetes & Endocrinology

Welcome to the Miranda Center for Diabetes & Endocrinology. The staff of the Miranda Center at Memorial Hospital is a multi-disciplinary team dedicated to the evaluation, treatment and education of patients with diabetes and endocrine disorders. The Miranda Center for Diabetes and Endocrinology has been recognized nationally by the American Diabetes Association since 2002 . We’re here to help you understand your condition and provide you with quality education so you can better manage diabetes day to day.

Diabetes is a condition that you must manage daily by balancing food, activity and medications. Complications can be greatly reduced or delayed significantly if you keep your blood sugar, blood pressure and blood cholesterol levels within target range. The Miranda Center works with your Primary Care Provider to help you achieve the targets the American Diabetes Association has defined as indicators of good control. Our Center’s standards of care incorporate blood sugar, blood pressure and blood cholesterol management into each patient’s self-management and education plan.

The Miranda Center for Diabetes was named in 2013 in honor of Miranda Leavitt, daughter of Rich and Brenda Leavitt, who established a fund to provide resources, education and awareness for people with diabetes in our community.

Learn more about Miranda here.

Staff

Our staff consists of a registered dietitian, registered nurses, medical assistants, nurse practitioners, and a board-certified endocrinologist from Maine Medical Partners. Our team of compassionate professionals have years of specialized experience and offer accessible and quality diabetes care to those in the Mt. Washington Valley & surrounding communities. Diabetes is unique to each person. Our team approach offers comprehensive diabetes education, management and follow-up to meet your specific needs.

Our specialty practice compliments the primary care services available in Mt. Washington Valley and beyond. We also work closely with other specialists on our campus such as behavioral health, the Wound Care Center and the Sleep Center.

Location

The Miranda Center at Memorial Hospital
3073 White Mountain Highway
North Conway, NH 03860

Berlin Clinic at Androscoggin Valley Hospital

Diabetes Services

The Miranda Center at Memorial Hospital offers education, medical management and support groups to help people with diabetes learn about and manage their condition. Our team of experienced professionals provide care for patients with:

Pre-diabetes


Type 1 Diabetes


Type 2 Diabetes


Gestational Diabetes

Diabetes Self- Management Education (DSME) Program

The Miranda Center’s diabetes self-management education program is certified by the American Diabetes Association. Therefore, most insurance plans, including Medicare, will pay for most or all of the cost of the classes with physician referral. Class members are encouraged to bring a family member or support person with them to any of the classes. Who may participate? Anyone with diabetes is eligible for these programs.

Before attending class, you should first meet with the Registered Dietitian to develop an individualized meal plan, assess your knowledge of diabetes and set goals for your education. This is an 8 hour program that meets two hours a week for four weeks. It is held four times a year. Topics covered include:

  • Overview of diabetes
  • Low blood sugar
  • Blood glucose monitoring
  • Preventing Complications
  • Exercise
  • Coping Skills
  • Meal planning
  • High blood sugar
  • Managing Sick Days
  • Medications and Side Effects
  • Stress management
  • Goal Setting
Individual Services

One on one individual education is available with our Registered Dietitian and Nurse Practitioners who are also Certified Diabetes Educators. Our qualified staff is here to provide you with the tools you need to better manage diabetes each day.

  • Nutrition Education by Registered Dietitian
  • Carbohydrate Counting- Beginner to Expert
  • Pre-diabetes/ Preventing Diabetes
  • How to Handle Sick Days
  • Managing Diabetes & Exercise Training
  • Hypoglycemia Prevention & Treatment
  • Gestational Diabetes
  • Pre-conception Counseling for Women with Diabetes
  • Blood Glucose Meter & Support
  • How to take Insulin/Injectable Medication
  • Insulin Pump Therapy
  • Preventing Long-term Complications
  • Continuous Glucose Monitoring
  • Problem Solving
  • Diabetes and Pregnancy
Diagnostic Services

Diagnostic continuous glucose monitoring: Your health care provider may refer you to wear a continuous glucose monitor. When you are scheduled for this, a tiny, disposable sensor is inserted under the skin. There, the sensor is able to measure the glucose or sugar level in the fluid between cells every few minutes. A small recorder attaches to the sensor and sits on top of the skin. It records and stores all of the glucose readings for several days. You will wear the glucose monitor for several days while keeping a record of blood glucose meter readings, meals, exercise and medications. After wearing the sensor for a set number of days, you will return to the clinic for removal of the sensor. Reports will be printed from your sensor information. You will be given a copy of reports and a nurse practitioner experienced in interpreting these reports will review the reports with you and can help you or your provider make changes to your diabetes management plan to improve your glucose control. Wearing the continuous glucose monitor can help people better understand the trends in their glucose levels.

CGM is not right for every person with diabetes and insurance coverage varies.

For information or to make an appointment: Call the Miranda Center at 603-356-4949 ext. 3353 to schedule an appointment with the Registered Dietitian or Nurse Practitioner.

Before & Between Visits to the Miranda Center

Your time is valuable. We want the time you spend us to be beneficial to you. The following are some helpful steps you can take to get the most out of your appointment.

Before appointments:

  1. Arrive 15 minutes before each visit to register in, complete any necessary paperwork.
  2. Bring all insurance cards
  3. Bring a list of your medications, as well as any over the counter and herbal/supplements
  4. If you have diabetes, bring your blood glucose meter and log sheet to each visit (if you need a log sheet, click here). If you have not been checking your blood sugar, Please try to check some readings for 1 week prior to your appointment.
  5. At each visit, we will examine your feet. Wear footwear that are easy to remove.
  6. Bring a list of questions or any refills needed.

Between Visits:

  1. Take your medication as instructed
  2. Eat healthy
  3. Stay active
  4. Check your blood glucose readings and record in your log
  5. Check your feet daily

By following these instructions, you will feel more in control of the diabetes. We can work as a team to better help you achieve your goals.

For Health Care Providers

The Miranda Center at Memorial Hospital is comprised of a team of professionals with years of expertise in the management of diabetes and endocrine disorders. Dr. Kenosi Is a board certified endocrinologist from Maine Medical Partners Endocrinology & Diabetes Center, who sees patients locally at our Memorial Hospital location. Our multidisciplinary team is comprised of a registered dietitian, nurse practitioners with expertise in the management of diabetes in pregnancy, children with diabetes, insulin pump therapy and continuous glucose monitoring, registered nurses and medical office assistants. The Wound Care & Hyperbaric Medicine Department and Behavioral Health are conveniently located onsite to offer a well-rounded approach to care. The staff prides itself on delivering quality, compassionate diabetes care with measurable outcomes. We appreciate the opportunity to partner with you in the care of your patients.

Consider the following patients for referral to the Miranda Center:

  • Any person with diabetes or an endocrine disorder
  • Newly diagnosed adult with Type 1 or Type 2 diabetes, gestational diabetes
  • Person with longstanding diabetes in need of refresher education
  • Person with longstanding diabetes who have not achieved glycemic goal
  • Person who is resistant to moving to insulin/injectables
  • Person who is on large amounts of insulin or taking frequent injections
  • Type 1 diabetes with other endocrine diagnoses (adrenal insufficiency)
  • Frequent Hypoglycemia or hypoglycemia unawareness
  • Post gastric bypass hypoglycemia
  • Person with diabetes who works different shifts
Diabetes Community/Support Group

The Diabetes Community/Support Group meets throughout the year and is FREE. It is open to anyone interested in learning more about diabetes.