Innovative Diabetes Care Tailored for You

Dr. Colleen Amann-Shah, ND prioritizes personalized diabetes care plans through integrative and compassionate naturopathic methods. Her commitment to providing excellent care centers around listening to and valuing each patient.

Explore Your Personalized Diabetes Care Plan

Diabetes Care in Tigard, OR: Understanding, Managing, and Thriving

If you or someone you love is living with diabetes, you're not alone. Diabetes affects over 38 million people in the U.S., and many more remain undiagnosed. At Dr. Colleen Amann-Shah’s integrative practice in Tigard, OR, we go beyond symptom control—helping you take back your health with personalized, root-cause care.

diabetes_blood sugar monitor_

What is Diabetes?

Diabetes is a chronic health condition that affects how your body processes blood sugar (glucose). When your body doesn’t produce enough insulin—or can’t use it effectively—glucose builds up in the blood, leading to a wide range of symptoms and 
long-term health risks.

image_diagram showing how insulin helps glucose enter body cells

Two Types of Diabetes

Type 1, Type 2, Gestational, and Other

There are several types of diabetes. Each requires a different approach to care:


  • Type 1 Diabetes – An autoimmune condition that often begins in childhood. Requires lifelong insulin therapy.


  • Type 2 Diabetes – The most common type. Often develops in adults and may be reversed with lifestyle changes.


  • Gestational & Other Forms – Occurs during pregnancy and may increase long-term risk.
diagram_comparison of Type 1 vs Type 2 diabetes

Recognizing the Signs and Symptoms

Diabetes symptoms can be subtle. Look for frequent urination, thirst, blurry vision, fatigue, and slow wound healing.

Unlock healthier living through integrative diabetes care methods.

Manage sugar levels effectively with natural insulin support.

drawing of people with symptoms of diabetes: thirst, fatigue, blurry vision, frequent urination

What Causes Diabetes? Understanding the Root

Diabetes results from genetic and lifestyle factors—like poor diet, chronic stress, and inactivity. Impaired glucose tolerance and insulin resistance can start years before diagnosis.

Risk Factors You Shouldn't Ignore


   Higher Risk Factors:

  • Age 45+

  • overweight

  • sedentary lifestyle

  • family history


  •  certain ethnic backgrounds                               (e.g., African American, Hispanic, Native American, Asian).

Diagnosis, Monitoring & Long-Term Management

  • Diagnosis involves standard tests: A1C, fasting glucose, random glucose, or OGTT. A1C ≥ 6.5% indicates diabetes.
  • Monitoring includes retesting A1C every 3–6 months, plus annual blood pressure, cholesterol, kidney, eye, foot, dental, and hearing checks.

Life with Diabetes: What to Expect

Managing diabetes means building a team and daily lifestyle changes.

Building a Supportive Health Care Team

Your team may include your PCP, endocrinologist, dietitian, and an integrative provider like Dr. Colleen.

Making Lifestyle Modifications That Work

Woman preparing a healthy meal with family in a photo realistic setting.
CORNERSTONES
of Diabetes Care


  • Balanced meals
  • physical activity
  • stress reduction
  • sleep

   What to Expect at Your First Visit

 

  • Comprehensive intake: 

    • Medical history, lifestyle habits, symptoms, recent labs
  • Personalized labs:

    • A1C, fasting glucose, lipids, kidney/liver, thyroid, hormones, functional markers.
  • Goal-setting:

    • Define outcomes such as improving labs naturally or optimizing medication.

Treatment & Ongoing Care Plan

1. Lifestyle: Whole-food nutrition, exercise
   e.g. 15-minute post-meal walks), stress/sleep focus.   


2. Lab-driven customization: Follow-ups with A1C,              metabolic panels, CGM if needed.


3. Meds/tools: May include metformin, GLP-1s, insulin,      fingerstick meters, or CGMs.
Diabetes treatment options: healthy diet, physical activity, blood sugar monitoring, medication. cartoon drawing

How Dr. Colleen Approaches Diabetes Differently


Dr. Colleen uses both conventional and integrative tools. She addresses the root cause—nutrition, hormones, stress, and inflammation — before turning to medication.



Schedule Your Appointment Today - 503-8554341
Database Design Concept

Dr. Colleen offers insightful guidance on lifestyle changes, and, when possible, natural therapies tailored to your unique health profile.

Benefit from personalized evaluations, ensuring that every aspect of your health is considered in crafting your care plan.

How Dr. Colleen’s Integrative Approach Is Different

icon for mind-body medicine
• Mind-body integration :
  Focuses on stress, sleep, and mood.
icon for individualized treatment
Tailored therapies:
   Supplements (e.g., berberine) alongside meds.
icon representing good doctorppatient relationship. clipboard w a Heart and checkmark
• Patient partnership:
  Long visits, no rushed care.

Long-Term Complications of Uncontrolled Diabetes



Without management, diabetes can cause heart disease, stroke, kidney failure, nerve damage, vision loss.



cartoon drawing: complications of diabetes heart disease, stroke, vision loss, nerve damage

Hope and Support for People with Diabetes

Living with diabetes doesn't mean giving up your quality of life. With support, education, and the right care plan, most people can thrive with diabetes. Support groups, education, and events like Tour de Cure can make a big difference. Dr. Colleen is your partner for long-term health.
⭐ ⭐⭐⭐⭐
" Took plenty of time to discuss my health and options. I did not feel rushed and she listened to all my concerns. "


Less than 1 year ago.  – W.S., Tigard, OR
⭐ ⭐⭐⭐⭐
"My new primary care doctor is amazing. I felt heard and cared for by someone in the right profession. I am so excited to have such an awesome and thoughtful doctor who cares about the whole person, not just prescribing medicine to cover up symptoms which my previous pcp often did. So grateful this is my new doctor. "

May 19, 2025  – Briana H., Tigard, OR
⭐ ⭐⭐⭐⭐
"Dr. Amann-Shah is very personable-welcoming. As a patient I feel my issues and questions were heard and addressed."

Less than 6 months ago  – P.W., Tigard, OR
Programs like Tour de Cure, an annual fundraising cycling event organized by the American Diabetes Association (ADA), raise money for diabetes research, advocacy, programs and education. 

Other events and community resources are available to help you stay motivated and connected.

Frequently Asked Questions

Q1



What labs do you recommend and how often?

A: A1C every 3 - 6 months.

Q2


How do you balance diet and lifestyle with medication?

A: If someone is opposed to medication, I will work with them on lifestyle for 3 months and then discuss medication again. I usually recommend medication once someone is truly diabetic (i.e. their A1C is 6.5 or higher). Anyone with an A!C of 10 or more usually needs insulin.


Q3



What integrative therapies do you commonly use?

A: I sometimes use herbs like berberine and focus on managing lifestyle changes—sleep, stress, diet, and movement.

Q4


How often will I need check-ins for lab and symptom review?

A: Every 3 - 6 months.

Q5


Will I need devices like CGMs; what do you recommend? 

A: I usually don’t recommend these because insurance doesn’t cover them.

Q6


What are the early signs of diabetes?

A: Fatigue, increased thirst, and frequent urination are common signs.

Test Your Knowledge (click "+" to check your answer)

Can diabetes be reversed?

How does exercise help?

MYTH or FACT: You can't eat sugar if you have diabetes ?

Get the Care You Deserve!

If you're concerned about diabetes, Dr. Colleen in Tigard, OR is here to help.
📞 Call 503-855-4341 or visit drcolleenamannshah.com.

🔗 Want to learn more? Visit the Hypertension & Cholesterol Page (https://drcolleenamannshah.com/cardiometabolic-health-hypertension-and-cholesterol) or https://bit.ly/Diabetes-Guide-DrColleen

Ready to Take control of your diabetes—starting today?
Let’s work together to prevent complications and improve your health for the long term.


Schedule your appointment today to get expert support in managing your diabetes.

Dr. Colleen offers compassionate, whole-person care for lasting results.
Call 503-855-4341 or visit our contact page to get started.


 503-855-4341 |  Located in Tigard, OR
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