Intergenerational photo with grandmother and grandchild

Heartland, ManorCare and Arden Courts are now part of the ProMedica family of services. The skilled nursing & rehabilitation, memory care, home health and hospice services you know us for are now part of an integrated health and well-being organization that includes hospitals, doctors and health insurance plans as well.

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Treatment Expertise

Diabetic Care

Living Life To The Fullest With Diabetes

If you are recovering from the onset of diabetes or have an exacerbation of the disease, we can provide support. Our focus is on restoring function, accommodating dysfunction and preventing further disabilities. Your diabetes management will include reinforcement of positive lifestyle behaviors and compliance with the recommended treatment plan.


Case Study

Lyle’s Recovery Story

Patient Profile

Lyle, 68, underwent a below the knee amputation due to a diabetic foot ulcer infection. He had an extended hospital stay which made him weak and in need of strengthening, lifestyle training, pain management and wound care.

Post-Acute Need

Lyle lives with his wife and enjoys time with his children and grandchildren and had a goal to return home independently. He also needed help managing his diabetes and learning how to use his prosthesis.

Post-Acute Stay

At the center, the interdisciplinary team created a care plan to help Lyle meet his goals. He required wound care and pain management from the nursing team. Physical therapy worked with Lyle to help strengthen his leg and prepare him for his prosthesis. He also learned to walk with a walker and eventually a cane. Occupational therapy worked with Lyle on his daily activities such as getting in and out of the bathtub and using adaptive equipment. The team also worked on dietary modification to manage his diabetes and other lifestyle changes.



I didn't know that I would need short-term rehab, but I realized right away that the team was going to get me safely home. I had a great experience and was definitely prepared to return home and back to my family.

Diabetes-What You Need to Know About Type 1 & Type 2

Learn about Type 1 and Type 2 diabetes and how to lower your risk.

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Diabetes-What You Need to Know About Type 1 & Type 2

While it may be common knowledge that diabetes is a serious health condition, there is often confusion about which type poses the greater risk. Both Type 1 and Type 2 diabetes can lead to health complications and increase your risk of dying prematurely. However, they are caused by different factors and must be treated and managed differently.

Two major types of diabetes — one major health concern

Type 1
A chronic condition in which the pancreas produces little or no insulin.

Type 2
A chronic condition that affects the way the body processes blood sugar (glucose).

Although type 1 and type 2 diabetes are separate conditions, they have the same long-term complications, such as problems with:

  • Eyes
    Visual impairment or blindness
  • Heart and vascular system
    Including blood clots, heart disease and stroke
  • Kidneys
    Kidney damage or failure
  • Nerves
    Nerve damage that causes pain or numbness



A woman may also have gestational diabetes, which is high blood sugar during pregnancy. Gestational diabetes typically resolves after pregnancy, but some women may continue to have symptoms of Type 2 diabetes and need continued treatment.

Preventing Type 2 diabetes

Since lack of exercise and eating foods with high sugar content contribute directly to Type 2 diabetes, there are ways to safeguard yourself and your loved ones:
Avoid foods high in sugar content:

  • Eat healthy foods, including fruits, vegetables, whole grains and lean meats
  • Exercise 30 minutes each day
  • Lose weight and keep it off
  • See your doctor for regular checkups


Diabetes Treatment

Type 1
Most people with Type 1 diabetes are diagnosed as children or young adults and will need insulin injections throughout their lifetime to manage the disease.

Type 2
For those with Type 2 diabetes, diet and exercise alone can have a significant impact in reducing the amount of glucose (sugar) in your blood. In more stubborn cases, oral blood glucose lowering drugs or treatment with insulin may also be needed to avoid dangerous side-effects of the disease.


Learn More

Balance, HCR ManorCare's comprehensive health and wellness blog, supplies readers with healthy ideas throughout the year. The blog is designed to serve as a resource, not only for patients, residents and families, but for anyone who strives to live a healthy, "balanced" life. For more information and help making healthy choices, go to If you need help making a health care decision, visit our CareFinder and live chat. 


Diabetes? WHO Knows What's Best!

Learn how the World Health Organization (WHO) is working to build awareness of diabetes, but remind everyone that it can be treated effectively, and in some instances, can actually be prevented.

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Diabetes? WHO Knows What's Best!

World Health Day is on April 7 and this year the theme is Focus on Diabetes. Worldwide, diabetes affects an estimated 347 million people according to the World Health Organization (WHO), and was the cause of 1.5 million deaths in 2012, mostly in middle and lower income nations. WHO wants to not only build awareness of this chronic disease, but remind everyone that it can be treated effectively, and in some instances, can actually be prevented. 

In Type 1 diabetes the pancreas does not produce insulin, and in Type 2, the pancreas still produces insulin, but the body is unable to use it. Insulin is a hormone that allows the red blood cells to absorb sugar in the blood stream (glucose). Glucose provides energy to cells in our muscles and other tissues, especially the brain. When there is too much sugar in the blood stream, it can cause serious and permanent damage to the circulatory system and other organs in the body, like the heart, kidneys and eyes. This circulatory damage also puts individuals with diabetes at high risk for heart attack and stroke.

But with proper care and control, diabetes can be managed and the likelihood of serious complications is reduced. According to the Defeat Diabetes Foundation, April is the perfect time to learn about the risk factors and warning signs of diabetes and the positive lifestyle changes you can make to defeat the disease. Risk factors include a family history, increased body weight, a sedentary lifestyle, age, and race, with African Americans, Hispanics, native Americans and Asian Americans seeing an increased risk of developing diabetes.

Signs of diabetes are increased thirst, frequent urination, fatigue and irritability, blurred vision, extreme hunger and unexplained weight loss. Blood tests are available to show current blood sugar levels and your average blood sugar over a three-month period (A1C). You may also have an oral glucose tolerance test where your blood is tested when fasting and during a span of two hours following a sugary drink. If you are diagnosed with diabetes, treatment options include insulin, medication to control blood sugar, special diet and exercise to help maintain a healthy weight and heart. If you are concerned that you or a family member may have diabetes, check with your doctor. Careful control of your blood sugar can reduce your risk of side effects and in some cases, may even eliminate your need for medication. With lifestyle modifications, like a healthy weight, diet, and regular exercise program, you can defeat diabetes.


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