Diabetes dose guide

Type 2 diabetes medication adjustment online in Virginia and West Virginia

This guide is for a non-insulin oral regimen adjustment from a recent A1c or glucose log, not for insulin, new severe symptoms, or a GLP-1/incretin medicine.

Start online

Start a $59 online review for Diabetes dose adjustment.

For previously diagnosed, non-insulin type 2 diabetes with an A1c above goal, a rising trend, or a home glucose log showing readings above target on the current oral regimen. Upload your A1c and, if you have one, a 7-day home glucose log; the physician adjusts the dose or adds a second non-insulin oral agent from the pattern. This lane never starts or manages insulin and never prescribes a GLP-1/incretin medicine of any kind.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

An A1c above your target on your current oral regimen
A week of home glucose readings running above goal
Otherwise feeling well, on metformin or another oral agent

May fit online care

Adults 18 and older
Already diagnosed and on a non-insulin oral regimen
No insulin use, ever
No recent blood sugar over 300 with confusion
eGFR at or above 30

Look for another care setting

Vomiting with confusion, very fast or deep breathing, fruity-smelling breath, or severe belly pain
A blood sugar over 300 with confusion, or under 55 with loss of consciousness
Repeated low blood sugar readings after starting or increasing a medicine
A new foot wound, ulcer, or spreading redness

What to have ready

A recent A1c result (upload it)
A 7-day home glucose log if you have one
Your current medicines and doses
Any history of low blood sugar episodes

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Can this lane start me on insulin or a GLP-1 medicine?

No. This lane never starts or manages insulin and never prescribes a GLP-1 or incretin medicine of any kind. It only adjusts non-insulin oral medicines.

I just need my regular refill, not a dose change — where do I go?

A stable regimen without a lab change fits our Type 2 diabetes refill option better.

See the diabetes refill guide

What if I've never used insulin but have used it in the past?

Any insulin use, now or in the past, routes you to in-person or specialist diabetes care rather than this lane, since insulin history changes the safety picture for oral dose changes.

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

Asthma inhaler refill Cholesterol treatment (statins)Prescription refill Thyroid dose adjustment Thyroid medication refill Type 2 diabetes refill