Understanding your A1C and time in range
What your A1C number means, how time in range from a CGM adds to it, and the goals that current ADA Standards of Care suggest for many adults.
Silver Spring & Camp Springs, Maryland
Dr. Maria B. Menucci is a board-certified endocrinologist at Capital Diabetes & Endocrine Associates. She cares for adults with diabetes, thyroid disease, PCOS, osteoporosis, and pituitary, adrenal and calcium disorders, with clear explanations and a plan you can follow.
Hormones act like messengers. When one is too high or too low, it can affect energy, weight, mood, bones, periods and blood sugar. These are the areas Dr. Menucci focuses on.
Type 1, type 2 and prediabetes care, with goals set together and reviewed using A1C and CGM data.
Diabetes careUnder- and overactive thyroid, nodules and goiter.
CGMs, insulin pumps and automated insulin delivery.
Osteoporosis, fracture risk and calcium balance.
Cycles, hair, skin and metabolic health.
High calcium and parathyroid problems.
Low testosterone and related questions.
Pituitary and adrenal nodules, high prolactin, primary aldosteronism and cortisol problems.
Most hormones are controlled like a thermostat. The brain and pituitary send a signal, a gland answers by making hormone, and rising hormone levels tell the brain to ease off. When any step in the loop goes wrong, symptoms follow.
That is why endocrine care often means looking at more than one lab value at a time—for example, TSH and thyroid hormone together—and checking again after a change.
Knowing what to expect makes a first endocrinology visit easier.
Confirm your plan with your insurer and whether you need a referral.
Use the contact page or email to start scheduling.
New-patient forms are online in English and Spanish.
Medicines, glucose data and recent test results.
In the office or by secure video, then follow up through the portal.
What your A1C number means, how time in range from a CGM adds to it, and the goals that current ADA Standards of Care suggest for many adults.
How a continuous glucose monitor works, who may benefit under the ADA 2026 Standards of Care, how CGM differs from a fingerstick, and tips for everyday use.
Found a thyroid nodule? A plain-language guide to blood tests, thyroid ultrasound, fine-needle aspiration (FNA) and Bethesda results, based on ATA guidance.
Health information affects real decisions. Every medical page here cites current guidelines, shows when it was last reviewed, and says when to seek care.
Dr. Menucci’s practice profile lists both Capital Diabetes & Endocrine Associates offices. Full addresses and hours are in the practice details on the about page.
Eversense implantable CGM placement is listed at this office.
Address & office detailsThyroid nodule FNAs are listed at both offices.
Address & office detailsSend us a note through the contact page or by email, and see the visit guide for what to expect.