Diabetes Care

We have made a commitment to help people with diabetes live healthier lives. Whether you or a loved have been newly diagnosed or have been living with diabetes for a long time, the HealthReach Diabetes, Endocrine & Nutrition Center offers the support and services you need.

Under the direction of Daniel A. Nadeau, MD, HealthReach Diabetes, Endocrine, and Nutrition Center is the Exeter Hospital's outpatient diabetes care center. We are located on Route 1 (Lafayette Road) in Hampton, NH. Our team of diabetes educators strives to help patients and their support people live well with diabetes.

Comprehensive, convenient diabetes care is provided through individual consultations, group education classes, support groups, the insulin pump program, the diabetes fitness program, and community education.

HDENC is certified by the American Diabetes Association. For more information about our services please contact us at 1-800-4EXETER (1-800-439-3837).

Registered dietitians and nurses certified in diabetes education are available for one-on-one consultations to help you determine the best plan of action to manage your diabetes. They also work with individuals who have been diagnosed with "pre-diabetes," giving them diet and exercise recommendations that may delay or actually prevent the onset of Type 2 diabetes.

To better serve our patients, we offer convenient hours to accommodate your busy life. We are open two evenings per week, taking appointments until 7:30 p.m.

To schedule an appointment, please call Exeter Hospital's Central Scheduling at 1-888-2-EXETER (1-888-239-3837).

All appointments are located at HealthReach Diabetes, Endocrine & Nutrition Center, 881 Lafayette Road, Suites G & H, in Hampton.

Most insurance carriers will cover the cost of individual diabetes education; contact your insurance company prior to making an appointment.

For more information, please call the HealthReach Diabetes, Endocrine & Nutrition Center at (603) 926-9131.

Free Diabetes Support Groups
Free diabetes support groups are held monthly in the greater Seacoast area, providing practical tips, information updates, and emotional support to individuals with diabetes and their friends and family members. The groups are a wonderful opportunity to talk with others about issues regarding diabetes care.

You may attend one, several, or all support group sessions at the location of your choice. Registration may occasionally be required for special events.

HealthReach Diabetes, Endocrine & Nutrition Center
Insulin Pump Education Group
Contact-HealthReach Diabetes at 603-926-9131

Exeter Senior Center --- Talk’n Diabetes
Facilitated by HealthReach Diabetes – A Department of Exeter Hospital
Type 2 Diabetes
Second Wednesday of each month at 2:30PM
Contact-HealthReach Diabetes at 603-926-9131

Exeter Hospital --- Parents of Children with Diabetes
Third Tuesday of the month at 7:00 PM (Sept-May) at Exeter Healthcare
Contact-HealthReach Diabetes at 603-926-9131

Londonderry Senior Center
Facilitated by Rockingham VNA & Hospice
Third Friday of each month (No December Group) at 10:00AM
Contact-Paul O’Hara, R.N. at 1-800-540-2981

Exeter Hospital is a proud sponsor of the JDRF's Seacoast Walk to Cure Diabetes taking place at Swasey Park in Exeter on Sunday, September 27, 2009. For results, click here.

Can you tell the gender of my baby by the baby's heart rate?
No. Some say that the baby's heart rate is an indication of the gender, but we have found that it is not an accurate indicator.

How long will I be in labor and when will my baby arrive?
Unfortunately, there is no way of answering this question. Every woman's labor is different, and there are many different variables that affect the length, effectiveness and time of your labor and delivery.

Will the epidural slow down my labor?
Sometimes, labor can go slower after an epidural. Because you are inactive, in bed, and not able to walk, it may slow down your labor. However, with some individuals an epidural may actually allow for relaxation. This relaxation may result in the baby moving more quickly through the birth canal. It is important to remember that while the epidural will take most of the pain away, you will still feel pressure from the baby moving through the birth canal.

When can I get my epidural?
An epidural is anesthesia that is placed in your back. It numbs your body from the waist down, and relieves most of the pain of labor. Different providers have different thoughts about when the epidural can be done. Some providers require a patient progress to four centimeters before they get the epidural. Others will allow for it sooner in labor. We suggest that you discuss this subject with your provider.

How do I know when it is time to push?
When you are fully dilated and the baby is in position, your body will tell you that it is time to push. The urge to push is natural and you may find your body doing it with no direction from you what-so-ever. At this point, as long as your are fully dilated, your nurse will help you through this final stage of labor.

How do I push effectively?
Use your abdominal muscles, positioning chin to chest, and take a deep breath and push, while pulling your legs up to your chest. This is the most effective way to help your baby advance through the birth canal.

Will the pain get worse as my labor progresses?
Yes. The pain of labor is something that can be controlled with relaxation techniques, medication, or by means of an epidural. You may also choose to practice Hypnobirthing, which is taught in a class prior to delivery. Any of these options are available in the Family Center to make your labor as comfortable as possible.

When will my milk come in?
The average length of time it takes for breast milk to come in is 3-5 days. This varies from one individual to another. If you have any questions, please feel free to call one of our Lactation Consultants at (603) 580-4324.