OKLAHOMA CITY, OK – The CDC’s National Diabetes Statistics Report puts the number plainly: approximately 98 million American adults, 38% of the adult population, have prediabetes, and more than 80% of them don’t know it. That’s not a screening failure alone. According to Dr. Cassie Smith, dual board-certified endocrinologist and founder of Modern Endocrine, it’s what happens when hormone and metabolic health gets divided across specialists who rarely talk to each other. Modern Endocrine is now reaching patients in 46 states through telehealth, offering an integrated endocrinology model designed to identify and treat the root causes of metabolic dysfunction before they compound into something harder to reverse.
Key Facts: 98 million U.S. adults have prediabetes; 80%+ are undiagnosed. CDC National Diabetes Statistics Report (most recent edition) 37 million Americans have diagnosed diabetes, with total estimated costs reaching $412.9 billion annually. American Diabetes Association, Economic Costs of Diabetes in the U.S., 2022 Modern Endocrine’s 10 Stages to Ultimate Health framework addresses metabolic health at the cellular level. Not as an isolated condition, but as part of interconnected hormone, thyroid, gut, and weight systems Licensed and serving patients in 46 states via telehealth, with no requirement to leave home for an initial consultation Founded in 2020 by Dr. Cassie Smith, named Top Doctor by 405 Magazine in 2022 Services include bioidentical hormone replacement therapy, thyroid care, insulin resistance management, weight loss programs, and gut health optimization. Within a single care relationship
The CDC data isn’t describing a niche problem. It’s describing the most common metabolic trajectory in the country: slow, symptom-free deterioration that only surfaces clinically once the damage is significant. What makes this harder is that the standard care model wasn’t built to catch it early. A patient experiencing fatigue, weight gain, irregular cycles, and brain fog is likely to see a primary care physician, then a gynecologist, then maybe a separate endocrinologist. Each addressing one variable, none looking at the whole system. By the time insulin resistance is flagged, thyroid dysfunction, hormonal imbalance, and gut disruption have often been contributing to the problem for years. Dr. Smith’s position is direct: “The gaps between specialists are where most hormone and metabolic dysfunction lives. A patient can have three normal-range labs from three different doctors and still feel terrible. Because no one is looking at how those systems affect each other. That’s not a patient failure. That’s a structural problem with how we deliver care.” Modern Endocrine’s approach applies what Dr. Smith calls the 10 Stages to Ultimate Health. A framework that sequences cellular repair, hormone balance, metabolic optimization, and lifestyle integration in a specific order, because sequence matters.
Consider a typical patient presenting with unexplained weight gain and fatigue: under the fragmented model, she might spend 18 months cycling through referrals before anyone considers the interaction between thyroid function, estrogen dominance, and insulin sensitivity. Under an integrated model, those variables are evaluated together from the first visit. That’s not a faster path to the same destination. It’s a fundamentally different diagnosis. Telehealth access matters here more than convenience. For patients in states with limited endocrinology capacity. Or for patients who’ve already spent years navigating fragmented care. The barrier to a qualified endocrinologist has historically been geographic or logistical. Modern Endocrine’s 46-state telehealth license removes that barrier without removing the clinical depth. Patients get lab interpretation, personalized treatment planning, and ongoing follow-up from a board-certified endocrinologist, not a generalist or a wellness platform with no physician oversight. The honest caveat: integrated care takes longer upfront. A thorough initial evaluation that maps hormone, thyroid, metabolic, and gut function isn’t a 15-minute visit. Patients who want a single quick prescription are going to find this approach more involved than they expected. But patients who’ve been managing symptoms without a real diagnosis tend to understand immediately why thoroughness isn’t a disadvantage. “Prediabetes is reversible. Insulin resistance is addressable. Early thyroid dysfunction is manageable,” Dr. Smith said. “What’s not reversible is the decade patients lose when nothing gets caught in time. The cost of waiting isn’t zero. It’s compounding metabolic damage that becomes exponentially harder to treat. We can mitigate those risk factors early. That’s the whole point.”
About Modern Endocrine
Modern Endocrine is a personalized endocrinology and metabolic health practice founded in 2020 by Dr. Cassie Smith, a dual board-certified endocrinologist based in Oklahoma City, Oklahoma. The practice offers hormone replacement therapy, thyroid care, weight loss management, insulin resistance treatment, and gut health optimization through a structured, whole-person framework. The 10 Stages to Ultimate Health. Licensed in 46 states, Modern Endocrine serves patients nationwide via telehealth, operating as a one-stop destination for patients who’ve spent too long navigating fragmented specialist care.
Media ContactCompany Name: Modern EndocrineContact Person: Dr. Cassie SmithEmail: Send EmailCity: OklahomaCountry: United StatesWebsite: https://www.modern-endocrine.com/
