Diabetes Management
Type 1, type 2, prediabetes, diabetes technology, and advanced medication management.
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Expert, individualized care for hormones, diabetes, and metabolic health via telehealth across Arizona — from a board-certified diabetes and lifestyle medicine specialist who takes the time to listen.
Ashlyn Smith, MMS, PA-C · BC-ADM · DipACLM · DFAAPA

Type 1, type 2, prediabetes, diabetes technology, and advanced medication management.
Learn more →Hypothyroidism, hyperthyroidism, and hormone imbalances, evaluated in context.
Learn more →Cycle, fertility, metabolic, and skin concerns addressed together.
Learn more →Medical weight care that looks at hormones, habits, and history — not just a number.
Learn more →Evidence-based nutrition, movement, sleep, stress, and behavior change — treating, reversing, and preventing chronic disease.
Learn more →“An educated patient is a healthier patient.”
Endocrine specialists are scarce across much of Arizona, and the visits that do exist are often rushed. ELM was built differently.
Share what's going on and see if ELM is the right fit. No cost, no pressure.
A thorough video visit covering history, labs, lifestyle, and goals.
Medication, lifestyle, and monitoring — with ongoing support as things change.
Three-minute screeners for thyroid, PCOS, and prediabetes. Get a clear read on your risk and what to do next.

MMS, PA-C, DipACLM, BC-ADM, DFAAPA, LSC
Ashlyn is the founder, clinician, and educator behind ELM. A board-certified physician assistant specializing in advanced diabetes management and lifestyle medicine, she holds Arizona's Collaborative Practice Certification and practices independently, without physician delegation.
She serves as Membership Director of the Arizona Obesity Organization and leads the National Diabetes Prevention Program as an ADCES Lifestyle Coach. Off the clock, she camps, dances (aerial and ballet), and works through a long queue of true-crime podcasts.
“Ashlyn was super friendly and very helpful. It was a breath of fresh air to talk to a medical provider who actually listened and didn't make you feel rushed.”
“It was truly the first time in my life I felt like I was seen as a human being, and not just a complex medical patient. You will walk away feeling so heard, seen, and valued both as a patient, and as a person.”
“She is a phenomenal clinician and she cares...Ashlyn is just the provider we all would want. If anybody needs any sort of care or just wants to be educated, she is an amazing resouce.”
1:1 specialty mentorship, an endocrine resource hub, e-consults, clinician products, and the Trusted Partners referral network.
Start with a free 15-minute discovery call — no cost, no pressure.