Mission Statement

Signature Diabetes Institute is an organization that designs Diabetes Prevention and Management Programs aimed at reducing the burden of diabetes on patients, families, employers, communities and caregivers.

SDI founders include Arvind Cavale, MD, FACE, PCEO, Clinical Endocrinologist and Researcher and Lesley Kelner, RD, CDE (certified insulin pump trainer).

Our Team

Arvind Cavale, MD

Arvind Cavale, MD, FACE

Arvind Cavale, MD, FACE, has been a Clinical Endocrinologist / Researcher / Instructor, in practice in the Greater Philadelphia area since 1999. His philosophy is centered on building and maintaining a strong and healthy patient-physician relationship. He seeks to empower patients through education and support, so they may effectively manage their own chronic diseases. He believes in educating his fellow colleagues and the community, so we can all have a better understanding of chronic diseases, like diabetes, and make progress toward reducing the prevalence of these conditions and the negative impacts on the patient and community. Dr. Cavale believes this can be achieved by combining human ingenuity and the use of appropriate technology.

Dr. Cavale believes that excellent clinical care can be delivered at a reasonable cost to the patient, particularly when the heavy hand of third parties is minimized and price transparency between the patient and clinic is well established. A sound business model does exist of the ethical practice of medicine, and Dr. Cavale is an advocate in educating and motivating his physician colleagues to get involved in health policy, so that practicing clinicians set the rules they are required to play by and reassert their rightful role as pillars of healthcare.

Lesley Kelner, RD, CDE, LDN

Lesley G Kelner RD, LDN, CDE

Lesley G Kelner RD, LDN, CDE has more than 25 years of experience as a diabetes educator, through which she has developed long-term relationships with her clients to help them achieve their health goals and work through issues they may encounter when managing the daily routine of their diabetes.

Diabetes is a complex disease that requires continual monitoring and adjustments in the routine of the person with diabetes. Questions people with diabetes must ask themselves daily include: What and how much should I eat? What do my blood sugar results mean? How is it best to take my medications? What do I need to do to reduce my risk of other diabetes-related health issues?

Diabetes is best managed with the help of a team. The person with diabetes is the center of that team. They are the ones making the daily decisions. Lesley is committed to providing the most up-to-date information about diabetes so that her clients can make the best decisions about how to manage it. She guides them through the treatment of their diabetes and empowers them to have control over it.

Lesley also specializes in intensive insulin management, insulin pump therapy and continuous glucose monitoring. She is certified to provide training on most insulin pumps and continuous glucose monitors on the market to make managing insulin therapy easier.

Lesley believes that diabetes can be managed with the right network of health professional support and that people with diabetes can live the lives they want without their condition controlling them. Her professional memberships include Academy of Nutrition and Dietetics, American Association of Diabetes Educators, Diabetes Care and Education Professional Interest Group, and Diabetes Technology Professional Community Group.