Meet the Team

April SilvestroApril Silvestro, RN, BSN, CDE, CDOE

Coordinator, South County Health Diabetes Center

After graduating from the Newport Hospital School of Nursing in 1985, April received her BSN from Salve Regina University in 1988. She is a National Board Certified Diabetes Nurse Educator and past chair of the Rhode Island Certified Diabetes Outpatient Educators. She also served as a past faculty member for the RI Certified Diabetes Outpatient Educators program.

April is a nationally certified fitness instructor and personal trainer, as well as a Reiki Master/Teacher. Since 1990, she has created diabetes education programs for people with diabetes and health professionals  in Rhode Island, Connecticut, Washington, D.C., and Chicago. She frequently lectures on diabetes management in the South County community, and has been been featured in Providence Business News, The Providence Journal, Rhode Island Monthly magazine, and Diabetes Self-Management magazine. April approaches diabetes education and management from a scientific and holistic perspective by incorporating stress reduction techniques and integrative therapies.

Delaine WrightDelaine Wright, MS-CEP, CDE

Team Leader, Cardiopulmonary Rehabilitation & Wellness

In addition to holding degrees from Boston University and the University  of Rhode Island, Delaine is a Masters-level Clinical Exercise Physiologist and a Certified Diabetes Educator/Insulin Pump and CGM Trainer. She specializes in exercise-related blood sugar management, as well as insulin pump therapies and continuous glucose monitoring. A national lecturer/consultant on diabetes, Delaine brings a unique combination of knowledge and understanding to her patients, as she has been living with Type 1 diabetes since 1983.


Karen Zarlenga, BSN, RN, CDE, CDOE, CVDOE

Diabetes Nurse Educator

Karen is a graduate of the University of Rhode Island and began her career at Kent Hospital. She has extensive experience in cardiology disease management. While working with cardiac rehabilitation patients, Karen became aware of the increasing prevalence of diabetes and the need for quality patient and family education. This led her to become a National Board Certified Diabetes Educator and a Cardiovascular Disease Outpatient Educator. Karen has managed several diabetes education programs in Rhode Island. She is passionate about connecting with individuals one-on-one and working with groups through diabetes education classes and support groups. She is a member of the American Diabetes Association, American Association of Diabetes Educators, and is a Diabetes Prevention Program Master Trainer.