Diabetes – Adult / Childhood / Pregnancy
Diabetes is a disorder characterized by hyperglycemia or elevated blood glucose (blood sugar). Our bodies function best at a certain level of sugar in the bloodstream. If the amount of sugar in our blood runs too high or too low, then we typically feel bad. Diabetes is the name of the condition where the blood sugar level consistently runs too high. Diabetes is the most common endocrine disorder. Sixteen million Americans have diabetes, yet many are not aware of it. African-Americans, Hispanics, and Native Americans have a higher rate of developing diabetes during their lifetime. Diabetes has potential long term complications that can affect the kidneys, eyes, heart, blood vessels, and nerves. A number of pages on this website are devoted to the prevention and treatment of the complications of diabetes.
Thyroid is a small organ present in front of the neck. It is a gland and makes a hormone called thyroid hormone which is very important and essential for various functions of the body throughout the entire life like growth and development.
Deficiency or less of this hormone is called HYPOTHYROIDISM, the most common cause is a self or autoimmune reaction to the thyroid gland
The common symptoms include:
b. Lethargy or tiredness
d. Deficient growth in children
Confirmation of this condition is done by appropriate blood tets and treated with lifelong replacement of thyroid hormone. This ensures health and longevity.
Many times this condition is found during routine health checks.
On the other hand excess of the hormone leads to HYPERTHYROIDISM. Again this could be due to a self/autoimmune reaction to thyroid gland called “GRAVES DISEASE” or due to single or multiple nodules in thyroid or could also be due to various types of inflammation of the thyroid gland. Special blood tests and special thyroid isotope or nuclear scan are essential to correctly diagnose the cause of hyperthyroidism.
This is very crucial because the treatment will differ for different causes of hyperthyroidism.
The best and definitive treatment of hyperthyroidism is simple and safe radioactive iodine treatment which selectively melts away the thyroid over few months, thus totally avoiding surgical removal of thyroid which was the earlier form of treatment.
Some form of excess thyroid hormones due to inflammation called THYROIDITIS may need no treatment and resolves spontaneously.
Nodules or lumps in thyroid are also commonly seen. However there is no need to be scared about these nodules as most of them are harmless and benign but small number them can be cancerous/malignant. Thus it is very important to have a accurate diagnosis by specialists Endocrinologists. For this accurate diagnosis, tests done include special blood tests, ultrasound scan of thyroid and a test called FNAC ie fine needle aspiration and isotope scanning etc.
The benign nodules need periodic observation by your doctor once in 6 months or a year.
In the rare event that thyroid nodule turns to be cancer, there is no need to despair or panic. Majority are curable through surgical removal of thyroid gland by expert endocrine surgeons followed by radioactive iodine therapy.
MOST IMPORTANT MESSAGE IS NEED FOR ACCURATE DIAGNOSIS AND EFFIECIENT TREATMENT BY PROPER EVALUATION
Obesity & Cholestrol Disorders
Obesity is a term that means you weigh at least 20% more than what is considered a normal weight for your height. It makes you more likely to have conditions including:
Heart disease and stroke
High blood pressure
Gallbladder disease and gallstones
Breathing problems, such as sleep apnea (when a person stops breathing for short episodes during sleep) and asthma
Osteoperosis & Metabolic Bone Disorders
Osteoporosis or brittle bones are a common problem of the bones predominantly affecting postmenopausal women and the elderly. Such brittle bones results in fractures of spine, hip and other bones leading to disability and one may become bedridden and wheel chair bound.
However all of us can keep our bones strong and healthy by healthy lifestyle and timely medical check-ups.
Healthy lifestyle includes adequate intake of calcium and vitamin D and regular physical activity throughout life beginning from childhood.
Regarding medical check-ups, it is recommended that all women after menopause and all men after 60yrs of age get a special test known as BMD or Bone mineral density and certain bone health blood tests as part of their periodic health check-ups.
Based on the results of these tests you may need to consult an Endocrinologist who is a bone health specialist who will then advice regarding the need for special medicines and proper treatment to keep your bones strong, fall prevention training to prevent fractures So that you enjoy a full life with healthy bones.
Reproductive Endocrinology and Infertility
Reproductive endocrinology and infertility (REI) is a surgical subspecialty of obstetrics and gynecology that trains physicians in reproductive medicine addressing hormonal functioning as it pertains to reproduction as well as the issue of infertility. While most REI specialists primarily focus on the treatment of infertility, reproductive endocrinologists are trained to also evaluate and treat hormonal dysfunctions in females and males outside infertility. Reproductive endocrinologists have specialty training in obstetrics and gynecology (ob-gyn) before they undergo sub-specialty training (fellowship) in REI.