What Is Endocrinology?

The Study of Hormonal and Metabolic Disorders

What Is Endocrinology? - ADC Blog

Blausen.com staff. “Blausen gallery 2014”. Wikiversity Journal of Medicine

The Endocrinologist at Amarillo Diagnostic Clinic is thoroughly trained in the management of hormonal and metabolic disorders.  With the aid of our experienced staff, our Endocrinology Department can assist in the management of your diabetes, complex metabolic bone disease, or disorders affecting the thyroid, pituitary and adrenal glands.   Patient education services are available for patients in the care and management of these disorders.   We also provide dietary counsel for lowering cholesterol and triglyceride levels.

Call and schedule an appointment today with ADC Endocrinologist Susan Tanner Wingo, M.D.

Diabetes

Diabetes is a condition in which the body is unable to properly utilize blood sugar. Carbohydrate foods create blood sugar and the body needs insulin in order to process the sugar into energy for the body to function properly.

Type I diabetes is a condition in which the body’s immune system damages the pancreatic cells responsible for producing insulin. This form of diabetes is treated with insulin replacement by injection since the body is no longer capable of producing enough of it’s own insulin.

Type II diabetes is a much more common form and is progressive in nature. This form of diabetes causes insulin resistance which means the body still produces insulin, but had difficulty utilizing it. There are various medications in pill form to treat Type II diabetes, but because of the nature of Type II diabetes, sometimes the pancreas wears out and insulin replacement by injection is required.

At this time there is no permanent cure for diabetes. Your physician will determine what medications you may need and should be carefully used daily. You should visit your doctor every three to six months so that the efficacy of treatment can be re-evaluated. Good glucose control is essential in order to prevent or retard the onset of diabetic complications. These include, but are not limited to damage to the small vessels of the eye, kidney damage, coronary artery disease, and peripheral nerve damage. These complications can lead to blindness, heart attack or stroke, dialysis, and amputation. The good news is that with proper self-care and medical expertise you can significantly reduce or avoid these complications altogether.

Weight control through diet and exercise is important. If you are overweight, your chances of diabetes increases significantly and you are putting yourself at risk. The Amarillo Diagnostic Clinic has a patient education specialist to assist you in the care and management of diabetes through diet and exercise.

You need to EXERCISE on a regular basis, preferably every day for at least 45 minutes. An exercise program should be initiated slowly and built up gradually to avoid injury and build stamina. Go for the distance rather than intensity. Our patient education specialist can assist you in starting an exercise regimen that will work for you. Be sure and obtain clearance from your physician before starting any exercise regimen.

CHECK YOU BLOOD SUGARS with a home glucose monitor regularly. Your physician or diabetic educator will prescribe a routine and frequency that best suits your needs, but many doctors ask that you monitor before breakfast and before supper. Please be sure to record your numbers and to bring your results along with your meter when seeing the doctor. He or she will want to discuss those readings with you.

Periodic Checks

GLYCOHEMOGLOBIN is a test developed to give information about your average blood sugar level during the past two or three months. It should be checked every three to six months. The American Diabetic Association recommends that the patients diabetic regimen be adjusted to achieve a glycohemoglobin of less than 7%. Any contributing risk factor for vascular disease should be aggressively assessed and treated. Cholesterol, triglycerides, low HDL, high blood pressure, and smoking are all factors that need to be addressed. Your physician or educator can help you understand your results and your treatment options. Some medications typically used to treat elevated blood pressure also have a protective effect in preventing kidney complications of diabetes. Any medication prescribed by your physician should be taken only as directed. Consult your doctor before adding or deleting any medication including over the counter meds.

MICROALBUMIN urine testing should be performed yearly to evaluate the likelihood of diabetic kidney involvement.

A visit to the OPTHALMOLOGIST should be scheduled at least yearly. He or she will evaluate any diabetic retinopathy, cataracts, or other conditions and plan treatment accordingly.

You should have a COMPREHENSIVE MEDICAL EXAMINATION yearly that includes a treadmill exercise test. Underlying coronary artery disease is often more common in an individual with diabetes and needs early intervention.

SICK DAYS require special consideration. Anything your body perceives as stress can and will increase your blood sugar. This stress can be physical or emotional in nature. If you are ill your blood glucose will rise even if you cannot eat. Rules of thumb for sick days are as follows.

  • Stick to your meal plan if you can eat.
  • Take your diabetes medication unless your physician tells you to stop.
  • Check with your doctor before taking any other medication.
  • Drink at least one large glass of liquid each hour. If you are eating, these liquids should be sugar free.
  • Test your blood sugar every 4 hours.
  • Ask someone to check in on you or have them call every few hours to make sure you are all right.
  • If in doubt, consult your physician. Early and effective management of sick days will reduce your chances of developing diabetic coma.

Doctor

Below is the list of Doctors specializing in Endocrinology:

Advertisements
Leave a comment

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: