What is an Endocrinologist
A local Canadian endocrinologist treats a variety of conditions related to the endocrine system, which includes the pancreas, ovaries, testes, thyroid, and adrenals. Endocrinology is the study of hormones, which are responsible for many of the body’s actions — from breathing to growing. The endocrine system controls the body’s hormones related to growth, metabolism, mood, and reproduction.
Endocrinologists are medical doctors who have taken additional training in endocrinology. Conditions that an endocrinologist may treat include:
Diabetes: There are two main types of diabetes: type 1 and type 2 diabetes. If you have type 1 diabetes, your body doesn’t produce insulin. If you have type 2 diabetes, your pancreas doesn’t produce enough insulin, or your body does not properly use the insulin it makes.
Proper diabetes management is essential in preventing conditions such as diabetic foot problems, diabetic retinopathy, and diabetes-related dental problems. Patients with diabetes also have to be vigilant about blood glucose monitoring. Diabetes causes glucose (sugar) to build up in your blood. Glucose is a type of sugar we get from foods, and as it travels through the bloodstream to the cells, it’s called blood sugar or blood glucose. Glucose is found mainly in foods rich in carbohydrates, like fruit, bread, pasta, and yogurt, and the body uses it for energy.
If you have diabetes, part of your diabetes treatment plan may also involve working with a local registered dietitian to ensure you’re meeting your nutritional requirements. There’s no set diabetes diet; it simply means eating healthy foods in moderate amounts at regular mealtimes. You want to eat a diet that’s low in fat and calories and rich in nutrients, including vegetables, fruits and whole grains. Your body can better use the insulin it produces or gets through a medication when you eat three meals a day at regular times.
In addition to working with a local Canadian registered dietitian, a regular diabetes exercise plan can also help improve blood glucose levels, prevent obesity, and enhance mental health. Managing diabetes can sometimes seem overwhelming. There are a lot of factors that patients need to think about on a daily basis and this can affect one’s emotional well being, leading to anxiety or depression. It’s well known that being stressed can raise blood sugar levels, so it’s important for patients with diabetes to learn some techniques to help reduce stress.
In treating patients with diabetes, an endocrinologist will educate them on insulin injection techniques (including insulin pens), insulin pumps, type 1 and type 2 diabetes, diabetic eye conditions, diabetes treatment, blood sugar levels, glucose testing, children and diabetes, and more.
Celiac Disease Diagnosis and Management
A Local Endocrinologist Celiac disease is quite common in our community, and it has two times that the onset is more common. Interestingly, there’s an onset that occurs in the second decade of life, there’s a peak incidence then.
Local Endocrinologist can help with another surge in incidence that can occur in the 50s and 60s, for unknown reasons. So as a practitioner we try and be aware of these peaks and incidences, and look for patients that have it.
The underlying problem is an intolerance to gluten. Gluten is a compound that’s derived from wheat and similar grains. It gives the doughy feeling to breads that we so much like. And people with celiac disease cannot tolerate gluten. They have an inflammatory response to it when their intestine comes in contact with the gluten.
The diagnosis is first part clinical: suspecting the disease based on the pattern of what the patient’s been eating and how they’re reacting. Usually, if you have a food intolerance, it’s what you ate one or two days previously. What you ate a week ago generally doesn’t have a big impact on what your intestines feel like today. Local Endocrinologist
So if you think you’re intolerant to gluten or wheat products, and usually that includes wheat, barley and rye – grains predominantly – then you can consider discussing this with your family practitioner or primary care physician or a Local Endocrinologist.
The diagnosis is made by blood testing. There are serological tests – tests to look for antibodies in your bloodstream – that are directed against gluten, which are reasonably good tests actually.
But today the gold standard – the best test – is still upper gastrointestinal endoscopy, where a gastroenterologist or someone who’s skilled in that procedure looks in through the mouth into the small bowel and biopsies the small bowel. And there’s a characteristic abnormality to the intestine that you can see in celiac disease or gluten sensitivity.
Once the diagnosis is made by a Local Endocrinologist, it’s important to sit down with a dietitian and review where gluten is in foods, because unfortunately it’s just about everywhere. Gluten gets added to a lot of foods that you might not suspect, such as wieners for example. It’s often used to bulk up and put foods together, so it’s important to know where it is, to go to gluten-free grains and avoid foods where it’s been put in as an additive.