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Endocrinologist Diabetes

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Last Updated: 02 July 2021

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General | Latest Info

Type 1 diabetes results from autoimmune destruction of insulin - producing islet cells of the pancreas. The resulting loss of insulin secretion leads to increased blood glucose levels and increased risk for severe high or low blood glucose as well as long - term complications of diabetes. People with type 1 diabetes require insulin to control their blood sugar, given by daily injections or insulin pump. Some people with type 1 diabetes undergo pancreas or islet transplantation, to replace insulin producing cells. However, risks associated with these procedures must be weighed carefully for each individual. Type 2 diabetes, is the most common form of diabetes. It is due to both reduce insulin secretion and increase insulin resistance. It is often associated with other metabolic problems, including weight gain, high cholesterol, high blood pressure and increased risk for cardiovascular disease, such as heart attack or stroke. T2dm often has no symptoms and may go undetected for years. Risk factors include family history of T2DM, obesity, sedentary lifestyle, diabetes of pregnancy, and other risk factors. Anyone with one or more risk factors for T2DM should have their blood glucose checked periodically to avoid potential complications of undetected diabetes. Treatment of type 2 diabetes includes lifestyle therapy and may also include oral medication and / or insulin in some people. In addition to controlling glucose, it is important to treat other associated conditions, including high blood pressure and cholesterol, to minimize the chance of complications. Diabetes in pregnancy is an elevation of blood sugar that occurs during pregnancy. This is most often related to increased insulin resistance associated with pregnancy and inability of the pancreas to produce enough insulin to overcome this resistance. Testing for diabetes in pregnancy is recommended between 24 - 28 weeks of gestation. It can often be treated with dietary modification and physical activity, but some people also require insulin. Blood sugar control is especially important during pregnancy to avoid potential complications for the baby, as well as the mother. Most diabetes of pregnancy resolves after delivery. However, women with diabetes during pregnancy are at risk for development of type 2 diabetes in future, so all women who develop diabetes during pregnancy should have their blood sugar checked after delivery and every year afterward to avoid undetected diabetes.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Appointments With Your Diabetes Doctor

A doctor or endocrinologist can help people with Diabetes to understand the best course of treatment for them, but this is just one aspect of managing condition. Diabetes is a complex condition. Having a larger support network of relevant specialists can improve the quality of treatment. Dietitians can work with person who has Diabetes to find a balanced diet that suits their lifestyle. Understanding the roles of proteins, fats, and carbohydrates in the body is important for Diabetes Management. Dietitians can advise people on details such as: how much of each nutrient they need, best sources of these nutrients, how to spread these nutrients throughout the day, best methods for managing portion size, tips for dining out with Diabetes, ways to manage blood sugar successfully testing blood glucose at home administering injections managing high or low blood sugar certify Diabetes Educators are Health professionals with extensive knowledge and experience of latest news and practices for managing or preventing Diabetes and prediabetes. They have specialized training in how to educate people about managing their Diabetes in order to optimize their health in future. Visiting CDE can also help people with Diabetes to understand their condition. People with Diabetes have a higher risk of kidney disease over time than someone without the condition. For this reason, doctor may recommend regular testing to monitor kidney function. A general doctor will normally carry this out. If a doctor finds something that needs closer inspection, they may refer person to a nephrologist for additional tests. A nephrologist is a doctor who specializes in taking care of kidneys. Physical activity plays an important role in the management of diabetes. Current guidelines recommend that adults should spend at least 150 minutes a week on moderate - intensity, aerobic exercise or 75 minutes on vigorous - intensity aerobic exercise. Help maintaining blood sugar levels helps promote healthy weight keep the circulatory system strong. People can work with physical trainers to create a personalized exercise program that works for them. People with Diabetes may benefit from seeing a podiatrist regularly. Common complications of diabetes include nerve damage and circulatory problems. These can increase the risk of minor wound becoming infection. If the wound remains untreated, or if person does not notice it, ulceration can result. In severe cases, amputation may be necessary. Loss of sensation may mean that person does not notice blister or other wound. Common areas where this occurs include legs and feet. A Podiatrist can spot signs of problem that might get bigger and help person to resolve it in the early stages. They may also carry out toenail trimming and other routine care. This can reduce the risk of person injuring themselves while taking care of their feet. Learn more here about how Diabetes can affect your feet. Diabetes can affect the eyes, and person may benefit from regular checkups with eye doctor, or ophthalmologist.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Diabetes Mellitus

Diabetes mellitus is a group of metabolic disorders, characterized by elevated blood glucose levels. Diabetes occurs if the body does not produce enough insulin, or because cells in the body do not respond appropriately to insulin or both. Very high blood glucose levels can cause symptoms of polyuria, polydipsia, and weight loss. Prolonged high blood glucose can lead to complications, including eye, kidney and nerve damage, as well as foot infections or amputation. There are three major types of Diabetes mellitus: Type 1, Type 2, and Diabetes of Pregnancy. There are also a number of less common causes. For more information about Diabetes, please see Endocrine Links section.


Which doctors treat diabetes?

The most common specialists in the field of diabetes are endocrinologists. Endocrinologists specialize in hormonal issues and glands that produce these hormones. Diabetes develops when the pancreas no longer produces insulin in the way it should do. Pancreas is gland, and insulin is a hormone. The pancreas produces insulin we need to regulate blood sugar. When a person has diabetes, pancreas either does not produce insulin or insulin does not work properly. People with type 1 diabetes usually remain under care of an endocrinologist for most of their medical care. People with type 2 diabetes will also need to see an endocrinologist.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Toronto General Hospital

Diabetes Canada recommends that adults with Type 1 Diabetes, Gestational Diabetes, or Type 2 Diabetes have the support of a Diabetes specialist. For those under 18 years of age, can be made by a physician or nurse practitioner to HOSPITAL for Sick Children. For those 18 years of age or older, referral can be made to an endocrinologist working in team - base Endocrinology / Diabetes Centre or to a community - base endocrinologist. For pregnancy / preconception support, it is important to ensure that the HOSPITAL where Endocrinology referral is made aligns with the location of prenatal care & delivery support.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

My Diabetes TeamThe Endocrinologist

Cheryl Cormany was diagnosed with Diabetes at 6 - years - old. Even though she was diagnosed at a young age, she has thriven with Diabetes through many stages of life. From childhood, to adolescence, through college and now as mom of three boys, she loved to share her diabetes journey with others. In 2005, Cheryl found her way to career helping others with Diabetes when she joined Medtronic as inside sales representative. Her career has taken her through many facets of company. She now serves as a Clinical Program specialist, working on educational programs for healthcare providers. She is happy to share some of her Diabetes experiences with readers of LOOP Blog.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Dr. Arno Kumagai

Dr. Arno Kumagai, endocrinologist at Womens College Hospital has been awarded the 2018 Daniel C. Tosteson Visiting Professorship in Medical Education at Harvard Medical School and Beth Israel Deaconess Hospital, Boston. The professorship runs from June 5 to 7 and the theme for this year is Humanism and health humanities. Dr. Kumagai will be visiting Boston to give lectures on topics in Medical Education. To close off the Professorship, Dr. Kumagai will also present Medical Grand Rounds title, Reflection, Dialogue and Possibilities of Care: Towards Humanistic Practice in Medical Education. I am honoured to have been named this year's Tosteson Visiting Professor. Echoing this year's theme of Humanism and health humanities, I believe that this opportunity will allow me to further speak about the importance of teaching and learning to practice Medicine in an inclusive and equitable manner, say Dr. Kumagai. Dr. Kumagai is a scholar and an established international expert in Medical Education. In addition to his work at WCH, he is also Vice Chair of Education for the Department of Medicine at the University of Toronto and holds the FM Hill Chair in Humanism Education at WCH. His research interests include doctor - patient relationship, health humanities, multicultural Medical Education and use of creative arts in Medical Education. Dr. Kumagai completed his Medical degree at UCLA School of Medicine in Los Angeles, California and also his subsequent post - graduate clinical training in Internal Medicine and Endocrinology. Prior to joining WCH, Dr. Kumagai was on the faculty at University of Michigan Medical School from 1996, where he was director of Intensive Insulin Therapy Clinic and held leadership positions in Medical Education.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Dr. Lorraine Lipscombe

Dr. Lorraine Lipscombe is a scientist at Women's College Research Institute, endocrinologist at Women's College Hospital, and Associate Professor in the Department of Medicine and Associate Professor in the Institute for Health Policy, Management and Evaluation at the University of Toronto. In addition, she is senior adjunct scientist at the Institute for Clinical Evaluative Sciences. She serves as Director of the Centre for Integrated Diabetes Care and Medical Co - Director of the Endocrine clinic at Womens College Hospital. Dr. Lipscombe has developed successful research programs that focus on prevention, care and outcomes of Diabetes, with specific focus on Diabetes in women. Her team is currently piloting a home - base lifestyle intervention program for women with recent gestational Diabetes, to lower their future risk of type 2 Diabetes. In addition, Dr. Lipscombe is leading a research program addressing the complex relationship between type 2 Diabetes and cancer. Her studies of population - base health administrative data have shown that diabetic women get fewer screening mammograms, and that postmenopausal breast cancer survivors have a higher incidence of diabetes. She is now studying other factors that increase breast cancer risk in diabetic women. Another key area of interest focuses on improvement of health service delivery for Diabetes Management. Dr. Lipscombe has shown that low - income patients with Diabetes have higher mortality rates, and thus must be the focus of greater preventive efforts. Dr. Lipscombe has published over 70 peer - reviewed papers, and holds the prestigious New Investigator Award from the Canadian Institutes for Health Research. Her research program is supported by the Lawson Foundation, Canadian Diabetes Association, and the Canadian Institutes for Health Research.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Dr. Geetha Mukerji

Nicola obtained her Bachelor of Science in Nursing degree in 2003 from the University of Toronto and her Master of Nursing degree and Acute Care Nurse Practitioner certificate in 2007 from the University of Toronto. She held cross appointment with the University of Toronto as Adjunct Lecturer at Lawrence S. Bloomberg Faculty of Nursing. Working in her current role as Nurse Practitioner in the Centre for Integrated Diabetes Care at Womens College Hospital since 2007, Nicola is a certified Diabetes Educator specializing in working with adults who have complex Type 2 Diabetes and pregnant women with Type 2 Diabetes or gestational Diabetes. She has a particular interest in diabetes and pregnancy.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Dr. Afshan Zahedi

An endocrinologist is a doctor who specializes in treating disorders of the endocrine system, which include pancreas, ovaries, testes, thyroid, and adrenals. Endocrinologists treat diseases such as diabetes, hyperthyroidism, and certain cancers of glands. In treating patients with diabetes, endocrinologists will also educate patients on insulin therapy, insulin pumps, type 1 diabetes, diabetes management, blood sugar levels, glucose testing, children and diabetes and types of insulin. If youve been diagnosed with type 1 diabetes, youll work closely with your healthcare team to manage the disease and prevent complications. Your primary care provider may refer you to an endocrinologist, doctor who is specially trained in conditions affected by glands and hormones. During visits with your primary care provider or endocrinologist, he or she will perform A1C test to measure glucose in your blood by checking hemoglobin. Your physician may also take blood or urine samples to assess kidney, liver and thyroid function.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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