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Diabetes mellitus is a disease that affects the whole body. As blood sugars go up they begin to damage your body, especially your nerves and both large and small blood vessels. Most of the time these high blood sugars don’t give a person symptoms and begin damage much earlier then when symptoms appear. Therefore, knowing your risks for diabetes mellitus and screening yourself for diabetes are extremely important. Discovering diabetes early and treating it helps prevent the severe diabetes complications that come along with uncontrolled diabetes.

Know your risks:

  • Mother, father, or siblings that have diabetes
  • You had gestational diabetes (diabetes during pregnancy)
  • Of Hispanic, African American, Indian American or Pacific Islander ethnicity
  • Weight gain with or without family history

How do you screen?

Go to your doctor:

  • You need a fasting blood sugar greater than 126 mg/dl more than two times two weeks apart.
  • Or An oral glucose tolerance test where your blood sugar is greater than 200 mg/dl
  • Any random blood sugar greater than 200 mg/dl

Symptoms of Diabetes Mellitus Type 2:

  • Frequent urination
  • Thirsty all the time
  • Weight loss
  • Fatigue

There is much more information to know about diabetes mellitus. Dr Zia Ahmed MD works with you to give a regimen that works for you. With the vast medicines now available it is possible. He will also work with you to get the most affordable medications, whether it is prescribing medications that are covered under your plan or if you don’t have insurance she will find the most affordable medications for you and pharmacies. Whether you use state of the art treatment or not for diabetes, the MOST important matter in diabetes care is CONTROL. That is an A1c of 7.0% or below or if your less than 50 years of age, an A1c of 6.5% or lower. The next important matter is having “even” blood sugars during the day and night. Dr Ahmed will help work with you to decrease the variability in blood sugars hence making you feel better.

Diagnosis And Treatment Of Thyroid Disorders
The thyroid is a little gland located in the front of your neck. It is soft and sometimes you can feel it go up and down when you swallow. Simply put, this little gland controls your metabolism. There are different abnormal states the gland can have such as: Overactive (too much thyroid hormone produced) or Underactive (too little thyroid hormone produced).

Symptoms:
Overactive/Hyperthyroid
Jittery
Palpitations
Weight loss (sometimes weight gain)
Increased appetite
Irritability
Periods are less

Underactive/Hypothyroid
Fatigue
Weight gain
Swelling of legs and face
Constipation
Heavy periods

What you should do if you have symptoms:

See your doctor
Screening test is a TSH
Thyroid Nodule

Sometimes you might find a bump/mass/nodule on your neck or your doctor may find a lump in your thyroid on physical exam. This is called a Thyroid Nodule. It is important to have an endocrinologist examine your thyroid and do an ultrasound of your gland to determine the nodules size and its characteristics. If necessary the endocrinologist can biopsy your thyroid nodule to make sure it is not cancerous.

Thyroid Cancer
Thyroid Cancer is a curable cancer when caught early enough. It is treated with surgical removal and treatment with radioactive iodine (depending on the stage of your cancer) and frequent follow-up thereafter. Most people who are diagnosed with thyroid cancer and treated die of other diseases or accidents.

There are many other problems the thyroid may have so see an endocrinologist if you suspect that you may have a thyroid problem.