Diabetes Mellitus Center - San Rafael, CA
San Rafael Endocrinologist Doctors for Diabetes MellitusType of Physician: Endocrinologist What is a Endocrinologist? A subspecialty certification by the Board of Internal Medicine; practitioners treat disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. Endocrinology also deals with disorders such as diabetes, metabolic and nutritional disorders, pituitary diseases, and menstrual and sexual problems. Specialty: Endocrinology Common Name: Endocrinologist Doctors in San Rafael * Marin Endocrine Associates  Marin Endocrine Associates  John C Arpels MD  Daniel D Bikle MD  VA Medical Center  UCSF VA Medical Center  Stephen L Kaufman MD  George Kimmerling MD  Pacific Women's Ob/Gyn Medical Group  Obstetric & Gynecologic Association of San Francisco  Obstetric & Gynecologic Association of San Francisco  Obstetric & Gynecologic Association of San Francisco  Pacific Heights Medical Group  Pacific Internal Medicine Associates  Ira D Goldfine MD  Steven T Harris MD  Robert Rushakoff MD  Karen S Smith-McCune MD  Philip H Frost MD  George P Fulmer MD  Michenfelder & Myers MDs  Michenfelder & Myers MDs  Derald L Seid DO & Derice Seid MD  Brenda Shue, MD  Malin Aubry Gores Wang Haddad & Sankaran  Kin-Kee Pun MD  Harvey C Edelman MD  The Office of Dr Becker  The Office of Dr Becker  Paul A Fitzgerald MD  Endocrine Metabolism Group UCSF Medical Center  Endocrine Metabolism Group UCSF Medical Center  Endocrine Metabolism Group UCSF Medical Center  Endocrine Metabolism Group UCSF Medical Center  Renata P Smilo MD & Lawrence L Chao MD  SFGH Clinic Research Ctr  Nancy J Bohannon MD  SFGH Clinic Research Ctr  SFGH Clinic Research Ctr  SFGH Clinic Research Ctr  Ronald Krauss MD  Comprehensive Diabetes Endocrine Medical Associates  Comprehensive Diabetes Endocrine Medical Associates  Childrens' Hospital Oakland Endocrinology  Whiting & Whiting  Aaron M Roland MD & Associates  William D Zigrang MD  VA Outpatient Clinic  Eugene Eisenberg MD  Peter A Linfoot MD Inc  Diabetes & Endocrine Institute  Diabetes & Endocrine Institute  Internal Medicine Associates  Internal Medicine Associates  Mark Klebanov MD  Norman J Rosen MD  Genevieve Yue MD  Steven B Lewis MD  San Mateo Medical Center Primary Care Clinic  R S Isaac Gardner MD  John Muir Medical Center Primary Care Walnut Creek  John Muir Medical Group  Frank Hsu MD  Sutter Specialty Office  Sherna Madan MD  George L Shmagranoff MD  Sequioa Medical Associates  Kaiser Union City Endocrinology  Kaiser Union City Endocrinology  Robert B Mims MD  Menlo Medical Clinic  Elizabeth B Fraze MD  Carol J Thomas MD  Palo Alto Medical Clinic Nuclear Medicine  Palo Alto Medical Clinic Medical Specialties  Palo Alto Medical Clinic Medical Specialties  Palo Alto Medical Clinic Medical Specialties  Medical Specialties Clinic  Medical Specialties Clinic  Endocrine Metabolic Medical Center  Washington Township Medical Group  Aruna Chakravorty MD  Southern California Endocrine Medical Group  Camino Medical Group  Michael S Greenfield MD  Camino Medical Group  Manoukian Medical Group  Camino Medical Group  SCVMC General Surgery Associates  Pacific Endocrine & Diabetes Health Center Inc  San Jose Medical Group  Terry C Lin DO  Richard Cherlin MD  Woodland Healthcare Clinic Internal Medicine  Endocrine Medical Associates  Endocrine Medical Associates  Endocrine Medical Associates  Santa Cruz Medical Foundation Soquel Ave  Dominican Medical Foundation  Mercy Medical Group Medical Specialties San Rafael, CaliforniaUpcoming Local Events2012-06-16
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DiabetesWhat is diabetes?Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar (glucose) levels, that result from defects in insulin secretion, or action, or both. Diabetes mellitus, commonly referred to as diabetes (as it will be in this article) was first identified as a disease associated with "sweet urine," and excessive muscle loss in the ancient world. Elevated levels of blood glucose (hyperglycemia) lead to spillage of glucose into the urine, hence the term sweet urine. Normally, blood glucose levels are tightly controlled by insulin, a hormone produced by the pancreas. Insulin lowers the blood glucose level. When the blood glucose elevates (for example, after eating food), insulin is released from the pancreas to normalize the glucose level. In patients with diabetes, the absence or insufficient production of insulin causes hyperglycemia. Diabetes is a chronic medical condition, meaning that although it can be controlled, it lasts a lifetime.
What is the impact of diabetes?Over time, diabetes can lead to blindness, kidney failure, and nerve damage. These types of damage are the result of damage to small vessels, referred to as microvascular disease. Diabetes is also an important factor in accelerating the hardening and narrowing of the arteries (atherosclerosis), leading to strokes, coronary heart disease, and other large blood vessel diseases. This is referred to as macrovascular disease. Diabetes affects approximately 17 million people (about 8% of the population) in the United States. In addition, an estimated additional 12 million people in the United States have diabetes and don't even know it. From an economic perspective, the total annual cost of diabetes in 1997 was estimated to be 98 billion dollars in the United States. The per capita cost resulting from diabetes in 1997 amounted to ... Recommended Reading Related to Diabetes (Type 1 and Type 2)What is hydronephrosis?Hydronephrosis describes the situation where the urine collecting system of the kidney is dilated. This may be a normal variant or it may be due to an underlying illness or medical condition. Normally, the kidney filters waste products from blood and disposes of it in the urine. The urine drains into individual calyces (single=calyx) that form the renal pelvis. This empties into the ureter, a tube that connects the kidney to the bladder. The urethra is the tube that empties the bladder.
While obstruction or blockage is the most frequent cause of hydronephrosis, it may be due to problems that occur congenitally in a fetus (prenatal) or may be a physiologic response to pregnancy. Technically, hydronephrosis specifically describes dilation and swelling of the kidney, while the term hydroureter is used to describe swelling of the ureter. Hydronephrosis may be unilateral involving just one kidney or ... Other Related Diabetes Mellitus ArticlesEmergency Contact for San Rafael
Nearby San Rafael Hospitals *Kentfield Rehabilitation & Specialty Hospital Marin General Hospital Kaiser Permanente San Rafael Medical Center Novato Community Hospital Doctor's Medical Center San Pablo San Francisco VA Medical Center California Pacific Medical Center California Campus California Pacific Medical Center East Campus California Pacific Medical Center Pacific Campus Chinese Hospital Kaiser Permanente San Francisco Medical Center UCSF Medical Center at Mount Zion Saint Francis Memorial Hospital St Mary's Medical Center California Pacific Medical Center Davies Campus UCSF Medical Center at Parnassus Alta Bates Summit Medical Center Herrick Campus Laguna Honda Hospital & Rehabilitation Center San Francisco General Hospital St Luke's Hospital Alta Bates Summit Medical Center Alta Bates Campus Children's Hospital & Research Center Oakland Alta Bates Summit Medical Center Summit Campus Kaiser Permanente Medical Center at Oakland St Helena Hospital Center for Behavioral Health Kaiser Permanente Vallejo Medical Center Sutter Solano Medical Center Petaluma Valley Hospital Alameda County Medical Center Highland Campus Seton Medical Center Alameda Hospital Contra Costa Regional Medical Center Sonoma Valley Hospital Kaiser Permanente South San Francisco Medical Center VA Northern CA Healthcare System at Martinez Napa State Hospital Kaiser Permanente Walnut Creek Medical Center John Muir Behavioral Health Center John Muir Medical Center Walnut Creek Campus John Muir Medical Center Concord Campus Queen of the Valley Medical Center San Leandro Hospital Kindred Hospital San Francisco Bay Area John George Psychiatric Pavilion Alameda County Medical Center Fairmont Campus Mills-Peninsula Health Services Mills Hospital Eden Medical Center Seton Medical Center Coastside Telecare Solano Psychiatric Health Facility NorthBay Medical Center Palm Drive Hospital San Mateo Medical Center Santa Rosa Memorial Hospital Main Campus Kaiser Permanente Hayward Medical Center St Rose Hospital San Ramon Regional Medical Center Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
Suggested Reading on Diabetes (Type 1 and Type 2) by Our Doctors
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Related Diseases & Conditions
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Kidney Stones
- One in every 20 people develop a kidney stone at some point in their life. A kidney stone is a hard mineral and crystalline material formed within the kidney or urinary tract. Kidney stones symptoms and signs are, blood in the urine and pain in the abdomen, flank (lower back), or groin. A number of different conditions can lead to kidney stones including: gout, hypercalciuria, people with inflammatory bowel disease, kidney disease, and hypoparathyroidism. Some medications also increase the risk of kidney stones.
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Sty (Stye)
- A sty (sometimes spelled stye) is a tender, painful red bump located at the base of an eyelash or on, inside, or under the eyelid, which is the result of an acute infection of the oil glands of the eyelid. Complications of a sty can be blepharitis and chalazion.
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Blood Clots
- Blood clots can occur in the venous and arterial vascular system. Blood clots can form in the heart, legs, arteries, veins, bladder, urinary tract and uterus. Risk factors for blood clots include high blood pressure and cholesterol, diabetes, smoking, and family history. Symptoms of a blood clot depend on the location of the clot. Some blood clots are a medical emergency. Blood clots are treated depending upon the cause of the clot. Blood clots can be prevented by lowering the risk factors for developing blood clots.
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Cellulitis
- Cellulitis is an acute spreading bacterial infection below the surface of the skin characterized by redness, warmth, inflammation, and pain. The most common cause of cellulitis is the bacteria Staph (Staphylococcus aureus).
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Athlete's Foot
- Athlete's foot (tinea pedis) is a skin infection caused by the ringworm fungus. Symptoms include itching, burning, cracking, peeling, and bleeding feet. Treatment involves keeping the feet dry and clean, wearing shoes that can breathe, and using medicated powders to keep your feet dry.
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Liver Cancer
- Liver cancer is the fifth most common cancer in the world and the majority of patients with liver cancer will die within one year as a result. Patients with associated cirrhosis caused by chronic hepatitis B or C infections, alcohol, and hemochromatosis are at the greatest risk of developing liver cancer. Many patients with liver cancer do not develop symptoms until the advanced stages of the tumor which usually makes prognosis poor. The combination of an imaging study (ultrasound, CT, or MRI scans) and an elevated blood level of alpha-fetoprotein will most effectively diagnose liver cancer, while a liver biopsy can make a definitive diagnosis. Medical treatments, including chemotherapy, chemoembolization, ablation, and proton beam therapy, are not very effective. Surgical removal of the tumor or a liver transplant may be most effective in certain cases.
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Stroke
- A stroke results from impaired oxygen delivery to brain cells via the bloodstream. A stroke is also referred to as a CVA, or cerebrovascular incident. Symptoms of stroke include: sudden numbness or weakness of the face, arm or leg. Sudden confusion, trouble speaking or understanding. Sudden trouble seeing in one or both eyes, sudden trouble walking, dizziness, or loss of balance, and/or sudden severe headache with no known cause. A TIA, or transient ischemic attack is a short-lived temporary impairment of the brain caused by loss of blood supply. Stroke is a medical emergency.
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Thrush
- Thrush is an infection of the mouth caused by the candida fungus. Symptoms of Thrush include pain or difficulty swallowing, a feeling that food gets stuck in the throat, and fever.
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Itching
- Itching can be a common problem. Itches can be localized or generalized. There are many causes of itching to include: infection (jock itch, vaginal itch), disease (hyperthyroidism, liver or kidney), reactions to drugs, and skin infestations (pubic or body lice). Treatment for itching varies depending on the cause of the itch.
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Hypoglycemia
- Hypoglycemia is a syndrome caused by low blood sugar. Symptoms of hypoglycemia include palpitations, trembling, intense hunger, sweating, nervousness, and weakness. Consuming lifesavers, table sugar, soda, and juice are good treatment options for hypoglycemia.
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Retinal Detachment
- Retinal detachment is the separation of the retina from its attachments to the underlying eye tissue. Symptoms of retinal detachment include flashing lights and floaters. Highly nearsighted young adults and those who've had cataract surgery are at higher risk for retinal detachment.
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Cholesterol
- Cholesterol is naturally produced by the body, and is a building block for cell membranes and hormones. Low-density lipoprotein (LDL) cholesterol is the "bad" cholesterol, conversely, high-density lipoprotein (HDL) cholesterol is the "good" cholesterol. High cholesterol treatment includes lifestyle changes (diet and exercise), and medications such as statins, bile acid resins, and fibric acid derivatives.
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Heart Attack
- Heart attack happens when a blood clot completely obstructs a coronary artery supplying blood to the heart muscle. A heart attack can cause chest pain, heart failure, and electrical instability of the heart.
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Restless Leg Syndrome
- Restless leg syndrome (RLS or restless legs syndrome) is a common cause for painful legs that typically eases with motion, and becomes worse and more noticeable at rest. This characteristic nighttime worsening can frequently lead to insomnia. Treatment of the symptoms of restless leg syndrome is generally with medication as well as treating any underlying condition causing restless leg syndrome.
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Miscarriage
- A miscarriage is any pregnancy that ends spontaneously before the fetus can survive. Miscarriage usually occurs before the 13th week of pregnancy. The cause of a miscarriage cannot always be determined. The most common causes of a miscarriage in the first trimester are collagen vascular disease (lupus), hormonal problems, diabetes, chromosomal abnormalities, and congenital abnormalities of the uterus.
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Peripheral Neuropathy
- Peripheral neuropathy is a problem with the functioning of the nerves outside of the spinal cord. Symptoms may include numbness, weakness, burning pain (especially at night), and loss of reflexes. Possible causes may include carpel tunnel syndrome, meralgia paresthetica, vitamin or nutritional deficiencies, and illnesses like diabetes, syphilis, AIDS, and kidney failure. Most causes of peripheral neuropathy can be successfully treated or prevented.
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Floaters
- Eye floaters are deposits or condensation that forms in the eye's vitreous humor. These deposits cast shadows on the retina, and as the eye moves, the deposits shift position, making it appear as though the shadows are moving or floating.
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Carpal Tunnel Syndrome And Tarsal Tunnel Syndrome
- Carpal tunnel syndrome is a condition in which irritation of the wrist's median nerve causes tingling and numbness of the thumb, index, and the middle fingers. This condition is known as tarsal tunnel syndrome in the ankles and feet. Treatment of carpal tunnel syndrome depends on the severity of the symptoms and the nature of any disease that might be causing the symptoms.
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Dry Eyes
- Dry eyes are caused by an imbalance in the tear-flow system of the eye, but also can be caused by the drying out of the tear film. This can be due to dry air created by air conditioning, heat, or other environmental conditions. Treatment may involve self-care measures, medications, or rarely, surgery.
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Erectile Dysfunction (Impotence)
- Impotence, also known as erectile dysfunction, is a common problem among men characterized by the consistent inability to sustain an erection sufficient for sexual intercourse or the inability to achieve ejaculation, or both. Impotence can have emotional causes but most often it is due to a physical problem.
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Insulin Resistance
- Insulin resistance is the diminished ability of cells to respond to the action of insulin in transporting glucose (sugar) from the bloodstream into muscle and other tissues. Causes of insulin can include conditions such as stress, obesity, metabolic syndrome, and steroid use. Some of the risk factors for insulin resistance include fatty liver, heart disease, strokes, peripheral vascular disease, high cholesterol, and smoking. Treatment for insulin resistance are lifestyle changes and if necessary, medication.
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Vancomycin-Resistant Enterococci (VRE)
- Vancomycin-resistant enterococci (VRE) infection is the most common type of infection acquired by patients while hospitalized. Patients at risk for VRE are those who are already ill, and hospitalized, including individuals with diabetes, elderly, ICU patients, kidney failure patients, or patients requiring catheters. Enterococci can survive for months in the digestive tract and female genital tract. Other risk factors for acquiring VRE include those how have been previously treated with vancomycin and combinations of other antibiotics. Treatment of VRE is generally with other antibiotics other than vancomycin. Prevention of VRE can be achieved by proper hand hygiene.
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Obesity
- Obesity is the state of being well above one's normal weight. A person has traditionally been considered to be obese if they are more than 20 percent over their ideal weight. That ideal weight must take into account the person's height, age, sex, and build.
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Dysphagia
- Dysphagia or difficulty in swallowing, swallowing problems. Dysphagia is due to problems in nerve or muscle control. It is common, for example, after a stroke. Dysphagia compromises nutrition and hydration and may lead to aspiration pneumonia and dehydration.
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Hyperglycemia
- Hyperglycemia is a serious health problem for diabetics. There are two types of hyperglycemia, 1) fasting, and 2)postprandial or after meal hyperglycemia. Hyperglycemia can also lead to ketoacidosis or hyperglycemic hyperosmolar nonketotic syndrome (HHNS). There are a variety of causes of hyperglycemia in people with diabetes. Symptoms include increased thirst, headaches, blurred vision, frequent urination and more. Treatment can be achieved through lifestyle changes or medications changes. Carefully monitoring blood glucose levels is key to prevention.
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Overactive Bladder
- Overactive bladder is a sudden involuntary contraction of the muscle wall of the bladder causing urinary urgency (an immediate unstoppable need to urinate). Overactive bladder is is a form of urinary incontinence. Treatment options may include Kegel exercises, biofeedback, vaginal weight training, pelvic floor electrical stimulation, behavioral therapy, and medications.
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Listeria
- Listeria is a type of bacteria that can cause food poisoning. Listeriosis symptoms include diarrhea, nausea and fever. Pregnant women are 20 times more likely than other healthy adults to get listeriosis. Listeria infection is treated with antibiotics.
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Encephalopathy
- Encephalopathy means brain disease, damage, or malfunction. Causes of encephalopathy are varied and numerous. The main symptom of encephalopathy is an altered mental state. Other symptoms include lethargy, dementia, seizures, tremors, and coma. Treatment of encephalopathy depends on the type of encephalopathy (anoxia, diabetic, Hashimoto's, hepatic, hyper - hypotensive, infectious, metabolic, infections, uremic, or Wernicke's) are examples of types of encephalopathy.
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Heart Disease
- Heart disease (coronary artery disease) is caused by a buildup of cholesterol deposits in the coronary arteries. Risk factors for heart disease include smoking, high blood pressure, heredity, diabetes, peripheral artery disease, and obesity. Symptoms include chest pain and shortness of breath. There are a variety of tests used to diagnose coronary artery disease. Treatment includes life-style changes, medications, procedures, or surgery.
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