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.
Larry Gold MD Larry Gold 3225 International Cir STE 210 Colorado Springs, CO 80910 (719) 635-5223
Denver, Colorado
The City and County of Denver is the capital and the most populous city of the U.S. state of Colorado. Denver is a consolidated city-county located in the South Platte River Valley on the High Plains just east of the Front Range of the Rocky Mountains. The Denver downtown district is located immediately east of the confluence of Cherry Creek with the South Platte River, approximately 15 miles (24 km) east of the foothills of the Rocky Mountains. Denver is nicknamed the "Mile-High City" because its official elevation is exactly one mile, or 5,280 feet (1,609 m) above sea level. The 105th meridian west of Greenwich passes through Union Station, making it the reference point for the Mountain Time Zone. (Source: http://en.wikipedia.org/wiki/Denver)
Hypoglycemia is the clinical syndrome that results from
low blood sugar. The symptoms of hypoglycemia can vary from person to person, as
can the severity. Classically, hypoglycemia is diagnosed by a low blood sugar
with symptoms that resolve when the sugar level returns to the normal range.
Who is at risk for hypoglycemia?
While patients who do not have any metabolic
problems can complain of symptoms suggestive of low blood sugar, true
hypoglycemia usually occurs in patients being treated for diabetes (type 1 and
type 2). Patients with pre-diabetes who have insulin resistance can also have
low blood sugars on occasion if their high circulating insulin levels are further
challenged by a prolonged period of fasting. There are other rare causes for
hypoglycemia, such as insulin producing tumors (insulinomas) and certain
medications. These uncommon causes of hypoglycemia will not be discussed in this
article, which will primarily focus on the hypoglycemia occurring with diabetes
mellitus and its treatment.
Despite our advances in the treatment of diabetes, hypoglycemic episodes are
often the limiting factor in achieving optimal blood sugar control. In large
scale studies looking at tight control in both type 1 and type 2 diabetes, low
blood sugars occurred more often in the patients who were managed most
intensively. This is important for patients and physicians to recognize,
especially as the goal for treating patients with diabetes become tighter blood sugar control.
I thought high blood sugar was bad. Why is low blood sugar also bad?
The
body needs fuel to work. One of its major fuel sources is sugars, which the body
gets from what is consumed as either simple sugar or complex carbohydrates. For
emergency situations (like prolonged fasting), the body stores a stash of sugar
in the liver as glycogen. If this store is ne...
Diabetes mellitus is a condition in
which the body does not produce enough insulin or the
insulin that is produced is ineffective. Insulin is produced and secreted by the
pancreas and is needed for the proper storage and
utilization of nutrients (glucose, proteins, and fat) by the cells of the body.
Insulin allows nutrients to enter the cells of the body. For example, insulin
allows cells to remove glucose from the blood, and the glucose is used to
generate the energy that is necessary to fuel the activities of the cells. When
insulin is absent or ineffective and the cells receive inadequate amounts of
glucose, the body releases more glucose into the blood in an attempt to overcome
the block to glucose entering the cells. The additional glucose cannot penetrate
the cells, of course, and the glucose levels in the blood rise. High levels of
blood and urine glucose is what causes the symptoms and signs of diabetes. For more, please re...
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Night sweats are severe hot flashes that occur at night and result in a drenching sweat. In order to distinguish night sweats that arise from medical causes from those that occur because one's surroundings are too warm, doctors generally refer to true night sweats as severe hot flashes occurring at night that can drench sleepwear and sheets, which are not related to an overheated environment.
Dizziness is a symptom that is often applies to a variety of sensations including lightheadedness and vertigo. Causes of dizziness include low blood pressure, heart problems, anemia, dehydration, and more. Treatment of dizziness depends on the cause.
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Palpitations are unpleasant sensations of irregular and/or forceful beating of the heart. Palpitations can be relieved in many patients by stress reduction, stopping cigarettes, and reduction of caffeine and alcohol.
Fainting, also referred to as blacking out, syncope, or temporary loss of consciousness has many causes. Often a person will have signs or symptoms prior to the fainting episode. Diagnosis and treatment depends upon the cause of the fainting or syncope episode.
Epilepsy is a brain disorder in which the person has seizures. There are two kinds of seizures, focal and generalized. There are many causes of epilepsy. Treatment of epilepsy (seizures) depends upon the cause and type of seizures experienced.
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.
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.
The major goal in treating diabetes is controlling elevated blood sugar without causing abnormally low levels of blood sugar. Treatment for type 1 diabetes is with insulin, exercise, and a diabetic diet. Treatment for type 2 diabetes is first treated with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugar, oral medications are used. If oral medications are still insufficient, insulin medications are considered.
Hypothermia is having a body core temperature of less than 35 C or 95 F. Most causes of hypothermia are preventable. Risk factors for hypothermia include age, mental status, medical conditions, and medications. Symptoms of hypothermia generally depend upon the severity of the condition. Treatment depends upon the severity of hypothermia. If not treated early, hypothermia can lead to cardiac arrest, coma, or death.
Coma is the inability to waken or react to the surrounding environment. The Glasgow Coma Scale is frequently used to measure the depth of coma. Causes of coma include trauma, bleeding, edema, lack of oxygen, poisoning, or hypoglycemia. Prognosis for a patient in a coma depends on the cause of the coma.
Seizures are divided into two categories: generalized and partial. Generalized seizures are produced by electrical impulses from throughout the brain, while partial seizures are produced by electrical impulses in a small part of the brain. Seizure symptoms include unconsciousness, convulsions, and muscle rigidity.
The risks for developing type 2 diabetes include family history, ethnicity, birth weight, metabolic syndrome, and obesity. Warning signs pointing to an increased risk for developing type 2 diabetes include irregular menstruation, impaired fasting glucose, inflammatory markers, and other risks. Gestational diabetes is also a risk factor for developing type 2 diabetes later in life. Prevention of type 2 diabetes can be achieved through a healthy diet (Mediterranean diet), exercise, weight control, not smoking, and medication.
Managing your diabetes is important. The goal of diabetic therapy is to control blood glucose levels and prevent the complications of diabetes. Information about exercise, diet diet, and medication will help you manage your diabetes better. Blood glucose reagent strips, blood glucose meters, urine glucose tests, tests for urinary ketones, continuous glucose sensors, and Hemoglobin A1C testing information is also provided in this article.
Drowning is a common cause of death and disability worldwide. In the US, it is the third most common cause of accidental death. Brain damage, pneumonia, ARDS, hypothermia, and spine fractures are complications of drowning. At times, there are discussions of wet vs. dry, or salt vs. fresh water drownings. Children and young adults are at most risk for drowning accidents. Medical emergencies in the water may lead to drowning (such as seizures, hypoglycemia, sudden cardiac death, or heart attack). Treatment of a drowning victim depends up on the severity of the injury. Prevention is the key to prevent drowning.
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