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
There is much more information to know about diabetes mellitus. Please go to the website links at the Information panel for more information. How can L.A. Endocrine Care can help you better your diabetes care. Dr. Echeverry works with you to give a regimen that works for you. With the vast medicines now available it is possible. She 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. L.A.E.C. will help work with you to decrease the variability in blood sugars hence making you feel better.
- Weight loss (sometimes weight gain)
- Increased appetite
- Periods are less
- Weight gain
- Swelling of legs and face
- Heavy periods
What you should do if you have symptoms:
See your doctor
Screening test is a TSH
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 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. Please go to the links provided in the Information Panel for more information.
How can L.A. Endocrine Care improve your Thyroid Health?
Screening, and follow up, and advise are easily given. Treatment of both hyperthyroid and hypothyroidism is a specialty of hers. Dr. Echeverry is an expert in Thyroid Ultrasound and ultrasound guided biopsy of the thyroid. To date she has performed over 1000 biopsies in the last 11 years. She is also an expert in Thyroid cancer treatment and follow up. She follows the latest scientific evidence for the treatment of Thyroid Cancer.
L.A. Endocrine care can also assist with Endocrinology issues in collaboration with your Gynecologist.
Once you have gained weight it becomes very difficult to lose because of behavioral issues and metabolic challenges. Diet alone is not enough and combining exercise and diet can be very challenging for many people.
L.A. Endocrine care can facilitate weight loss by incorporating medications that work on appetite suppression, fat absorption and metabolism. Being an endocrinologist, Dr. Echeverry can make sure your weight gain is not caused by an unknown medical problem such as thyroid disorders or Cushings Syndrome/Disease.
When you come to your visits L.A. Endocrine Care providers will reinforce diet, calories, and portion control. We will give you the tools to lose weight such as counting calories and label reading.