Endocrinologists are trained to diagnose and treat hormone imbalances and problems by helping to restore the normal balance of hormones in your system. They take care of many conditions including:
Obesity and overweight have been shown to increase the likelihood of certain diseases and other health problems.
The terms "overweight" and "obesity" refer to body weight that’s greater than what is considered healthy for a certain height.
Millions of people worldwide are overweight or obese. As weight increases to reach the levels referred to as "overweight" and "obesity, the risks for the following conditions also increases:
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Obesity is a complex, progressive, dangerous and multi-factorial disease and needs various recommendations for effective life coaching in this part of the world. The disease is on the rise, fuelled by inappropriate eating habits coupled with sedentary and stressful lifestyles.
Millions of people worldwide are overweight or obese. The numbers are especially high in gulf countries because of the weather, lifestyle and other conditions.
Obesity is more than a cosmetic problem, it's a serious health risk, as weight increases, the risks for the following conditions also increase such as Heart disease, Diabetes, cancers, high blood pressure, high cholesterol, stroke, gall bladder disease, Joint disease and infertility.
Your weight is the result of many factors such as family history and genetics, environment, lifestyle habits (Diet and Exercise), medicines, emotional factors, but it can be also secondary to some health conditions and hormonal problems such as Thyroid and Adrenal disease and polycystic ovarian syndrome.
You can't change some factors, such as family history. However, you can change other factors, such as your lifestyle habits.
Staying in control of your weight contributes to good health now and as you age.
The thyroid gland is located in front of the neck just above the collar bones and is shaped like a butterfly, with one lobe on either side of the neck connected by a narrow band of tissue. It produces thyroid hormone into the bloodstream which helps to regulate a variety of body functions. It is very common for nodules to develop in the thyroid gland that may or may not be felt clinically by hand. Ultrasound can show many nodules that cannot be felt. The majority of these nodules is benign and has no health risk. The minority are cancers which might require further workup with USS guided fine needle aspiration (FNA)
Ultrasound imaging, also called ultrasound scanning or sonography, involves the use of a small transducer (probe) and ultrasound gel to expose the body to high-frequency sound waves to produce pictures of the thyroid gland and the adjacent structures in the neck. Ultrasound is safe and painless and noninvasive medical test that helps physicians diagnose and treat different thyroid conditions including thyroid nodules.
The most common method for evaluation of a suspicious thyroid nodule is a technique known as fine needle aspiration, or FNA.
Ultrasound guided fine needle aspiration is a simple diagnostic test, performed by an Endocrinologist; Many FNAs are performed in a doctor's office or Outpatient clinic.
PROCEDURE: You will lie on your back with a pillow under your shoulders and your neck extended. The biopsy site is cleaned. we use ultrasound (to ensure that the FNA is accurately performed) to insert a thin needle inside your thyroid (neck) in order to obtain or aspirate fluid samples or cells from the abnormal area in your thyroid (a thyroid nodule) under ultrasound guidance, The needle is then taken out. Pressure will be applied to the biopsy site to stop any bleeding. The site will be covered with a bandage. The sample obtained will be sent for microscopic analysis to be evaluated for the presence of cancerous cells.
Tell your health care provider if you have bleeding problems or taking drugs that make it harder for your blood to clot such as Aspirin, Plavix, or Warfarin.
RISKS: All procedures carry some risk, but the procedure is generally safe and almost never results in any complications. Most patients experience only minimal discomfort during the procedure. It involves minimal pain which a local Anesthetic is not required. The level of pain after the procedure is usually such as not to require medication. You might have some swelling and bruising at the injection sites, and possibly slight discomfort in swallowing. Most people are comfortable enough to go back to work the same day or next day after having an FNA. But you should avoid vigorous physical activity, sports for approximately 24 hours after the FNA.
FNAC involves minimal risk of bleeding which occurs only very rarely. There is a chance that adequate cells will not be obtained for definitive diagnosis requiring additional fine needle aspiration. Sometimes multiple sites are sampled.
BENEFITS: This is a test to diagnose the cause of the thyroid nodule. It is often used to find out if thyroid lumps that are felt by the doctor or seen by ultrasound are noncancerous or cancerous.
ALTERNATIVES TO PROCEDURE: The alternative to FNAC is the tissue biopsy. This is a surgical procedure involving obtaining a piece of tissue and may require a stay in hospital. This may need to be performed later, if FNAC is unable to provide the full answer.
In Boston Diabetes and Endocrine Center We have Endocrinologist with expertise in performing FNA.
For booking please call +971 4 3805555.
Diabetes mellitus affects people of every age, race, and background, 371 million people have diabetes and 187 million are still to be diagnosed. The high number of undiagnosed diabetes cases means that millions of people are at risk of costly and debilitating diabetes complications.
It is the leading cause of kidney failure, lower-limb amputation, and blindness in developed countries, as well as increasing the likelihood of death from heart disease, and it is now a major modern cause of premature death in many countries around the world, with someone dying from Diabetes Type 2 every 10 seconds worldwide. Its gradual injurious effects destroy quality of life well before causing early death.
Diabetes develops slowly over time and may go undetected for many years. Because of the slow onset and minimal symptoms, screening is recommended at various stages of life.
This disease has no cure. But it can be effectively managed and controlled with early detection, effort, education and patience.
Pay special attention to any risk factors for diabetes that applies to your life that increase the potential for you to suffer from diabetes, and while some of them are not under your control (such as age and genetics), others are (such as food intake and exercise). The risk factors for Type 2 diabetes include: Obesity, age older than 45 years, having a family history of Diabetes, a diagnosis of heart disease, high cholesterol or high Blood pressure, women who experienced gestational diabetes, or delivered a low birth weight or large baby, or suffering from polycystic ovarian syndrome, Inactivity.
If you have the risk factors associated with diabetes, it is important to get regular screening tests (simple urine and blood tests) and to respond by controlling your lifestyle factors. If tests reveal that you have "pre-diabetes", it means that you have an increased chance of being diagnosed with Type 2 diabetes in the future. While such a diagnosis can be frightening, it's also an opportunity to take back your health and to slow, reverse, or avoid Type 2 diabetes through lifestyle changes.
The Boston Diabetes and Endocrine Center with its Multi-Disciplinary approach offers you a Diabetes screening Check-up which will enable you to find out whether you are diabetic or at risk to develop diabetes "pre-diabetic".
An Endocrinologist will provide you with a comprehensive Diabetic Care with the aim of preventing the dreadful complications of diabetes and treating the already developed diabetic complications, and assess you in improving and maintaining your health for the long run.
A registered dietitian can help you put together a meal plan that fits your health goals, food preferences and lifestyle.
At Boston Diabetes and Endocrine Center we believe that an informed patient will always succeed in managing and controlling his Diabetes and preventing its complication.
Diabetes education and information are provided by our doctors, dietitian, and Diabetic educator.
If you are Diabetic or having any risk factor that increase the potential for you to get diabetes please call +971 4 3805555 for Appointments.
BDEC has an experienced multidisciplinary team, with special interest in managing Type 1 diabetes Mellitus, including expertise in different types of insulin pumps and continuous glucose monitoring (CGMS), Dietitian expert in Medical nutrition therapy (MNT) including Carbohydrate counting, Self-management education and life style modification.
Continuous subcutaneous insulin infusion (CSII) or insulin pumps are small battery powered external devices that deliver insulin through an infusion line into the skin by a removable cannula. They are programmed to deliver a continuous low rate of insulin during the day and night (basal) with additional insulin being delivered (as a bolus dose) at mealtimes or to correct a high blood glucose level. At snack and mealtimes (whenever food is eaten), the user enters the amount of carbohydrate into their pump as well as their blood glucose level and the pump calculates how much insulin is needed for the food and to achieve the target blood glucose level
Continuous glucose monitoring systems (CGMS) measure blood glucose levels semi-continuously. Most modern CGMS consist of a small needle which is inserted in the abdominal subcutaneous fat. The tip of the needle houses a small glucose sensor which can measure glucose levels in the fluid which surrounds the fatty tissue.