Patient Information Blogs​

Endocrinology
WASIM HAQUE M.D., F.A.C.E.

Cushing Syndrome

Cushing Syndrome. One of the key hormones, our adrenal gland makes is called “cortisol”.  This production is directed by a part of our brain called the hypothalamus which makes a hormone called CRH. CRH “tells” your pituitary gland (the master gland in the brain) to make another hormone called ACTH.  ACTH then directs the adrenal

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Endocrinology
WASIM HAQUE M.D., F.A.C.E.

Hypercalciuria

Hypercalciuria. Calcium is an important electrolyte that regulates vital physiologic processes in the body including hormonal secretion, cardiac contraction, and blood clotting. It also helps to grow and repair our skeletons.  Hypercalciuria occurs in 5%-10% of the adult population. It is defined as excess calcium in the urine. This excess calcium may come from the

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Endocrinology
WASIM HAQUE M.D., F.A.C.E.

Hyperthyroidism

Hyperthyroidism. What is hyperthyroidism?  Hyperthyroidism is a condition in which the thyroid gland produces too much thyroid hormone. When this occurs, body’s metabolism is increased, which can cause a variety of symptoms (anxiety, weakness, tremors, fatigue, perspiring a lot, and rapid heart beat, increased appetite, weight loss, & loose bowel movements).  Mild cases may cause

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Endocrinology
WASIM HAQUE M.D., F.A.C.E.

Adrenal Insufficiency

Adrenal Insufficiency. Your body has two adrenal glands. Each gland is located above a kidney. The adrenal gland normally produces 3 different classes of steroid hormones: Glucocorticoids (cortisol), mineralocorticoids (mainly aldosterone), and androgens (DHEA).  Cortisol helps the body deal with stress and is involved in the regulation of glucose, protein and fat metabolism.  It also

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Endocrinology
WASIM HAQUE M.D., F.A.C.E.

Low T levels

Hypogonadism (Deficiency of Testosterone) Hypogonadism is the inability of the testes (testicles) to produce testosterone or sperm or both. Testosterone is a hormone that plays an important part in the development and maintenance of typical male masculine characteristics. In adult males, testosterone maintains muscle mass and strength, fat distribution and bone mass as well. Testosterone

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Thyroid
WASIM HAQUE M.D., F.A.C.E.

Nutrition – Low iodine diet

Low Iodine Diet Food Group  Allowed  Not Allowed  DAIRY  None  Ice cream, cheese, milk, yogurt, sour cream  EGGS  None  All egg containing products  SEAFOOD  None  Specially shellfish, kelp, sardines, canned tuna  SALT  Non-iodized salt  Iodized salt, Sea salt  MEATS   Fresh chicken, turkey or beef  Canned, dried, salted, cured meats (sausage, ham, chipped beef,liver, beef stew, bacon,

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Thyroid
WASIM HAQUE M.D., F.A.C.E.

Radioiodine therapy for thyroid cancer (General Information)

Radioiodine Therapy For Thyroid Cancer (General Information) Thyroid cells have the capacity to take up iodine and iodine is essential for the growth and function of thyroid cells. This principle is utilized in radioiodine treatment of thyroid cancers after initial surgery. Radioactive iodine (called I131) can seek out and destroy any remaining thyroid cells (including

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Thyroid
WASIM HAQUE M.D., F.A.C.E.

Goitre & Thyroid nodules

Goitre & Thyroid Nodules WHAT IS A GOITER?  A goitre is an enlarged thyroid gland. A goitre can mean that the whole thyroid gland is swollen or enlarged (Simple Goiter), or one or more swellings or lumps develop in part or parts of the thyroid (Nodular Goiter).  The thyroid gland makes thyroid hormones -called thyroxine

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Thyroid
WASIM HAQUE M.D., F.A.C.E.

Hypothyroidism

Hypothyroidism  Hashimoto’s Disease  Hashimoto’s disease is a disease of thyroid gland. This condition occurs when your body’s immune system attacks your thyroid gland. The disease is about 5 times more common in women than in men. As a result of Hashimoto’s disease, your thyroid gland often can’t make enough thyroid hormone, which results in hypothyroidism.  

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Thyroid
WASIM HAQUE M.D., F.A.C.E.

Hyperthyroidism

Hyperthyroidism  What is hyperthyroidism?  Hyperthyroidism is a condition in which the thyroid gland produces too much thyroid hormone. When this occurs, body’s metabolism is increased, which can cause a variety of symptoms (anxiety, weakness, tremors, fatigue, perspiring a lot, and rapid heart beat, increased appetite, weight loss, & loose bowel movements).  Mild cases may cause

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Pre-diabetes/ Weight management/ Lipids
WASIM HAQUE M.D., F.A.C.E.

Nutrition – Diet to lower blood pressure

High Blood Pressure What is high blood pressure & why is it dangerous?  High blood pressure (also called hypertension) is a condition in which blood pressure remains elevated (generally greater than 140/90).  Hypertension increases the work your heart is to perform which can lead to heart damage over time called congestive heart failure.  In addition,

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Pre-diabetes/ Weight management/ Lipids
WASIM HAQUE M.D., F.A.C.E.

High Blood Triglyceride Levels

High Blood Triglyceride Levels Triglycerides (TG) are a type of blood fat.  They are called triglycerides because their backbone is a form of glucose called glycerol and 3 fatty acids are attached to this backbone.  They may be saturated, unsaturated on both. Fatty acids are the building blocks of fat.    Fig 1: Triglyceride structure:  We

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Pre-diabetes/ Weight management/ Lipids
WASIM HAQUE M.D., F.A.C.E.

Nutrition – Tips for Weight Loss & Maintenance

Tips for Weight Loss and Maintenance  Post DisclaimerWe are not your healthcare provider, and your use of this website does not establish a patient-client relationship.  All the information contained on this website is for informational purposes only.  No material on this site is intended to be a substitute for professional medical advice (diagnosis, treatment, testing or nutritional information).  Always seek

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INSULIN PUMP & CGMS
WASIM HAQUE M.D., F.A.C.E.

Insulin Pump Basics

Insulin Pump Basics 1. What is an insulin pump?  a. Computerized insulin delivery device  b. Delivers insulin similar to the natural pancreas  Technology has opened a new area IN diabetes management.  Devices such as blood glucose meters, continuous glucose monitors, and insulin pumps have helped to simplify diabetes management to achieve better outcomes in diabetes

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Insulin Preparations & Insulin Treatment

Insulin Preparations & Insulin Treatment Insulin is the hormone that helps our body use glucose (sugar). In diabetes, body is unable to use glucose because of deficiency or ineffectiveness of insulin. In type 1 diabetes, the body can not make insulin. In type 2 diabetes, the body can make insulin but does not respond to

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetic Neuropathy

Diabetic Neuropathy  Diabetes is a chronic and common condition in which blood glucose BG (sugar) level is increased. It can be controlled with diet, exercise, medications or insulin depending on the type of diabetes. Untreated, high BG may damage nerves either directly or because blood supply to the nerves is reduced as a result of

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Meds – An Overview 2022

Medications for Patients with Type 2 Diabetes                               Diabetes (a disease in which blood sugar is high) is a chronic, lifelong condition. Broadly speaking, diabetes can be divided into two types. Type 1 diabetes occurs when the insulin producing cells in the pancreas are destroyed by the immune system (autoimmune) by mistake. Type 2 diabetes occurs

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Meds – Trulicity

Trulicity What is Trulicity?  Trulicity® (Dulaglutide) is a once-a-week, injectable medicine indicated to manage type 2 diabetes or to reduce the risk of future cardiovascular events in people with type 2 diabetes.  It mimics the action of GLP-1, and naturally occurring hormone that helps to regulate blood glucose levels.  By binding to and activating the

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Meds – Ozempic

Ozempic  What is Ozempic?  Ozempic® (Semagltide) is a once a week, injectable medicine indicated to manage type 2 diabetes or to reduce the risk of future cardiovascular events in people with type 2 diabetes.  It mimics the action of GLP-1, and naturally occurring hormone that helps to regulate blood glucose levels.  By binding to and

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Meds – GLP-1 Analogs

Glp-1 & Gip analogs for diabetes treatment  (Ozempic®, Trulicity®, bydureon®, rybelsus®)  Insulin is a hormone produced by the pancreas which help movement of glucose from our blood into our cells and tissues. Diabetes mellitus is a disorder in which blood glucose (BG) is higher than normal.  This occurs because of insufficient insulin release from the

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Meds – Metformin

Metformin (Glucophage)  Metformin is the most prescribed initial medication for patients with type 2 diabetes, when lifestyle interventions (diet and increased exercise) are not enough to control blood glucose levels (BG).  Insulin is a hormone produced by the pancreas which help movement of glucose from our blood into our cells and tissues. Diabetes mellitus is

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Meds – SGLT 2 Inhibitors

SGLT 2 Inhibitors Most diabetes experts now recommend SGLT-2 inhibitors as the first line choice for patients with type 2 diabetes.  Compared to most other diabetes medications, and these agents have the unique ability to improve diabetes control & protect the heart and the kidney.  These medicines work by promoting excretion of glucose in the

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Dietary Guidelines – Gestational Diabetes

Dietary Guidelines – Gestational Diabetes The goal of a gestational diabetes diet plan is to control blood glucose levels, minimizing risks for the mother and child. Consult with your physician or diabetes educator so they can give you advice based on your body’s needs & circumstance,  Some basic tips:  Avoid:  Blood Glucose Goals:  Fasting levels

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Nutrition -Tips for Weight Loss and Maintenance

Tips for Weight Loss and Maintenance  This information is for general knowledge & is not a substitute for medical advice from your doctor.  Post DisclaimerWe are not your healthcare provider, and your use of this website does not establish a patient-client relationship.  All the information contained on this website is for informational purposes only.  No material on this site is

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Sick Day Rules – Type 2 Diabetes

Sick Day Rules – Type 2 Diabetes Insulin is a hormone produced by the pancreas to help our body utilize sugar and other starches. In diabetes, blood glucose (BG) levels are high because of absence of insulin production (type 1 diabetes) or deficiency of insulin plus insulin resistance (type 2 diabetes).  Type 2 diabetes is

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Sick Day Rules – Type 1 Diabetes

Sick Day Rules for Patients with Type 1 Diabetes Mellitus  Insulin Pump Patient  When you are sick you may notice that your blood sugars are higher than usual. This is usually a result of your body producing stress hormones to compensate for your illness. You may also experience low blood sugar, perhaps due to decreased

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Distress

Management of diabetes as a patient can be a complex and often overwhelming task at hand. It involves many factors including regular exercise, food preparation, blood glucose monitoring, medication scheduling and planning, and numerous doctor visits. Incorporating all these elements into daily life can be a challenge.  This can lead to frustration and distress which

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Hypoglycemia in Diabetes Mellitus

Hypoglycemia in Diabetes Mellitus (Low Blood Glucose)  Insulin is a hormone produced by the pancreas to help our body utilize sugar and other starches. In diabetes, blood glucose (BG) levels are high because of absence of insulin production (type 1 diabetes) or deficiency of insulin plus insulin resistance (type 2 diabetes).  Diabetes is managed by

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Insulin Preparations & Insulin Treatment

Insulin Preparations & Insulin Treatment Insulin is the hormone that helps our body use glucose (sugar). In diabetes, the body is unable to use glucose because of deficiency or ineffectiveness of insulin. In type 1 diabetes, the body can not make insulin. In type 2 diabetes, the body can make insulin but does not respond

Read More »
Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Nutrition – Diet and Exercise in Diabetes

Lifestyle Changes, Obesity & Diabetes  FIBER: Food items with high fibre such as beans, whole grains, fruit with peel and green leafy vegetables (broccoli, carrots and leafy greens are recommended.  Look for food with 2.5 or more grams of fibre per serving (fruits, vegetables, and whole grains). Fibre slows down absorption and helps stabilize blood

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Diabetes Mellitus
WASIM HAQUE M.D., F.A.C.E.

Diabetes Care – Basic Information

Care of Patients with Type 2 Diabetes                                Diabetes (a disease-causing high blood sugar) is a chronic, lifelong condition that can lead to various serious complications. These complications include heart attacks, strokes, kidney failure, leg amputation, impotence, and blindness. Reasonable control of blood glucose (BG) can help prevent these complications.   Type 2 diabetes occurs in people

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Uncategorized
admin

Adrenal Insufficiency

Your body has two adrenal glands. Each gland is located above a kidney. The adrenal gland normally produces 3 different classes of steroid hormones: Glucocorticoids (cortisol), mineralocorticoids (mainly aldosterone), and androgens (DHEA).  Cortisol helps the body deal with stress and is involved in the regulation of glucose, protein and fat metabolism.  It also affects the

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thyroid, endocrine, diabetes-1405039.jpg
Uncategorized
admin

Adrenal Insufficiency instructions for Stress Dosing

 What do you do when you’re not feeling well?   In a normal person, the adrenal gland produces more hydrocortisone when the body is under physical stress and as well as during severe emotionally stressful situations. If you have adrenal insufficiency, you are not able to do that. This can lead to a variety of symptoms

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Diabetes
WASIM HAQUE M.D., F.A.C.E.

LAB TESTS & WHAT THEY MEAN

This table outlines some of the common lab tests ordered by endocrinologists & provides some information about them. Test What it means Average/Normal range Creatinine (Cr) A waste product of metabolism: excreted by the kidney: if it is ↑means kidney function is lower. Usually < 1.1 to 1.3 eGFR An estimate of kidney function. Calculated

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Diabetes
WASIM HAQUE M.D., F.A.C.E.

Hypogonadism (Deficiency of testosterone)

Hypogonadism is the inability of the testes (testicles) to produce testosterone or sperm or both. Testosterone is a hormone that plays an important part in the development and maintenance of typical male masculine characteristics. In adult males, testosterone maintains muscle mass and strength, fat distribution and bone mass as well. Testosterone determines sex drive and

Read More »
Diabetes
WASIM HAQUE M.D., F.A.C.E.

Hyperthyroidism

What is hyperthyroidism?             Hyperthyroidism is a condition in which the thyroid gland produces too much thyroid hormone. When this occurs, the body’s metabolism is increased, which can cause a variety of symptoms (anxiety, weakness, tremors, fatigue, perspiring a lot, and rapid heartbeat, increased appetite, weight loss, & loose bowel movements).  Mild cases may cause

Read More »
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Diabetes
WASIM HAQUE M.D., F.A.C.E.

Do you have Low T levels? Read this before you start treatment

Testosterone is the male sex hormone and controls normal male sex drive & sperm production. Testosterone also helps maintain bone strength, muscle strength, red blood cell production and physical stamina in men. As you age, your Testosterone level (T Level) gradually declines (~1% per year after age 30-40). It is important to differentiate between the

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Diabetes
WASIM HAQUE M.D., F.A.C.E.

Diabetic Neuropathy

Diabetes is a chronic and common condition in which blood glucose BG (sugar) level is increased. It can be controlled with diet, exercise, medications or insulin depending on the type of diabetes. Untreated, high BG may damage nerves either directly or because the blood supply to the nerves is reduced as a result of diabetes-related

Read More »
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Diabetes
WASIM HAQUE M.D., F.A.C.E.

LOW IODINE DIET

An important part of radioiodine treatment – allows radioiodine to enter thyroid cells (normal or cancerous that were not visible to the surgeon or could not be removed) Generally started 2 weeks before the radioactive iodine therapy for thyroid cancer patients. Usually needs to be continued until the whole-body-scan is completed (7 days after the

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Diabetes
WASIM HAQUE M.D., F.A.C.E.

Care of Patients with Type 2 Diabetes

Diabetes (a disease-causing high blood sugar) is a chronic, lifelong condition that can lead to a variety of serious complications. These complications include heart attacks, strokes, kidney failure, leg amputation, impotence and blindness. Good control of blood glucose (BG) can help prevent these complications.  Type 2 diabetes occurs in people who are generally overweight or

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We are not your healthcare provider, and your use of this website does not establish a patient-client relationship.  All the information contained on this website is for informational purposes only.  No material on this site is intended to be a substitute for professional medical advice (diagnosis, treatment, testing or nutritional information).  Always seek the advice of your physician or qualified healthcare provider with any questions you may have regarding medical or health-related conditions or treatment.  Your healthcare provider knows your condition or situation well and can give you specific advice which would be appropriate for your condition/situation.  Your healthcare provider can also guide you more accurately about injection techniques, dietary interventions and the use of medical technology that is most pertinent and suitable for you.  Please do not disregard professional medical advice or delay in seeking it because of something you may have read on this website.

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