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Endocrinology

What is endocrinology?
What is the endocrine system?
What do endocrinologists do?
What is an endocrinologist?
Principles of endocrinology
The endocrine pancreas
Diabetes

Q) Can Diabetes Be Controlled?

Questions To Ask Your Doctor About Diabetes

Q) What is my diagnosis?
Q) What are my treatment options?
Q) What are the risks, benefits, or side effects of these different options?
Q) Is my diagnosis and treatment right?
Q) How much can exercise and diet control the diabetes?
Q) Is there information available or assistance on planning a regular exercise program?
Q) Do you have a dietitian you could recommend?
or
Q) What is the name of the medication?
Q) Is it really indicated?
Q) When should I take it?
Q) Should I take it before, with, or after meals?
Q) Are there any other special directions for taking this medication?
Q) If I forget a dose, should I take it later, or skip it?
Q) What side effects are common with this medication?
Q) How do I keep my blood sugar down without taking insulin or medications?
Q) What are my goals regarding blood sugar levels?
Q) What side effects should I tell the doctor about?
Q) Are there any blood tests or other checks I need to have while taking this medication?
Q) Do You Need Insulin?
Q) How Is Blood Sugar Monitored?
Q) How Does Diet Affect Diabetes?
Q) What Is Low Blood Sugar?
Q) How Does Illness (colds, flu, bacterial infections) Affect Diabetes?
Q) How Do You Avoid Complications?
Q) What types of exercise are best for people with diabetes?

Gestational diabetes

Q) What Is Diabetes?
Q) What Causes Diabetes During Pregnancy?
Q) Who Is At Risk?
Q) How Do I Know If I Have Diabetes?
Q) What If I Already Have Diabetes?
Q) How Does Diabetes Affect Pregnancy?
Q) What Are The Risks To The Baby?
Q) What Are The Risks To The Mother?
Q) How Can I Avoid Complications?
Q) Will My Baby Be Healthy?
Q) What Should Blood Sugar Levels Be During Pregnancy?
Q) What Other Tests Are Needed?
Q) How can I prevent low blood sugar?
Q) How Does Food Affect Blood Sugar?
Q) What About Weight Gain?
Q) How Does Exercise Affect Blood Sugar?
Q) Can I breast-feed?
Q) If I get diabetes, does that mean my baby will?
Q) Why does insulin A hormone secreted by the pancreas that lets blood glucose get into cells. Insulin lowers the level of glucose in the blood. have to be injected?
Q) How can I prevent low blood sugar?
Q) Can I breast-feed?

Diabetic Children

Q) What Is Diabetes?
Q) What Causes Type 1 Diabetes?
Q) How Much Diabetes Care Should A Child Be Responsible For?
Q) Do Diabetic Children Need Special Foods?
Q) Are Fats Bad?
Q) Can The Child Participate In All Sports?
Q) How is Diabetes Managed?
Q) What are the different types of Diabetes?
Q) What is the Scope and Impact of Diabetes?
Q) What Are the Major Diabetes Advances?
Q) What is the Economic Burden of Diabetes?
Q) How can the burden of Diabetes be reduced?
Q) What is the Global Strategy on Diet, Physical Activity and Health?
Q) What are the key issues addressed by the strategy?
Q) How was the draft strategy document prepared?
Q) Is this process similar to tobacco?
Q) Why is it important for people with diabetes to be physically active?
Q) How much and how often should people with diabetes exercise?
Q) What are some good types of physical activity for people with diabetes?
Q) Are there any safety considerations for people with diabetes when they exercise?
Q) Is WHO now developing a food convention?
Q) How will it be put into practice?
Q) How do we prevent and treat diabetes?
Q) What is HbA1c
    A hemoglobin A1c test has no sensitivity, specificity, true positives, true negatives, false positives, false negatives.
    True/False

    A hemoglobin A1c test measures the average amount of sugar in your blood over the last 3 months.
    True/False

    It's important to know your hemoglobin A1c number
    True/False

    All people with diabetes need to have a hemoglobin A1c test.
    True/False

    The hemoglobin A1c goal for people with diabetes is less than 7 percent.
    True/False

    A hemoglobin A1c test should be done about once a year.
    True/False

Q) What is BMI?

Q) What does my BMI mean?

Questions To Ask Your Doctor About Diabetes

Q) How often does the blood sugar need to be checked?
Q) What are the best monitoring techniques for this?
Q) How do you measure glucose levels?
Q) What type of insulin or insulins will you be prescribing?
Q) Who would help in learning about and giving injections?
Q) Do you have a dietitian you could recommend?
Q) How much can exercise and diet control the diabetes?
Q) Is there information available or assistance on planning a regular exercise program?
Q) What is important for family members to learn also?
Q) How do you recognize a diabetic reaction and when should a doctor be notified?
Q) What are the signs and symptoms of insulin deficit and excess?
Q) What measure should be taken for either condition?
Q) Are there any other signs or symptoms that need to be reported to the doctor?
Q) When traveling, is an adjustment in the insulin dose needed?
Q) Can OTC medications be taken?
Q) If so, what is the medication and what are the side effects?
Q: (Women) Should there be a concern about taking menopause-based medicine with insulin?
The thyroid gland
    What is the thyroid gland?
    What Is Thyroid Hormone?
    What Does Thyroid Hormone Do?
    What Is Hypothyroidism?
    Who Gets Hypothyroidism?
The adrenal gland
The parathyroid glands and vitamin D
The gonad
The pituitary gland
Cardiovascular and renal

What Is The Value of the Oral Glucose Tolerance Test?
Sensitivity, Specificity, True positives, True negatives, False positives, False negatives.
Body mass Index dependent and Body mass index Independent (BMI).
Dr. Qureshi Challenges Oral Glucose Tolerance Test on scientific grounds.
Do you have better answer?
Does anyone else have a better test?
Do you have a question?
Do you have any questions for me?
Does anyone else have a better answer?
Does anyone else have an answer better than the answers I already have, we have?
Would you like to print Dr. Qureshi's research and development in Endocrinology.
admin@qureshiuniversity.com

What should be the blood sugar goals for a patient with Type 2 diabetes mellitus on oral hypoglycemics, who remained diabetic for the last 25 years and is between the age of 65 and 75 years currently?

Who has the answer?
Who is willing to answer?
Who has the duty and responsibility to answer?
What is your answer?

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Q: What is the normal blood sugar range?
Q: Who set these standards?
Q: How did they arrive at these standards?
Q: Are these standards uniform worldwide?
Q: Why are there variations?
Q: What Is Diabetes?
Q: What is type 2 diabetes?
Q: What Causes Diabetes During Pregnancy?
Q: Who Is At Risk?
Q: How Do I Know If I Have Diabetes?
Q: What If I Already Have Diabetes?
Q: How Does Diabetes Affect Pregnancy?
Q: What Are The Risks To The Baby?
Q: What Are The Risks To The Mother?
Q: How Can I Avoid Complications?
Q: Will My Baby Be Healthy?
Q: What Should Blood Sugar Levels Be During Pregnancy?
Q: What Other Tests Are Needed?
Q: How can I prevent low blood sugar?
Q: How Does Food Affect Blood Sugar?
Q: What About Weight Gain?
Q: How Does Exercise Affect Blood Sugar?
Q: Can I breast-feed?
Q: If I get diabetes, does that mean my baby will?
Q) Why does insulin A hormone secreted by the pancreas that lets blood glucose get into cells. Insulin lowers the level of glucose in the blood. have to be injected?
Q: How can I prevent low blood sugar?
Q: Can I breast-feed?

What is type 2 diabetes?

Type 2 diabetes is a condition in which your body does not make enough insulin, and the insulin that your body produces does not work as well as it should. Your body can also make too much sugar. When this happens, sugar (glucose) builds up in the blood. This can lead to serious medical problems.

The main goal of treating diabetes is to lower your blood sugar to a normal level. High blood sugar can be lowered by diet and exercise, and by certain medicines when necessary.

What is Onglyza?

Onglyza is a prescription medicine used with diet and exercise to control high blood sugar (hyperglycemia) in adults with type 2 diabetes. Onglyza lowers blood sugar by helping the body increase the level of insulin after meals. Onglyza is unlikely to cause your blood sugar to be lowered to a dangerous level (hypoglycemia) because it does not work well when your blood sugar is low. Onglyza has not been studied in children younger than 18 years old.

What should I tell my healthcare provider before taking Onglyza?

Before you take Onglyza, tell your healthcare provider about all of your medical conditions, including if you:

* have type 1 diabetes. Onglyza should not be used to treat people with type 1 diabetes.

* have a history or risk for diabetic ketoacidosis (high levels of certain acids, known as ketones, in the blood or urine). Onglyza should not be used for the treatment of diabetic ketoacidosis.

* have kidney problems.

* are taking insulin. Onglyza has not been studied with insulin.

* are pregnant or plan to become pregnant. It is not known if Onglyza will harm your unborn baby. If you are pregnant, talk with your healthcare provider about the best way to control your blood sugar while you are pregnant.

* are breast-feeding or plan to breast-feed. Onglyza may be passed in your milk to your baby. Talk with your healthcare provider about the best way to feed your baby while you take Onglyza.

Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Know the medicines you take. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine.

Onglyza may affect the way other medicines work, and other medicines may affect how Onglyza works. Contact your healthcare provider if you will be starting or stopping certain other types of medications, such as antibiotics, or medicines that treat fungus or HIV/AIDS, because your dose of Onglyza might need to be changed.

How should I take Onglyza?

* Take Onglyza by mouth one time each day exactly as directed by your healthcare provider. Do not change your dose without talking to your healthcare provider.

* Onglyza can be taken with or without food.

* During periods of stress on the body, such as:
o fever
o trauma
o infection
o surgery

Contact your healthcare provider right away as your medication needs may change.

* Your healthcare provider should test your blood to measure how well your kidneys work. You may need a lower dose of Onglyza if your kidneys are not working well.

* Your healthcare provider may prescribe Onglyza along with other medicines that lower blood sugar.

* Follow your healthcare provider's instructions for treating blood sugar that is too low (hypoglycemia). Talk to your healthcare provider if low blood sugar is a problem for you.

* If you miss a dose of Onglyza, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Just take the next dose at your regular time. Do not take two doses at the same time unless your healthcare provider tells you to do so. Talk to your healthcare provider if you have questions about a missed dose.

* If you take too much Onglyza, call your healthcare provider or Poison Control Center at

1-800-222-1222, or go to the nearest hospital emergency room right away.

What are the possible side effects of Onglyza?

Common side effects of Onglyza include:

* upper respiratory tract infection

* urinary tract infection

* headache

Low blood sugar (hypoglycemia) may become worse in people who already take another medication to treat diabetes, such as sulfonylureas. Tell your healthcare provider if you take other diabetes medicines. If you have symptoms of low blood sugar, you should check your blood sugar and treat if low, then call your healthcare provider. Symptoms of low blood sugar include:

* shaking
* sweating
* rapid heartbeat
* change in vision
* hunger
* headache
* change in mood

Swelling or fluid retention in your hands, feet, or ankles (peripheral edema) may become worse in people who also take a thiazolidinedione to treat diabetes. If you do not know whether you are already on this type of medication, ask your healthcare provider.

Allergic (hypersensitivity) reactions, such as rash, hives, and swelling of the face, lips, and throat. If you have these symptoms, stop taking Onglyza and call your healthcare provider right away. These are not all of the possible side effects of Onglyza. Tell your healthcare provider if you have any side effects that bother you or that do not go away. For more information, ask your healthcare provider.

Call your healthcare provider for medical advice about side effects. You may report side effects to the FDA at
1-800-FDA-1088.

How should I store Onglyza?

Store Onglyza between 68° to 77°F (20° to 25°C).
Keep Onglyza and all medicines out of the reach of children.
General information about the use of Onglyza
Medicines are sometimes prescribed for conditions that are not mentioned in the patient information. Do not use Onglyza for a condition for which it was not prescribed. Do not give Onglyza to other people, even if they have the same symptoms you have. It may harm them.
This patient leaflet summarizes the most important information about Onglyza. If you would like to know more information about Onglyza, talk with your healthcare provider. You can ask your healthcare provider for additional information about Onglyza that is written for healthcare professionals. For more information,

call 1-800-ONGLYZA.

What are the ingredients of Onglyza?

Active ingredient: saxagliptin
Inactive ingredients: lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, and magnesium stearate. In addition, the film coating contains the following inactive ingredients: polyvinyl alcohol, polyethylene glycol, titanium dioxide, talc, and iron oxides.

http://www.hormone.org/Public/endocrinologist.cfm

http://www.superpages.com/supertips/endocrinology.html

http://www.endocrineweb.com/

http://www.endocrinology.org/public/endocrinology.html

http://www.medic8.com/specialists/endocrinology.html

http://www.medicalnewstoday.com/info/diabetes/

http://www.lifeclinic.com/focus/diabetes/about_it.asp

http://www.jdrf.org/index.cfm?page_id=103442

http://familydoctor.org/online/famdocen/home/common/diabetes/basics/350.html

http://www.medicinenet.com/diabetes_mellitus/page4.htm