Endocrinology

Endocrinology Of Obesity

Obesity is a disease that develops when an individual has too much extra weight and fat deposits, which starts endangering the sufferer’s health and even life. The healthcare practitioners set a diagnosis of obesity mainly based on high body mass index (BMI).

BMI is in fact an indictor utilized by the doctors to determine whether a person has a normal body weight for his or her height, gender, and age. When BMI ranges from 25 to 29.9, this means a person deals with excessive weight. But when BMI is equal to 30 or exceeds it, then an individual is diagnosed with obesity.
There are also some other criteria which help the doctors diagnose obesity. They include waist-to-hip size (WHR), waist-to-height ratio (WtHR), and body fat percentage.

When people suffer from obesity, this issue requires a serious treatment that can’t be limited just to the intake of best fat burners. The highly-qualified medical assistance is obligatory.

How Obesity is Related to Endocrinology

It’s a clinically backed fact that there is an interrelation between obesity and endocrine diseases. Among these diseases, it’s possible to distinguish hypothyroidism, polycystic ovarian syndrome, Cushing’s syndrome, central hypothyroidism, and hypothalamic disorders.

The matter is that the development of obesity is greatly dependent on different endocrine dysfunctions, which are fraught with the impairment of hormonal balance in the human body. Hormones are actually natural chemical substances which send messages to different parts of the body for the proper regulation of the vital bodily functions and systems. Hormones play a role of obesity-inducing factors.

Thus, a range of hormones such as insulin, leptin, growth hormone, and sex hormones have a strong impact on appetite, energy release, metabolic rate, and way the body distributes fat. In obese people, the levels of the mentioned hormone are far beyond the healthy range. This hormonal imbalance leads to metabolism abnormalities and contributes to the formation of fat storages throughout the body.

The endocrine system produces hormones and makes them reach the bloodstream. In such a way, the endocrine system manages the functions of the immune system and nervous system, which regulate the body weight. Both hormone deprivation and hormone abundance cause obesity. And in its turn, obesity alters the levels of hormones.

What Is an Endocrinologist?

Endocrinologist is a doctor who focuses on the diagnosis and treatment of hormone-related issues and other medical conditions which straightforwardly or non-straightforwardly touch endocrine system. These doctors concentrate their activities on studying and improving biochemical and metabolic processes in the human body. These processes also engage the transformation of food into energy as well as the body growth peculiarities.

Endocrinologists provide health care to both adult people and children. But the endocrinologists who are involved in working with children are known as pediatric endocrinologists.

One of the most widespread diseases which endocrinologists must cope with is diabetes. This disease develops in case the pancreas can’t adequately synthesize insulin or can’t normally manage the utilization of already existing insulin.

One more frequently occurring medical condition is the impairment of hormonal balance which causes thyroid diseases.

But endocrinologists of course prevent and treat a multitude of other diseases like high cholesterol levels, osteoporosis, menopause, short stature, infertility, and some types of cancer. The endocrine issues afflict the organs such as adrenals, hypothalamus, parathyroids, pituitary gland, reproductive glands (tests in men and ovaries in women), and thyroid.

When to Visit an Endocrinologist for Diabetes?

A general care physician is in fact often the very first medical professional who detects diabetes. The matter is that a family physician is a doctor who firstly finds out that a patient’s blood sugar levels exceed the normal range. This typically becomes obvious during the ordinary health check.

A family physician may effectively manage diabetes treatment. But there are the situations when the help of endocrinologist is required. These situations are as follows:

  • A patient was just diagnosed with diabetes and doesn’t yet know the principles of do-it-yourself diabetes management at home
  • A general care physician has little experience in dealing with diabetes and considers that an endocrinologist has necessary expertise for diabetes treatment
  • A patient has to administer insulin injections and apply an insulin pump
  • A patient feels difficulties while managing diabetes
  • A patient doesn’t feel any relief of the diabetes symptoms
  • A patient experiences diabetes-induced complications

However, any person with diabetes can visit an endocrinologist any time this person feels the need to do this. People, suffering from type 1 diabetes typically undergo the treatment under the supervision of an endocrinologist throughout the whole treatment period. But people, suffering from type 2 diabetes also frequently require the endocrinologist’s medical assistance.

The crucial part of diabetes management with the help of an endocrinologist is a proper weight control and a special nutrition plan. The endocrinologists often recommend their patients with diabetes to adhere to the low-carb diets because such diets are known to successfully regulate the blood sugar levels. The intake of carbohydrates contributes to the elevation of glucose levels. Due to this, the insulin synthesis also upsurges.

The decrease in carb consumption is a sure way to normalize blood glucose, sustainably keep blood glucose under control, and prevent diabetic complications. And the supplementation with the high-quality OTC diet pills will enhance such effects even more and hence will promote the ease of diabetes manifestations.

How Appointment with Diabetes Doctor Looks Like

During the appointment, the diabetes doctor gets to know about your current physical state of health, diabetes management steps, intake of carb blockers, diabetes nutrition peculiarities, and possible health issues you are now experiencing.

It’s necessary to carry the blood glucose journal with you when you go to the endocrinologist. This is how the doctor will be able to estimate your physical wellbeing at the present moment. You should inform the endocrinologist about all diabetes changes which have recently happened to you. In particular, you should tell everything about:

  • Current symptoms
  • Eating pattern changes
  • Increase or decrease in workout duration and efficacy
  • Ailments you had recently
  • Intake of any prescription medications, vitamins, appetite suppressants, and any other natural supplements

In case of dealing with diabetes, the endocrinologist typically measures the blood pressure, examines feet, checks blood glucose levels, measures cholesterol levels, and tests urine. If you practice any sports and use testosterone boosters or take any other physical performance-enhancing measures, don’t forget to let the endocrinologist know about this.

In case of taking insulin for diabetes, the endocrinologist’s appointments are a must every 3-4 months. If you don’t use insulin, you can prolong the breaks between the endocrinologist’s consultations to 6 months. The frequency of visits to diabetes doctor must increase if you have difficulties with regulating diabetes symptoms, experience complications, start suffering from new diabetes manifestations, or feel the aggravation of existing disease manifestations.

Training for Endocrinologists

Endocrinologists must study in the medical school for four years and after this continue studying in an internship and residency program for three to four years.

The study program must cover first of all the basics of internal medicine, pediatrics, gynecology, and midwifery. And after this, the future endocrinologists have to acquire knowledge in diagnosing and treating various hormone diseases from two to three years.

The major training program demands having expertise in the endocrine system physiology, hormonal biochemistry, and hormonal action. The practical experience in managing endocrine system medical conditions is also an irreplaceable part of any endocrinologist’s training.

When Else to Consult an Endocrinologist

Besides managing your diabetes problems such as diabetic complications, insulin pump use issues, and uncontrollably high blood sugar levels, the need to visit an endocrinologist may arise in the following cases:

  • Your thyroid blood tests show the signs of thyroid conditions
  • Your bones became fragile due to the onset of osteoporosis
  • You are a woman who suffers from abnormally varying menstrual cycles
  • Your height doesn’t correspond to the normal age-based range (though this problem is typically addressed in childhood or adolescence)
  • You are experiencing pathologically voluminous hair fall called alopecia
  • You are a man who noticed his breast size enlargement known as gynecomastia

But there are some cases when the endocrinologist’s consultation is mandatory. Thus, you have to obligatorily go to the endocrinologist if you have:

  • Suspicious thyroid nodules: The endocrinologist has to estimate the state of your thyroid nodules if these nodules are constantly increasing and hence hinder swallowing and breathing. The endocrinologist will tell you whether you need to do some imaging tests and blood tests as well as perform a thyroid biopsy. The doctor will also find out whether the nodules have the signs of malignancy.
  • Thyroid cancer: If a diagnosis of thyroid cancer was set, your task is to consult the endocrinologist who is primarily focused on the treatment of thyroid cancer. This endocrinologist will not only prescribe necessary treatment, but will also ensure further thyroid cancer management in order to keep the disease symptoms under control, especially if a person has obesity. The family practitioners and otolaryngologists are usually also engaged establishing a diagnosis of thyroid cancer. This kind of cancer is quite rarely occurring. But the prognosis for a disease is quite favorable if a highly competent endocrinologist or physician who actively practices thyroid cancer treatment becomes your doctor.
  • Graves’ disease: This disease may in its turn lead to the development of hyperthyroidism. The process of identification whether it’s really so raises the need for a professional endocrinologist. This specialist should have an experience and expertise in both the performance and interpretation of thyroid imaging and blood tests. So if you are diagnosed with Graves’ disease and hyperthyroidism, you must choose a thyroid-specializing endocrinologist for adequate estimation and treatment of these medical conditions.
  • Symptomatic goiter: Regardless of whether the initial size of thyroid is small or large, a great number of people are diagnosed with a tiny goiter. It’s a thyroid enlargement that can’t be seen and doesn’t make you breath or swallow in a complicated way. Till this goiter remains small, you can continue leading your customized lifestyle, take the non-prescription natural HGH supplements, etc. You shouldn’t take any measures accept constantly monitoring goiter size and other characteristics. But as soon as a goiter grows enough to become very noticeable and you start feeling difficulties with breathing and swallowing, you have to instantly visit the endocrinologist.
  • Infant or child with a thyroid disease: If a newborn baby is diagnosed with a thyroid disease like transient hyperthyroidism or congenital hypothyroidism or a child is affected with any thyroid disease later, it’s crucial to timely schedule a pediatric endocrinologist’s appointment without any delay. The pediatric endocrinologist will help your child avoid serious health problems and complications later.

Most Common Diseases Treated by Endocrinologists

Except diabetes, endocrinologists are engaged in diagnosing and treating many other diseases such as:

  • Thyroid diseases: Both abnormal elevation and decrease in thyroid hormone levels impair hormone balance in the body and contribute to the low energy levels, muscle strength drop, weight management problems, and emotional fluctuations. The major types of thyroid diseases include benign thyroid disease, hyperthyroidism, hypothyroidism, and endocrine gland cancer.
  • Bone diseases: Osteoporosis and osteomalacia are the most widespread bone diseases treated by the endocrinologists. Osteomalacia leads to bone softening, while osteoporosis means low bone density and bone fragility.
  • Obesity: Hormonal and metabolic issues related to malfunctioning of ovaries, pituitary, adrenal, and thyroid glands are often fraught with overweight and obesity. The endocrinologists find out and fight the factors associated with obesity.
  • Pituitary gland diseases: The diseases of this gland worsen the functioning of other important glands and result in either insufficient production or overproduction of essential hormones. The endocrinologists identify and cure these diseases.
  • Hypertension: High blood pressure can be an outcome of the endocrinological disorders like metabolic syndrome. Excessive aldosterone levels which raise due to the overwork of the adrenal glands also contribute to hypertension.
  • Lipid disorders: The endocrinologists have expertise to diagnose lipid disorders like hypothyroidism. The lipid disorders are related to the body’s inability to keep body fats at healthy level. The endocrinologists detect and cure these disorders.
  • Polycystic ovary syndrome (PCOS): This disease implies abnormally high levels of male hormones and insulin in women. This disorder has many complications treated by the endocrinologists due to the normalization of hormone balance.
  • Growth disorder: There the growth disorders like growth hormone deficiency, acromegaly, short stature, genetic growth diseases, Turner’s syndrome, etc., which are diagnosed and cured with the help of highly competent endocrinologist.
  • Infertility: Reproductive endocrinologists are engaged in dealing with both female and male infertility by prescribing hormone medications. The pharmaceutical ovulation stimulation is the example of infertility treatment in women.

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