EXPERT
Mr. Paul C. Norwood, M.D., F.A.C.P.
Endocrinology-Diabetes
Dr. Paul C Norwood M.D., F.A.C.P. is a top Endocrinology-Diabetes in Fresno, . With a passion for the field and an unwavering commitment to their specialty, Dr. Paul C Norwood M.D., F.A.C.P. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Paul C Norwood M.D., F.A.C.P. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Paul C Norwood M.D., F.A.C.P. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Fresno, CA, Dr. Paul C Norwood M.D., F.A.C.P. is a true asset to their field and dedicated to the profession of medicine.
45 years
Experience
Mr. Paul C. Norwood, M.D., F.A.C.P.
- Fresno, CA
- Loma Linda
- Accepting new patients
Reflections by an early adopter Endocrinologist with 34 years of experience about weight
Such a problem, obesity, affects 75% of the population. About 42% of the population is obese with a BMI of over 30 (body mass index). A normal BMI is less than 25, obese is over...
How does general anesthesia affect diabetics?
Well, there is little data here, how long is surgery? Heart transplant? Bypass? Kidney transplant? Well I am going to assume that this is a short surgery,?Cholecystectomy? The READ MORE
Well, there is little data here, how long is surgery? Heart transplant? Bypass? Kidney transplant? Well I am going to assume that this is a short surgery,?Cholecystectomy? The key is for the anesthesiologist to monitor your diabetes during the surgery and he will treat it as the
surgery is being done. I am sure the anesthesiologist will know that you're a diabetic. I would tell him or her what your glucose levels are and where during the day and if you take insulin or not.
surgery is being done. I am sure the anesthesiologist will know that you're a diabetic. I would tell him or her what your glucose levels are and where during the day and if you take insulin or not.
Is it dangerous to go under anesthesia with diabetes?
I know very little about you. How long you have had diabetes, how overweight you are etc. So there isn’t enough data to answer.
High-pitched voice?
Please have your testosterone measured
Diabetic question?
There is not enough information
Glucose levels? Ha1c? Weight? Height? BP? Medications?
Glucose levels? Ha1c? Weight? Height? BP? Medications?
I'm so hairy and I'm a girl?
Need to check free testosterone and she’s sulfate
How is the cycle?
How is the cycle?
Diabetes management?
You need either a GLP1 or insulin actually probably both. Your body has run out of insulin. Things will not go well if you don't act soon. I have little information such as weight READ MORE
You need either a GLP1 or insulin actually probably both. Your body has run out of insulin. Things will not go well if you don't act soon. I have little information such as weight etc. Let us say you are very overweight, it is possible in some to eat very little or for that matter fast, then one can become insulin sensitive and the glucose will come down. Eating when the glucose is in the 300s makes little sense. I am worried about you and you need help.
Diabetes management?
If your sugar is in the 300s you are insulin deficient. I know little about your history. So little information But let’s say your glucose is averaging 300.You’re following a strict READ MORE
If your sugar is in the 300s you are insulin deficient. I know little about your history. So little information But let’s say your glucose is averaging 300.You’re following a strict diet. No medication except insulin will help you the amount you need to decrease the sugar. (150points)
Hypothyroid condition?
30 minutes before a meal is sufficient to take your thyroid medication. Taking the medication is more important than timing.
Dr. Norwood
Dr. Norwood
Diabetic question?
5.2% IS FINE. HOWEVER, TAKING A SULFONUREA WITH THAT GREAT OF AN Ha1C IS DANGEROUS. I WOULD CHANGE TO A MEDICATION THAT DOESN'T CAUSE HYPOGLYCEMIA SUCH AS JARDIANCE-FARXIGA-INVOKANA-STEGLATRO READ MORE
5.2% IS FINE. HOWEVER, TAKING A SULFONUREA WITH THAT GREAT OF AN Ha1C IS DANGEROUS. I WOULD CHANGE TO A MEDICATION THAT DOESN'T CAUSE HYPOGLYCEMIA SUCH AS JARDIANCE-FARXIGA-INVOKANA-STEGLATRO OR A WEEKLY GLP1 SUCH AS TRULICITY OR OZEMPIC.
DR. NORWOOD
DR. NORWOOD
Will eating too much sugar make me diabetic?
Sugar will not make one a diabetic. However, eating too much and gaining weight makes one at risk. Having a healthy diet and a healthy lifestyle will make a happier and healthier READ MORE
Sugar will not make one a diabetic. However, eating too much and gaining weight makes one at risk. Having a healthy diet and a healthy lifestyle will make a happier and healthier life. Excess sugar is not healthy.
I have a lump when swallowing near suprasternal notch?
You have a thyroid nodule and need to see an endocrinologist for an aspiration biopsy. Still, prognosis is good.
Dr. Norwood
Dr. Norwood
Am I overdosing on vitamin D?
Your intake of vitamin D is very modest. This dosage will not cause any problems.
Dr. Norwood
Dr. Norwood
What happens if a diabetic child has low blood sugar at school?
I hope your child has a continuous monitor. This will allow constant monitoring and some sugar such as lifesavers, a sucker, etc., to avoid hypos or treat.
Are Hypokalaemia and Hypoglycaemia related?
I believe that when you say that you have a glucose level of 2.3, which is in moles, which is a glucose of 41 mg/dl in United States nomenclature. That is extremely low. If you READ MORE
I believe that when you say that you have a glucose level of 2.3, which is in moles, which is a glucose of 41 mg/dl in United States nomenclature. That is extremely low. If you indeed are eating normally then, no bulimia, now diarrhea, no vomiting, no excess exercise without eating, no drinking alcohol on an empty stomach and no weight loss, then you may have an
insulin secreting tumor probably in the pancreas. The way to diagnose this is to under observation start a fast and have the glucose checked every hour by finger stick. If the glucose falls and becomes low then an insulin level, c peptide and proinsulin level will be obtained. The insulin level will be higher than expected if one has an insulinoma.
Paul Norwood, MD
insulin secreting tumor probably in the pancreas. The way to diagnose this is to under observation start a fast and have the glucose checked every hour by finger stick. If the glucose falls and becomes low then an insulin level, c peptide and proinsulin level will be obtained. The insulin level will be higher than expected if one has an insulinoma.
Paul Norwood, MD
Sweetener Situation?
Erythritol causes bloating. That is why it isn’t popular. Nutrasweet is safe and consists of 2 amino acids. Safe as can be. Splenda is very very safe. 85% is not absorbed 15% is READ MORE
Erythritol causes bloating. That is why it isn’t popular. Nutrasweet is safe and consists of 2 amino acids. Safe as can be. Splenda is very very safe. 85% is not absorbed 15% is urinated out without not 1 carbon being left in the body. It consists of 2 sugars molecules with replacement of 3 hydroxyl groups with chlorines like in NACL (tablet salt). Millions of people have drunks gallons of the aforementioned. There is no evidence of harm.
Am I pre-diabetic?
I have little information Weight? Family history? However, by definition, you are pre-diabetic.
Can too much sugar cause problems?
What is too much? By definition, too much is too much. So, yes. too much sugar is bad for you. Now the real question, Is sugar bad for you. Anything that causes too many calories READ MORE
What is too much? By definition, too much is too much. So, yes. too much sugar is bad for you. Now the real question, Is sugar bad for you. Anything that causes too many calories in a day is bad for the person. The goal is a healthy lifestyle. A diet with sugar that is in line with the daily caloric needs, will not be a problem. Again, a diet with excess calories is a terrible problem.
Best,
Dr. Norwood
Best,
Dr. Norwood
Weight loss issue?
Your case is too complicated for an online answer. In the meantime, I would be checked for a gluten allergy (celiac disease), however, you tell me so little about what's been done, READ MORE
Your case is too complicated for an online answer. In the meantime, I would be checked for a gluten allergy (celiac disease), however, you tell me so little about what's been done, what your labs are, what other symptoms you have, it is impossible to give you a clear answer, what and if you have a problem.
Best wishes,
Dr. Norwood
Best wishes,
Dr. Norwood
16 weeks pregnant TSH 23...next steps?
Your question is one that invites an opinion that is a landline for physicians. So, the best answer is for you to see an endocrinologist. However, to stop your fears which I consider READ MORE
Your question is one that invites an opinion that is a landline for physicians. So, the best answer is for you to see an endocrinologist. However, to stop your fears which I consider more worrisome than your thyroid levels, don’t worry, you and your baby will be fine.
Dr. Norwood
Dr. Norwood
How do you manage diabetes at work?
Well, there is a little data here, type 1 or 2 diabetic? On insulin? Your question is unanswerable. HOWEVER, let's pretend you are a type 1 diabetic, get a continuous glucose monitor. READ MORE
Well, there is a little data here, type 1 or 2 diabetic? On insulin? Your question is unanswerable. HOWEVER, let's pretend you are a type 1 diabetic, get a continuous glucose monitor. This will show you what you are doing and give you minute to minute feedback. Then go to your endocrinologist or primary MD, show him the data and make a plan. Monitoring is the key.
Dr. Norwood
Dr. Norwood
