expert type icon EXPERT

Dr. Ali Alexandru Achira, M.D

Endocrinology-Diabetes | Endocrinology, Diabetes & Metabolism

Dr. Ali Achira is an Endocrinologist practicing in Dearborn and Taylor, MI. Dr. Achira is consultant who specializes in the treatment of Diabetes, Thyroid, Adrenal, Pituitary, Menopause, Obesity and other Hormonal problems. Endocrinologists manage both common diseases like Diabtes and thyroid, as well as rare diseases like pituitary tumors and adrenal cushing's . Dr. Achira is also board certified in Obesity management, he provides comprehensive care and helps pateints with obesity/over weight acheive their weight goal.
14 years Experience
Dr. Ali Alexandru Achira, M.D
  • Taylor, MI
  • Damascus University
  • Accepting new patients

Does being a type 2 diabetic increase my chances of getting covid-19?

Having DM type 2, if uncontrolled, increases the risk of COVID-19 complications.

What can diabetics with high blood pressure eat?

Essentially everything healthy, even fruits, but "in moderation." NO junk food or sugary drinks.

How do you manage low blood sugar in public?

1- Be aware of hypoglycemic symptoms
2-Keep glucose tablets handy
3-Emergency Glucagon Kit

What tests should I take to see my thyroid levels?

We start with TSH and Free T4 levels to check for hyper or hypothyroidism.

Is hypothyroidism hereditary?

Hi, Most thyroid diseases are autoimmune like Hashimoto Hypothyroidism or Grave's hyperthyroidism, however, we see many familial cases. If you have a family history of thyroid READ MORE
Hi,

Most thyroid diseases are autoimmune like Hashimoto Hypothyroidism or Grave's hyperthyroidism, however, we see many familial cases. If you have a family history of thyroid problems and you complain of suggestive symptoms, you may need to be checked.

What are the treatment options for hypothyroidism?

We have many replacement thyroid hormonal medications, like Levothyroxine, Synthroid, Armor, Nature thyroid, Tirosit, etc.

Does being overweight make it harder for me to lose weight?

First, you will need a comprehensive hormonal work-up to rule out any underlying problem making you gain weight or harder for you to lose the extra weight.

What does a thyroidectomy do to cholesterol?

If you get a thyroidectomy, but take your thyroid replacement therapy appropriately, then it should not affect your cholesterol level. ONLY untreated Hypothyroidism with or without READ MORE
If you get a thyroidectomy, but take your thyroid replacement therapy appropriately, then it should not affect your cholesterol level. ONLY untreated Hypothyroidism with or without thyroidectomy will cause your cholesterol to go high.

How does the pituitary gland affect a child's growth?

The pituitary gland secretes growth hormone and thyroid hormone along with other hormones like cortisol stimulating and gonadal hormones. So a dysfunction in the pituitary can READ MORE
The pituitary gland secretes growth hormone and thyroid hormone along with other hormones like cortisol stimulating and gonadal hormones. So a dysfunction in the pituitary can cause lower levels of the above hormones and thus slow growth.

Can you eat sugar if you have type 2 diabetes?

I don't recommend the sugars that come from junk foods like Pepsi, juices, ice cream, and candies, BUT natural sugar that comes from fruits or vegetables is okay in moderation. READ MORE
I don't recommend the sugars that come from junk foods like Pepsi, juices, ice cream, and candies, BUT natural sugar that comes from fruits or vegetables is okay in moderation.

How does type 2 diabetes affect physical activity?

Mild to moderate physical activity (aerobic) tend to lower your sugars, strenuous/severe physical activity on the other hard may elevated your sugar. Keep that in mind if you are READ MORE
Mild to moderate physical activity (aerobic) tend to lower your sugars, strenuous/severe physical activity on the other hard may elevated your sugar. Keep that in mind if you are taking insulin and be aware of hypoglycemic symptoms.

Will prediabetes go away?

Yes, if you change your lifestyle and lose weight, then pre-diabetes goes away and you prevent diabetes.

Is stevia good for diabetics?

Stevia glycosides are increasing in popularity globally and can be sold as a dietary supplement in most parts of the world. Stevia can be used as a tabletop sweetener, and since READ MORE
Stevia glycosides are increasing in popularity globally and can be sold as a dietary supplement in most parts of the world. Stevia can be used as a tabletop sweetener, and since it is relatively stable in heat and over a wide pH range, it is also used commercially in prepared products such as ice cream, yogurt, cakes, sauces, beverages, and pastries.

Sugar alcohols and non-nutritive sweeteners are safe when consumed within daily levels established by the US Food and Drug Administration (FDA). When calculating carbohydrate content of foods, one-half of the sugar alcohol content can be counted in the total carbohydrate content of the food. Use of sugar alcohols needs to be balanced with their potential to cause gastrointestinal side effects in sensitive individuals.

How can you prevent developing diabetes?

Healthy lifestyle, exercise, and weight loss will increase your chance 68% to prevent diabetes based on the diabetes prevention trial results.

How are pituitary tumors treated?

It depends on the type and size of the pituitary tumors; secretory tumors may or may not need surgery, some respond to medical treatment, however, the size of the tumor and symptoms READ MORE
It depends on the type and size of the pituitary tumors; secretory tumors may or may not need surgery, some respond to medical treatment, however, the size of the tumor and symptoms may change the approach.

Why do diabetics pee a lot at night?

Uncontrolled diabetes means you have high sugar in blood, and subsequently the extra sugar will show in urine and give you "Polyuria," which means frequent urination that happens READ MORE
Uncontrolled diabetes means you have high sugar in blood, and subsequently the extra sugar will show in urine and give you "Polyuria," which means frequent urination that happens all the time, but you will noticed at night because is forcing your to wake up from sleep.


What can cause growth disorders in children?

You will need to consult with a pediatric Endocrinologist and check his growth hormone and thyroid hormone .

What happens when a diabetic eats sugar?

That will raise your blood sugar level because your pancreas is not able to keep up with the extra sugar .

What causes high blood sugar in the morning?

This is called impaired fasting glucose, and you will have to be screened for diabetes.

What are the common symptoms of people with undiagnosed diabetes?

Urinating a lot, feeling thirsty, fatigue, and weight loss.