expert type icon EXPERT

Dr. Demetrios T. Herodotou, MD

Endocrinology-Diabetes

<p>Dr. Demetrios Herodotou practices Endocrinology in Lexington, KY. Dr. Herodotou specializes in preventing, diagnosing, and treating diseases related to hormone imbalance, and the body's glands in the endocrine system. Endocrinologists are trained and certified to treat a variety of conditions, including menopause, diabetes, infertility, and thyroid disorders, among many others. Dr. Herodotou examines patients, determines means of testing, diagnoses, and decides the best treatment methods.</p>
37 years Experience
Dr. Demetrios T. Herodotou, MD
  • Lexington, KY
  • Semmelweis University Medicine
  • Accepting new patients

I am losing muscle fat. Could this be because of an hormonal imbalance?

Muscle normally doesn’t contain fat. Diabetes and obesity can abnormally add fat to muscle so losing it is a good thing. If you meant you are losing muscle mass, that is bad. It READ MORE
Muscle normally doesn’t contain fat. Diabetes and obesity can abnormally add fat to muscle so losing it is a good thing. If you meant you are losing muscle mass, that is bad. It can be due to hormonal problems such as overactive thyroid, excess cortisol, or testosterone deficiency (in men), and uncontrolled or untreated diabetes.

How does Glycomet SR help in losing weight?

That is a formulation of metformin. It helps by effects on liver and satiety. It is safe long-term if one has good kidney function.

What can I do to increase my leptin sensitivity?

By going to the gym every day, eating less calories that you need to maintain your weight, and thus losing weight deflates the fat cells which can then function better.

How should diabetes be treated in patients who have had it for a long time?

By going on insulin and other injectable diabetic drugs called GLP1 receptor agonists.

I have Hashimoto's, I think symptoms have gone into remission while I'm pregnant. Will they return?

Yes, usually 3-6 months after you deliver. Sometimes even earlier or later, but the more pregnancies and deliveries you have the worst it gets, thus destroying the function of READ MORE
Yes, usually 3-6 months after you deliver.
Sometimes even earlier or later, but the more pregnancies and deliveries you have the worst it gets, thus destroying the function of the thyroid gland rendering one thyroid hormone deficient or hypothyroid.

How can I lose weight if I havediabetes?

By going on a GLP-1 receptor agonist.

What should be the emergency first steps to deal with hypoglycemia in diabetic patients?

Have orange juice, glucose tablets, and glucagon shots available for them to use. The best thing is to avoid these episodes. It would help to allow your employees to have small READ MORE
Have orange juice, glucose tablets, and glucagon shots available for them to use. The best thing is to avoid these episodes. It would help to allow your employees to have small snacks in between meals and allow them to take their blood sugar before they take any insulin shots and before each meal.

Can lack of sleep cause diabetes?

Yes. Go back to your doctor to be treated.

Can type 2 diabetes ever be reversed?

Yes, or at least it can be slowed down.

Can beetroots be harmful for a diabetic patient?

It’s not harmful but it can be pretty sweet so it should be used with moderation.

With a family history of type 2 diabetes, is my daughter at a risk of juvenile diabetes?

No, not juvenile, but rather type 2 diabetes which occurs earlier and earlier as kids become fat and stay inactive. So, no other precautions, just make sure she is physically active READ MORE
No, not juvenile, but rather type 2 diabetes which occurs earlier and earlier as kids become fat and stay inactive.
So, no other precautions, just make sure she is physically active and restrict sodas and other carbs, white starches.

How do you bring down blood sugar quickly?

By going to your doctor and getting on the right treatment, usually, at least initially, with insulin.

Is a thyroid function test painful?

No, but it involves blood draw.

What tests diagnose diabetes?

A1c and fasting blood sugar.

What are the symptoms of diabetes?

Excess thirst and urination are the classic ones. But they can be subtle and non specific. Best is to go to your doctor and be checked.

Is hypothyroidism curable?

No, but you can take thyroid hormone very easily with a tablet every morning.

What are the causes of diabetes?

Obesity and inactivity especially in someone with Family history of diabetes.