expert type icon EXPERT

Dr. A. Donald Angeletti, M.D.

Endocrinology-Diabetes

Dr. A. Donald Angeletti is a specialist in Internal Medicine, Endocrinology and Metabolism in West Caldwell, NJ. Following completion of his fellowship in Endocrinology and Metabolism at the New Jersey College of Medicine, East Orange V.A. Hospital, he has devoted his career to creative, successful, physicians' weight loss programs. He is a respected Endocrinologist and weight loss doctor. His weight loss programs can include prescription diet pills and diet meal foods. Personal, and caring, attention is emphasized.
He is the author of a publication on cardiac arrhythmias during liquid protein diets, which appeared in the New England Journal of Medicine. He has served as a Clinical Instructor at the New Jersey College of Medicine and Dentistry, as Chief of Division of Endocrinology at Hackensack UMC Meridian Mountainside Hospital, and as Consultant to the Sanction Committee at the Peer Review Organization of New Jersey. Dr. Angeletti's Blogs are devoted to current health issues.
54 years Experience
Dr. A. Donald Angeletti, M.D.
  • West Caldwell, NJ
  • Univ Di Bologna, Fac Di Med E Chirurgia, Bologna, Italy
  • Accepting new patients

My husband is a diabetic and has been experiencing premature ejaculation. Are the two related?

Diabetes, and diabetic medications, commonly cause difficulty in achieving adequate erections. Etiology of premature ejaculation is more difficult to determine and is best discussed READ MORE
Diabetes, and diabetic medications, commonly cause difficulty in achieving adequate erections. Etiology of premature ejaculation is more difficult to determine and is best discussed with his physician.

Is brown rice helpful in controlling diabetes?

The more significant factor in controlling diabetes is adhering to a diabetic diet, including strict limitation of sugar and rice intake. As long as you adhere to these limitations, READ MORE
The more significant factor in controlling diabetes is adhering to a diabetic diet, including strict limitation of sugar and rice intake. As long as you adhere to these limitations, you can switch to brown rice.

When does medication start for diabetes?

Your blood sugar is in a range where treatment should be started. If you are overweight you can start with diet and regular aerobic exercise. Otherwise, you can start with medication. READ MORE
Your blood sugar is in a range where treatment should be started. If you are overweight you can start with diet and regular aerobic exercise. Otherwise, you can start with medication. Treatment is usually begun when blood sugar level is above 130.

What happens when you stop taking diabetes medication?

You should not stop taking diabetes medicine, unless your physician tells you to stop taking it! Otherwise, your diabetes may become uncontrolled.

Can I control type 2 diabetes with diet alone?

There is a good possibility that you may be able to control type 2 diabetes with diet alone if you are overweight. Regular aerobic exercise for 30 minutes a day will also help. READ MORE
There is a good possibility that you may be able to control type 2 diabetes with diet alone if you are overweight. Regular aerobic exercise for 30 minutes a day will also help.

How can I stop taking diabetes medication?

If you are overweight, the first approach is weight loss and daily aerobic exercise. Otherwise, you probably will need to continue the medicine.

Where can I get a 1,200 cal. diabetes diet?

Your physician can most likely provide you with a 1200 calorie lo fat diabetic diet. Alternatively you can contact a nearby hospital to find a registered dietitian.

My husband feels anxious due to his diabetes medication. What should we do to manage it?

He should discuss it with his physician. Some diabetic medications can cause lethargy, but low blood sugar levels could also be responsible - so this should be investigated further. READ MORE
He should discuss it with his physician. Some diabetic medications can cause lethargy, but low blood sugar levels could also be responsible - so this should be investigated further.

How can we fight diabetes naturally?

Daily aerobic exercise for at least 30 minutes, and a balanced deficit diabetic diet provided by your physician, or a registered dietitian, are the most effective natural treatments. READ MORE
Daily aerobic exercise for at least 30 minutes, and a balanced deficit diabetic diet provided by your physician, or a registered dietitian, are the most effective natural treatments.

Can diabetes be fatal??

Diabetes increases your risk heart attack & kidney failure, both of which can be life threatening.

Do I need to take insulin forever?

If you are a type II diabetic ( non insulin dependent), your physician may be able to wean you off insulin. Daily aerobic exercise for at least 30 minutes, as well as strict adherence READ MORE
If you are a type II diabetic ( non insulin dependent), your physician may be able to wean you off insulin. Daily aerobic exercise for at least 30 minutes, as well as strict adherence to a diabetic diet should help. That said, insulin is a very effective safe way to treat diabetes with less side effects when administered properly.

If I had diabetes during pregnancy, are there chances I will get the disease later in life?

Your chance of developing diabetes after the pregnancy is increased, especially if you do not adhere to a healthy diet. Daily aerobic exercise is important, in addition to staying READ MORE
Your chance of developing diabetes after the pregnancy is increased, especially if you do not adhere to a healthy diet. Daily aerobic exercise is important, in addition to staying at your ideal body weight, to reduce the risk of later diabetes.

Can gestational diabetes continue after delivery?

Gestational diabetes is, by definition, diabetes that occurs during pregnancy. It is not likely to continue after delivery, but you are at increased risk of developing diabetes READ MORE
Gestational diabetes is, by definition, diabetes that occurs during pregnancy. It is not likely to continue after delivery, but you are at increased risk of developing diabetes at some later date. The best way to reduce that risk is by maintaining a healthy diet, staying at your ideal body weight and daily aerobic exercise for at least 30 minutes.

Can my blood pressure be worsening my diabetes?

Moderate increases in blood pressure are not usually the cause of significant sugar fluctuations. Significant blood sugar fluctuations are more likely related to dietary intake, READ MORE
Moderate increases in blood pressure are not usually the cause of significant sugar fluctuations. Significant blood sugar fluctuations are more likely related to dietary intake, or emotional stress, but there are many factors which can affect blood sugar levels. It would be wise to discuss this problem with your physician.

Does insulin cause weight gain?

Insulin can cause small amounts of weight gain due to water retention - not more than a few pounds. It does not cause significant weight gain.

What should be the ideal HbA1C for a diabetic patient?

Ideally, your HgbA1c should be in the normal range (below 6.0) with proper control of your diabetes. The usual minimal target for diabetic patients is a level below 7.0.

Can you reverse diabetes?

There is a good possibility that she can control type 2 diabetes with adherence to a balanced deficit low calorie diet and daily aerobic exercise for 30 minutes. Your physician READ MORE
There is a good possibility that she can control type 2 diabetes with adherence to a balanced deficit low calorie diet and daily aerobic exercise
for 30 minutes. Your physician can probably provide her with a diet.

What is a normal blood sugar reading after eating?

Blood sugar levels rise immediately after meals, but should return close to normal levels after 2 hours - depending on the laboratory in about the 100 - 120 range.

What are the warning signs of prediabetes?

There are usually no symptoms associated with prediabetes.

Why do my antibodies keep increasing?

It is possible it may lead to hypothyroidism. Hypothyroidism is usually easily treated. It may not lead to hypothyroidism, and the antibodies may remain steady. We do not know READ MORE
It is possible it may lead to hypothyroidism. Hypothyroidism is usually easily treated. It may not lead to hypothyroidism, and the antibodies may remain steady. We do not know what causes the antibodies to rise, and we do not know of an effective way to arrest it.