EXPERT
Neha Lalani
Endocrinology-Diabetes | Endocrinology, Diabetes & Metabolism
- Austin, TX
- University of Kansas
- Accepting new patients
Understanding Diabetes: A Comprehensive Guide to Managing and Preventing the Condition
Introduction: Diabetes is a prevalent but often misunderstood condition that affects millions of people worldwide. With its increasing prevalence, it's crucial to understand...
Is My Morning Cortisol Too Low
Morning cortisol of 4.9 is a low number, but we have to go in details regarding your sleep pattern, other medications, etc. before drawing a conclusion.
I would love to see you in office or by telemedicine. Please call us at 512-387-4224 or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral to see me.
High cholesterol after thyroidectomy and unusual test levels.
In general, insufficient thyroid medication dose (not excess) can cause cholesterol to get elevated. However, since this is a new thing for you, I think repeating cholesterol, fasting in 2-3 months will be a good idea.
I would love to see you in office or by telemedicine. Please call us at 512-387-4224 or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral to see me.
Adrenaline Production
There are some disorders that cause intermittent release of adrenaline like hormone. From what you are describing, I think you need a detailed evaluation.
I would love to see you in office or by telemedicine. Please call us at 512-387-4224 or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral to see me.
Statins vs Zetia and moderate assignment of statin instead of aggressive.
Given your labs, decreasing atorvastatin to 20 mg seems like an acceptable thing to try, to see if it helps with your neuropathy symptoms.
I agree that you should be able to see a specialist if you have questions.
I would love to see you in office or by telemedicine. Please call us at 512-387-4224 or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral to see me.
Thanks for serving our country.
Diabetic mother-in-law, 75 with dementia
That is definitely concerning. Insulin pump may not be the answer, because it can be dangerous in the hands of someone who cannot handle it. However, I agree that something needs to be done about this situation.
I would love to see her in office or by telemedicine. Please call us at 512-387-4224 or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral to see me.
About cortisol levels and treatment for low levels
From what you are describing, it looks like you have adrenal insufficiency, which is a disease in which your body is not making enough cortisol. Cortisol is a steroid which is essential for life. If a person was making their own cortisol (steroid) then taking steroids from outside (medication) can suppress their own cortisol production. But if you are not making enough cortisol, then your doctor will give you steroid medication (dexamethasone in your case), to replace what your body is not making anymore.
If you would like to see me for a second opinion, I would love to see you in my office or by telemedicine. Please call us at 512-387-4224 to make appointment or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral!
12.0 A1C
You do not need to go to the ER if you are feeling OK, but it will be a good idea to get seen by your doctor sooner than 20 days.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Query
Yes, they are both Glargine insulins, so you can substitute.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
How can diabetes type 1 be controlled?
Type 1 diabetes requires insulin, because the lack of insulin production is the cause of this disease. Islet-cell transplant and pancreas transplant can also be considered at some point, but insulin is immediately needed.
BR
Dr. Lalani
Diabetes mellitus
Based on what you are describing, you possibly need to start insulin right away, otherwise, it can be life-threatening.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Blood sugar and urine Glucose test
I am unable to give any advice based on the history that you presented, but I do feel that you need a complete evaluation, especially with high glucose in your urine.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Can you have iodine contrast with hyperthyroidism?
Yes, if you are on anti-thyroid medications with good control.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Thyroid
Iodine deficiency will not cause hyperthyroidism. From what you are describing, you need further evaluation.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Cancer signs
From what you are describing, it looks like your thyroid medication dose will need adjustment, and based on the appearance of your thyroid nodules, you may or may not need a thyroid biopsy.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Possible parathyroid tumor or myeloma?
I am sorry that you are going through this.
The first step in the evaluation of the cause of high calcium will be some special blood and urine tests. This will help in differentiating whether the problem is parathyroid or something else (eg. malignancy). With how severe your GERD is, I think it will be a good idea to get the acid test done, so you are prepared for surgery. In the meantime, you can have the rest of the labs for your calcium issue. I also think that you should atleast have an X-ray of your hip.
The above advice is strictly based on the history that you presented. With the lack of physical exam and old records, I am unable to tell for sure that this will be the best course of action.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Can diabetes type 2 be reversed?
In the very early stage, type 2 diabetes is potentially reversible.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Can I drink alcohol if I have diabetes?
In most cases, alcohol can be consumed in moderation and at a low frequency. However, the answer also depends on a lot of other factors.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani
Can hyperthyroidism be treated naturally?
I am not aware of any natural remedies for hyperthyroidism.
BR
Dr. Lalani
Is hyperthyroidism genetic?
Some forms of hyperthyroidism can run in the family.
BR
Dr. Lalani
What treatments are available for diabetes?
We are fortunate to have a lot of good options for treating type 2 diabetes. A complete evaluation is needed before making any recommendation, as there is no one-size-fits-all in this case.
I would love to see you in the office. Please call (512) 387-4224 or visit our website to make an appointment.
https://bluebonnetendocrinology.com/
BR
Dr. Lalani