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ARKA Endocrine Clinic|2743 Imperia Drive, 204, Sugar Land, TX 77479|(281) 688-9728

Diabetes

Why do we get Diabetes Mellitus (DM)?

The pancreas, an organ behind the stomach, produces a hormone called Insulin. Insulin helps uptake of glucose into the cells. Once inside the cells, glucose is broken down for immediate energy, or some of it is converted to be stored for future use. When insulin is either deficient or only little compared to the needs of the body or the body can't use the insulin that is produced, it results in elevated blood glucose levels.

What are Type 1 and Type 2 Diabetes Mellitus?

diabetes

What are the common symptoms of DM?

  • Excessive Thirst, Excessive hunger, Excessive urination
  • Fatigue, Dehydration, Weight loss

What is the screening test?

  • Pre Diabetes
    • Fasting plasma glucose 100-125 mg/dl or
    • OGTT 140-199 mg/dl or
    • HbA1c 5.7- 6.4 %
  • DM
    • Fasting plasma glucose > 126mg/dl or
    • OGTT with 2hr plasma glucose >= 200 mg/dl or
    • HbA1c >=6.5% or
    • Classic symptoms of Hyperglycemia /crisis with random plasma glucose >=200 mg/dl

What is HbA1c?

  • It measures your average blood sugar level over the past three months
  • A1C < 5.7% is normal
  • 5.7 - 6.4% indicates prediabetes
  • > 6.5% indicates you have diabetes

How to manage DM?

  • Intense lifestyle modification, weight loss
  • Oral medications
  • Insulin

What are some of the complications of DM?

  • Eye - Retinopathy (damage to blood vessels in the back of the eye)
  • Heart - Coronary artery disease (early blockage of heart blood vessels)
  • Kidney - Nephropathy (Kidney failure), albuminuria (protein spillage in urine)
  • Neuropathy -Pain, tingling, numbness, burning, skin ulcers
  • Brain - Stroke

What is Diabetic ketoacidosis?

  • It is the most life-threatening acute complication of diabetes
  • Patients develop hyperglycemia, ketosis, and severe dehydration. Sometimes can lead to a coma.
  • Patients need to be admitted to the hospital, often to the intensive care unit, for intravenous insulin
  • It is often the presenting manifestation of DM Type 1

What is Gestational Diabetes?

  • Diabetes that is diagnosed for the first time during pregnancy
  • This can cause complications like pre-eclampsia(uncontrolled high blood pressure), premature delivery, large babies(risk of clavicle fractures, nerve injuries during delivery, and high risk for c - section), and stillbirth.
  • By appropriate early screening (24-28 weeks of pregnancy) and controlling blood glucose, most of the complications can be avoided.

What do we do in our clinic?

We offer a comprehensive evaluation for Diabetes. We monitor your blood glucose closely, help improve your HbA1c and work with you and related specialists in preventing and managing complications associated with diabetes.
We manage Insulin pumps and use Continuous Glucose Monitoring in patients with appropriate indications.

Continuous Glucose Monitoring

Traditionally, blood glucose is measured with a fingerstick method. This involves multiple sticks in a day and only gives a snapshot of blood glucose at that time. However, blood glucose might fluctuate and change in-between measurements.
Continuous glucose monitoring tracks your blood glucose at all times. You can better balance a day by monitoring the trends and adjusting medicines, diet, and activity. It has alarms that notify when glucose is dangerously high or low. It also tracks and saves the data, so you don't need to worry about noting the glucose levels or losing the information. The data can be downloaded by your physician to help in your care.

diabetes machine

Insulin Pumps, Delivery Devices, and Continuous Glucose Monitoring Systems

MedtronicTandem DiabetesDexcomOmnipodVGOFreestyle Libre

Thyroid

The thyroid gland is located in the front of the neck. It produces hormones that are important for metabolism and affects many other organ systems.

What Is Hyperthyroid?

  • Increased thyroid hormones - Free T4 and T3, Low TSH
  • Patients can have heat intolerance, palpitations, atrial fibrillation, weight loss despite a good appetite, nervousness, emotional lability, increased sweating, and menstrual irregularities.
  • If not treated, it can progress into a life-threatening situation called thyroid storm.

What Is Hypothyroid?

  • Decreased thyroid hormones - Free T4, Increased TSH
  • Patients can have fatigue, myalgia, cold intolerance, constipation, weight gain, and menstrual irregularities.
  • If left untreated, it can progress to a life-threatening emergency called myxedema coma.

What Is Thyroid Nodule?

  • Cyst or outgrowth of thyroid tissue.
  • It is extremely common, and most of the nodules are benign. Only about 5-15% are malignant.
thyroid nodule

What We Do In Our Clinic

After a detailed evaluation, we will be able to develop a comprehensive management plan to achieve the best results.
For patients with nodules, we work closely with interventional radiologists who specialize in thyroid biopsies. In situations needing surgery, we work with surgeons who perform minimally invasive surgery.

Calcium/Parathyroid

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We treat the following issues related to calcium and parathyroid levels:

Men's & Women's Health

Other Health Conditions

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Business Hours

Tuesday8:00AM-5:00PM
Wednesday8:00AM-5:00PM
Friday8:00AM-5:00PM
By Appointment Only.

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