Tag: endocrinology

managing diabetes during the holidays
Diabetes and Holiday Eating: Tips to Stay on Track
Posted on by Leslie Branon

The holiday season, and its festive foods, are often the highlight of the year for many people. For those with diabetes though, it can be extra challenging. 

Research from the American Heart Association and American Diabetes Association shows that half of those who have Type 2 diabetes feel that managing it during the holidays is more stressful than any other time of year. 

At Texas Diabetes and Endocrinology, our team of board-certified endocrinologists are dedicated to helping our patients learn best practices for managing their diabetes and gain better control of their health, even during the holidays.

Our diabetes experts recommend planning ahead to help your glucose levels stay at a healthy level during the upcoming holiday season.

How can I manage my diabetes during the holidays? 

1.         Always eat a smart breakfast. Then make a calculated plan to balance your food intake for the rest of the day ahead, and plan accordingly if you will be eating at later times than usual to prevent low sugar episodes.

2.         Get a workout in during the morning and take a walk at night. A workout earlier in the day will help to boost circulation and improve insulin sensitivity, allowing for easier management in the hours to follow. A nighttime walk at the end of the day after a big meal will also help to ease digestion. 

3.         Track your carbohydrate intake. There are many handy and helpful charts and trackers to help you gauge exactly what your carb intake is according to what foods you eat for each holiday, such as Thanksgiving, Hanukkah, and Christmas (courtesy of the JDRF). Find one that you like and stick to it for the next few months. 

4.         Know what you are eating. Don’t be afraid to ask your relative, host, or restaurant what ingredients (such as sugar, butter and cream) are in the foods you are eating, and how much! This knowledge can help you adjust your portions, or avoid some dishes, accordingly. Or, offer to bring your own low-carb, low-sugar version of something that will be served to share with others. 

5.         Consume alcohol in moderation and watch out for sugary mixers. Festive holiday cocktails are often loaded with sugary mixers such as juices and syrups.  Avoid drinking on an empty stomach as this can also cause your blood sugar to drop, and always drink responsibly.

6.         Test your glucose levels often. Keep as close to your regular testing schedule as possible, and anticipate potential blood sugar spikes and have a plan for when they occur. 

Bring plenty of stabilizing snacks along and your insulin and other medications if traveling. You never know when travel delays may occur, and you’ll want to be prepared. 

All that said, don’t forget to enjoy the holidays and those special festive treats when you can, and know that with a little planning and willpower you are able to get back on track with the next day and the next meal. 

Contact Us Today to Learn More about Managing Your Diabetes

If you’d like to schedule an appointment with Texas Diabetes and Endocrinology and discover how our diabetes treatment services can help you, contact us at (512) 458-8400 or request an appointment online.  

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

nder affirming hormone therapy
Texas Diabetes Offers Gender Affirming Hormone Therapy
Posted on by Leslie Branon

Texas Diabetes and Endocrinology’s team of board-certified endocrinology experts treat common endocrinology issues which are closely associated with the body’s hormonal system. 

One of the services we offer patients is gender affirming hormone therapy. In this blog, Dr. Valerie Espinosa explains everything you need to know about the gender affirming hormone therapy we offer in Austin, TX. 

What is gender affirming hormone therapy? 

This form of treatment is used in transgender and non-binary patients in order to help better align the body with a person’s gender identity, whether it be feminizing or masculinizing therapy. 

Feminizing therapy is mainly achieved with the administration of the hormone estradiol in transgender women and non-binary individuals. 

While estradiol is the mainstay of treatment, other medications may sometimes be

added (such as progestins and anti-androgens). Treatment with these medications induces several physical changes that are more consistent with a feminine appearance. These changes

include:

  • Breast development
  • Less facial and body hair
  • Softer skin
  • More body fat and a decline in muscle mass
  • Smaller testicles
  • Lower libido and fewer erections

Masculinizing therapy which uses testosterone in transgender men and non-binary individuals will also bring about several physical changes which include:

  • Cessation of the menstrual cycle
  • Deepening of the voice
  • Growth of facial and body hair
  • Clitoral enlargement
  • Increase in strength and muscle mass

How long does it take to see changes with gender affirming hormone therapy?

Changes generally start to occur within a few months, but full effects may not become apparent

until two to five years after starting hormone therapy.

What are the possible risks and side effects? 

Gender affirming hormone therapy does not come without serious risks/side effects. 

Estrogen-related side effects are: 

  • Blood clots
  • Higher cholesterol
  • Elevated prolactin
  • Weight gain
  • Hypertension
  • Potential for stroke
  • Mood changes, anxiety or depression 

Testosterone-related side effects are:  

  • Weight gain
  • Acne
  • Male pattern baldness
  • Higher cholesterol
  • Hypertension
  • Sleep apnea
  • High red blood cell counts
  • Blood clots

Both hormones will cause the transgender individual to develop infertility, which may or may

not be permanent.

What is the process to begin gender affirming hormone therapy?

Prior to starting therapy, we require a physician referral. Then, we will provide patient education including the risks and benefits of treatment to ensure that you are well informed enough to consent to treatment. Following this initial step, you will:

1.         Undergo a complete medical evaluation, including physical exam and laboratory diagnostics, to determine any treatment risks.

2.         Learn about and discuss options for fertility preservation. 

3.         Seek a mental health evaluation in order to confirm a gender dysphoria diagnosis and to rule out any co-existing mental health issues.

Once you have begun your hormone therapy, you will visit with our providers on a regular basis so that we can track your response to treatment and check for any signs of complications. 

We are ready to facilitate your journey through this process.

If you’d like to learn more about our gender affirming hormone therapy services, please call Texas Diabetes and Endocrinology at (512) 458-8400 or request an appointment online.  

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

extreme thirst, polydipsia, anemia and diabetes
Dr. Srujana Yada for Health Central: How Anemia Can Cause Excess Thirst
Posted on by Leslie Branon

There are numerous causes of unexplained increased thirst (polydipsia), including dehydration, anemia, dry mouth, and hypercalcemia. However, it is mostly commonly associated with diabetes. 

In a recent Health Central article, endocrinologist Dr. Srujana Yada explains that extreme thirst can be a result of severe anemia because when “blood pressure drops and blood volume decreases, one of the mechanisms our brain uses to maintain blood pressure is to increase water intake.” 

Dr. Yada advises people to drink two to three liters of fluid (about a gallon) a day, and  “if a person is drinking more than a gallon a day for several days and unable to quench thirst even after that, I would recommend seeing a doctor.”  

Read the article to learn about the causes of polydipsia and when to see a doctor.

For more information on our comprehensive endocrinology services, schedule a consultation with one of our board certified endocrinologists by requesting an appointment online or call (512) 458-8400. 

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you with helpful wellness and health information.

diabetes myths
Diabetes Myths: Seperating Fact from Fiction
Posted on by Leslie Branon

With diabetes on a steady incline globally, knowing the facts is essential. Here are five common diabetes myths and how to take charge of your health.

Eating too much sugar causes diabetes

Although this myth is false, there are some complexities surrounding the matter. Eating too much sugar doesn’t cause diabetes directly. However, a diet consisting mainly of sugar can lead to excess weight and obesity, which are risk factors for type 2 diabetes. 

Prediabetes will always lead to diabetes

Prediabetes occurs in about one out of every three adults in the United States and means that your blood glucose levels are higher than normal, but not high enough to be considered diabetes yet.

Prediabetes can put you at risk of type 2 diabetes, stroke, and heart disease. Luckily, proper diet changes and staying active can help prevent that from happening.

Being overweight causes diabetes

This is false. While being overweight puts you at risk of developing diabetes, it doesn’t always lead to the condition. Other diabetes risk factors include family history, age, race, lack of physical activity, and being diagnosed as prediabetic or previously having gestational diabetes. 

It’s not safe to exercise when you have diabetes

Regular exercise plays a key role in regulating blood sugar levels and therefore managing diabetes. Physical activity also helps lower your risk of diabetes-related complications, such as heart disease and nerve damage. The American Diabetes Association recommends 150 minutes of moderate intensity aerobic exercise per week. 

Our endocrinologists advise patients to keep the following recommendations in mind:

  • Always talk to your doctor before starting a new workout regime.
  • Prevent dehydration by drinking plenty of fluids.
  • Always check your blood sugar before and after being physically active, especially if you take insulin. You may need to adjust your dosage based on how your body reacts to exercise. 

I’ll know if I have diabetes

In a recent 2020 CDC report, 7.2 million adults who met laboratory criteria for diabetes were not aware of or did not report having diabetes.

Some diabetes symptoms can be hard to spot, take years to develop, or only appear when blood sugar levels are extremely high. Symptoms such as consistent hunger, thirst, blurred vision, and frequent urination should not be ignored. Routine wellness exams are critical in detecting diabetes early and preventing any long-term complications.

Endocrinologists in Austin, TX

If you’d like to learn more about our full range of endocrine services, please call Texas Diabetes and Endocrinology at (512) 458-8400 or request an appointment online. 

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

« Previous Page — Next Page »