diabetes uncontrolled
Signs of Uncontrolled Diabetes: When to Take Action and How to Regain Control

38 million Americans live with diabetes. For those already diagnosed, maintaining stable blood sugar levels is one of the most important, and sometimes most challenging, parts of living well with diabetes.

When blood sugar levels stay too high for too long, it’s known as uncontrolled diabetes. This can happen for many reasons from missed medications and stress to changes in diet, illness, or lifestyle routines. Sometimes, it happens gradually and quietly. Other times, symptoms appear suddenly and signal that your body is struggling to process glucose effectively.

Uncontrolled diabetes isn’t just about elevated numbers on a glucose meter. Over time, it can affect nearly every part of the body, including your heart, eyes, kidneys, nerves, and skin. That’s why recognizing the early warning signs and understanding when to seek care is so important. The sooner you act, the easier it is to prevent long-term complications and get back on track towards a healthy and balanced lifestyle.

Why Blood Sugar Control Matters

Uncontrolled diabetes increases the risk of complications including heart disease, stroke, nerve damage, kidney disease, and vision loss. Over time, high blood sugar can affect nearly every organ system, which is why early recognition of warning signs is critical.

Common Signs of Uncontrolled Diabetes

Some symptoms are subtle, while others are more obvious. If you experience any of the following, it’s time to talk with your healthcare provider:

  • Increased thirst and frequent urination: Excess glucose in your bloodstream pulls water from tissues, leading to dehydration and more frequent bathroom trips.
  • Extreme fatigue: When your body can’t properly use glucose for energy, you may feel tired all the time.
  • Blurred vision: High blood sugar can cause the lens of your eye to swell, leading to temporary vision changes.
  • Slow-healing cuts or frequent infections: Elevated glucose impairs circulation and weakens your immune response.
  • Unexplained weight loss: Despite eating normally, your body may break down muscle and fat for energy.
  • Numbness or tingling in hands and feet: A sign of diabetic nerve damage (neuropathy).
  • Dry skin and recurrent yeast infections: Both can be related to excess sugar levels in blood and urine.

What Causes Blood Sugar to Rise?

Several factors can cause blood glucose to climb out of range, including:

  • Skipping or mismanaging medication or insulin doses
  • Eating large portions or high-carbohydrate meals
  • Stress or illness
  • Lack of physical activity
  • Hormonal changes

Monitoring your blood sugar regularly and tracking trends over time can help you and your healthcare team pinpoint what’s triggering fluctuations.

How to Get Back on Track

If you suspect your diabetes is uncontrolled, don’t panic. The key is to take action early:

  • Check your blood sugar as directed and log your readings.
  • Meet with your endocrinologist to review your blood sugar readings and adjust your medication if needed.
  • Revisit your nutrition plan and focus on balanced, portion-controlled meals.

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services and other endocrinology therapies can help you lead a full and active life, please 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 with helpful wellness and health information.

thyroid ultrasound diagnosing thyroid disease
10 Signs of Thyroid Disease You Need to Know

Thyroid disease can be difficult to recognize because its symptoms are often vague and easily mistaken for everyday stress, aging, or other health issues. Fatigue, weight changes, or mood shifts may not seem connected at first, but together they can point to a thyroid problem. 

At Texas Diabetes & Endocrinology, our team specializes in identifying and treating thyroid disease, helping patients find answers and get the care they need to feel their best.

What Is Thyroid Disease and How Does It Affect Your Body?

Your thyroid is a butterfly-shaped gland located in the front of your neck. It produces hormones (primarily T3 and T4) that regulate metabolism, body temperature, heart rate, and more. Thyroid disease occurs when your thyroid works too hard (hyperthyroidism) or not enough (hypothyroidism), or if its structure becomes abnormal (nodules, goiters, thyroiditis). 

Over time, untreated thyroid issues can lead to heart problems, cholesterol changes, fertility issues, and reduced quality of life.

10 Symptoms of Thyroid Problems

Here are 10 signs that could indicate thyroid disease. One symptom alone doesn’t mean there’s a problem, but if you spot several, it’s worth getting checked.

  1. Fatigue, low energy, or feeling sluggish – Even after a full night’s sleep, you still feel tired or drained.
  2. Weight changes – Unexplained weight gain (common in hypothyroidism) or weight loss despite unchanged eating and exercise (seen in hyperthyroidism).
  3. Temperature sensitivity – Feeling excessively cold when others are comfortable (hypothyroidism) or overly hot/sweaty (hyperthyroidism).
  4. Digestive disturbances – Constipation when thyroid is underactive; frequent bowel movements or diarrhea if overactive.
  5. Dry skin, hair loss, brittle nails – Hair thinning, dry or coarse skin, nails that break easily or grow more slowly.
  6. Memory, focus & “brain fog” – Trouble concentrating, forgetfulness, or difficulty in mental tasks.
  7. Mood swings, anxiety, or depression – Mood changes that do not match situational stress—feeling anxious, irritable, depressed.
  8. Irregular heartbeat or palpitations – Heart racing, fluttering, or skipped beats.
  9. Swelling in neck / Lump or goiter – Visible swelling in front of the throat, difficulty breathing or swallowing, voice changes.
  10. Swelling / puffiness in face or hands – Feeling bloated, facial puffiness or swelling not due to diet or other obvious causes.

Who Is at Risk for Thyroid Disease?

Certain factors increase your risk of thyroid problems:

  • Family history of thyroid disease
  • Autoimmune disorders (Type 1 diabetes, lupus, rheumatoid arthritis)
  • Prior radiation therapy to neck or chest
  • Gender & age (women, especially middle-age or older, are more likely)
  • Pregnancy or postpartum period
  • Iodine deficiency (rare in U.S., more common in certain diets)

What To Do If You Notice Symptoms of Thyroid Problems

If you recognize several of these signs, our thyroid specialists recommend you schedule a visit with your primary care provider and share all of your symptoms, even the ones that seem minor. Your doctor may order lab work to understand how your thyroid is functioning and perform a physical exam to check for swelling, nodules, or other changes in the thyroid gland. 

In many cases, your provider may recommend that you see an endocrinologist for further evaluation and treatment. Depending on your results, management might include thyroid hormone replacement for an underactive thyroid, medication to reduce hormone levels for an overactive thyroid, or, in some cases, surgery. 

Alongside medical treatment, healthy lifestyle habits—such as balanced nutrition, stress management, and good sleep—can also play an important role in supporting thyroid health.

Thyroid Care at Texas Diabetes & Endocrinology

At Texas Diabetes & Endocrinology, our thyroid specialists are here to support your journey toward better thyroid health. We offer a Thyroid Nodule Fast-Track Program, which guarantees an appointment within two weeks if your primary care provider has identified a nodule. Our clinic is fully equipped to handle the entire evaluation process in a patient-friendly, outpatient setting with accredited thyroid ultrasounds and fine-needle biopsies if needed.

If you’d like to schedule an appointment with one of our endocrinologists at Texas Diabetes & Endocrinology, please contact us at (512) 458-8400 or request an appointment online.  

Who are the key participants in a clinical research trial? 

Today’s clinical research trials could lead to tomorrow’s most promising treatments and cures. 

Clinical research trials test new forms of medical intervention (such as drugs or a procedure) in order to advance the care for so many serious conditions, like diabetes which we treat here at Texas Diabetes & Endocrinology (TD&E). 

At TD&E, we have been dedicated to actively participating in clinical research for the past decade, and we offer a variety of trials for patients to pursue in areas of Diabetes, Thyroid, Osteoporosis, PCOS, Cholesterol, and Obesity/Weight Loss

Our goal with clinical research trials at TD&E is first and foremost to improve the quality of lives of our patients.

Who are the key participants in a clinical research trial?

In addition to the patients, other key members of a clinical trial team include the principal investigator and the sponsor. 

Here’s a closer look at each of these roles: 

Patients: they are the ones who volunteer to experience/test out a new technology that shows promise in improving a certain condition or disease. They benefit from participating in clinical research trials by 1) having access to new treatments that are not yet available to the public, 2) playing a more active role in their own health by getting a really in-depth view of what they are suffering from, and 3) they are typically compensated for their time spent in the study and traveling to and from a doctor’s office. 

Principal Investigators: the principal investigator (or PI) is a doctor, or another member of the practice’s medical team, who leads the research efforts and monitors the patients’ medical results, experience, and feedback. 

At TD&E, the following members of our team of board-certified endocrinologists and medical professionals serve as PIs for our clinical research trials:

Central Austin Principal Investigators:

Round Rock Principal Investigators:

South Austin Principal Investigators:

Sponsor: the sponsor is responsible for initiating and funding the trial. It may be an individual doctor, company, or medical school/institution. Once the trial is completed and the data is compiled from the patients and PI, the sponsor works to take the new treatment or technology to the public sector so that others may benefit from it. 

How can I participate in a clinical research trial at TD&E?

More about our research trials can be found here. Please let your endocrinologist know you are interested in participating in our program and they can discuss with you which currently enrolling trials would be the most beneficial to you and your particular condition. 

We are always extremely grateful to our patients who consider volunteering their time to help us in the advancement of scientific research. 

Endocrine Research in Austin, TX

You can learn more about our research department and currently enrolling clinical trials here. Please feel free to contact us at (512) 334-3505, option 4, to speak to a research coordinator about our enrolling studies.

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.

Women and Thyroid Disease

The thyroid is a small gland at the base of your neck that produces the  hormone that regulates body’s metabolism, growth and development. Factors that may lead the thyroid to malfunction include autoimmune disorders, an iodine deficiency, some medications, and even stress. 

If it’s not working properly, it can result in a number of health issues, especially for women. 

According to the American Thyroid Association, one in eight women will develop a thyroid disorder in her lifetime. 

In honor of World Thyroid Day on May 25th our team of board-certified endocrinologists and thyroid specialists are helping spread awareness about the common thyroid issues affecting women, like hypothyroidism (underactive) and hyperthyroidism (overactive) and Hashimoto’s Disease. 

Symptoms that may indicate you have a thyroid problem are fatigue, restlessness, change in heart beat, unexplained weight gain or loss, or irregular or absent periods. 

The greatest toll a troubled thyroid takes on a woman’s body is to her reproductive system. 

Here are the various stages and phases of the female reproductive cycle and how they are affected by the thyroid:

The Fertile Years 

Thyroid problems can affect ovulation (releasing an egg from the ovary) and impair fertility.  Thyroid problems can cause menstrual cycle irregularities (frequent cycles, no cycles or delayed cycles and increased bleeding)

Pregnancy & Post-Pregnancy

A thyroid issue during pregnancy, if left untreated, can be very serious and potentially damage the fetus (neuropsychological and cognitive impairment in the child) or lead to premature birth or stillbirth, miscarriage, preterm delivery, placental abruption, or pre-eclempsia, which dangerously elevates the mother’s blood pressure. Postpartum (after delivery), some women might have high thyroid levels due to postpartum thyroiditis.

Menopause & Bone Health

An overactive thyroid gland can bring on early menopause in some women, as early as 40 years old. It can also deplete bones of calcium and result in a common condition known as osteoporosis

How is thyroid disease treated? 

Successful treatment for both an overactive or underactive thyroid is often easily accomplished with medication prescribed by an endocrinologist. Adopting healthy lifestyle habits will also greatly support your thyroid treatment, such as following a well-balanced diet, getting enough sleep, not smoking, exercising regularly, and particularly for women, using weights to improve bone density. 

Contact Us to Help Manage your Diabetes, Osteoporosis and Thyroid Conditions 

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services  and other endocrinology therapies can help you lead a full and active life, please 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.

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