Tag: type 2 diabetes

What is Metabolic Syndrome?
Posted on by Leslie Branon


Type 2 diabetes and heart disease can stem from and are associated with a set of common factors, including high blood pressure, high cholesterol, elevated blood sugar levels, obesity, and physical inactivity. 

When these conditions occur together it is defined as metabolic syndrome. 

Currently up to one-third of all adults in the United States have metabolic syndrome. 

At Texas Diabetes & Endocrinology (TD&E), our team of board-certified endocrinologists and diabetes specialists offer a variety of options to help prevent heart disease and manage weight loss in order to avoid developing metabolic syndrome and other serious conditions. 

What causes metabolic syndrome? 

One of the main contributors in developing metabolic syndrome is being overweight or obese. You are at a significantly higher risk for metabolic syndrome if your body is ‘apple-shaped,’ which refers to carrying extra weight around the abdomen. 

Other common risk factors for metabolic syndrome may include:

  • Advanced age
  • Ethnicity, with Hispanics reported to be at the highest risk 
  • A diagnosis of pre-diabetes, gestational diabetes, or a family history of diabetes
  • High blood pressure or cholesterol
  • Insulin resistance, where the body has a hard time processing sugars

What are some symptoms of metabolic syndrome? 

There are no common symptoms that point towards metabolic syndrome, that is why it is important to get evaluated with your primary care doctor every 1 to 3 years, depending on your age and risk factors. 

How can you prevent developing metabolic syndrome? 

Many of the factors associated with metabolic syndrome can be improved if not fully reversed with dedicated lifestyle changes. Some healthy habits that our endocrinology experts recommend for preventing metabolic syndrome and the risk for diabetes and heart disease are:

  • Eating a well-balanced diet full of vegetables, fruits, whole grains, and lean proteins
  • Monitoring how much salt and sugar are in your diet
  • Aiming for at least 30 minutes of physical activity, at least five days a week
  • Losing weight as directed by your physician
  • Stopping smoking and drinking alcohol in moderation

At TD&E, we offer cardiovascular risk assessment including Advanced Lipid Testing and supportive weight loss counseling and management. 

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.

Diabetes and Heart Disease  
Posted on by Leslie Branon

Approximately every 33 seconds someone in the United States dies from some form of heart disease, and those who have diabetes are twice as likely to develop heart disease than others. 

Heart disease, or cardiovascular disease, encompasses the many conditions that could damage your heart, the aorta, or its vast network of surrounding blood vessels, veins and arteries. Heart disease typically prevents blood from flowing effectively in and out of the heart.  

If left untreated, it can lead to a stroke or heart attack.

What is the connection between diabetes and heart disease? 

High glucose levels and high blood pressure, both associated with diabetes, can lead to damaged blood vessels over time and cause wear and tear on the heart muscle.  People with diabetes also tend to have high cholesterol levels which lead to plaque buildup in the arteries (atherosclerosis) which restricts blood flow. 

Since February is American Heart Month, our team of board-certified endocrinologists aims to ensure that all of our patients are aware of the potential risk for heart disease, while becoming educated on how to prevent it.

What are symptoms of heart disease?

Some common symptoms to watch out for that may be signs of heart disease include: 

  • Shortness of breath
  • Chest pain, also known as angina, or chest tightness or pressure
  • A slowed heartbeat
  • Dizziness or lightheadedness 
  • Chronic pain or numbness in your arms
  • Pain in the neck, jaw, throat, or upper back

How is heart disease diagnosed?

If you notice any of these symptoms, and you have diabetes or other risk factors for heart disease (such as a family history), it is important to get examined right away.

Diagnostic tests that your doctor may use to determine if you are suffering from heart disease are:

  • An electrocardiogram (EKG)
  • Stress test
  • Cardiac CT scan or MRI

At TD&E, we offer heart disease prevention services and diagnostics such as Advanced Lipid Panel Testing and Coronary Artery Calcium Tests. 

We will always work in close conjunction with your cardiologist to create the best treatment plan for both your heart health and diabetes. 

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.

How to Ease Holiday Travel with Diabetes 
Posted on by Leslie Branon

The holiday season is here, and with it comes the excitement of decorating, gift-giving, family, friends, food and possibly travel. While all of these things are what make the holidays the most special time of the year, they can also cause stress for some – especially those living with diabetes.

Holiday food indulgences and travel can be challenging with diabetes if you are not prepared, but they can absolutely be enjoyed if you take the time to plan ahead.

How can I travel during the holidays and still manage my diabetes effectively? 

Here are five tips for holiday travel from our team of board-certified endocrinologists at Texas Diabetes & Endocrinology: 

  • Check in with your physicians and endocrinologist and make sure that all your prescriptions are filled before you leave town.
  • Take care when packing your medications and bring extra supplies to have with you in case of a travel delay or an emergency (insulin, test strips, syringes, batteries for glucose monitors, etc.). If traveling by airplane, stash your medications in a carry-on bag so that they are easily accessible and not stuck in checked luggage if it’s lost.
  • Pack healthy snacks for your journey so that you do not have to rely on airport or rest  stop food that is typically full of added sweeteners, carbs, fats and sodium. Safe options that will help keep blood sugars low include hard-boiled eggs, sliced veggies or fruit, nuts, portable salads with grilled meats, or sandwiches on whole-wheat/low-carb bread or tortillas.
  • Once you have reached your destination, adjust the timing of your medications or injections to fit the new time zone you’ve arrived in, if applicable.  Set alarms for yourself on phones, smartwatches or Ipads so that you do not miss your scheduled dosages while enjoying your holiday activities. 
  • Test often to avoid any serious blood sugar highs or lows. Take into consideration your surroundings also and know that higher altitudes and cooler or warmer temperatures could have an effect on your readings.

Finally, remember to enjoy your trip and special time with family and friends! 

For information on how to safely navigate airport security with diabetes medications and medical supplies, visit the TSA/ U.S. Transportation Security Administration. 

Try new and festive foods in moderation and practice healthy portion control to avoid overindulging and unexpected spikes. More on smart eating tips for the holidays from TD&E can be found here.

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.

fatty liver disease
What you need to know about fatty liver disease and alcohol
Posted on by Leslie Branon

The liver is a multi-tasking organ that performs many essential functions for the body, one of which is detoxification. Sometimes the liver itself can accumulate too many toxins, such as in the case of fatty liver disease, when harmful fat deposits build up and cause inflammation. This can lead sometimes lead to more permanent damage, known as cirrhosis.

Approximately 25 percent of adult Americans are living with one of the most chronic liver diseases known as nonalcoholic fatty liver disease (NAFLD). Those with type 2 diabetes (T2D) are heavily prone to developing this condition. It is estimated that up to 70% of those living with T2D also suffer from  NAFLD. 

What is NAFLD?

NAFLD is the accumulation of fat in the liver that is unrelated to alcohol use, as opposed to alcoholic fatty liver disease which can be attributed directly to excessive alcohol consumption. While the exact cause of NAFLD can be hard to pinpoint, however, conditions such as diabetes, obesity, and high cholesterol are frequent triggers.

If too much fat builds up, the liver’s ability to function properly and eliminate toxins starts to decrease and can eventually shut down altogether. This leaves the body susceptible to severe sickness from the accumulated toxins. 

Unfortunately, NAFLD often develops without any significant symptoms.

How is NAFLD diagnosed?

NAFLD can be detected and further characterized through a non-invasive imaging study called FibroScan. Texas Diabetes & Endocrinology is one of the first endocrinology clinics in Central Austin to offer this innovative testing.

FibroScan technology allows our endocrinologists to gauge the amount of fat in the liver by observing the degree of stiffness in liver tissue.  The FibroScan evaluation is painless, performed conveniently in our offices, and only takes about 15 minutes to complete. 

NAFLD and Alcohol

If a diagnosis of NAFLD is made, one of the common questions our board-certified endocrinologists get is how drinking alcoholic beverages can affect this condition.

Endocrinologist Dr. Ishita Prakash Patel offers the following guidance to patients.

Is moderately drinking safe for those who are diagnosed with nonalcoholic fatty liver?

Abstinence from drinking is the safest option for those who already have the diagnosis of fatty liver disease.

What are the benefits of alcohol avoidance for those with NAFLD?

The benefits are stabilizing the liver disease and not aiding in progression of liver cell injury and the development of fibrosis, which is permanent.

Do any beverages actually help reduce liver fat?

A healthy balanced diet with vegetables, fruits and whole grains is important. It is also very important to lose weight if you are overweight or obese. There are no specific beverages which are proven to reduce liver fat. Drinking beverages without added sugars or chemicals are best. It is also recommended to stay away from processed and high fat foods.

Dr. Patel shares that “there is a rapidly growing percentage of the population that is developing NAFLD, as it is closely associated with obesity and diabetes.”

It is important to be aware of the potential for NAFLD if you possess one of the risk factors, such as diabetes, and get screened for it as “this condition can lead to liver fibrosis and cirrhosis, which are more permanent and dangerous conditions.”

How is NAFLD treated?

Lifestyle changes are typically the first, and most effective, form of treatment recommended. Your physician may suggest the following modifications to encourage healthier liver function:

  • Eating a balanced diet low in fats and sugar and high in vegetables, fruits, and whole grains
  • Maintaining a healthy weight, or losing weight if necessary
  • Exercising regularly, at least 150 minutes per week for the average adult
  • Quitting smoking
  • Properly managing (and monitoring) chronic conditions like diabetes, high blood pressure, and high cholesterol

Some medications and dietary supplements may also be helpful in relieving the liver of fatty buildup. Our team of endocrinology experts will work closely with your physician or gastroenterologist to help create a treatment plan that works best for you.

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