Tag: type 2 diabetes

Advanced Practice Providers (APPs) are skilled professionals that play a critical role in our practice to ensure patients receive high quality, comprehensive care.
What is an Advanced Practice Provider?
Posted on by Leslie Branon

Advanced Practice Providers (APPs) are skilled professionals that play a critical role in our practice to ensure patients receive high quality, comprehensive care. Our endocrinologists work with Physician Assistants (PA), Nurse Practitioners (NP), and Clinical Nurse Specialists (CNS), who all have extensive training and offer a patient-centered approach that focuses on preventive care, education and overall wellness.

What is the difference between the various types of APPs? 

A Physician Assistant has a master’s degree and works in collaboration with a licensed physician, providing almost all services as a physician. A Nurse Practitioner has earned both a bachelor of science in nursing and a master of science in nursing degree prior to undergoing a certification exam and applying for a NP license. A Clinical Nurse Specialist is a graduate-level registered nurse who is certified in a specialty. Nurse Practitioners and Clinical Nurse Specialists can both diagnose and treat patients, prescribe medications, and order and interpret medical tests.

What is a Certified Diabetes Educator? 

At Texas Diabetes, all of our advanced practice providers are also Certified Diabetes Educators (CDE), who educate, support, and advocate for people impacted by diabetes. CDEs must have clinical diabetes experience and training and pass a national exam to become credentialed. Our APPs have comprehensive knowledge and experience in diabetes prevention, prediabetes and diabetes management. 

APPs at Texas Diabetes and Endocrinology

The APPs at Texas Diabetes and Endocrinology have had rigorous clinical training, are licensed by the State of Texas, and can prescribe medication. Most of our new diabetes patients will have their initial visit with an APP who will spend time with you getting a thorough health history, reviewing lab results, and devising an appropriate treatment plan. Our number one goal is to educate and support you on your journey and be there every step of the way to help you manage your condition.  

We are fortunate to have the opportunity to work with such an incredible team of APPs, including:

  • Amanda Bonazzi, MSN, APRN, ACNS-BC, CDCES
  • Ashley Davila, MSN, ACNS-BC, Clinical Lipid Specialist
  • Azaret Villeda, MSN, APRN, FNP-C
  • Ben Pagano, MSN, ACNS-BC, CDE
  • Brandy Wellmon, PA-C, CDCES
  • Carmen Addington, MSN, FNP, CDCES
  • Carrie Barlow, PA-C, CDCES,
  • Emily Simon, MSN, APRN, AGCNS-BC, CDCES
  • Jessica Ribeiro, RN, MSN, FNP, CDCES
  • Kim Jones, MSN, FNP, CDCES
  • Rachel Kohls, MSN, AGCNS-BC, CDCES
  • Sarah King, MSN, FNP-C, CDCES
  • Tracy Chan, MSN, FNP, CDCES

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.

Insulin resistance and diabetes are distinct in their characteristics and implications on our health.
What is the difference between insulin resistance and diabetes?
Posted on by Leslie Branon

Insulin resistance and diabetes are two terms we talk about often in the endocrine world. While the conditions are connected, they are distinct in their characteristics and implications on our health. 

Insulin Resistance: The Precursor to Diabetes

Insulin plays a key role in regulating blood sugar levels. Our body converts carbohydrates into glucose and insulin facilitates the entry of glucose into cells. However, in the case of insulin resistance, the normal interaction between insulin and cells becomes disrupted.  

Dr. Srujana Yada describes insulin resistance as when “a person must produce more insulin than the general population to keep his blood sugars levels normal. In other words, insulin resistance means that they need more insulin to keep the glucose levels at a normal range than others.” 

Insulin resistance can present in a number of ways, including: 

  • Impaired glucose tolerance, impaired fasting glucose, type 2 diabetes mellitus, increased insulin requirements in type 1 diabetes
  • Hypertension (high blood pressure)
  • Hyperlipidemia (high cholesterol)
  • Coronary artery disease
  • Metabolic syndrome (conditions that increase the risk of heart disease, stroke and diabetes)
  • Polycystic ovary syndrome (PCOS)
  • Nonalcoholic fatty liver disease
  • Certain obesity-related malignancies (eg, endometrial cancer)

Insulin resistance typically precedes the development of Type 2 diabetes, and is diagnosed based upon clinical findings, which include:

  • Hyperglycemia (high blood sugar)
  • Dyslipidemia (lipid imbalance)
  • Abdominal obesity
  • Hypertension (high blood pressure)

Diabetes: Improper Blood Sugar Regulation

Diabetes is a chronic condition characterized by high levels of glucose in the blood. Diabetes occurs when your pancreas is not making enough insulin to regulate your blood sugar, often due to prolonged insulin resistance. Similarly, prediabetes occurs in about 1 out of every 3 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.

Diabetes is diagnosed based on specific blood sugar levels that consistently exceed normal ranges. Once diagnosed, diabetes requires careful management to prevent complications.

Can you prevent insulin resistance?

Unfortunately you can’t prevent insulin resisitance entirely, but living a healthy lifestyle can help make your body’s cells more receptive to insulin. Our team of endocrinologists recommend taking proactive steps toward managing insulin resistance and ultimately preventing the progression to diabetes. Adopting a balanced diet, maintaining a healthy weight, staying physically active and scheduling regular medical appointments and screenings can lead to significant improvements in your overall health. 

If you need to make lifestyle changes, our medically supervised NextStepMD weight loss program can help you gain better control of your health. The NextStepMD health and wellness coaches offer one-on-one sessions and work closely with you to recommend the methods that offer the greatest opportunities of success.

In addition to adopting a healthy lifestyle, your doctor may recommend taking an insulin-sensitizing medication to manage your glucose control. 

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.

Men's Health low testosterone
Men’s Health Month: Low Testosterone
Posted on by Leslie Branon

June is Men’s Health Month – a time to focus on the health and well-being of men of all ages. One health issue that impacts many men is low testosterone. It is projected that approximately 6.5 million American men between the ages of 30-79 will have low testosterone by 2025.

While there is still much research to be done around the connection of low testosterone to other health issues, there is already an established link between insulin resistance, diabetes and low T. According to the American Diabetes Association, type 2 diabetics are twice as likely to have low testosterone compared to those without diabetes. 

Here is the information you need to know to better understand how low testosterone affects men’s health.

Low Testosterone Overview

The testosterone hormone is a part of the endocrine system and plays a large role in men’s health. It helps regulate muscle mass and strength, it can impact sex drive and sexual function, and it helps maintain bone strength. If a man is diagnosed with hypogonadism, it means they’re experiencing low testosterone along with a potential for other symptoms.

Causes and Symptoms

There are several potential causes of low testosterone, including:

  • Normal aging
  • Certain cancer treatments
  • Diseases affecting the testicles
  • Disorders that affect the pituitary gland

The symptoms of low T depend on the person, but can include:

  • Low energy
  • Low sex drive
  • Erectile dysfunction (ED)
  • Feelings of sadness or depression
  • Weight gain

Related Health Concerns

Low testosterone is associated with a variety of related health concerns, and some of which can be very serious. 

Examples include:

Low Testosterone Treatment

Low testosterone can be treated with testosterone replacement therapy. It is important to talk to your doctor to find the treatment that will work best for you and to monitor your testosterone levels to optimize the results. At Texas Diabetes & Endocrinology, we offer a variety of testosterone replacement treatments, including skin patches, gels, injections, and nasal spray. Our providers will work with you to find a personalized treatment plan.

Consult with an Endocrinologist in Austin, TX

To learn more about low testosterone (low T) and testosterone replacement therapy, schedule a consultation with one of our board certified endocrinologists in Austin or Round Rock 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 helpful wellness and health information.

continuous glucose monitors
Continuous Glucose Monitors: Everything You Need to Know
Posted on by Leslie Branon

Continuous glucose monitoring (CGM) technology provides real-time glucose readings to people with diabetes. CGMs help diabetics track their glucose levels throughout the day and make informed decisions about their food, exercise, and medication intake. This advancement in technology can make living with diabetes easier to manage. 

What are continuous glucose monitors (CGMs)? 

A CGM is a small device that uses a sensor placed under the skin to check blood glucose levels every 5-15 minutes, providing real-time updates to a receiver or smartphone app. 

Benefits of CGMs

CGMs offer many benefits for people with diabetes to help them live more independently. Board certified endocrinologist Dr. Srujana Yada says the real-time updates on blood sugar trends can not only provide guidance on treatment decisions, but also help patients make healthy choices. 

“CGMs can tell patients how their blood sugar changes when eating different kinds of foods,” says Dr. Yada. “This can help them make appropriate changes in their diet and create an even more personalized treatment plan.”

CGMs can also help reduce the risk of hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar). 

“Patients are notified by an alarm when they have high or low glucose levels, which helps them make treatment decisions rather than waiting too long,” explains Dr. Yada.

The instant data from CGMs can also improve patient care. “It helps doctors to see where exactly the blood sugars are running high – either fasting or mealtime sugars – and lets us change the regimen accordingly. CGMs help improve HbA1c and reduce variability.”

Who should have a CGM?

Patients who are candidates for a CGM include:

  • All type 1 diabetes patients;
  • Type 2 diabetes patients who are on multiple insulin injections; and
  • Patients with hypoglycemic unawareness.

Patients who are not on insulin do not need a CGM.

Continuous glucose monitors are a valuable tool for people with diabetes. If you’re interested in learning more, talk with your doctor to decide if it is right for you.

Consult with an Endocrinologist in Austin, TX

At Texas Diabetes & Endocrinology, we are committed to helping people gain better control of their health and working with patients to develop personalized treatment plans that work best for their lifestyle. To schedule an appointment with one of our board certified endocrinologist, call (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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