- Diabetes
- Thyroid
- Lipid
- Erectile Dysfunction
- Testosterone
- Osteoporosis
- Calcium
- Obesity
- Hypertension
- Adrenal
- Pituitary
- Polycystic Ovary
- Hypoglycaemia
Diabetes
Diabetes is a chronic illness that can result in multiple serious long-term complications if not managed well. These complications include eye damage and kidney failure. Diabetic nerve damage can give rise to pain and numbness of the feet and predispose to foot ulcers and gangrene if untreated. Poor diabetes control also increases the risk of heart attacks and stroke. Good diabetes management includes lifestyle change, appropriate medication for diabetes, good control of blood pressure, treating elevated cholesterol levels and screening for chronic complications on a regular basis. It also involves self-glucose monitoring and education on avoidance and management of hypoglycaemia (low blood glucose). If managed correctly, diabetic complications can be minimised and a good quality of life maintained.
Diabetes is a chronic illness that can result in multiple serious long-term complications if not managed well. These complications include eye damage and kidney failure. Diabetic nerve damage can give rise to pain and numbness of the feet and predispose to foot ulcers and gangrene if untreated. Poor diabetes control also increases the risk of heart attacks and stroke. Good diabetes management includes lifestyle change, appropriate medication for diabetes, good control of blood pressure, treating elevated cholesterol levels and screening for chronic complications on a regular basis. It also involves self-glucose monitoring and education on avoidance and management of hypoglycaemia (low blood glucose). If managed correctly, diabetic complications can be minimised and a good quality of life maintained.
The clinic provides a comprehensive diabetes service which includes the following:
- Diagnosis and management of type 1, type 2 and gestational diabetes
- Screening and management of diabetes complications
- Management of co-existing hypertension and elevated cholesterol levels
- On-site glucose & HbA1c measurements
- On-site measurement of urine microalbumin/creatinine ratio
- Diabetes foot-screening
- Nurse counseling on self glucose monitoring and hypoglycemia
Thyroid
Thyroid conditions are common in the general population and especially affect women. The thyroid gland produces thyroid hormone which is essential for maintaining the body’s metabolism in balance. Excess thyroid hormone (hyperthyroidism) and deficiency of thyroid hormone (hypothyroidism) both cause numerous symptoms and can lead to serious complications. Thyroid hormone imbalance during pregnancy can increase risks for both mother and baby. Nodules (growths) in the thyroid gland are also very common and occasionally can be cancerous. Large thyroid nodules can cause discomfort or compressive symptoms in the neck.
Thyroid conditions are common in the general population and especially affect women. The thyroid gland produces thyroid hormone which is essential for maintaining the body’s metabolism in balance. Excess thyroid hormone (hyperthyroidism) and deficiency of thyroid hormone (hypothyroidism) both cause numerous symptoms and can lead to serious complications. Thyroid hormone imbalance during pregnancy can increase risks for both mother and baby. Nodules (growths) in the thyroid gland are also very common and occasionally can be cancerous. Large thyroid nodules can cause discomfort or compressive symptoms in the neck.
The clinic provides a comprehensive thyroid service which includes the following:
- Diagnosis and management of thyroid hormone disorders
- Management of thyroid hormone disorders in pregnancy
- Bedside thyroid ultrasound
- Ultrasound-guided fine needle aspiration of thyroid nodules
- Ultrasound-guided ethanol injection of cystic thyroid nodules
Lipid disorders
Increased LDL cholesterol (bad cholesterol) and decreased HDL cholesterol (good cholesterol) levels are strongly associated with heart disease. Patients with risk factors for heart disease such as diabetes, hypertension, smoking, family history of heart disease often require medication to achieve target lipid levels. Excessively high levels of triglycerides can predispose to pancreatitis and also require treatment.
Increased LDL cholesterol (bad cholesterol) and decreased HDL cholesterol (good cholesterol) levels are strongly associated with heart disease. Patients with risk factors for heart disease such as diabetes, hypertension, smoking, family history of heart disease often require medication to achieve target lipid levels. Excessively high levels of triglycerides can predispose to pancreatitis and also require treatment.
The clinic provides a comprehensive lipid service which includes the following:
- Screening for lipid disorders
- Medical management of lipid disorders
Erectile dysfunction and testosterone deficiency
Aging and diabetes are common causes of problems with erection. Decline in testosterone levels occur normally with aging and occasionally give rise to symptoms of testosterone deficiency. Testosterone deficiency may also result from problems with the pituitary gland or with the testes.
Aging and diabetes are common causes of problems with erection. Decline in testosterone levels occur normally with aging and occasionally give rise to symptoms of testosterone deficiency. Testosterone deficiency may also result from problems with the pituitary gland or with the testes.
The clinic provides the following services for management of erectile dysfunction and testosterone deficiency:
- Diagnosis and medical management of erectile dysfunction
- Diagnosis and medical management of testosterone deficiency
Erectile dysfunction and testosterone deficiency
Aging and diabetes are common causes of problems with erection. Decline in testosterone levels occur normally with aging and occasionally give rise to symptoms of testosterone deficiency. Testosterone deficiency may also result from problems with the pituitary gland or with the testes.
Aging and diabetes are common causes of problems with erection. Decline in testosterone levels occur normally with aging and occasionally give rise to symptoms of testosterone deficiency. Testosterone deficiency may also result from problems with the pituitary gland or with the testes.
The clinic provides the following services for management of erectile dysfunction and testosterone deficiency:
- Diagnosis and medical management of erectile dysfunction
- Diagnosis and medical management of testosterone deficiency
Osteoporosis and calcium disorders
Osteoporosis is a common disorder in post-menopausal women but can also affect men and pre-menopausal women. Secondary osteoporosis may be caused by conditions such as thyrotoxicosis, excess steroids and testosterone deficiency. If untreated, osteoporosis can lead to fragility fractures and cause significant disability. Hypercalcaemia and hypocalcaemia are often the result of disorders of the parathyroid gland.
Osteoporosis is a common disorder in post-menopausal women but can also affect men and pre-menopausal women. Secondary osteoporosis may be caused by conditions such as thyrotoxicosis, excess steroids and testosterone deficiency. If untreated, osteoporosis can lead to fragility fractures and cause significant disability. Hypercalcaemia and hypocalcaemia are often the result of disorders of the parathyroid gland.
The clinic provides the following services for management of osteoporosis and calcium disorders:
- Screening for osteopaenia and osteoporosis
- Screening for secondary causes of osteopaenia and osteoporosis
- Medical treatment and monitoring of osteoporosis
- Diagnosis and treatment of hypercalcaemia
- Diagnosis and treatment of hypocalcaemia
Osteoporosis and calcium disorders
Osteoporosis is a common disorder in post-menopausal women but can also affect men and pre-menopausal women. Secondary osteoporosis may be caused by conditions such as thyrotoxicosis, excess steroids and testosterone deficiency. If untreated, osteoporosis can lead to fragility fractures and cause significant disability. Hypercalcaemia and hypocalcaemia are often the result of disorders of the parathyroid gland.
Osteoporosis is a common disorder in post-menopausal women but can also affect men and pre-menopausal women. Secondary osteoporosis may be caused by conditions such as thyrotoxicosis, excess steroids and testosterone deficiency. If untreated, osteoporosis can lead to fragility fractures and cause significant disability. Hypercalcaemia and hypocalcaemia are often the result of disorders of the parathyroid gland.
The clinic provides the following services for management of osteoporosis and calcium disorders:
- Screening for osteopaenia and osteoporosis
- Screening for secondary causes of osteopaenia and osteoporosis
- Medical treatment and monitoring of osteoporosis
- Diagnosis and treatment of hypercalcaemia
- Diagnosis and treatment of hypocalcaemia
Obesity
Obesity is a condition where there is accumulation of excess body fat to the extent that it may impact upon overall health. Obesity can increase the risk of diabetes, hypertension, hyperlipidaemia, heart disease, osteoarthritis of the knees, sleep apnoea and cancer. Both genetic and lifestyle factors are the main causes although hormonal imbalances can occasionally be the primary cause. Endocrine causes of obesity include Cushing’s syndrome (glucocorticoid excess) and hypothyroidism.
Obesity is a condition where there is accumulation of excess body fat to the extent that it may impact upon overall health. Obesity can increase the risk of diabetes, hypertension, hyperlipidaemia, heart disease, osteoarthritis of the knees, sleep apnoea and cancer. Both genetic and lifestyle factors are the main causes although hormonal imbalances can occasionally be the primary cause. Endocrine causes of obesity include Cushing’s syndrome (glucocorticoid excess) and hypothyroidism.
The clinic provides a comprehensive obesity service which includes the following:
- Exclusion of secondary causes of obesity
- Review and management of related medical conditions
- Help with exercise and diet planning
- Meal replacement therapy
- Referral for bariatric surgery if indicated
Hypertension and Adrenal gland disorders
In addition to management of essential hypertension (which is the common type of hypertension that most patients have), the clinic diagnoses and manages endocrine hypertension. Endocrine hypertension is caused by excess hormones produced by the adrenal glands resulting in hypertension which can be difficult to control. Tumours of the adrenal glands can produce excess aldosterone causing Conn’s syndrome. Some adrenal tumors may produce excess cortisol causing Cushing’s syndrome. A phaeochromocytoma is an adrenal tumour which produces excess adrenaline and adrenaline like hormones.
In addition to management of essential hypertension (which is the common type of hypertension that most patients have), the clinic diagnoses and manages endocrine hypertension. Endocrine hypertension is caused by excess hormones produced by the adrenal glands resulting in hypertension which can be difficult to control. Tumours of the adrenal glands can produce excess aldosterone causing Conn’s syndrome. Some adrenal tumors may produce excess cortisol causing Cushing’s syndrome. A phaeochromocytoma is an adrenal tumour which produces excess adrenaline and adrenaline like hormones.
The clinic provides a comprehensive evaluation of hypertension which includes:
- Hormonal investigation for endocrine hypertension
- Localization of hormone secreting tumours causing hypertension
- Medical treatment of essential and endocrine hypertension
- Referral for surgical resection of hormone secreting tumours
Hypertension and Adrenal gland disorders
In addition to management of essential hypertension (which is the common type of hypertension that most patients have), the clinic diagnoses and manages endocrine hypertension. Endocrine hypertension is caused by excess hormones produced by the adrenal glands resulting in hypertension which can be difficult to control. Tumours of the adrenal glands can produce excess aldosterone causing Conn’s syndrome. Some adrenal tumors may produce excess cortisol causing Cushing’s syndrome. A phaeochromocytoma is an adrenal tumour which produces excess adrenaline and adrenaline like hormones.
In addition to management of essential hypertension (which is the common type of hypertension that most patients have), the clinic diagnoses and manages endocrine hypertension. Endocrine hypertension is caused by excess hormones produced by the adrenal glands resulting in hypertension which can be difficult to control. Tumours of the adrenal glands can produce excess aldosterone causing Conn’s syndrome. Some adrenal tumors may produce excess cortisol causing Cushing’s syndrome. A phaeochromocytoma is an adrenal tumour which produces excess adrenaline and adrenaline like hormones.
The clinic provides a comprehensive evaluation of hypertension which includes:
- Hormonal investigation for endocrine hypertension
- Localization of hormone secreting tumours causing hypertension
- Medical treatment of essential and endocrine hypertension
- Referral for surgical resection of hormone secreting tumours
Pituitary disorders
The pituitary gland is situated in the brain and controls many other hormones in the body. It can be affected by tumours, infiltrative diseases, inflammation and radiation. Pituitary tumours may produce excessive hormones, thus causing conditions such as Cushing’s disease (excess ACTH) and acromegaly (excess growth hormone). A pituitary tumour may also produce excess prolactin, leading to irregular menses, milk discharge and infertility. On the other hand, a pituitary tumour may not be hormonally active but cause deficiencies of some or all of the pituitary hormones due to its size. A large pituitary tumour may also compress on the optic nerves and lead to loss of vision.
The pituitary gland is situated in the brain and controls many other hormones in the body. It can be affected by tumours, infiltrative diseases, inflammation and radiation. Pituitary tumours may produce excessive hormones, thus causing conditions such as Cushing’s disease (excess ACTH) and acromegaly (excess growth hormone). A pituitary tumour may also produce excess prolactin, leading to irregular menses, milk discharge and infertility. On the other hand, a pituitary tumour may not be hormonally active but cause deficiencies of some or all of the pituitary hormones due to its size. A large pituitary tumour may also compress on the optic nerves and lead to loss of vision.
The clinic provides comprehensive management of pituitary disorders including:
- Dynamic testing of pituitary hormones to screen for pituitary hormone excess and deficiency
- Medical treatment of prolactin producing tumours
- Referral for neurosurgical management of large or hormonally active pituitary tumours
- Hormone replacement of pituitary hormone deficiency
Polycystic ovarian syndrome
Women with polycystic ovarian syndrome may have associated metabolic conditions such as diabetes, hypertension and dyslipidaemia.
The clinic screens for and manages the metabolic conditions in patients with polycystic ovarian syndrome.
Women with polycystic ovarian syndrome may have associated metabolic conditions such as diabetes, hypertension and dyslipidaemia.
The clinic screens for and manages the metabolic conditions in patients with polycystic ovarian syndrome.
Hypoglycaemia disorders
Hypoglycaemia (low blood glucose) occurs commonly in patients who are on diabetes medication. Rarely, insulin producing tumours in the pancreas may also cause hypoglycaemia and these can be difficult to diagnose.
The clinic provides screening for hypoglycaemia disorders and localizing of insulin producing tumours.
Hypoglycaemia (low blood glucose) occurs commonly in patients who are on diabetes medication. Rarely, insulin producing tumours in the pancreas may also cause hypoglycaemia and these can be difficult to diagnose.
The clinic provides screening for hypoglycaemia disorders and localizing of insulin producing tumours.
