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Most primary care physicians should be able to manage Type II Diabetes adequately. If your physician has difficulty controlling your disease, s/he may refer you to an Endocrinologist, who specializes in the management of endocrine diseases, such as diabetes, thyroid and adrenal diseases.

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15y ago
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15y ago

An Endocrinologist is a physician trained in disorders of the endocrine system, including diabetes mellitus. Many primary care physicians can manage diabetes, however. Most people with diabetes do not need to see an endocrinologist for management.

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12y ago

Hi,

You should talk to your "normal" general pratice doctor fist so they can order blood work and depending upon the blood sugar reading or the doctors preferance they may order a glucose tolerance test... You do not need to find and go to an endocrynologist until tests are already done since it would be a huge waste of money...

You can also simply buy a small bottle of Keto-dyastixs or just Diasticks at the drug store...

Here's what you do:

1) Wake up in the morning and urinate... Do NOT test your first void..

2) After your first morning urination, the following ones throughout the day and night you use a diastix or a keto-diastix... There are two ways to do this (either way is fine) -

A) Take the stix out of the bottle and when you urinate pass the diastix/keto-diastix through the urine stream, and wet it where the little pad is.. Then wait and read the color and compare with the color chart that comes with it...

B) Take a small Dixie Cup and urinate into it, then dip the pad end of the Diastix/Keto-Diastic into it for a second, then wait the seconds needed and cmpare the color of the stick to the color chart...

C) Do this for 24 hours and test your morning urination the following day... Write down all your results.. If you are not negative, then call your doctor and talk to the office personel.. BUT, if you are a 2+ or 3+ and have even a small result in the ketones pad of it, go to the emergency room ASAP..

**** Personally I would buy the Keto-Diastixs instead of the Diastixs because if you have been getting symptoms of diabetes, you may be in Keto-Acidosis and the Keto-Diastixs test both sugar and ketones in your urine. ****

Common symptoms of both major types of diabetes:

* Fatigue: In diabetes, the body is inefficient and sometimes unable to use glucose for fuel. The body switches over to metabolizing fat, partially or completely, as a fuel source. This process requires the body to use more energy. The end result is feeling fatigued or constantly tired.

* Unexplained weight loss: People with diabetes are unable to process many of the calories in the foods they eat. Thus, they may lose weight even though they eat an apparently appropriate or even excessive amount of food. Losing sugar and water in the urine and the accompanying dehydration also contributes to weight loss.

* Excessive thirst (polydipsia): A person with diabetes develops high blood sugar levels, which overwhelms the kidney's ability to reabsorb the sugar as the blood is filtered to make urine. Excessive urine is made as the kidney spills the excess sugar. The body tries to counteract this by sending a signal to the brain to dilute the blood, which translates into thirst. The body encourages more water consumption to dilute the high blood sugar back to normal levels and to compensate for the water lost by excessive urination.

* Excessive urination (polyuria): Another way the body tries to get rid of the extra sugar in the blood is to excrete it in the urine. This can also lead to dehydration because excreting the sugar carries a large amount of water out of the body along with it.

* Excessive eating (polyphagia): If the body is able, it will secrete more insulin in order to try to deal with the excessive blood sugar levels. Moreover, the body is resistant to the action of insulin in type 2 diabetes. One of the functions of insulin is to stimulate hunger. Therefore, higher insulin levels lead to increased hunger and eating. Despite increased caloric intake, the person may gain very little weight and may even lose weight.

* Poor wound healing: High blood sugar levels prevent white blood cells, which are important in defending the body against bacteria and also in cleaning up dead tissue and cells, from functioning normally. When these cells do not function properly, wounds take much longer to heal and become infected more frequently. Also, long-standing diabetes is associated with thickening of blood vessels, which prevents good circulation including the delivery of enough oxygen and other nutrients to body tissues.

* Infections: Certain infection syndromes, such as frequent yeast infections of the genitals, skin infections, and frequent urinary tract infections, may result from suppression of the immune system by diabetes and by the presence of glucose in the tissues, which allows bacteria to grow well. They can also be an indicator of poor blood sugar control in a person known to have diabetes.

* Altered mental status: Agitation, unexplained irritability, inattention, extreme lethargy, or confusion can all be signs of very high blood sugar, ketoacidosis, hyperosmolar hyperglycemia nonketotic syndrome, or hypoglycemia (low sugar). Thus, any of these merit the immediate attention of a medical professional. Call your health care provider or 911.

* Blurry vision: Blurry vision is not specific for diabetes but is frequently present with high blood sugar levels.

KetoAcidosis Syptoms are:

Thirst, drinking lots of fluids

Frequent urination

General weakness

Vomiting

Loss of appetite

Confusion

Abdominal pain

Shortness of breath

A general ill appearance

Dry skin

Dry mouth

Increased heart rate

Low blood pressure

Increased rate of breathing

Sometimes a distinctive fruity odor on the breath

Good Luck!!!

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14y ago

An Endochrinogist. Who can become a certified Diabetologist (US, Japan, UK). Although there is no formal specialist training for certification.

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15y ago

You may be referring to an "endocrinologist".

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8y ago

The most common physician to treat diabetes is a family physician or internist. The physician who specializes in diabetes management (among other things) is called an Endocrinologist.

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14y ago

An endocrinologist, if it's complicated. Though it's a common enough condition that your GP normally knows the usual drill by now.

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12y ago

Endocrinologist

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