Dr Vanderpump considers

Welcome to my blog

Here's where I share my thoughts on the world of endocrinology - I do hope you find this helpful.  You will also find Patient Information on my Resources Page. If there's a subject which you would like me to cover please let me know.

 

 

Although every effort is made to ensure that all health advice on this website is accurate and up to date it is for information purposes and should not replace a visit to your doctor or health care professional.

 

As the advice is general in nature rather than specific to individuals Dr Vanderpump cannot accept any liability for actions arising from its use nor can he be held responsible for the content of any pages referenced by an external link

 

 

Please get in touch

Thyroid problems in older patients

Dr Mark Vanderpump on Mon 19 Jun

It can be challenging to diagnose thyroid problems older patients not least because they can be misinterpreted as age-related conditions.

About Thyrotoxic Periodic Paralysis (TPP)

Dr Mark Vanderpump on Tue 6 Jun

A rare complication of hyperthyroidism (usually Graves’ disease), thyrotoxic periodic paralysis (TPP) was originally identified in in 1902 and has found to be most common amongst Asian populations

What is a thyroid storm?

Dr Mark Vanderpump on Wed 24 May

You may have heard of a "thyroid storm" - here is a detailed summary of its symptoms, diagnosis and treatment

The symptoms, diagnosis and treatment of Hypophysitis

Dr Mark Vanderpump on Thu 4 May

Originally thought to mostly affect women during or after pregnancy, Hypophysitis is now recognised as a disorder affecting both men and women and over a large age range...

Thyroid Principles explained

Dr Mark Vanderpump on Tue 18 Apr

You may hear your GP referring to your T3 and T4 levels.  But what exactly are they? This animation explains

Endocrine disorders as a side effect of immunotherapy drugs

Dr Mark Vanderpump on Wed 5 Apr

There’s no doubt that immunotherapy drugs are effective, with reports of some cancers simply being “melted away”.  However, in some people, the side effects of this unleashes their own immune system to attack healthy vital organs...

What is insulin resistance, how does it affect your body and how is it treated?

Dr Mark Vanderpump on Wed 22 Mar

One of the factors in the development of Type 2 diabetes is insulin resistance (IR) which is a decreased sensitivity to insulin in tissues which are insulin receptive...

Diabetes and Pancreatic Cancer

Dr Mark Vanderpump on Thu 9 Mar

Given that the two conditions are intricately linked I’m sure it will come as no surprise that the management of diabetes when you have pancreatic cancer is extremely challenging because improving one condition can deteriorate the other.

Technology meets testing

Dr Mark Vanderpump on Fri 17 Feb

Multiple finger prick testing of blood glucose levels has unfortunately been a crucial part of managing type one diabetes but some patients have recently been using a monitoring system

The facts about prolactinomas

Dr Mark Vanderpump on Fri 10 Feb

There has been a good deal of concern and confusion about prolactinomas (benign tumours of the pituitary gland) since the sad death of Tara Palmer Tomkinson in February 2017. This is mainly because she had recently revealed its diagnosis.

About Sheehan's Syndrome

Dr Mark Vanderpump on Tue 24 Jan

Initially described in 1937 by British Pathologist Harold Leeming Sheehan, Sheehan’s syndrome is a rare complication of women losing an exceptionally large amount of blood during or after childbirth.

About diabetes insipidus

Dr Mark Vanderpump on Tue 10 Jan

Although it shares some of its signs and symptoms, this rare form of diabetes is not connected to blood sugar-related diabetes mellitus... 

Diabetes and depression symptoms

Dr Mark Vanderpump on Wed 21 Dec

There is a close link between diabetes and depression - in fact depression and mood disorders are the most common psychiatric challenge within the community of diabetic patients. It is not entirely clear why this is the case...

Prader-Willi Syndrome

Dr Mark Vanderpump on Wed 7 Dec

First described by Swiss Doctors Prof Prader, Dr Labhart and Dr Willi in 1956, this rare genetic disorder affects about one in 30,000 children. 

About Premature Ovarian Failure (POF)

Dr Mark Vanderpump on Wed 23 Nov

Premature ovarian failure – or primary ovarian insufficiency refers to failure of the ovaries to produce the required amount of oestrogen before the age of 40.  It affects 1% of women in the UK

About Acromegaly

Dr Mark Vanderpump on Tue 8 Nov

A rare clinical syndrome, Acromegaly is caused by an excess of growth hormone (GH) being secreted by the pituitary gland. It’s believed there are approximately 6,000 people in the UK with this condition

About multiple endocrine neoplasia

Dr Mark Vanderpump on Wed 26 Oct

As suggested by the name, this condition of the endocrine system can affect several hormonal glands typically the parathyroid, pituitary and pancreas. The condition manifests itself by the appearance of usually benign tumours which cause the affected gland to produce too much hormone.

Diseases of the parathyroid glands - hyperparathyroidism

Dr Mark Vanderpump on Wed 5 Oct

When hyperparathyroidism is present too much parathyroid hormone (PTH) is produced leading to rising blood calcium levels and low blood phosphate levels.

Diseases of the parathyroid glands – hypoparathyroidism

Dr Mark Vanderpump on Tue 27 Sep

Situated in the neck behind the thyroid the 4 parathyroid glands – which are the size of a rice grain - produce parathyroid hormone (PTH) which plays a significant part in maintaining the correct levels of calcium, phosphorus and vitamin D within the body.

Cushing’s disease and Cushing’s syndrome

Mark Vanderpump on Wed 7 Sep

Discovered in 1912, Cushing’s disease is named after Harvey Cushing an American neurosurgeon. Cushing’s patients typically have round faces and gain weight around their neck, trunk and abdomen whilst having slender arms and legs. 

About Addison's disease

Dr Mark Vanderpump on Wed 24 Aug

Diagnosing falling cortisol levels, this condition was named after Dr Thomas Addison after he discovered its existence in 1855 due to TB infiltration of the adrenal gland.  Addison’s disease is rare with approximately 8,000 UK patients at any one time.

About Charcot Foot

Dr Mark Vanderpump on Wed 10 Aug

Although Charcot foot can occur in connection with a variety of conditions, worldwide it is most commonly associated with diabetes and it’s one of the most serious foot problems that diabetics can face.

The Pancreas and Diabetes

Dr Mark Vanderpump on Wed 27 Jul

Sitting closely behind the stomach, the pancreas plays an important role in the process of digestion and is also responsible for keeping our blood sugars at a safe level.

Prediabetes - what it is and how you can address it

Dr Mark Vanderpump on Wed 13 Jul

You may have heard in the media that type 2 diabetes has tripled over the last 20 to 30 years.  However it’s only in the past couple of years that the term “Prediabetes” has been officially recognised.

How thyroid disease differs in children

Dr Mark Vanderpump on Thu 30 Jun

It can be very challenging to detect either hypothyroidism or hyperthyroidism in a child. This post flags the warning signs for both conditions

Did you know that thyroid problems can be regarded as disabilities?

Dr Mark Vanderpump on Tue 14 Jun

Thyroid hormone replacement is life-long and falls within the definition of the Equality Act 2010 (previously the Disability Act) as without thyroid hormone replacement the hypothyroidism is likely to recur.

PCOS and depression

Dr Mark Vanderpump on Thu 26 May

If you are suffering from PCOS, I’m sure it will come as no surprise to you that women with the condition are far more likely to suffer from depression and anxiety than the general population.

What is thyroiditis?

Dr Mark Vanderpump on Thu 12 May

Thyroiditis is the inflammation (not infection) of the thyroid gland. The cause of this can be tricky to spot because a number of individual disorders can cause the thyroid to swell and thyroiditis can cause either high or low levels of thyroid hormones.

The last missing trigger of type 1 diabetes is finally found

Dr Mark Vanderpump, Consultant Endocrinologist on Fri 29 Apr

It has long been known that the immune system in people with type 1 diabetes attacked 5 key targets but working out the fifth and final one has taken over 20 years. 

Hypothyroidism and Down’s Syndrome

Dr Mark Vanderpump, Consultant Endocrinologist on Thu 28 Apr

Thyroid disease is more common in children with Down’s syndrome than in the general population. By the time they are adolescents around 15% of those with Down’s syndrome will have an underactive thyroid and the frequency continues to rise throughout adulthood.

Love handles may prove useful in curing as well as predicting diabetes

Dr Mark Vanderpump, Consultant Endocrinologist on Tue 12 Apr

Active research goes on in all areas of endocrinology and one that recently caught the eye of the media was a Swiss study concerning a possible cure for diabetes

Dr Vanderpump leaves the NHS after nearly 30 years of service

Dr Mark Vanderpump, Consultant Endocrinologist on Thu 31 Mar

Having devoted nearly three decades of service to the NHS since qualifying in 1987, Dr Vanderpump is now leaving to pursue a different career path in his specialism of endocrinology. 

19 Myths about Type 2 diabetes

Dr Mark Vanderpump on Tue 15 Mar

The Internet is a wonderful resource but unfortunately it's not always accurate -  so today I'm addressing 19 myths about Type 2 diabetes

What the endocrine system does for you

Dr Mark Vanderpump on Mon 29 Feb

I think it’s fair to say that - until something goes wrong - most people know very little about the medical field of endocrinology and are unlikely to have met the endocrinologists who diagnose and treat any hormone imbalances that arise in the major glands of the endocrine system.

Diabetes in Pregnancy

Dr Mark Vanderpump on Tue 16 Feb

Many women with type 1 diabetes will have a healthy pregnancy and a healthy baby but to achieve this will require real commitment on your part.

About congenital hypothyroidism

Dr Mark Vanderpump on Thu 28 Jan

Commonly referred to as CHT, congenital hypothyroidism is found present in one out of every 3,500 to 4,000 new-born babies and it’s twice as common in girls as boys.

 

 

Thyroid disorders and their effect on cognitive function, mood and emotions

Dr Mark Vanderpump on Thu 14 Jan

A healthy thyroid plays a vital part in brain chemistry, so we should not be surprised that a thyroid disorder can cause unpredictable mood changes. For example those with an overactive thyroid (hyperthyroidism) can suddenly feel tense and anxious. They may experience panic attacks, impatience, be overactive and have an exaggerated sensitivity to noise.

10 myths about PCOS

Dr Mark Vanderpump on Tue 29 Dec

There are some common myths surrounding the condition of Polycystic Ovary Syndrome. There is no “cure” for PCOS but there are ways that you can be helped depending on your symptoms.  I thought I would clarify things by debunking those I hear the most:

Discussing Hashimoto's Disease

Dr Mark Vanderpump on Fri 11 Dec

Hashimoto’s disease is more correctly known as “Autoimmune Thyroiditis” (AT) because the immune system mistakenly attacks the thyroid gland as a threat to the body. This causes your immune system to produce special antibodies which inflame and destroy the thyroid cells.

Pregnancy and Thyroid Disease

Dr Mark Vanderpump on Sun 29 Nov

Increased thyroid levels in the blood can be caused by two pregnancy-related hormones.  These are hCG and oestrogen.

What's the difference between Type 1 diabetes and Type 2 diabetes

Dr Mark Vanderpump on Thu 19 Nov

Although both Type 1 and Type 2 diabetes share the inability to control the normal level of blood sugar, they are two entirely different conditions.

Thyroid problems and trying to conceive

Dr Mark Vanderpump on Tue 3 Nov

As it's National Fertility Awareness Week I thought iLd talk a little about  how thyroid problems can affect fertility in both men and women.

How to keep insulin levels down for the ideal PCOS diet

Dr Mark Vanderpump on Wed 14 Oct

Young women with PCOS often struggle with their weight because of high levels of insulin in their blood. Here's how to tackle that problem in terms of diet.

Hypocalcaemia - description, symptoms, causes and treatment

Dr Mark Vanderpump on Wed 30 Sep

Hypocalcaemia is the term for an abnormally low level of calcium in the body. Although it is an uncommon condition, it is found equally in men and women and can occur at any age.  If there’s a low level of calcium in the blood (serum calcium) it can cause problems since it regulates the many processes that make cells work.

About Graves Orbitopathy

Dr Mark Vanderpump on Wed 16 Sep

It is common for the onset of thyroid eye disease – referred to as Graves Orbitopathy (or GO) - to occur within 18 months of the onset of hyperthyroidism due to Graves’ disease.

 

Osteoporosis treatment and its current challenges

Dr Mark Vanderpump on Wed 2 Sep

Osteoporosis is recognised as a common disease of major importance in day to day health care. It is a disease of our ageing Western civilisation and its consequences - fractured wrist, vertebra or hip - are associated with chronic illness and indeed death. The statistics are pretty thought provoking:

What time should I take my Levothyroxine?

Dr Mark Vanderpump on Wed 19 Aug

There are very few guidelines in terms of the timing of taking Levothyroxine. Here's the latest thinking

Do I have a goitre?

Dr Mark Vanderpump on Tue 4 Aug

Goitres are a visible thyroid swelling which can occur with an overactive, underactive or normally functioning thyroid gland. 

Should all pregnant women be screened for gestational diabetes?

Dr Mark Vanderpump on Thu 30 Jul

With an average of 7 out of every 100 pregnant women developing gestational diabetes should the UK bbe putting a screening programme in place?

Treatment of Primary Hypothyroidism and the L-T4/L-T3 debate

Dr Mark Vanderpump on Thu 25 Jun

Treatment of Primary Hypothyroidism and the L-T4/L-T3 debate

 The 2015 position statement of the BTA

 

I’m on Levothyroxine for an underactive thyroid but I still don’t feel well

Dr Mark Vanderpump on Thu 7 May

Why you may not feel instantly better despite treatment

Could you have Hypothyroidism?

on Thu 30 Apr

One million British women have been diagnosed with Hypothyroidism.  Many more may not realise that they have the condition.

The importance of maintaining good levels of Iodine

Dr Mark Vanderpump on Thu 16 Apr

Did you know Iodine controls the metabolic rate, our growth and development AND the development of the brain and nervous system of a foetus?

Can I eat fruit if I'm trying to lose weight?

Dr Mark Vanderpump on Thu 2 Apr

So fruit is good for you but fruit sugars are not. Help!

How replacement Thyroxine came about

Dr Mark Vanderpump on Wed 25 Mar

We've come a long way since we first solved our thyroid problems with the help of sheep!

About Hypogonadism and those low testosterone levels

Dr Mark Vanderpump on Wed 11 Mar

Chronic tiredness is often due to our breakneck pace of life but, gentlemen, if you are experiencing other symptoms such as loss of hair and libido you probably ought to get a check up...

Vitamin D deficiency and diabetes

Dr Mark Vanderpump on Wed 25 Feb

A recent Spanish study suggests that the combination of Vitamin D deficiency and obesity may heighten the risk of diabetes and other metabolic disorders 

Thyroid Disease and Osteoporosis

Dr Mark Vanderpump on Tue 25 Nov

We already know that hormones play an essential role in the development of the skeleton but could hypothyroidism lead to an increased suceptability to osteoporosis?

Type 2 Diabetes and Ethnicity

Dr Mark Vanderpump on Mon 27 Oct

Did you know that increased risk of Type 2 Diabetes is linked to ethnicity?

Watch your waistline

Dr Mark Vanderpump on Mon 27 Oct

There is continued evidence that obesity is a major contributing factor in the onset of Diabetes 2

The one size TSH test doesn't fit all

Dr Mark Vanderpump on Mon 27 Oct

I'm afraid the standard TSH test takes no account of individual difference

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