Breastfeeding is regarded as entirely natural and it’s easy to overlook the fact that this is an amazing evolutionary adaptation supported by complex endocrinological process
How a disease which negatively affects the production and use of insulin may be linked to a disease of the brain.
Over half of diabetes patients may suffer from neuropathy and diabetes is the biggest single cause of neuropathy in the UK.
Recent research indicates that a routine thyroiditis assessment of Covid patients in HICU may well be a good idea. This blog post explains why.
PCOS varies from person to person and should be treated accordingly. However, some recent research has revealed some interesting information about possible sub types
In this post I discuss the problem of obesity in the UK (specifically in terms of COVID-19) and the latest research about successfully losing weight
How much of a risk does Coronavirus present to people with diabetes, and is there a difference between those with Type 1 diabetes and those with type 2? I share the latest research
It's significant to observe that as we're increasingly sleeping for less than the ideal amount, the prevalence for obesity and type 2 diabetes has grown. I explain why in this post
Throughout history all pandemics have been followed by a new order. What might this look like for our healthcare services?
The reference to "any other serious underlying condition" in terms of Coronavirus risk has made many people with thyroid conditions anxious. This post answers the most common questions currently asked of me.
With cold and flu season once more upon us I thought it might be helpful to answer a few common questions about taking medication
Find out more about this endocrine malignancy and at what stage of life it is most likely to appear
Often called the "stress hormone" the function of cortisol is to ready your body for a flight or fight response. It does this in a number of amazing ways...
Should we be concerned about a recent JAMA network article which covered a retrospective study on the possibility that RAI treatment of people with hyperthyroidism could be leading to a slightly increased level of cancer deaths in those patients?
In this post I explain the vital importance of using your home urine ketone tests.
As October is National Cholesterol Month I thought I would write about the link between thyroid disease and your cholesterol and about how one condition's medication may have unexpected side effects.
I am pleased to announce that I have recently taken over the Chairmanship of the London Consultants’ Association (LCA)
The benefits of consulting your doctor via the new online technology are many. In this post I explain why this is now one way of consulting with me.
Could pre-eclampsia and thyroid conditions be linked? In this blog post i discuss the current theories
It’s likely that most people never give a second thought to their hormones because they quietly get on with the efficient running of our body and we don’t usually notice what they do until they no longer do it!
Pregnancy puts additional strain on both your thyroid and your pancreas so if you are on medication for thyroid or diabetic conditions these will have to be closely monitored.
There are several causes of hair loss but thyroid problems can cause thyroid hair loss. I explain in this blog post.
Giving birth may be one of the biggest challenges to a woman's body but your surprising hormones are working very hard on your behalf.
Most women with gestational diabetes will have no other pregnancy problems and a healthy baby but it is important to be vigilant about the possible onset of this condition
It might surprise you to know that several connections have been found between hypothyroidism and hearing impairment, tinnitus and vertigo.
We may be looking at a dramatic transformation in terms of insulin-treated diabetes over the next few years
It is becoming increasingly clear that skin tags may have medical significance in terms of insulin resistance
People who become vegan are often unaware of the potential risk they run in following a diet which contains little of no sources of iodine...
Could your abnormally low testosterone levels caused by late onset hypogonadism?
Did you know that morning sickness is almost certainly endocrine related?
Are you planning to start a family this year? If you have an undiagnosed thyroid condition it may make it difficult to conceive and can potentially cause some problems during pregnancy...
I think it’s safe to say that we cannot know everything about every condition, even when we specialise...
As it is World Diabetes Day on November 14th I thought I would discuss the situation regarding type 2 diabetes.
Did you know that bariatric surgery can actually have a positive effect on how your body uses insulin? Find out how and why here
Thyroid conditions can hide in plain sight within an adolescent so here's some information to help you.
There's no need to feel isolated if you're newly diagnosed with an endocrine condition. There's plenty of patient support groups and information available - here's a list...
Why you should seek medical help to achieve regular menstrual cycles when you have PCOS...
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...
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...
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...
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.
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.
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...
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.
When hyperparathyroidism is present too much parathyroid hormone (PTH) is produced leading to rising blood calcium levels and low blood phosphate levels.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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:
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.
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.
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 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.
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:
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
The 2015 position statement of the BTA
Why you may not feel instantly better despite treatment
Did you know Iodine controls the metabolic rate, our growth and development AND the development of the brain and nervous system of a foetus?
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...