Facebook Posts

Abel Soh Diabetes, Thyroid and Endocrine Clinic

We see and manage patients with: - Diabetes mellitus - Thyroid disorders - Lipid abnormalities - Calcium and vitamin D disorders - Osteoporosis - Adrenal disorders - Pituitary disorders - Obesity
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Abel Soh Diabetes, Thyroid and Endocrine Clinic
TESTS FOR MONITORING OF DIABETES CONTROL

HbA1c

- Shows your average diabetes control over the past 2 to 3 months
- Done as a blood test (drawn from your vein)
- Helps the doctor decide whether there is a need for treatment adjustment

SELF BLOOD SUGAR TESTING

- Tells you the blood sugar level at the time of testing (before or after meal)
- Done using a glucose meter via a fingerprick
- Assists in monitoring of blood sugar levels with diet, exercise and treatment

CONTINUOUS GLUCOSE MONITORING

- Measures blood sugar level every minute
- A thin sensor inserted under the skin and blood sugar level can be read at any time using a reader or mobile phone
- Allows better adjustment of treatment as blood sugar trends can be seen

#diabetes #diabetesmellitus #type1diabetes #type2diabetes #diabetesmanagement #hba1c #bloodsugarmanagement #bloodsugartest #cgm #continuousglucosemonitor
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Abel Soh Diabetes, Thyroid and Endocrine Clinic
GESTATIONAL DIABETES MELLITUS

- A type of diabetes (high blood glucose level) that occurs during pregnancy and usually goes away after the baby is born

- Usually starts around 24th to 28th week of pregnancy

- Caused by increased insulin resistance due to the hormones produced by the placenta

WHICH WOMAN IS AT INCREASED RISK OF GDM?

- Age 35 years or older

- Has parent(s) and/or sibling(s) with type 2 diabetes

- Overweight or obese

- Has polycystic ovary syndrome (PCOS)

- Has GDM in previous pregnancy

- Has history of large baby (more than 4.0 kg) or birth complication

RISKS OF POORLY CONTROLLED GDM

- Baby growing larger than normal, potentially causing problems during delivery (including birth injuries)

- Low blood glucose level (hypoglycemia) in the baby upon delivery

- Jaundice and/or breathing difficulty in the baby upon delivery

- High blood pressure and/or pre-eclampsia for the mother

DIAGNOSIS & MANAGEMENT OF GDM

- Diagnosed via the oral glucose tolerance test (OGTT)

- Blood glucose monitoring is essential to ensure satisfactory control of GDM

- 70 to 80% of women can control GDM with dietary modification and exercise alone

- 20 to 30% of women may need medications (metformin and/or insulin injections) for blood glucose control

#pregnancy #gdm #gestationaldiabetes #gestationaldiabetespregnancy #gestationaldiabetesdiet
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Hypothyroidism
(Underactive Thyroid Gland)

Symptoms:
- Excessive tiredness
- Weight gain
- Feeling cold frequently
- Constipation
- Dry skin
- Delayed menstrual periods
- Infertility
- Poor concentration and/or memory loss
- Depression

You should see a doctor for a blood test and evaluation if you have any of the symptoms

#thyroid #thyroidgland #underactivethyroid #hypothyroid #hypothyroidism
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Abel Soh Diabetes, Thyroid and Endocrine Clinic
HYPOGLYCEMIA (LOW BLOOD GLUCOSE LEVEL)

Low blood glucose level (hypoglycemia) occurs when a person's blood glucose level drops below 4.0 mmol/L (70 mg/dL).

It can occur in people with diabetes who are using medications such as sulphonylureas and insulin injections.

Hypoglycemia can happen suddenly and can be dangerous (especially if you are driving a vehicle or operating machinery).

Symptoms can include:

- Tiredness or fatigue
- Dizziness
- Hunger
- Sweating
- Trembling hands
- Change in behavior (moodiness, confusion)
- Even unconsciousness

WHAT TO DO?
1. Check your blood glucose level with a glucose meter when you encounter symptoms of hypoglycemia

2. If blood glucose level is less than 4.0 mmol/L (or 70 mg/dL), take ANY ONE of the following
- Half a can of regular soft drink
- Half a glass of fruit juice
- 5 to 6 pieces of hard candy
- 3 to 4 glucose tablets
- 1 tablespoon of sugar or honey

3. Recheck blood glucose level after 15 minutes

#diabetesmellitus #type2diabetes #type1diabetes #diabetestreatment #lowbloodsugar #hypoglycemia #hypoglycemic #insulin
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Taking Care of Your Feet in Diabetes

High blood sugar levels in people with diabetes mellitus can eventually lead to damage of the small blood vessels of the nerves of the feet.

Symptoms in the feet like numbness, pins-and-needles feeling or burning pain can result.

The bigger blood vessels supplying the legs and feet can also become obstructed due to the high blood sugar levels. The consequence is reduced blood flow to the feet and lower legs.

A small cut or wound in the foot may go unnoticed due to reduced pain sensation. The infection can spread from the cut or wound to the entire foot and even up the lower leg.

The ultimate outcome may be severe lower leg infection that can only be treated with an amputation of the lower leg.

Therefore it is important for everyone with diabetes to take good care of their feet to prevent such complications from occurring.

#diabetesmellitus #type2diabetes #type1diabetes #diabeticneuropathy #diabeticfoot
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Abel Soh Diabetes, Thyroid and Endocrine Clinic
Hyperthyroidism
(Overactive Thyroid Gland)

SYMPTOMS
- Fast heart beats
- Unexplained weight loss
- Increased sweating
- Hand tremors
- Frequent bowel movement
- Irregular menstrual periods

CONSEQUENCES IF UNTREATED
- Irregular heart beats with increased risk of stroke
- Increased bone breakdown with increased risk of osteoporosis
- Increased risk of thyroid storm (many organ systems affected)

See a doctor for blood test and treatment

#hyperthyroidism #hyperthyroid #palpitations #weightloss #irregularperiods #atrialfibrillation #osteoporosis #thyroidstorm