Answers and questions on endocrinology

Hello. In the postcovid period, an increase in blood sugar up to 12 mmol/l is possible, especially if hormones were used in the treatment, followed by the expected decrease to normal. It is recommended to follow a diet with blood sugar control before meals and 2 hours after. But it is advisable to consult with endocrinologist, undergo follow-up examination (tests, ultrasonography), so as not to miss severe endocrine disorders and the development of their complications, since Covid affects the entire endocrine profile.

Hello. The symptoms are very similar to those of diabetes. But to confirm the diagnosis, it is necessary to consult with endocrinologist, undergo follow-up examination, blood and urine tests for sugar, glycosylated hemoglobin. It is advisable to check the level of some hormones, as diabetes, like other metabolic disorders, can be the result of hormonal imbalance.

Hello. The duration of hormone therapy and its need depends on how the disease began, the severity of the manifestations and the treatment goals (for example, the patient's desire to become pregnant). Additional examination is necessary: ultrasonography of pelvic organs on a certain day of the cycle and several adrenal hormones in dynamics. Transfer from oral contraceptives to other drugs or even their cancellation is not excluded. But this can be done only after patient intake and having all the necessary additional examinations, since abrupt withdrawal of oral contraceptives can lead to the bleeding development.

Hello. If children were born after the father was diagnosed with diabetes, the risk is about 3%. It is recommended to control blood glucose once every 6-12 months, during puberty - once every 3 months, consultation by endocrinologist. You can also take a blood test for antibodies to the pancreas insular apparatus.

Hello. This may be a sign of other endocrine organ failure. For an accurate diagnosis, additional examination of pituitary and adrenal glands in terms of hormonal state is necessary. The consequences of insufficient thyroid gland can manifest itself in the form of a slowdown in metabolism, weight gain, deterioration of cognitive functions and increase in the risk of heart and vascular diseases. 

Hello. In your case, an integrated approach is needed, as well as consultation not only by the endocrinologist, but also by the gastroenterologist who can establish a cause of constipation and distention. An excessive hair loss and weight gain may be indicative of hormonal imbalance. An experienced endocrinologist will refer you to do the required tests and based on their results it will be possible to understand the cause and to prescribe a specific treatment. There is also a trichologist at DoctorPRO who can conduct a consultation and digital trichoscopy, will help to select treatment or special hair care products.

Hello. If a diet and suitable physical exercises have no effect, you should check your endocrine profile for possible pathologies. In this case, it is recommended to visit an endocrinologist who will refer you to do the required tests for hormones, undergo ultrasonography of the thyroid gland in order to identify the causes of weight gain.