Bio
Education
• BS Magna Cum Laude: Chemistry, Georgetown University
• MD: Yale University School of Medicine
• Internship and Residency: Brigham and Women's Hospital, Harvard Medical School
• Fellowship: National Institutes of Health
• Board Certification: Endocrinology, Diabetes and Metabolism; Internal Medicine
Specialties:
- Endocrinology Diabetes & Metabolism
- View Credentials
Affiliation:
- Assistant Clinical Professor, The George Washington Univesity School of Medicine. Chairman, Endocrine Section, Suburban Hospital, Johns Hopkins Medicine
Location:
- Bethesda, MD
Group Memberships:
Links:
Credentials
- Education
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B.S. Chemistry (Magna Cum Laude), Georgetown University, 1977 - 1981M.D., Yale University School of Medicine, 1981 - 1985
- Internship
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Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, 1985 - 1986
- Residency
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Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, 1986 - 1988
- Fellowship
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Endocrinology, Diabetes and Metabolism, National Institutes of Health, 1988 - 1991
- Board Certifications
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Endocrinology, Diabetes and Metabolism, American Board of Internal MedicineInternal Medicine, American Board of Internal Medicine
- Professional Membership or Societies
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American Association of Clinical EndocrinologistsAmerican Diabetes Association
- Honors or Awards
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Phi Beta KappaSigma Xi honor society for scientific researchCollege Chemistry Achievement Awared, Chemical Society of WashingtonAmerican Cancer Society Thesis Prize, Yale University School of Mediicine"Top Doctor" in Endocrinology, Washingtoninan Magazine
Activity
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What are the different types of glucose monitors?
There are a few ways to answer this question, depending on whether you are trying to be technical about how glucose is measured in the blood, etc., but for the most part that’s not important. From a practical standpoint, there are two very different kinds of glucose monitors. The commonl
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What are advantages and disadvantages of insulin treatment?
On the positive side for insulin, it is always effective provided the proper dose is used. This is true for people who have elevated blood sugar levels first thing in the morning. Many other diabetes medications are not very effective in this situation. The dose of insulin can be adjusted in very fi
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Is there a cure for endocrine system diseases?
There are many diseases of the endocrine system, so this is not a simple yes-or-no question. For some there may be a curative treatment. For many there is treatment that will control the symptoms and prevent further problems from developing. In some cases there may not be very effective treatment...
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How common is hyperthyroidism?
Thyroid disease is exceedingly common. According to the American Thyroid Association, the lifetime incidence of thyroid disease in the U.S. is around 12%. Thyroid problems are much more common in women, and hypothyroidism, meaning an underactive thyroid, is much more common than hyperthyroidism, mea
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What should I do when I first start my diabetes management plan?
Weigh yourself on the day you start your diabetes management plan. Focus on monitoring and recording your blood sugar level, medications, and activity (if you have diabetes), eating appropriate amounts of carbohydrates, increasing your physical activity. Objectives: If you have diabetes, regularl
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Can being overweight lower my testosterone levels?
Yes. Being overweight causes testosterone levels to fall for several reasons. Firstly, testosterone is converted to the female hormone estrogen in fat tissue, and when there is too much fat there is a high rate of this conversion. Secondly, obesity is thought to suppress testicular function. Finally
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How do meglitinide drugs help treat diabetes?
The meglitinides Prandin and Starlix prompt the body to make more insulin. They are fast-acting and their effect is fairly short -- just a few hours. This means that in most cases they should be taken with each meal, so they are less convenient than some other diabetes medications. They
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When do I need to monitor my blood sugar more often?
There are certain situations when you'll need to take more regular blood sugar readings. These include: When you are first diagnosed. You'll benefit from frequent testing for the first several weeks or until you see your blood sugar levels stabilize. When you make any changes to your ex
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Can endocrine system diseases be prevented?
“Endocrine disease” encompasses many medical problems, so there isn’t a simple yes or no answer to this question. Certainly in the case of diabetes, one of the most common endocrine problems, there is a great deal that one can do to prevent disease. Maintaining a normal body weight, consuming a diet
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Should I test my urine for glucose and ketones?
Finding glucose in the urine of someone who has not yet been diagnosed will sometimes be a tip-off that they have developed diabetes, but glucose doesn’t appear in the urine unless the blood sugar is around 240 or even higher for many people, so there is no real reason to test the urine for sugar be
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Can eating sugar cause diabetes?
Don’t be misled into thinking that your diabetes came about from eating too much sugar. Although certain types of diets can increase the risk of diabetes, the condition really develops because of a glitch in the way your body produces or handles the hormone insulin. To understand diabetes, you have.
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What do frequent episodes of hypoglycemia mean if I have diabetes?
Treating hypoglycemia promptly is crucial, but just as essential is figuring out why it's happening and then making the necessary changes to your diet, medication, or exercise to prevent further episodes. An occasional, mild low-blood-sugar reaction is not a problem, and, in fact, most people with..
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Why should I take a statin medication for cholesterol if I have diabetes?
There have been many studies showing the benefit of cholesterol lowering with statin drugs in those with diabetes, and because the data are so strong and the risk of heart disease is so high in people with diabetes, the American Diabetes Association recommends that a statin drug be used in any perso
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Why should I monitor my blood pressure if I have diabetes?
Your blood pressure deserves every bit as much attention as your blood sugar if you have diabetes; if you have pre-diabetes, high blood pressure may even be a bigger issue than your blood sugar level, at least initially. High blood pressure is often called the silent killer because in most cases...
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What is the best blood test for diabetic people?
The hemoglobin A1c test, of course, because it gives you information about your average blood sugar levels over time. But let’s dig just a bit deeper. Is the A1c always the best test? Are there some situations where other tests are as useful or even more useful? You can probably guess that the answe
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