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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How can I manage my diabetes?
Management of your diabetes needs to be supported by a good diet, enough exercise, and proper medications. Addressing all three is the only way to achieve the best possible blood sugar control, stave off complications, and increase the chances that you’ll live your best possible life. If you already
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What other drugs besides statins lower cholesterol?
There are several other classes of medications that can help lower LDL cholesterol levels, and some of these medications may also have beneficial effects on triglycerides and HDL cholesterol levels, though the effects are usually small. Ezetimibe (brand name Zetia) blocks the absorption of cholester
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How do I correct my blood sugar level with an insulin dose for diabetes?
Extra insulin taken because of a high blood sugar level before a meal is called correction insulin. Just as you need to establish an insulin-to-carbohydrate ratio, you should try to figure out your individual correction factor, the approximate fall in blood glucose level that you expect from a unit.
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Why do people fear insulin treatment?
You are going to be surprised by my answer, but I can assure you that I am right. I have started insulin on thousands of people during my career and I have lectured or spoken to tens of thousands more about this, so I know what I am talking about! Most people assume that it is the injections that m
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How can I help prevent thyroid nodules?
Yes and no. Many times colloid nodules develop because of a genetic condition, and there is little that one can to overcome genetics in this case. In much of the world, colloid nodules are the result of too little iodine in the diet and correcting this problem will often prevent nodule formation. I
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What drugs treat high blood pressure in people with diabetes?
There are many drugs to treat high blood pressure; we'll focus on two main classes: the ACE inhibitors and ARB medications, both of which have special benefits for people with diabetes. The "A" in both groups of drugs stands for angiotensin. Angiotensin is a hormone that raises blood press
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What is familial hypocalciuric hypercalcemia?
Familial hypocalciuric hypercalcemia (FHH) is a hereditary condition of parathyroid gland sensing. The parathyroid glands in this condition do not properly sense blood calcium levels and secrete excess parathyroid hormone (PTH) even when the blood calcium level is normal. This results in a rise in t
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How much does a glucose monitor and test strips cost?
Glucose monitors are not very expensive; they typically retail for between $50 and $100, and you can usually get coupons that offer a substantial discount. Sometimes you can even get a monitor free from your doctor or diabetes educator or the manufacturer. The real expense is the test strips. At ful
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How is hyperparathyroidism treated?
The best treatment for hyperparathyroidism is usually surgery. Most people will have a single benign tumor, referred to as an adenoma, involving one of their parathyroid glands. Nuclear medicine studies (a parathyroid Sestamibi scan) or a high-resolution ultrasound of the neck will disclose the loca
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What is insulin?
Insulin is a hormone that is produced by cells in your pancreas and is essential for maintaining proper health. (A hormone is a chemical that is manufactured in one part of the body and travels through the bloodstream to other parts of the body, where it has powerful effects.) One of insulin’s main.
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Why is my blood glucose level higher in the morning than at bedtime?
It is completely natural to think that your blood sugar should be lower after a night sleep. After all, you have not eaten anything for many hours. But the body needs glucose 24 hours a day, and if you are not getting it from food, your body will turn to stored glucose in the liver. Your pancreas...
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What are sulfonylurea drugs for treating diabetes?
Sulfonylureas are the oldest class of medications other than insulin used for diabetes treatment. Commonly used sulfonylureas include glipizide (brand name Glucotrol), glyburide (brand names Micronase or Glynase) and glimepiride (brand name Amaryl). These medicines work by helping the body mak
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What are the types of insulin for diabetes treatment?
The most common forms of insulin are: Very-fast-acting: NovoLog, Humalog, and Apidra Fast-acting: regular insulin (Novolin R and Humulin R) Intermediate-acting: NPH insulin (Novolin N or Humulin N) or Lente insulin (Novolin L or Humulin L) Very-long-acting:
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How is hyperparathyroidism diagnosed?
Diagnosing hyperparathyroidism is usually straightforward, but there are exceptions. If one has an elevated parathyroid hormone level in the blood, then one has hyperparathyroidism, but that isn’t the end of the story. The most common form of hyperparathyroidism is what we term “primary” hyperpa...
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How can I reduce my need for diabetes medication?
Exercise, in combination with proper diet (and usually weight loss), can reduce your need for diabetes medication, sometimes drastically. In some cases your blood sugar levels will return to normal and you can go off the meds completely! (However, diabetes is a progressive disease. Even after your..
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