Answers and questions on endocrinology

Hello. After covid, my blood sugar has been around 10 for more than a month. The diet did not help to a decrease sugar. I really would not like to take pills all the time. Can I expect that dietary sugar will start to decrease after all? What next steps would you recommend me to take?
Answer: 05.07.2021

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.

Krasovskaya Irina Grigorievna
Endocrinologist. The first category. Work experience 22 years.
Hello, over the course of several years my weight has decreased from 75 to 55 kg. Also I am bothered with about weakness, constant fatigue, frequent urination, itching of genitals, please tell me, can it be diabetes? Thank you!
Answer: 05.07.2021

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.

Krasovskaya Irina Grigorievna
Endocrinologist. The first category. Work experience 22 years.
Hello! My daughter was diagnosed with adrenal hyperplasia five years ago at the age of 14.5 years. Since then, she has been taking hormonal contraceptives for treatment. Our current doctor refuses to cancel the drugs, saying that she will have to take it all her life. Please tell me if it is possible to refuse from taking drugs with this diagnosis? What negative health consequences this can entail?
Answer: 05.07.2021

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.

Krasovskaya Irina Grigorievna
Endocrinologist. The first category. Work experience 22 years.
Hello! Please tell me, my husband has type 1 diabetes mellitus, acquired diabetes. We have two children, do we need any examinations for them in this case?
Answer: 05.07.2021

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.

Krasovskaya Irina Grigorievna
Endocrinologist. The first category. Work experience 22 years.
Hello. I am twenty. Recently I underwent ultrasonography of thyroid gland and took blood for hormones, they told me that I have thyroid gland of 7-8 year old child. Please tell me what this means and what the consequences can be?
Answer: 05.07.2021

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. 

Krasovskaya Irina Grigorievna
Endocrinologist. The first category. Work experience 22 years.