Endocrinology related diseases are Thyroid, Adrenal, Pituitary, Lipid, Obesity, Growth problems, and Calcium with Osteoporotic amongst others.
The Diabetes Centers at the Bangkok Hospitals all have one singular mission: to bring lasting improvements in quality of life to diabetes patients, both type 1 and type 2. This common goal unites the clinical and education arms of the Diabetes Center into a comprehensive program that is unique among diabetes facilities.
Our clinical staff of dedicated professionals provides our patients with the highest standards of diabetes care : a highly qualified, multidisciplinary team approach offering the latest treatments, tailored to fit the individual needs of each patient.
1. Our goal is to help our patients integrate optimal diabetes management into their everyday lives. We strive to remove all the barriers which may make it hard for people to take care of their diabetes. Because people with diabetes may have to see a range of health specialists, "Total Diabetes Care" at the Diabetes Center includes endocrinologists specializing in adult and childhood diabetes, as well as nurse educators, nutritionists and exercise physiologists.
2. Our patients also have access to a wide range of other consultants here, including ophthalmologists, cardiologists, nephrologists, surgeons and podiatrists. Patients' records are kept in one unified chart, and case managers help coordinate the care -- all in the interest of simplifying management of this complicated disease. Quick Lab assessment include: HbA1c, fasting blood sugar, cholesterol level, triglyceride level, blood urea nitrogen, serum creatinine and uric acid.
3. To assess the peripheral vascular disease in patients with diabetes, the ABI is a reproducible and reasonably accurate, noninvasive measurement for the detection of PAD and the determination of disease severity. The tools required to perform the ABI measurement include a hand-held 5–10 MHz Doppler probe and a blood pressure cuff. The ABI is measured by placing the patient in a supine position for 5 min. Systolic blood pressure is measured in both arms, and the higher value is used as the denominator of the ABI. Systolic blood pressure is then measured in the dorsalis pedis and posterior tibial arteries by placing the cuff just above the ankle. The higher value is the numerator of the ABI in each limb.
4. Diabetic complications can be divided usefully into short-term and long-term complications. It is because of the risk of complications that diabetes needs regular monitoring - both by the patient and by the doctors and nurses looking after them. Short-term complications are caused mainly by imbalance of the sugar level. Long-term complications are the main reason for holding diabetic clinics. After some controversy a few years ago it is now widely accepted that good diabetic control plus control of blood pressure and cholesterol has a vital role to play in reducing the long term consequences of being diabetic.
5. There are two different tests used to determine whether you have pre-diabetes : the fasting plasma glucose test (FPG) or the oral glucose tolerance test (OGTT). The blood glucose levels measured after these tests determine whether you have a normal metabolism, or whether you have metabolic syndrome or diabetes. If your blood glucose level is abnormal following the FPG, you have impaired fasting glucose (IFG); if your blood glucose level is abnormal following the OGTT, you have impaired glucose tolerance (IGT).