The Mission Hospital’s Endocrinology & Metabolism department is committed to providing the highest quality healthcare for patients with diabetes, endocrine and metabolic disorders.

Aims & Objectives:

• Evidence-based management of Endocrine disorders
• Identify and critically review new / emerging diagnostic and treatment strategies and, when appropriate, incorporate them into the practice.
• Research and education within their areas of expertise.

The service available (IPD/OPD):

• Diabetes Mellitus
• Lipid Disorders
• Nutrition
• Bone health & Osteoporosis
• Pituitary/Gonad/Adrenal Disorders
• Thyroid Disorders
• Outreach Endocrinology

 
Diabetes Mellitus
The staffs deal with every aspect of all types of diabetes including:

• Diabetes Education
• Intensive insulin therapy
• Hypoglycemia
• Pregnancy & GDM
• Medical Nutrition Therapy
• Exercise education
• Complications of diabetes

1. Lipid management
2. Ophthalmologic monitoring
3. Neuropathy management
4. Behavior modification
5. Foot care including vascular health

Lipid Disorders
Typical patients referred to the Endocrinology department:

• Genetic lipid disorders
• Very low total cholesterol when genetic disease is suspected
• Secondary dyslipidemia due to diabetes mellitus or renal disease
• Organ transplant and dyslipidemia
• Premature cardiovascular disease
• Family history of premature cardiovascular disease
• Erectile Dysfunction

 Nutrition & Obesity

• Multidisciplinary approach to obesity and weight gain
• Evaluation for bariatric surgery
• Clinical nutritional analysis of eating disorders
• General nutrition advice and education

Endocrine Hypertension  
Essential hypertension                                     92-94%
Secondary hypertension                                  6-8%
Renal                                                                     4-5%
 Miscellaneous                                                    ~2%
Endocrine                                                            1-2%
Primary hyperaldosteronism                          0.3-15%
Cushing’s syndrome                                          <0.1%
Pheochromocytoma                                          <0.1%


Bone health & Osteoporosis
Consultations are provided for a variety of  bone and calcium disorders -

• Osteoporosis
• Hyper/hypo-parathyroidism
• Hypo/hyper-calcemia
• Rickets
• Paget disease
• Osteomalacia

  

Growth & Development
Short /Tall stature: Growth Hormone deficiency, Turner’s syndrome etc
Delayed Puberty
Precocious Puberty
Ambiguous Genitalia 

        

Thyroid Disorders



Evaluation and management of:

• Abnormal thyroid hormone tests
• Abnormal thyroid scans
• Goiter
• Graves' disease
• Hashimoto's thyroiditis
• Hyperthyroidism
• Hypothyroidism
• Thyroid cancer
• Thyroid nodules

Women’s Health
Menstrual dysfunction
PCOS
Post-menopausal symptoms
Infertility



Men’s Health
Hypogonadism
Erectile Dysfunction & Disorders of sexual function