expert type icon EXPERT

Mr. Paul C. Norwood, M.D., F.A.C.P.

Endocrinology-Diabetes

Dr. Paul C Norwood M.D., F.A.C.P. is a top Endocrinology-Diabetes in Fresno, . With a passion for the field and an unwavering commitment to their specialty, Dr. Paul C Norwood M.D., F.A.C.P. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Paul C Norwood M.D., F.A.C.P. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Paul C Norwood M.D., F.A.C.P. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Fresno, CA, Dr. Paul C Norwood M.D., F.A.C.P. is a true asset to their field and dedicated to the profession of medicine.
44 years Experience
Mr. Paul C. Norwood, M.D., F.A.C.P.
  • Fresno, CA
  • Loma Linda
  • Accepting new patients

High-pitched voice?

Please have your testosterone measured

Diabetic question?

There is not enough information

Glucose levels? Ha1c? Weight? Height? BP? Medications?

I'm so hairy and I'm a girl?

Need to check free testosterone and she’s sulfate
How is the cycle?

Diabetes management?

You need either a GLP1 or insulin actually probably both. Your body has run out of insulin. Things will not go well if you don't act soon. I have little information such as weight READ MORE
You need either a GLP1 or insulin actually probably both. Your body has run out of insulin. Things will not go well if you don't act soon. I have little information such as weight etc. Let us say you are very overweight, it is possible in some to eat very little or for that matter fast, then one can become insulin sensitive and the glucose will come down. Eating when the glucose is in the 300s makes little sense. I am worried about you and you need help.

Diabetes management?

If your sugar is in the 300s you are insulin deficient. I know little about your history. So little information But let’s say your glucose is averaging 300.You’re following a strict READ MORE
If your sugar is in the 300s you are insulin deficient. I know little about your history. So little information But let’s say your glucose is averaging 300.You’re following a strict diet. No medication except insulin will help you the amount you need to decrease the sugar. (150points)

Hypothyroid condition?

30 minutes before a meal is sufficient to take your thyroid medication. Taking the medication is more important than timing.

Dr. Norwood

Diabetic question?

5.2% IS FINE. HOWEVER, TAKING A SULFONUREA WITH THAT GREAT OF AN Ha1C IS DANGEROUS. I WOULD CHANGE TO A MEDICATION THAT DOESN'T CAUSE HYPOGLYCEMIA SUCH AS JARDIANCE-FARXIGA-INVOKANA-STEGLATRO READ MORE
5.2% IS FINE. HOWEVER, TAKING A SULFONUREA WITH THAT GREAT OF AN Ha1C IS DANGEROUS. I WOULD CHANGE TO A MEDICATION THAT DOESN'T CAUSE HYPOGLYCEMIA SUCH AS JARDIANCE-FARXIGA-INVOKANA-STEGLATRO OR A WEEKLY GLP1 SUCH AS TRULICITY OR OZEMPIC.

DR. NORWOOD

Will eating too much sugar make me diabetic?

Sugar will not make one a diabetic. However, eating too much and gaining weight makes one at risk. Having a healthy diet and a healthy lifestyle will make a happier and healthier READ MORE
Sugar will not make one a diabetic. However, eating too much and gaining weight makes one at risk. Having a healthy diet and a healthy lifestyle will make a happier and healthier life. Excess sugar is not healthy.

I have a lump when swallowing near suprasternal notch?

You have a thyroid nodule and need to see an endocrinologist for an aspiration biopsy. Still, prognosis is good.

Dr. Norwood

Am I overdosing on vitamin D?

Your intake of vitamin D is very modest. This dosage will not cause any problems.

Dr. Norwood

What happens if a diabetic child has low blood sugar at school?

I hope your child has a continuous monitor. This will allow constant monitoring and some sugar such as lifesavers, a sucker, etc., to avoid hypos or treat.

Are Hypokalaemia and Hypoglycaemia related?

I believe that when you say that you have a glucose level of 2.3, which is in moles, which is a glucose of 41 mg/dl in United States nomenclature. That is extremely low. If you READ MORE
I believe that when you say that you have a glucose level of 2.3, which is in moles, which is a glucose of 41 mg/dl in United States nomenclature. That is extremely low. If you indeed are eating normally then, no bulimia, now diarrhea, no vomiting, no excess exercise without eating, no drinking alcohol on an empty stomach and no weight loss, then you may have an
insulin secreting tumor probably in the pancreas. The way to diagnose this is to under observation start a fast and have the glucose checked every hour by finger stick. If the glucose falls and becomes low then an insulin level, c peptide and proinsulin level will be obtained. The insulin level will be higher than expected if one has an insulinoma.

Paul Norwood, MD

Sweetener Situation?

Erythritol causes bloating. That is why it isn’t popular. Nutrasweet is safe and consists of 2 amino acids. Safe as can be. Splenda is very very safe. 85% is not absorbed 15% is READ MORE
Erythritol causes bloating. That is why it isn’t popular. Nutrasweet is safe and consists of 2 amino acids. Safe as can be. Splenda is very very safe. 85% is not absorbed 15% is urinated out without not 1 carbon being left in the body. It consists of 2 sugars molecules with replacement of 3 hydroxyl groups with chlorines like in NACL (tablet salt). Millions of people have drunks gallons of the aforementioned. There is no evidence of harm.

Am I pre-diabetic?

I have little information Weight? Family history? However, by definition, you are pre-diabetic.

Can too much sugar cause problems?

What is too much? By definition, too much is too much. So, yes. too much sugar is bad for you. Now the real question, Is sugar bad for you. Anything that causes too many calories READ MORE
What is too much? By definition, too much is too much. So, yes. too much sugar is bad for you. Now the real question, Is sugar bad for you. Anything that causes too many calories in a day is bad for the person. The goal is a healthy lifestyle. A diet with sugar that is in line with the daily caloric needs, will not be a problem. Again, a diet with excess calories is a terrible problem.

Best,

Dr. Norwood

Weight loss issue?

Your case is too complicated for an online answer. In the meantime, I would be checked for a gluten allergy (celiac disease), however, you tell me so little about what's been done, READ MORE
Your case is too complicated for an online answer. In the meantime, I would be checked for a gluten allergy (celiac disease), however, you tell me so little about what's been done, what your labs are, what other symptoms you have, it is impossible to give you a clear answer, what and if you have a problem.

Best wishes,

Dr. Norwood

16 weeks pregnant TSH 23...next steps?

Your question is one that invites an opinion that is a landline for physicians. So, the best answer is for you to see an endocrinologist. However, to stop your fears which I consider READ MORE
Your question is one that invites an opinion that is a landline for physicians. So, the best answer is for you to see an endocrinologist. However, to stop your fears which I consider more worrisome than your thyroid levels, don’t worry, you and your baby will be fine.

Dr. Norwood

How do you manage diabetes at work?

Well, there is a little data here, type 1 or 2 diabetic? On insulin? Your question is unanswerable. HOWEVER, let's pretend you are a type 1 diabetic, get a continuous glucose monitor. READ MORE
Well, there is a little data here, type 1 or 2 diabetic? On insulin? Your question is unanswerable. HOWEVER, let's pretend you are a type 1 diabetic, get a continuous glucose monitor. This will show you what you are doing and give you minute to minute feedback. Then go to your endocrinologist or primary MD, show him the data and make a plan. Monitoring is the key.

Dr. Norwood

Can you get diabetes later in life?

Can one get diabetes later is life? Well, the majority of diabetics develop diabetes later in life. Unfortunately, like everything, time wears everything down including the relatively READ MORE
Can one get diabetes later is life? Well, the majority of diabetics develop diabetes later in life. Unfortunately, like everything, time wears everything down including the relatively few insulin secreting cells in the body. When one develops diabetes, they have lost at least 66% of their insulin making capacity.

Best to you,

Dr. Norwood

Does diabetes get worse with age?

Well, that is a difficult question. What type is it, type 1 or 2? Regardless, in my experience, yes, diabetes becomes more volatile with time, thus age. Not necessarily. If the READ MORE
Well, that is a difficult question. What type is it, type 1 or 2? Regardless, in my experience, yes, diabetes becomes more volatile with time, thus age. Not necessarily. If the control has been good, then the volatility is less. I have patients who have had diabetes for decades with good, tight control.