Please call the office number below to set up a Video Televisit to discuss your Endocrine questions (914)849-7900.
Dr. Lyudmila Shvets - Gabriel practices Endocrinology in Westchester, NY. Dr. Shvets specializes in diagnosing, preventing and treating diseases related to hormone imbalance and the body's endocrine system. Dr. Shvets - Gabriel specializes in treating thyroid abnormalities (thyroid cancer, thyroid nodules, over and under - active thyroid), pituitary glad disorders, Type 1 and Type 2 Diabetes Mellitus, abnormal calcium regulation, Osteoporosis, vitamin D deficiency.
Education and Training
St. George's University School of Medicine 2009
American Board of Internal Medicine
Endocrinology, Diabetes & Metabolism (Internal Medicine)
Dr. Lyudmila Shvets MD's Expert Contributions
The answer is possibly, depending on how severe his diabetes is and how much lifestyle modifications he makes. The other fact to consider is if he has some genetic type of diabetes which may certainly improve with lifestyle modifications such as healthy eating and routine exercise, but some of these types are more difficult to fully reverse. READ MORE
The best advise is to work with a diabetes educator also known as a CDE (certified diabetes educator) who is registered dietitian with in-depth knowledge in the field of diabetes. This way, the CDE can tailor the diet to your individual needs based on your height, weight and daily nutritional requirements depending on other medical issues such as kidney, liver or gastric problems. My advice to my patients is to concentrate on the Quality of calories, not the number of calories per day. READ MORE
Diabetes can have an impact on multiple body organs, including the liver. One of the most common conditions I see in my patients with diabetes is NAFLD (non-alcoholic fatty liver disease) which I routinely test for. READ MORE
Unfortunately, there are no guarantees. PCOS predisposes to insulin resistance (high insulin levels) that in turn can progress into pre-diabetes and overt diabetes. If your insulin levels are already elevated, Metformin will help to lower them, by helping preserve your pancreas function (to help delay progression to diabetes). However, diet and exercise are very important add-ons in helping prevent insulin resistance to progressing further, in addition to Metformin. Many patients after they start taking medication like Metformin, think they can stop paying attention to the food they eat because they feel a false sense of protection with medicine. That is not true. These agents work together with lifestyle modifications to help protect your body from disease progression. READ MORE
Diabetes is all about numbers - your sugar numbers that is! As people have diabetes longer, their bodies have a hard time differentiating between low, normal, or high sugars. The only way to know is if you keep a glucose log or wear a continuous glucose monitor and share with your endocrinologist, to determine if insulin dose adjustment is required. READ MORE
During this time, I recommend you working very closely with an endocrinologist and have your thyroid labs monitored in short intervals and medication doses adjusted frequently or as needed to get you to the optimal levels for pregnancy. Please do not have a PCP or even OB manage your thyroid function. READ MORE
You are still at risk for diabetes since you had diabetes when your A1C was at 7, but as you have proved by changing your diet, that you can improve and sometimes reverse diabetes by lifestyle modifications. You can maintain normal levels of glucose control and A1C by continuing to monitor healthy food intake and exercise. However if you go back to eating the way you have been previously, you have a high risk of re-developing diabetes again. READ MORE
Major cause of sugar fluctuations include medications and food. If your mother is taking insulin before bed that causes her sugars to drop too low in the mornings, the insulin dose needs to be changed. Since when he sugars are low, she is likely eating something sweet or drinking juice, then her sugars rebound into high numbers. It is imperative she sees her Endo and brings them her glucose meter or glucose log to discuss medication adjustments. READ MORE
American Thyroid Association currently does not have enough data to recommend family members of patients who were diagnosed with thyroid cancer to be screened for thyroid cancer. This is based on the fact that thyroid cancer is still pretty rare and most thyroid cancer types are not genetic (meaning do not run in families) although this would depend on the kind of thyroid cancer your mom was diagnosed with. Have your doctor examine your neck by doing a neck exam, and if they feel anything abnormal, they can proceed with a thyroid sonogram to better look at the anatomy of the gland. READ MORE
Some people are more likely to develop diabetes than others. You should be annually screened for diabetes as an adult by your primary physician. As a side note, we do not recommend excessive or large sugar consumption even for non-diabetes patients as it leads to weight gain and other metabolic problems. READ MORE
It is not unusual for some women who undergo menopause to start to develop darker hair on the chin, this typically occurs due to drop of estrogen levels during peri menopause and menopause. Generally, this is a benign condition. However is the hairs are growing very coarse and fast and very spread out, this can be a sign of an adrenal problem and should be investigated. It never hurts to see an endocrinologist and have them run your blood work to make sure it’s the former. READ MORE
Every patient is different and there is no 1 answer. Generally, we recommend that you do the best you can with your diet and exercise, and repeat your diabetes markers. If diet and exercise alone is not sufficient, this is when medication initiation/change starts to play a role to get the diabetes under control. READ MORE
Generally, weight loss from diabetes occurs when someone’s sugars are extremely high, or if they were startled on certain diabetes medications that also help with weight loss. Both of these need to be discussed with the endocrinologist. If his weight continues to drop with normalization of sugars and no change in medications, other causes of weight loss should be investigated (particularly thyroid and adrenal causes). READ MORE
Having both parents with diabetes, your risk of developing diabetes in your lifetime is as high as 50%. Doing yoga or other forms of exercise certainly help, but sometimes genetics are stronger than the benefits of exercise and diet. Regular monitoring is recommended. READ MORE
Untreated over-active thyroid can definitely lead to heart problems such as arrhythmia (where your heart rhythm is no longer normal), and congestive heart failure. There are very routine treatments for Hyperthyroidism and should be treated by a specialist. READ MORE
Working with a nutritionist and exercising regularly can help to lower blood sugars without medication. Other ways to help lower sugar levels is to increase water intake and substitute soda and just for non-sweet drink options. Cutting back on salad dressings that contain high sugar contents helps, all leading back to working with a nutritionist. READ MORE
If you are on optimal/full doses of several oral medications and such levels are still above goal, we generally proceed to insulin therapy or other injectable options (that are not insulin, for type 2 diabetes) in addition to some oral options. READ MORE
You should be evaluated for a urinary tract infection or other urinary issues. Diabetic patients do not have the typical symptoms of pain/burning on urination with infections, and change in symptoms needs investigating. READ MORE
Treatment for pain depends on the cause. She should be evaluated starting with a primary doctor and then possibly a neurologist to determine the cause of her pain. READ MORE
Thyroid masses vary from liquid cysts (which are generally not harmful) to solid thyroid modules (which have higher risk of cancer). Best next step is to have a dedicated thyroid sonogram to better differentiate wether your is a nodule or a true cyst. Cysts are generally just monitored, unless they cause difficulty swallowing, and at that point can be either drained or cauterized with ethanol (done by specialized endocrinologists). READ MORE
Yes, one of the main causes of heart disease in the United States is having diabetes. It is important to maintain good diabetes control to lower risk of heart problems. READ MORE
I am not a pediatric endocrinologist but younger population is being diagnosed with type 2 diabetes due to poor eating habits, less active lifestyle (due to introduction of modern technology) and obesity. If your child is already obese, the recommendation is for the whole family to work with a nutritionist to change the type of food that is being brought into the house. The whole family should eat healthier so the child can learn better eating habits and lose weight. READ MORE
Best way is slow and steady, and that which involves consistency. Start by working with a nutritionist to come up with a healthy meal plan and incorporate a CONSISTENT exercise routine. If this does not work, there are weight loss medications that can be utilized. But lifestyle modifications is the best first step. READ MORE
I prefer to see patients who are either newly diagnosed or are pre-diabetic so I can teach them about ways to improve the disease. I am not saying an internist can not manage certain diabetes, but I also believe that they would appreciate you working with a specialist. When it comes to diabetes, it’s always a team approach. READ MORE
Recommendation by ADA (American Diabetes Association) is yearly eye exam with an Ophthalmologist (MD) not an Optometrist, unless you have diagnosed eye problems from diabetes (retinopathy), then you would need to be seen more frequently at the instruction of the Ophthalmologist. READ MORE
Any type of diabetes, if uncontrolled or unmanaged, can lead to kidney disease. Work frequently with his pediatric endocrinologist and ask about continuous glucose monitors that he can wear and you can track his sugars constantly through your phone to help you manage this disease. READ MORE
Parathyroid hormone level can be tested through a blood test. READ MORE
Most common test is hemoglobin A1c which is a 3 month average of your glucose control. Other tests like random sugar above 200 also confirms diabetes. READ MORE
Most women who were diagnosed with gestational diabetes, have a 40-50% risk of developing diabetes in the future. It is important to mention your history to your primary care physician and have them screen you for pre- or overt diabetes at least annually. Lyuda Shvets - Gabriel READ MORE
It does not mean you have diabetes, but you should have further blood work done with a physician. If your test was done shortly after you ate or drank something, your glucose can be outside of the normal range. READ MORE
Higher insulin levels in patients with type 2 diabetes stimulate appetite. This is one of the reasons one of the classes of medications doctors use to treat type 2 DM are GLP 1 agonists like Victoza or Trulicity to help suppress hunger and prevent over-eating READ MORE
Most common culprit is her medications are making her sugars drop. She should discuss with her doctor, preferably endocrinologist how often these events are occurring and what time in the (before breakfast or after meals, or if she skips a meal) to let the doctor adjust her therapy READ MORE
There are other weight loss promoting medications that your endocrinologist can recommend to help manage and improve both sugar levels and weight, aside from your current medications. Not everyone responds to the medication in the same way. You may need a change in therapy READ MORE
Lifestyle modifications are always the first step in management when you have type 2 diabetes. ADA recommend exercise of at least 150 minutes per week. Utritionist or diabetes educator is also a great source to help change bad diet habits and come up with reasonable meal plans for you. READ MORE
I would start with seeing a pediatrician and having your son undergo blood work to further evaluate. READ MORE
ADA recommendation is to see podiatrist yearly for routine monitoring. If the podiatrist finds a problem, they may refer you for further testing such as vascular evaluation and you may need to be seen more frequently depending on results of testing READ MORE
Blood sugars fluctuate in people without diabetes, but that fluctuation is more pronounced in people with diabetes. The cause is multifactorial, and depends on the kind of food you are eating, the portion size particularly carbohydrate-reach foods, the amount of exercise you are doing, the water consumption, other physical activity and stress levels just to include some of the causes. Other medications can cause higher sugar fluctuations such as steroids. Illnesses or infections can also cause higher sugar readings. READ MORE
Great question, I get it a lot from patients. People with diabetes, are generally at a higher risk of infections, because bacteria is attracted to sugar. The higher the sugar, the higher the risk of infection. In order to help prevent these, you can work with your doctor and nutritionist to lower your A1C and improve diabetes control. READ MORE
- High Cholesterol
- Type 2 Diabetes
- Hashimoto's Thyroiditis
- Graves' Disease
- American Association of Clinical Endocrinologists
- Endocrine Society
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Patient Experience with Dr. Shvets
- Planning a Healthy Diabetes Diet
Let us refer to this diet as a healthy diet and not a diabetes diet, as a healthy diet plan is good for anybody. With diabetes, what one needs to be careful about is the amount of carbohydrates in his or her diet. For some, the protein and fat content of the diet also needs to be taken care of....
- Are Those Daily Pricks Really Necessary for Diabetes?
One thing that diabetic patients know all too level is the daily pricks to their finger they have to do to monitor their blood sugar. Some patients say they just get used to pricking their fingers and others say it is virtually painless. But still, others claim that after several years of pricking...
- What are the Causes and Symptoms of Diabetic Ketoacidosis?
An OverviewDiabetic ketoacidosis (DKA) is considered to be one of the most severe metabolic imbalance associated with type 1 diabetes mellitus. Type 1 diabetes mellitus is also known as insulin dependent diabetes mellitus, wherein a patient depends upon external sources of insulin as its body is...
- Are Creatine Supplements Necessary?
Creatine, the popular chemical among athletes for enhanced performance, can be obtained from any normal diet. This chemical is also manufactured naturally in the body, and it can help create energy from the food an individual consumes. Although it is a popular choice among athletes, there is no...
- What Is Metabolism?
IntroductionMetabolism is a complex biochemical process that is needed to maintain life. Availability of nutrients and nutrition are closely associated with metabolism since metabolism is a process that involves the conversion of food into energy, which is used to fuel the body's cells. The basal...
- Consume Calcium to Make Bones Stronger
Strong bones are very important for the body, especially as you age. Maintaining proper care of your bones can prevent the collapse of the bones due to osteoporosis. Osteoporosis is one of the most important causes for bone fracture in half of all women over 50-years-old, and one out of four men in...
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