Dr. Rocio Salas-Whalen practices Endocrinology in New York, ny. Dr. Salas-Whalen specializes in preventing, diagnosing, and treating diseases related to hormone imbalance, and the bodys glands in the endocrine system. Endocrinologists are trained and certified to treat a variety of conditions, including menopause, diabetes, infertility, and thyroid disorders, among many others. Dr. Salas-Whalen examines patients, determines means of testing, diagnoses, and decides the best treatment methods.
American Board of Obesity Medicine
Endocrinology (Internal Medicine)
Dr. Rocio Salas-Whalen, MD's Expert Contributions
Hello, Glycomet is a combination of two medications; glyburide and metformin. This medication won't help you to loose weight. Glyburide is a very old medication and as a side effect causes hypoglycemia (low blood sugar), which in turn increases appetite. I would say I see more weight gain than weight neutral with glyburide. Metformin may help loose some weight (no more than 5 lbs) if taken without the glyburide. We have better options for diabetes and weight loss. Discuss with your physician using GLP1 analogs such as Victoza, Ozempic, Tresiba. READ MORE
Hello, An A1C of 11 is very elevated. As you mention, this is poorly control diabetes. If your mother is not on insulin at the moment she might need to be now. If already in insulin then insulin needs to be adjusted. With out knowing her kidney function I would suggest a SGLT 2 inhibitor which helps by urinating the excess sugar and a GLP1 agonist. Will help the pancreas produce more insulin and control carb intake. Your mom should seek the help of an endocrinologist to control her glucose. Also, as I like to tell patients remember that glucose control 80% is diet and 20% is medication (unless insulin dependent). READ MORE
Hello, yes this can definitely be the case. Many times we see elevated cholesterol and some other lab abnormalities when the TSH is abnormal. More specifically when the TSH is elevated we can see an elevated cholesterol. Here, first we need to correct your TSH and when normal we can recheck your cholesterol panel. READ MORE
That is a great question. Losing weight will significantly improve your diabetes and your provider may be able to reduce the amount of medications you are taking. Losing weight with Type 2 diabetes has become much easier since the introduction of GLP-1 agonists as treatment. This medications work so well in helping with weight loss that they are also used also solely for weight control. Please ask your provider if this is an option for you. We have several commercial names including Victoza, Ozempic. Rocio Salas-Whalen, M.D. READ MORE
It depends but mostly he can control it. To control or "reverse" it he must be in an ideal weight for his height, maintain it and adhere to a low carb/low glucose/low starch diet. Ideally Diabetes should be controlled with healthy eating and weight loss (if overweight). READ MORE
Type 2 diabetes has a genetic and environmental factor. The genetic inheritance risk will always be there. Maintaining a healthy weight through life will help her prevent Type 2 diabetes . Juvenile diabetes is also known as Type 1 diabetes. This has no environmental factors, meaning that even if she eats lots of sugar trough life she won’t develop this type of diabetes. Eating too much sugar is never good. At her age she can develop cavities. READ MORE
Metformjn is usually not indicated for Type 1 diabetes. Type 1 diabetes requires insulin. If your daughter is truly a Type 1 diabetic, meaning she had positive antibodies such as anti GAD and anti islet cell antibodies then metformin won’t help her. Unless the metformin was recommended for a superimposed health problem such as PCOS then metformin can help for the PCOS but not type 1 diabetes. READ MORE
Yes. Parathyroid hormone level is obtained via a blood test. READ MORE
Obesity medicine has changed dramatically in the last years. Meaning we have many and safe options. Please see a endocrinologist or obesity medicine specialist to discuss your history and decide what weight loss medication is best for you. There are many factors to consider when choosing a weight loss medication. Such as age, wanting pregnancy or not, reason for the weight gain and if any other health problems are present. READ MORE
It depends in the treatment you are currently for your diabetes. If in insulin and pills then you need to check at least 3 times a day. But if only on oral medication usually 1-2 times is ok. At the beginning of the diagnosis is good to check offen specially when you wake up and before and after a meal. This is the time you will learn how your sugar responds to certain foods. Also when adding or changing medication it’s good to check often to see if the medication/dose is working. But a controlled type 2 diabetic on oral medication one time is ok, again this is when you are in a steady treatment that does not jnvolve insulin. READ MORE
Hello. Unfortunately we are seeing metabolic syndrome and obesity in children in scary numbers. Yes it is possible for your son to have metabolic syndrome. There are certain criteria that needs to be present to make the diagnosis of metabolic syndrome in children. Such as waist circumference, elevated lipid levels, elevated blood pressure. The criteria from adult metabolic syndrome is about different than in children. My recommendation is to see a pediatric endocrinologist or a obesity medicine specialist. READ MORE
Yes! Pregnancy is not contraindicated in either type of diabetes. Now what we recommend is that your glucose is optimally controlled before pregnancy. This will help avoid any pregnancy complications such as miscarriage or hypoglycemia on the newborn. Also tight controlled during the pregnancy is the safest for you and your baby. READ MORE
Areas of expertise and specialization
- American Thyroid Association
- American Association of Clinical Endocrinologists
- American Obesity Association
Dr. Rocio Salas-Whalen, MD's Practice location
New York, ny 10128Get Direction
Baltimore, MD 21201Get Direction
Melbourne, FL 32901Get Direction
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Patient Experience with Dr. Salas-Whalen
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