Dr. Jonathan C. Dunn, MD, FACP, FACE

Endocrinology, Diabetes | Endocrinology, Diabetes & Metabolism

2 Lincoln Highway Suite 501 Edison NJ, 08820 Show map

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About

Dr. Jonathan Dunn practices Endocrinology in Edison, NJ. Dr. Dunn 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. Dunn examines patients, determines means of testing, diagnoses, and decides the best treatment methods.

Education and Training

Vanderbilt Univ Sch of Med, Nashville Tn 1983

Board Certification

American Board of Internal Medicine

Endocrinology, Diabetes & Metabolism (Internal Medicine)

Internal MedicineAmerican Board of Internal MedicineABIM

Provider Details

MaleEnglish

Dr. Jonathan C. Dunn, MD, FACP, FACE

Dr. Jonathan C. Dunn, MD, FACP, FACE's Expert Contributions

My Answers

Pain numbness weakness
Your complaints of focal weakness are not part of the Graves' disease. I recommend that you see a neurologist to be sure the is no neurologic disease causing these symptoms. READ MORE
kyste thyroidin
Thyroid cysts Fluid filled nodules) are fairly common and rarely need to be removed surgically. I have treated these with a needle into the cyst which may sound barbaric but is not very painful and can remove the fluid and usually decreases the symptoms and size of the cyst. READ MORE
Blacking out
The cause of your mental status change is not related to the glucose levels. Having a low glucose reaction days ago should not cause the episode you described. One possibility is the glucose may have been low at the time of the episode and your body corrected the glucose level on its own and so when it was checked the level was fine. If you have not already done so; I recommend that you look into a continuous glucose sensor. READ MORE
Worried about type 2 diabetes
There is no reason for having an oral glucose tolerance test to diagnose diabetes. The Fasting glucose is fine and the A1c is normal so there would be no reason to treat diabetes even if the Oral Glucose Tolerance Test (OGTT) is abnormal. READ MORE
TSH level 11.4
It is fairly common to have a normal T4 and T3 with an elevated TSH. Generally I increase the thyroid hormone dose every 2 months until the TSH is between 0.5 and 3 for an otherwise healthy young adult. The elevated TSH suggests the pituitary is sensing the body needs more thyroid replacement READ MORE
I need medical assistance?
The enlarged lymph nodes do need to be evaluated and I would start with a primary care doctor. I am an endocrinologist and do not take care of lymph nodes (sometimes called lymph glands but these are not endocrine organs). There are several imaging studies available to better define the abnormality and a primary care doctor can expedite the diagnostic plan. READ MORE
What should I do?
You should purchase a glucose meter (Walmart brand is more affordable than most) and if less than 140 before breakfast stick with a low carbohydrate diet and cut out processed meats and grains. READ MORE
Diagnosed with type 2 diabetes?
You have a very controllable condition and much of the control is based on lifestyle. There are medications to help control insulin resistance to help control Type 2 diabetes. Metformin is the most used starting medication as it has a long safety record and is effective. No medications work without decreasing carbohydrates from grains and sugars and increasing exercise. READ MORE
Diabetes management?
Toujeo is used to control fasting glucose. If you are not taking this at night you should try this. You must decrease the carbohydrates, especially the grains. Increasing the Toujeo would lower the glucose in the morning but will cause more weight gain. If you have not taken metformin this would help. READ MORE
Diabetic finger stick?
The majority of glucometers are designed to use the finger not the heel of the hand. The type of lancing devices used in the hospital are only approved for the fingers and using the heel of the hand often does not supply an adequate drop of blood as these meters need more blood than those designed for home use. READ MORE
Should I be worried about unintentional weight loss?
If your glucose control is OK and you are eating well; you should not be losing weight. If you are urinating more then the glucose control may not be as good as you expect. This needs to be checked (a home urine glucose test should answer this). If the glucose control is good then consider a thyroid condition as hyperthyroidism is more common with type 1 diabetes and can cause weight loss with increased food READ MORE
Do I have diabetes?
A glucose of 133 after eating 4h ago is not diagnostic of diabetes. I suggest you have fasting glucose done on two occasions. Zyprexa can elevate glucose levels and you should adhere to a "low glycemic index" diet which can be found on any search engine. READ MORE
Borderline diabetic?
The glucose levels are fine if staying around 130. The white spots are not related to diabetes but may be a lipid abnormality and this needs to be worked out. You should have a blood tests. READ MORE
Diabetic question?
Because Metformin treats insulin resistance as well as diabetes; I usually increase the dose to 1000mg twice daily if this is tolerated. There is no risk of hypoglycemia with this medication alone and it generally improves other conditions associated with diabetes that are not caused by high glucose levels such as heart attacks and strokes. I do not feel that you need different medications now; however, I usually check an insulin level in the blood, and if this level is less than 20 no additional medications are needed. Continue a healthy lifestyle and an A1c level of 6.2% is great! READ MORE
Is it safe for diabetics to get acupuncture?
There are always concerns when the skin is being pierced; however, having type 2 diabetes does not add to these risks. As long as you are comfortable with the hygiene of the facility and the competence of the practitioner acupuncture is safe for people with diabetes. READ MORE
Does acupuncture help with high blood sugar?
I know of no studies looking at the effects of acupuncture on glucose control. There may be some benefits with painful diabetic neuropathy but this benefit is not long-lasting. READ MORE
Prednisone and high blood sugar?
Prednisone can increase glucose levels but the complaints you have do not seem to be related to the blood glucose level. It is always a good idea to not eat sugar; however, I do not believe the symptoms are related to glucose. It may be related to Prednisone itself as this medication has many different effects on different people. READ MORE
What blood sugar level is a medical emergency?
For hypoglycemia, there is no number that constitutes a medical emergency. It is symptoms of dizziness, sweating, heart pounding or confusion are reasons to seek emergency evaluation. If these symptoms occur, you should check the glucose if possible otherwise have some simple carbohydrate food (milk, juice, glucose tablets). For high glucose, more than 350 medical evaluations quickly are recommended. READ MORE
Taking cinnamon for diabetes?
It is true that cinnamon has health benefits regarding diabetes; however, there is a chemical that is certain cinnamon that is toxic to the liver and may have some cancer risk as well. Ceylon cinnamon seems to have less coumarin than and may be safer in this regard; however, also may not have as many diabetes benefits. Taken in small amounts in yogurt or cereals this is safe. Cinnamon supplements may not provide much health benefit and may pose some risks. READ MORE
Does caffeine also raise blood sugar?
As long as there are no milk, no sweeteners, and no creamers; caffeinated beverages should not affect blood glucose levels. READ MORE