Dr. Marvin A. Leder, MD, FACP, FACE, Endocrinology-Diabetes | Endocrinology, Diabetes & Metabolism

Dr. Marvin A. Leder, MD, FACP, FACE

Endocrinology-Diabetes | Endocrinology, Diabetes & Metabolism

(7)
99-01 Queens Blvd Rego Park NY, 11374
Rating

4/5

About

Dr. Marvin Leder practices Endocrinology in Rego Park, NY. Dr. Leder 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. Leder examines patients, determines means of testing, diagnoses, and decides the best treatment methods.

Education and Training

State University of New York Upstate College of Medicine

Syracuse

Suny-Hlth Sci Ctr At Syracuse, Coll of Med, Syracuse Ny 1957

Board Certification

American Board of Internal Medicine

Endocrinology, Diabetes & Metabolism (Internal Medicine)

Internal MedicineAmerican Board of Internal MedicineABIM

Provider Details

MaleEnglish
Dr. Marvin A. Leder, MD, FACP, FACE
Dr. Marvin A. Leder, MD, FACP, FACE's Expert Contributions
  • Cardiovascular Outcomes in Type 2 Diabetes

    It is known that strokes and heart attacks occur 2 to 4 times as frequently in diabetics than in non diabetics.An article that appeared in an August 8, 2018 edition of the New England Journal of Medicine reviewed the outcomes of 271,000 diabetics in the Swedish National Diabetes Register. I compared...

  • Can you take insulin without needles?

    Dear Patient, There was a rapid acting inhaled insulin named Afrezza which was on the market for several years, but was recently taken off by Sanofi because it didn't sell. It is a short acting insulin to be used at meals. It is not a basal insulin, which works over 24 hours and is only injectable. I didn't like using it because of the potential for lung damage in certain populations and its side effects included coughs and sore throat. A pulmonary function study was necessary prior to use. The injectable insulin pens are easy to use and have had great patient acceptance. Respectfully, Marvin A. Leder, MD FACP FACE READ MORE

  • How can one prevent diabetes if it is hereditary?

    Dear patent, Most importantly in your situation is to maintain a normal body weight for your height; excess body weight leads to insulin resistance which leads to diabetes. The Diabetes Prevention Program was a major research study which demonstrated in people with pre-diabetes that a 7% weight loss in association with at least 150 minutes of exercise each week led to markedly decreased rate of diabetes in the population studied. Ten years later, those people who maintained the weight loss had about a 25% decreased rate of clinical diabetes than those who gained weight. Speak to your doctor or nutritionist about a low-carb, low-saturated fat diet, and exercise. Respectfully Marvin A. Leder, MD FACP FACE READ MORE

  • Can diabetes be reversed if diagnosed early?

    Dear Patient, Remission of diabetes is defined as normal fasting sugar below 100 and two hour post-prandial sugar of l40 or less of all medications. I have had several patients achieve this goal through vigorous weight loss of 5 to 7% as well as exercise. The key is weight loss as this reduces insulin resistance which is one of causes of type 2 diabetes, the other being pancreatic beta cell decrease in insulin secretion. The key is weight loss. Speak to your physician about seeing a nutritionist. I would just like to mention, The Diabetes Prevention Program Study which studied prediabetic patients found that those who reduced weight by the above amounts had a much lower rate of developing diabetes; about 58%. Ten years later, those patients who continued their diet and exercise showed a continued reduction in progression to diabetes. Respectfully, Marvin A. Leder, MD, FACP, FACE READ MORE

  • If I have diabetes, do I have higher chances of having an overactive thyroid?

    Dear patient, If you have type 1 (insulin dependent diabetes which is due to auto immunity) you do have a higher chance of developing auto immune hyperthyroidism as well as other autoimmune disorders. In type 2 diabetes, there is no connection with hyperthyroidism except that it can worsen diabetes if the hyperthyroid condition develops. Hypothyroidism due to its effect on metabolism, e.g., weight gain, effect on insulin secretion can lead to diabetes. Respectfully, Marvin A. Leder, MD FACP FACE READ MORE

  • Can diabetes cause weight loss?

    Uncontrolled diabetics with very elevated blood sugars lose sugar in the urine; this leads to weight loss. Weight loss is one of the primary symptoms of type one diabetes or very poorly controlled type two diabetes. The major symptoms in these patients are excessive urination, excessive thirst associated with weight loss, and fatigue. When the diabetes becomes controlled, the patients gain weight. READ MORE

  • Can long term diabetes affect my liver functioning?

    Yes, diabetes type 2 in the presence of excess calories both carbohydrates and fat along with insulin may result in fatty liver. Severe degrees of fatty infiltration of the liver can lead to cirrhosis and its complications. Prevention of fatty liver involves restriction of fat and carbohydrate intake, weight loss, avoidance of alcohol, control of blood sugar, B vitamins, and, recently, the use of victoza. Respectfully, Marvin A. Leder, MD FACP FACE READ MORE

  • Does Metformin ensure that I won't have diabetes because of my PCOD?

    Good question. No, it doesn't mean that you will never develop diabetes. The Diabetes Prevention Program studied several thousand prediabetic patients for several years breaking them down into two groups; one which was placed on Metformin 850 twice a day and other on diet with goal to lose 7% of their body weight along with exercise, combination of both called lifestyle changes. These two groups were compared to a prediabetic group receiving no care or placebo meds. The diet and exercise group demonstrated an over 50 percent reduction in the development of diabetes and in those who did develop the disease a delay by several years. The metformin group also showed a decrease in the number of people who developed diabetes by 30 percent with a similar delay in onset in those who went on to develop the disease. However, type 2 diabetes is a progressive disease involving both beta cell dysfunction (insulin producing cells) and insulin tissue resistance and this progressive nature was shown in further studies when the metformin was stopped.with the development of diabetes. Your take home message is to diet, exercise and take metformin to delay the development of diabetes. Respectfully, Marvin A. Leder, MD, FACP, FACE READ MORE

  • Why do my antibodies keep increasing?

    Dear Patient: Very difficult question and answer. TPO antibodies may fluctuate over time; I have seen thyroid disease in people with low titers as well as high titers; I have some patients with high levels who have no disease. It is thought that the antibodies rise due to some trigger either diet e.g. gluten or dairy products, stress, vitamin D deficiency (levels higher than needed for replacement therapy to prevent bone loss), infections, hormonal changes or perhaps other auto immune diseases which you don't describe. You are on a gluten-free diet; perhaps seeing nutritionist about other dietary triggers and taking vitamin D with levels of 50 would help in avoiding spikes. You should keep your regular appointments with your physician for follow up on thyroid problems or other issues related to immune system. Respectfully, Marvin A Leder, MD, FACP, FACE READ MORE

  • What is the difference between type 1 and type 2 diabetes?

    Dear Patient: Type 1 and 2 diabetes have these major differences and similarities: Type 1 dm is due to the absolute loss of the pancreatic beta cells which produce insulin these people must use insulin to treat the disease. It can occur at any age but usually occurs in young people. The inheritance pattern is different in that it is not passed down from grandparents to parents to child to siblings as in type 2. Type 1 diabetics may not have any relatives with the disease or there may be some distant relatives with the illness. Type 2 dm is due to the slow deterioration of the beta cell (insulin producing cell) over time and insulin resistance which is the inability of tissues of the body to dispose of glucose (sugar). This could be due to genetics but generally is due to obesity with fat in tissues interfering with the insulin tissue disposal mechanism of glucose metabolism. The similarities of both diseases relate to complications if the sugar level is not controlled such as eye, nerve, kidney tissue damage as well as cardiovascular problems. Treatments differ in that type 1 patients require insulin immediately while type 2 patients can receive oral hypoglycemic agents til the disease progresses and they need insulin or other injectables. Respectfully, Marvin A Leder MD FACP FACE READ MORE

  • If I had gestational diabetes, am I at higher risk of diabetes at a later stage?

    Dear Patient: Yes, you are at risk for developing type 2 diabetes if you had gestational diabetes. You should see your physician periodically for blood work and discuss how to lower risk for diabetes. Being overweight is a major factor in developing diabetes over the years after pregnancy. Respecfully yours, Marvin A Leder MD FACP FACE READ MORE

  • Why are my blood sugar levels so high in the morning?

    Dear patient: Dear Patient: elevated sugars in the morning on awakening are usually due to insulin resistance causing the liver to make large amounts of sugars overnight; it may also be due to eating large dinners late at night usually after 8 pm. Another reason could be nocuturnal hypoglycemia with morning rebound hyperglycemia.thought to be due to too much insulin at night prior to sleep. You need to keep careful records of food intake, time of eating, blood sugars,time when taking meds for diabetes and then of course carefully discuss with your physician to make changes in your treatment regimen. Respecfully Marvin A Leder MD FACP FACE READ MORE

  • Where can I get a 1,200 cal. diabetes diet?

    Dear Patient: Have your doctor refer you to a nutritionist to discuss diet or google it on internet, but best to see nutritionist.for proper understanding of diabetic diet. Respectfully Marvin A Leder MD FACP FACE READ MORE

  • What causes these unusual changes in blood pressure?

    Dear Patient: the inability to awaken Mom is likely due to damage to cerebral function possibly as a result of hypoglycemia (low sugar); the counter-regulatory response to hypoglycemia could be associated with a rise in blood pressure. It would be helpful to know what her sugar is when she cant be awakened as well as blood gases as she does have copd and could have ventilation problem. It would be useful to know her pulse rate, blood sugar and if she is clammy during episode. She is on multiple meds that can cause drowsiness such as gabapentin, nemantine and donazepril. If her blood sugars are not low during episodes she requires full neurological evaluation. If she is hypoglycemic her insulin regimen must be reevaluated and changed. Respectfully Marvin A. Leder, MD FACP FACE READ MORE

  • Why do I feel chills after taking my medication?

    Dear Patient: I would be concerned about hypoglycemia( low sugar) as this is an adverse effect of several of the meds used to treat diabetes and which could cause your symptoms. A finger stick sugar should be done when these symptoms occur, and of course you should consult your physician who knows you. Respectfully, Marvin A. Leder, MD, FACP,FACE READ MORE

  • Is watermelon good for patients with diabetes?

    Dear patient: 1 cup of watermelon contains about 12 to 15 grams of carbs in it. It can easily be intergrated into your dietary program. To properly control your diabetes you should know which foods contain carbs, the different types of carbs with respect to the glycemic index of the food( this is an index showing the rate of rise of blood sugar with different carbs) and the quantity of carbs allowed in your dietary prescription. To get the requred knowledge to do well please ask your doctor to refer you to a nutritionist. Respectfully Marvin A Leder MD FACP FACE READ MORE

  • Do complex carbs help in reducing my insulin levels?

    Excellent question; it goes to heart of the matter which is insulin resistance; this is what occurs with high insulin levels which produce obesity,which is a major cause of insulin resistance, as well as other complications of diabetes. Consuming complex carbs which are low glycemic index foods means slower digestion and absorption of carbohydrates with lower blood sugar and insulin levels which help to prevent insulin resistance by having an impact on obesity as well as on insulin receptors. Complex carbs include foods with nuts, seeds, unrefined whole wheat breads and starches as well as high fiber veggies.and omitting processed foods. I believe that is the ideal diet but you must realize that the carbs are carbs and they must be restricted to prevent too much insulin release and wt gain. That is the trick have your physician refer you to a nutritionist to find out more details of a low glycemic index diet. Respecfully Marvin A Leder MD FACP FACE READ MORE

  • Can diabetes cause erectile dysfunction?

    Yes, diabetes may cause erectile dysfunction due to vascular and neurological involvement of male genitalia. Good control of diabetes, weight, blood pressure, and lipids are essential in preventing or limiting this complication. It is also important to review medications being taken for other diseases to make sure they are not contributing to the impotence. Loss of desire (libido) can be caused by low testosterone levels, chronic disease, anxiety, or depression, which should be addressed. Testosterone levels are done at labs. Usually, a combination of testosterone and viagra are helpful in restoring potency. It is a difficult problem. Marvin A. Leder, MD, FACP, FACE READ MORE

  • If I had diabetes during pregnancy, are there chances I will get the disease later in life?

    Yes, people who had gestational diabetes are at greater risk of developing type 2 diabetes following their pregnancy. To avoid that consequence, weight control is most important using a plant-based, low-carb, low-fat diet. Exercise is also helpful in weight control. Marvin A. Leder, MD, FACP, FACE READ MORE

  • Do natural remedies help in reversing diabetes type 1?

    No, natural remedies do not reverse type 1diabetes. Respectfully, Marvin A. Leder, MD READ MORE

  • Is brown rice helpful in controlling diabetes?

    Dear Patient, Very good question, asked many times. Bottom line is, brown rice has fiber surrounding grain (not processed), which is different than white rice. This causes a slower rate of digestion and absorption of the carbohydrate in it and can lead to lower levels of blood sugar after eating. This is known as a lower glycemic index food. It is important to note that each 1/2 cup rice (brown or white) is 20 grams of carbohydrates and this must be integrated into daily total carb intake of about 130 grams per day for good control of diabetes and weight. Dietary fiber has many health benefits involving cardiovascular system and gastrointestinal tract. Respectfully, M. Leder, MD, FACP, FACE READ MORE

  • Is yoga advisable to manage diabetes?

    Yes, Yoga is good. Any exercise that increases muscle activity will improve the uptake of glucose from the blood stream and lower the sugar, but also make sure you are following a plant-based diet low in carbs and saturated fat. Respectfully, Marvin A. Leder, MD, FACP, FACE READ MORE

  • My husband feels extremely tired and drained out. How can I help him?

    Dear wife, It is not possible to answer this question without knowing patient, exam, labs, and meds. He should be seen by his physician and be evaluated; this would include good history, physical exa , review of labs, and meds. I am not a believer in supplements except as replacement for deficiencies. If he is on metformin, checking b12 is important; I use vitamin d to be sure bones are strong in diabetics. If nutrition is a problem, Glucerna may be helpful. Only your physician can answer these questions. Best wishes, Marvin A. Leder, MD, FACP, FACE READ MORE

  • I am losing muscle fat. Could this be because of an hormonal imbalance?

    Seems as if you have a regular workout routine that probably includes weightlifting, which will build muscle as a normal consequence and is not an endocrine problem. However, weight loss is a manifestation of many endocrine problems including uncontrolled diabetes, hyperthyroidism, adrenal insufficiency, and many non-endocrine diseases. A medical evaluation should be done if you are concerned that there is more going on than exercise-related muscle changes. Respectfully, Marvin A. Leder, MD, FACP, FACE READ MORE

  • With a family history of type 2 diabetes, is my daughter at a risk of juvenile diabetes?

    Type 1 diabetes is an autoimmune disease; the body produces a protein called an antibody, which then can destroy the insulin producing Beta Cells of the pancreas. There is in people with type 1 diabetes chromosomal gene changes, which increase the ability of the antibodies produced in the auto immune process to destroy the insulin producing Beta Cells. Type 2 diabetes is not due to an auto immune process. Type 2 diabetes is usually related to the effect of obesity in bringing out the genetic tendencies inherited such as insulin tissue resistance in the presence of a reduction in the ability of the Beta Cells of the pancreas to produce insulin raising the blood sugar. It is very complicated. Marvin A Leder, MD FACP FACE READ MORE

  • If I have diabetes during pregnancy, what are the chances of my child getting it too?

    Dear Patient: Best of luck with your pregnancy. It is very important for you to keep your sugar levels under good control. High sugars cross the placenta and the fetal pancreas responds by producing more insulin which causes the baby to gain weight. In the overweight baby this can lead to insulin resistance, high sugars and eventually diabetes. Future development of diabetes in the child is also affected by the genetic contribution of the parents. So, gestational diabetes is very complex when it comes to fetal growth and development. Bottomline, for your infant's good your sugars should be well controlled. Respectfully, Marvin A. Leder, MD, FACP, FACE READ MORE

  • What is the difference between Type 1 and Type 2 diabetes?

    Type 1 diabetes is insulin dependent diabetes which means that due to an autoimmune process in the body the pancreatic beta cells which produce insulin is destroyed and no longer can produce insulin. These people present with excess urination, thirst, weight loss, nausea, vomiting and are quite ill. They may present with diabetic ketoacidosis, which is a severe illness requiring hospitalization. Most of time, type 1 presents in childhood or adolescence but may occur at any age. their blood work can show antibodies to the beta cell and to insulin. This is a biomarker that may be used to discover these folks early prior to the eruption of the full disease. Type 2 diabetes is due to insulin resistance and eventual beta cell failure. These people have high insulin levels on presentation and are generally obese. Their tissues are insensitive to their insulin and the beta cells must produce insulin at a high rate to prevent the development of diabetes. They are mostly obese, may have high blood pressure, high waist to hip ratio, elevated triglycerides, low HDL and urine protein. Prior to the development of diabetes in theses people their fasting sugars may be between 100 and 125; normal fasting is below 100. Two hours after eating their sugars may range from above 140 to 199. Diabetes is diagnosed when fasting sugar is 126 or over or the two hour after eating sugar aboive 200. As the diabetes in type 2 disease progresses the beta cell stops producing insulin and these people require insulin for treatment. Prior to that time oral agents are used to treat as well as lifestyle changes which includes low carb, low-fat diets for weight loss and exercise to at least 150 minutes a week. In pre-diabetes, these lifestyle changes may delay the onset of diabetes and the eventual development of the many complications of the disease. It is very important to treat both type 1 and 2 early in the disease to reduce the rate of complications. As part of treatment program attention is paid not only to the blood sugar but to treatment of high blood pressure, cholesterol, overweight or obesity and to cessation of smoking. READ MORE

  • Is Stevia okay for diabetics?

    Small amounts of Stevia are safe to use in diabetes; they can assist in sugar metabolism; however, it is safest to limit its use and avoid the sweet tooth feeling which can lead to excess use and weight gain READ MORE

  • My HbA1C reports have reduced from 7 to 4.2. Does it mean I'm no longer at risk for diabetes?

    It means that the diabetes is well-controlled by either lifestyle changes such as diet and exercise or medications. READ MORE

  • Why does my mother have fluctuating diabetes levels?

    AM sugars reflect overnight production of sugar by the liver, which is dependent on the degree of insulin resistance present in the patient. AM sugars also reflect the quantity of carbs eaten for dinner as well as the time dinner was eaten, and it also reflects medications taken to control sugars. It is a complex problem that requires careful analysis and treatment. READ MORE

Areas of expertise and specialization

Diabetes Care

Awards

  • Internal Medicine 1964 Board Certification 
  • Internal Medicine 1974 Re-certification 
  • Certified, Bone Densitometry 2002 International Society of Clinical Densitometry 
  • Bone Densitometry 2008 Recertified 
  • Endocrinology Module 2014 American Board of Internal Medicine 
  • Thyroid Ultrasound 2000 Certification 
  • MKSAP 1995 Endocrinology and Metabolism 
  • AACE 2001 Self-Assesment Exam 
  • Certificate of Recognition 2017 Delivery of Quality Diabetes Care 
  • NCQA 2018 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 1997 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 1998 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 1999 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2000 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2001 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2002 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2003 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care, 2005 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2004 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2006 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2007 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2008 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2009 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2010 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2011 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2012 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2013 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2014 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2015 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2016 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2017 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2018 The American Diabetes Association 
  • Certificate of Recognition for Delivery of Quality Diabetes Care 2019 The American Diabetes Association 

Residency

  • Montefiore M C-H&l Moses Div, Gastroenterology; Montefiore M C-H&l Moses Div, Internal Medicine; Nyu Hospitals Center, Internal Medicine; Kings County Hosp Ctr, Flexible Or Transitional Year  
  • Veterans Affairs New York Harbor Healthcare System  
  • Montefiore Medical Center (Internal Medicine) (GI Service)

Internships

  • King County Hospital University

Dr. Marvin A. Leder, MD, FACP, FACE's Practice location

Mount Sinai Medical Group

99-01 Queens Blvd -
Rego Park, NY 11374
Get Direction
New patients: 718-520-1600
www.mountsinai.org/

Chernick Stephen Bd

6915 Yellowstone Blvd -
Forest Hills, NY 11375
Get Direction
New patients: 718-268-1336

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Dr. Marvin A. Leder, MD, FACP, FACE's reviews

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Patient Experience with Dr. Leder


4.0

Based on 7 reviews

Dr. Marvin A. Leder, MD, FACP, FACE has a rating of 4 out of 5 stars based on the reviews from 7 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Endocrinology-Diabetes | Endocrinology, Diabetes & Metabolism in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

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