Endocrine diseases and disorders can be grouped into several different areas. Some endocrinologists focus on one or two areas, such as diabetes, pediatric disorders, thyroid, or reproductive and menstrual disorders. Others work in all areas of endocrinology. The major areas of endocrinology are described below.
Diabetes
Currently, there are approximately 23 million Americans with diabetes and an additional 57 million Americans have pre-diabetes. Patients with diabetes have too much sugar in their blood. Recent studies have found that controlling blood sugar helps prevent serious problems that can be caused by diabetes. These can include problems with the eyes, kidneys and nerves, which can lead to blindness, dialysis, or amputation. Endocrinologists treat diabetes with diet and medications, including insulin. They also work closely with patients to control blood sugar and monitor them so they can prevent health problems.
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Thyroid
It's been estimated that up to 10% of Americans have some sort of thyroid disease. Patients with thyroid disorders often have problems with their energy levels. They may also have problems with muscle strength, emotions, weight control, and tolerating heat or cold. Endocrinologists treat patients with too much or too little thyroid hormone. They help patients reach a hormone balance by replacing or blocking thyroid hormone. Endocrinologists also receive special training to manage patients with thyroid growths or thyroid cancer, and enlarged thyroid glands.
A thyroid nodule is a small swelling or lump in the thyroid gland. Thyroid nodules are common. These nodules represent either a growth of thyroid tissue or a fluid-filled cyst, which forms a lump in the thyroid gland.
Almost half of the population will have tiny thyroid nodules at some point in their lives but, typically, these are not noticeable until they become large and affect normal thyroid size. Significant sized nodules, greater than a half inch across (about 1 centimeter), occur in about 5 percent of people. More than 90 percent of all thyroid nodules are not harmful or cancerous. In fact, thyroid cancer is found in only 8% of men and 4% of women.
According to the American Cancer Society,
There will be about 37,200 new cases of thyroid cancer in the U.S. in 2009. Of these new cases, about 27,200 will occur in women and about 10,000 will occur in men. About 1,630 people (940 women and 690 men) will die of thyroid cancer in 2009. (Click here for more info)
Bone
Osteomalacia (rickets), which causes bones to soften, and osteoporosis are bone diseases that endocrinologists diagnose and treat. Osteoporosis is a disease that weakens your skeleton. Certain hormones act to protect bone tissue. When hormone levels are abnormal, bones can lose calcium and weaken. Menopause, loss of testicle function, and aging may put you at risk for bone fractures. Endocrinologists treat other disorders that can affect bones, such as too much parathyroid hormone and long term use of steroids like prednisone. (Click here for more info)
Reproduction/Infertility
About one in ten American couples are infertile. Endocrine research has helped thousands of couples to have children. Endocrinologists diagnose and treat hormone imbalances that can cause infertility, and also assess and treat patients with reproductive problems. They work with patients who need hormone replacement. Problems that they treat include menopause symptoms, irregular periods, endometriosis, polycystic ovary syndrome (PCOS), premenstrual syndrome, and impotence. (Click here for more info)
Obesity and Overweight
According to the Centers for Disease Control and Prevention, an estimated 65% of U.S. adults aged 20 years and older are either overweight (defined as having a body mass index (BMI) of 25 or higher) or obese (defined as BMI of 30 or higher). Endocrinologists treat patients who are overweight or obese, sometimes because of metabolic and hormonal problems. When someone is obese they have too much body fat. Thyroid, adrenal, ovarian, and pituitary disorders can cause obesity. Endocrinologists also identify factors linked with obesity, such as insulin resistance and genetic problems. (Click here for more info)
Pituitary Gland
The pituitary is often called the master gland of the body because it controls other glands. The pituitary makes several important hormones. Over - or under - production of pituitary hormones can lead to infertility, menstrual disorders, growth disorders (acromegaly or short stature) and too much cortisol production (Cushing's syndrome). Endocrinologists control these conditions with medications and refer patients who need surgery. (Click here for more info)
Growth
Adults with growth hormone deficiency can experience emotional distress and fatigue. Safe and effective growth hormone replacement therapy is available for people whose growth hormone is abnormal. (Click here for more info)
Hypertension
Hypertension is high blood pressure, and it is a risk factor for heart disease. Up to 10% of people have hypertension because of too much aldosterone, a hormone produced in the adrenal glands. About half of these cases are caused by growths that can be removed with surgery. Conditions such as the metabolic syndrome or a rare adrenal growth called a pheochromocytoma also may cause hypertension. These conditions also can be treated successfully. (Click here for more info)
Lipid Disorders
Patients with lipid disorders have trouble maintaining normal levels of body fats. One of the most common lipid disorders is hyperlipidemia - high levels of total cholesterol, low-density lipoprotein cholesterol (known as "bad" cholesterol), and/or triglycerides in the blood. High levels of these fats are linked to heart (coronary) disease, strokes, and peripheral vascular disease (problems with circulation in the legs). Endocrinologists are trained to detect factors that may be related to lipid disorders, such as hypothyroidism, drug use (such as steroids), or genetic or metabolic conditions. Lipid disorders can be found in several conditions that require special management, including the metabolic syndrome, polycystic ovary syndrome (PCOS), and obesity. Special diets, exercise, and medications may be prescribed to manage hyperlipidemia and other lipid disorders. (Click here for more info)
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Referenced from The Hormone Foundation Website