Certified in Endocrinology &
My name is
Mitchell S. Akman, M.D.,
and I am the only certified
Endocrinologist, as well as
the only Endocrinologist with hospital privileges, practicing in
I specialize in all aspects of adult endocrinology and
metabolism. The most common endocrine disorder is
Diabetes, and it has been clearly proven that education of
patients with diabetes is the key to long term success. The goal is early education to
prevent patients from developing brittle diabetes, as well as the numerous and devastating
complications caused by diabetes. We know that diabetes is the leading cause
of these complications, which include blindness, kidney failure, and amputations.
These complications can be prevented or improved with proper
management. Recent major studies in both type 1 (juvenile onset or insulin dependant) as
well as type 2 (adult onset or non-insulin dependant) have shown this to be generally true
no matter how long someone has had diabetes.
I specialize in many other areas of endocrinology
including (click on the name for a definition):
Thyroid disease (including
Fine Needle Aspiration Biopsy of thyroid nodules)
We have a
full sized Bone Density Machine in the office!
Gestational Diabetes and Diabetes in Pregnancy
Peri-operative diabetic management
Endocrine disorders of the breast
Multiple Endocrine Neoplasia
Any other Endocrine abnormality
As I am only practicing Endocrinology, any
primary care issues will be left with the patient's primary care physician.
Here are a few interesting endocrine related links:
American Diabetes Association
American Association of Clinical
The Endocrine Society
Foundation (children's growth)
comment to me.
The adrenal gland secretes many hormones,
including cortisol, adrenaline, aldosterone (controls blood pressure, sodium and potassium
levels), and male hormones.
A mineral necessary for many different
cells in the body to function correctly. It's level in the blood is very tightly
controlled by special glands in the neck called Parathyroid Glands. These are located next
to the thyroid, but have nothing else to do with the thyroid. They can sometimes
overproduce their hormone, parathyroid hormone, which causes an
elevation of the blood calcium level. If they stop working, the calcium level may go too
An illness characterized by an abnormal
elevation of blood sugars. Half of the patients with diabetes have NO SYMPTOMS, and don't
know they have the disease. Common symptoms include fatigue, thirst, frequent urination,
weight loss, and blurred vision.
||A physician specializing in internal glands
and their secretions. The rest of this section lists the illnesses treated by an
||Gestational diabetes is diabetes that is
caused by pregnancy, and disappears after delivery of the baby. Although usually harmless
to the mother, gestational diabetes can cause several problems with the pregnancy, and
cause harm to the fetus. Current
Association recommendations are that pregnant women be screened for gestational
diabetes between 24-28 weeks of pregnancy. Treatment will reduce the risk to the fetus in
||Excessive hair growth in women. This is
often associated with irregular menstruation and/or infertility.
||The rate at which the body uses fuel or
||An abnormal thinning of bones that makes it
more likely that a bone will break. Osteoporosis is painless by itself. However, an
osteoporotic bone will break with a much smaller force than a normal bone. Osteoporosis
can only be diagnosed by a special scan.
||A small gland located behind the nose,
hanging from the brain. It is the "master gland" controlling many other glands,
including the ovaries, testes, adrenal glands, and thyroid. It also controls growth during
childhood and adolescence, lactation, and helps the kidneys conserve water. As well, it
plays a part in labor and delivery.
||Control of blood sugars is very important
during surgery. We know that here is delayed healing if diabetes is uncontrolled during
surgery or many other medical illnesses. Patients with diabetes are often hospitalized
longer than non diabetics for any given illness.
A small butterfly shaped
gland in the neck that regulates
An overactive gland (hyperthyroidism) often causes
fatigue, weight loss, rapid heartbeat, tremor, increased appetite, and a feeling of being
hot all the time. There are also numerous other symptoms.
An underactive gland (hypothyroidism) often causes
fatigue, weight gain, slow heartbeat, dry skin, decreased appetite, and a feeling of being
cold all the time. There are also numerous other symptoms.
An enlarged thyroid is called a GOITER.
Fine needle aspiration biopsy (FNAB)
is a minor office procedure to determine the cause of certain suspicious thyroid masses or
nodules. A small needle is inserted into the nodule and cells are removed to be viewed
under the microscope. Most patients report that it is about as painful as a blood test.
Disclaimer: No information contained
herein is meant to take the place of seeing a physician. All information is of a very
general nature and should be discussed with your personal physician and NOT taken
as medical advice.