Thyroid, Hormones & Diabetes

Hormones control energy, weight, blood pressure, bones, sleep and mood. Many complaints are non-specific - what is crucial is a structured diagnosis and a clear classification.

In my practice, the clarification is done internally (laboratory, ultrasound, functional diagnostics). In complex cases, collaboration with radiology, nuclear medicine or specialized centers takes place.

Examination & Treatment – Focus Areas

Thyroid

• Laboratory, high-resolution sonography, color Doppler
• Elastography: shear waves and conventional (hardness quotient healthy vs. nodes)
• Clarification of nodes, inflammations and functional disorders

Pituitary Gland / Prolactin

• Clarification in case of hyperprolactinemia (including differential diagnosis)
• Follow-up checks; in case of suspected prolactinoma, interdisciplinary co-treatment as indicated

Adrenal Gland

• Hormone analyses and differential diagnostic classification
• Clarification in case of hypertension, hormone excess or deficiency (depending on the constellation)

Osteoporosis / Bone Metabolism

• Clarification of causes (laboratory), therapy recommendation and follow-up checks

Andrological Issues

• Clarification in case of suspected testosterone deficiency / age-related hormone changes
• Classification of libido, performance and exhaustion symptoms, follow-up checks

Diabetology

• HbA1c/blood sugar, insulin resistance (depending on the question, including C-peptide/autoantibodies)
• Therapy adjustment in type 1/type 2 diabetes
• Glucose sensor systems (CGM/FGM) and cardiometabolic risk management

Classification instead of Actionism

Not every laboratory value needs immediate therapy. The goal is a sensible plan - understandable, effective, without unnecessary measures.