About our Office
About our office policies

 

  • DIABETIC TREATMENTS

    Dr. Gage is an expert diabetologist. He uses state-of-the-art equipment to diagnose and manage his diabetic patients. Guided by initial history and physical exam, Dr. Gage performs a panel of comprehensive tests including HGA-1C (hemoglobin A1C, Insulin and C-peptide levels) to properly diagnose the type of diabetes you have. He is able to closely monitor you by "down loading" into his computer a whole host of patient blood sugar monitoring devices. Using this information, he designs an accurate comprehensive plan that combines diet, exercise, medication, and if needed Insulin to ensure excellent control. In many cases, patients can be taken off Insulin and/or medications when appropriate diets are followed particularly by type 2 diabetics. He also has a special interest in managing difficult to control type 1 (Insulin dependent diabetes). Many patients improve control using "Minimed" Insulin pump and simplify their life and Insulin regimen. State-of-the-art continuous glucose monitorting systems (CGMS) are now available in the office to refine treatment patterns. Individualization remains paramount, as no two diabetics are alike.

  • THYROID TREATMENTS

    Dr. Gage as an endocrinologist has expertise in treating your thyroid disease. Thyroid disease types vary, some patients come in with thyroid nodules, and others have symptoms of underactive or overactive function. After a comprehensive history and physical exam, Dr. Gage sets up an appropriate testing schedule depending on the type of thyroid disease suspected. This will include lab tests and thyroid function tests including "supersensitive TSH". Many patients also require autoimmune testing- looking for thyroid antibodies that may initiate the thyroid disease in the first place. If necessary sophisticated TRH (pituitary) stimulation tests can be performed. Ultrasound (sound wave testing) can also be ordered as needed. Dr. Gage's treatment of thyroid disease is individualized. Some patients with fatigue, weight gain, dry skin, etc. may still have normal thyroid function testing but already be positive for antibodies. Specific diet and nutritional recommendations and thyroid medications are used depending on the clinical situation.

     

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