Diabetes & Endocrinology
Top-ranked care for hormone and endocrine gland management.
Top 10 Nationally
Our diabetes and endocrinology care is recognized in the 2018-19 U.S. News & World Report rankings as one of the best in the country.
Community of Experts
With unique specialization and clinical discoveries in diabetes, thyroid and pituitary conditions, you’re in the best possible hands with our experts.
Partners in Your Care
Our award-winning doctors, educators, nurses and dieticians work together with you and across disciplines to individualize a plan to manage your disease.
Meet the provider: Farah Khan, M.D.
Dr. Khan is a board-certified internal medicine physician and accomplished health writer who manages a wide array of endocrine-related health concerns for her patients. View full bio
Some of our common services:
The adrenal glands produce hormones that help your body control blood sugar, burn protein and fat. Adrenal disorders can be caused by too much or too little of a particular hormone. The good news is that the conditions caused by overproduction or underproduction of adrenal hormones are very treatable.
Adrenal insufficiency, also called Addison’s Disease, occurs when the adrenal glands don’t make enough of the hormone cortisol. Your healthcare provider will figure out the best treatment for you based on a variety of factors including age, health status and your ability to handle certain medicines, procedures, or therapies.
Cushing’s syndrome is a hormone disorder caused by having high levels of the hormone cortisol. Cushing’s syndrome is fairly rare and most often affects adults who are 20 to 50 years old. Diagnosis often includes a variety of tests and there are several treatments available depending on how severe the condition is.
Cancer that starts in the adrenal glands is rare. Most tumors in the adrenal glands are not cancer. However, if a tumor is believed to be cancerous there are a variety of surgical techniques and procedures that can be used for treatment. Your doctor and care team will work with you to determine which approach will provide the best outcome.
Hypoglycemia means that your blood sugar is low and your body is not getting enough fuel. Some medicines to treat diabetes can cause low blood sugar. Your care team are experts at identifying and resolving hypoglycemic issues.
Inform yourself to make the best choices for your health and care with UW Medicine patient education resources.
Excess parathyroid hormone (PTH) secretion may be due to hyperparathyroidism, which is most frequently caused by a benign parathyroid tumor. In rare cases, it may be caused by cancer. If your calcium levels are high and PTH levels low, then your parathyroid glands are not working properly and will produce inappropriate amounts of PTH. The range of signs and symptoms include: fragile bones (osteoporosis), kidney stones, excessive urination and abdominal pain. A variety of treatments are available and our team of experts will work with you to find the one that offers the best outcome for you.
Men who have hypogonadism do not make enough testosterone. This hormone allows men to make sperm and to have normal physical male traits. About 33% of men with type 2 diabetes have low testosterone levels. There are several causes of low testosterone. Working with you, your clinical team will help identify the underlying cause, and provide the best care options when your testosterone is low.
Emotional support is an important part of your treatment. Support groups and community resources can help you and your loved ones through treatment and recovery.
Diabetes is a condition in which sufficient amounts of insulin are either not made, or the body is unable to use the insulin that is made. The goal of diabetes management is to keep blood glucose levels as close to normal as safely possible. Since diabetes may greatly increase risk for heart disease, kidney, eye, skin, thyroid and circulation problems, measures to control blood pressure and cholesterol levels are an essential part of diabetes treatment.
Blood glucose levels show how well your diabetes is being controlled. If your blood sugar levels are consistently normal, diabetes complications may be reduced or even prevented.
There are many types of blood glucose monitors available today. They range in price, size and length of testing time. Your care team will work with you to determine which monitoring device will work best for you.
Monitoring your diabetes, staying active, eating healthy and attending regularly scheduled visits with your healthcare providers all play important roles in managing your diabetes and staying healthy. Keeping up-to-date on the latest advances and research can also play an important role.
Research has long indicated a connection between diabetes and mental health. When diabetes and mental health issues occur together, outcomes decline through impaired quality of life, increased emergency room visits, higher rates of hospitalizations and an increased cost of care.
Our experts will work with you to ensure you receive effective and comprehensive treatment.
A good diabetes management plan should always include lifestyle changes like careful meal planning. Eating right helps control blood sugar and cuts the risk of developing diabetes complications. In addition, exercise offers a number of benefits for your overall health. You'll not only control your weight and lower your blood sugar level -- you'll also feel much better about yourself and your total health.
Doing "whatever it takes" by adding medication and insulin to better manage your diabetes is known as "combination therapy." There are two approaches to combination therapy; taking at least two types of diabetes pills and taking diabetes pills plus insulin. Taking more than one kind of diabetes pill and injections to control your blood glucose may seem to be a lot of work, but it’s worth it to prevent the complications of diabetes.
Nearly every system of your body needs thyroid hormone to function normally, so conditions of low thyroid hormone, or hypothyroidism, can result in many different symptoms. Fortunately, thyroid hormone can easily be replaced with medication and your care provider can help determine the best replacement regimen for you.
The pituitary glands are responsible for releasing hormones into your body. If you have a disorder of the pituitary gland, you are either making too much or not making enough of a certain hormone. Our skilled endocrinologists can help diagnose these disorders and offer many treatments, programs and support for people with pituitary dysfunction.
Hypertension is the medical term for high blood pressure. Endocrine hypertension can be caused when glands produce too much or not enough hormone, or when they are affected by tumors. Using the latest research and medical advances our team of experts can help you get your endocrine hypertension under control.
Often diabetes will lower "good" cholesterol levels and raise triglyceride and "bad" cholesterol levels. This increases the risk for heart disease and stroke. Learn more about these serious risks and take an important step in maintaining your optimum health by scheduling an appointment today.
Polycystic ovary syndrome (PCOS) is the most common cause of female infertility. Since PCOS causes high glucose levels, it’s important for pregnant women with PCOS to schedule screenings for gestational diabetes during pregnancy.
Our Endocrine Tumor Program provides advanced specialty care at four different locations for patients with benign and malignant disease of the thyroid, parathyroid and adrenal glands. Your multidisciplinary care team of specialists includes top-ranked endocrinologists, surgeons and oncologists. Services offered include initial diagnosis, treatment and ongoing management of thyroid, parathyroid and adrenal gland nodules, masses, cancers and other conditions, including fine needle aspiration (biopsy) and surgical options.
When it comes to managing your diabetes, knowledge is power. And that’s why our Diabetes Care Center offers a variety of group education classes. You’ll learn about a wide array of subjects including self blood glucose monitoring, healthful eating, counting carbohydrates and the many benefits of increased physical activity.
When cancer forms on the thyroid gland you may see or feel a lump at the front base of your neck. Thyroid cancer is diagnosed with ultrasound and/or a fine needle biopsy that usually can be done in the doctor's office. Treatment may include surgery, hormone replacement, radioactive iodine, radiation and chemotherapy.
Cross-sex hormone therapy has the same risks as sex hormone replacement therapy in biological males and females. We are experts at providing hormone therapy for transsexual persons who want to develop the physical characteristics of their desired gender. The aims of therapy are to suppress the production of hormones that are determined by your genetic sex and to maintain the cross-sex levels within the normal range of your desired gender.
Low bone mass, or osteoporosis, can increase your risk of fracture. Osteoporosis is often a complication of type 1 diabetes and has also been observed to be greater in patients with poorly controlled diabetes. There are many therapies available for the prevention and treatment of osteoporosis including dietary changes, exercise and medications. Talk to your healthcare team about the different osteoporosis treatment options that may be right for you.
Thyroid nodules are lumps that commonly arise within an otherwise normal thyroid gland. Most commonly, these abnormal growths of thyroid tissue do not produce any symptoms. Thyroid nodules are usually found during a routine examination of the neck, or from X-rays. Small growths on the thyroid most often are benign (not cancer) and are diagnosed with ultrasound and/or a fine needle biopsy that usually can be done in the doctor's office.
There are several possible causes of excess thyroid hormone, or hyperthyroidism. Our thyroid experts are able to arrange the correct diagnostic tests and help you to decide the best treatment option for your unique situation.
Convenient care, in your neighborhood.
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List All Locations
Diabetes Education & Nutrition Clinic at Valley
Kent Clinic | Specialty Care, 24920 104th Ave SE, Kent, WA 98030 / 425.656.5377
Diabetes, Thyroid & Endocrinology Clinic at Valley
Time Square, M/S TS-150, 660 SW 39th Street—Suite 150, Renton, WA 98057 / 425.690.3485
Endocrine and Diabetes Care Center at UWMC Roosevelt
4245 Roosevelt Way NE, 3rd Floor, Seattle, WA 98105 / 206.598.4882
Endocrine Tumor Center at UWMC – Roosevelt
4245 Roosevelt Way NE, Seattle, WA 98105 / 206.598.4882
Endocrinology and Diabetes at Seattle Children’s Hospital
4800 Sand Point Way NE, Seattle, WA 98105 / 206.987.2640
Endocrinology/Diabetes Clinic at Harborview
325 9th Ave., Ground, Seattle, WA 98104 / 206.520.5000
Lipid Clinic Northwest at Harborview
325 9th Ave., Ground East Clinic, Seattle, WA 98104 / 206.520.5000
Metabolic Bone Disease Clinic at UWMC-Roosevelt
4245 Roosevelt Way NE, Seattle, WA / 206.598.4288
11011 Meridian Ave N., Suite 201, Seattle, WA 98133 / 206.362.0035
Pituitary Program at UW Medical Center
1959 NE Pacific St, 3rd Floor, Surgical Pavilion, Seattle, WA 98195 / 206.598.5637
SCCA Endocrine Tumor Clinic
825 Eastlake Ave. E, , Seattle, WA 98109 / 206.606.7222
UW Diabetes Institute
750 Republican Street, Bldg. F, Seattle, WA 98109 / 206.598.4882
Weight Regulation Diagnostic and Evaluation Center at Harborview
325 9th Ave., 3rd Floor, Seattle, WA 98104 / 206.744.9700
To E.R. or not to E.R.
Know when and where to seek help.
If you experience significant changes in your physical or mental functions and fear you have a serious, life-threatening illness or injury that could require emergency medical, surgical or psychiatric attention, call 911 or go to the nearest emergency room.
You can also go to urgent care for non-life-threatening illnesses and conditions.
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Type 1 diabetes
Type 1 diabetes
Type 1 diabetes prevents your body from making insulin. Without insulin, glucose builds up in the blood, depriving the cells of nutrition and causing high blood glucose or high blood sugar. Diabetes patients require daily insulin injections and must check their blood sugar levels regularly.
Type 1 diabetes often appears suddenly. Symptoms may include unusual thirst; frequent urination; extreme hunger but loss of weight; blurred vision; nausea and vomiting; extreme weakness and fatigue; and irritability and mood changes. Children may show symptoms that mimic a flu-like illness.
Risk factors and causes
Risk factors for Type 1 diabetes include autoimmune, genetic and environmental factors. Although the exact cause of the disease is unknown, type 1 diabetes happens when the body’s immune system mistakenly destroys the insulin-producing cells in the pancreas.
Type 1 diabetes is diagnosed using a variety of blood tests. These tests often measure blood glucose levels. Some are performed after fasting or after you drink a sugary liquid. Other tests measure your levels of insulin and certain antibodies.
You’ll need daily shots of insulin to keep your blood sugar level in normal ranges. Other treatments include dietary management of blood sugar levels, exercising, monitoring blood sugar levels and twice-yearly hemoglobin A1C testing.
Type 1 diabetes may cause low or high blood sugar levels and a large build-up of ketones, a life-threatening condition that can lead to coma or death. Long-term complications of uncontrolled type 1 diabetes also include heart and kidney disease, and eye, nerve and foot problems.