The history of any patient with an endocrinology and metabolism disorder is received and these patients are examined by intern physicians or internal diseases assistants in our 4 outpatient clinics. Then an evaluation is performed by a specialist and decisions on difficult cases are given upon discussion by academic staff members while very difficult cases are decided upon discussion within the endocrinology council (with the participation of all academic staff, specialists and physicians from the subdivision). Treatment decisions and options for patients are recommended by a specialist or an academic staff member.
All of the endocrinologic dynamic tests with diagnostic purposes can be performed as an outpatient care in the test room in our unit or by means of hospitalization in the test room in Ward 76.
Specialists or academic staff members perform the ultrasound guided fine needle biopsy on patients with thyroid nodule.
Training is the most important step in the treatment of diabetic patients. Diabetes trainings are delivered on various subjects such as general information on the disease, sudden episodes which develop in relation to the disease (comas induced by sudden hypoglycemia or very high levels of hyperglycemia); disorders associated with eyes and kidneys, which could develop within the following years; or foot care for diabetic patients. All of diabetic patients monitored by our subdivision as well as all of diabetic patients who receive inpatient or outpatient care are delivered diabetes and insulin trainings by 2 diabetes nurses in the outpatient clinic or as a bedside training within the wards.
The training programs organized on diabetes and obesity can be participated by all patients and patient relatives. The internal diseases meeting room, located on the 1st floor of internal diseases building, is used fır such training meetings. In addition to an endocrinologist, training nurse and dietician, an ophthalmologist, a dentist, a physiotherapist and a psychologist who has received training on eating disorders also attend to the meetings. You can learn the program from the department secretariat or the wall-posts in the department. Participation in the meetings is free of charge.
Particularly patients with type 1 diabetes with a poor glycemic control, pregnant diabetes patients as well as diabetes patients in such a need after renal transplantation are attached insulin infusion pump, delivered pump training and followed. The purpose of pump is to regulate the glycemic values similar to healthy individuals. To this end, patient should receive an extensive training on dieting (such as counting carbohydrates) as well as a pump training to ensure that the patient can use the pump.
Basal metabolic rates of patients can be measured by means of indirect calorimeter and body fat distribution can be calculated with bioimpedence in our subdivision. Out unit dietician delivers trainings and makes suggestions to obese, cachectic patients or patients with other metabolic disorders and follows these patients based on these data.
Glucose meters of patients are calibrated and urine albumin, blood glucose and HbA1c are measured for patients with diabetes in the laboratory of our department.