Services

Endocrinology is the branch of medicine relating to disorders of metabolism resulting from a change of structure or function to an endocrine gland. These glands secrete hormones such as insulin, thyroid, growth hormones or steroids. Following your individualized care plan will help better control the disease and reduce risks of complications. The doctor has to monitor and evaluate the treatment plan often to determine the treatment is effective. Therapy plans will often need to be changed according to the doctor's evalualtion of the laboratory tests, signs and symptoms and physical exams. If you have any questions, please feel free to get in touch with us and arrange an appointment.

We are currently enlisting patients interested in participating in clinical research opportunities. Benefits include additional contact visits with the  doctor and or health care professional, medicines that are provided by the sponsor at no cost to patient, and close monitoring of medical problems and progress. A small stipend is rewarded to compensate for time and duties required for the study.

 

Diabetes Care

Following your doctor's recommendations for diabetic care will help in glucose management which will lessen the possibility of other complications due to this chronic disease. Diabetes is associated with an increased risk for blindness, renal failure, cardiovascular disease, infections, amputations, sexual dysfunction, and   it is critical to properly monitor your diabetic treatment frequently.

 

Thyroid Disease

People on thyroid medication will need monitoring to titrate the medicine correctly.  Dr. Mandry will analyze your laboratories and, together with your symptoms and physical exam findings, will be able to determine the best treatment plan.

 

Lipid Abnormalities

Lipid abnormalities, such as high cholesterol, have been associated with an increased risk for CV disease and strokes.  Dr. Mandry will discuss treatment options and methods to control lipids to normal levels.

 

Metabolic Diseases

Other metabolic diseases are osteoporosis, Cushings' disease or acromegaly.  Your primary care doctormay ask that you consult Dr. Mandry if you have a metabolic disorder that may require hormone adjustment or replacement.

Healthly Lifestyle Choices

                                          CLINICAL RESEARCH

                              Exercise Tips for People with Diabetes

 

         

What We Recommend

Two types of physical activity are most important for managing diabetes: aerobic exercise and strength training. Meditation and isometric activities such as yoga or Pilates are beneficial in stress reduction, and could help with core strengthening thereby reducing risk of falls.

Before starting an exercise program, please consult with a medical expert such as your primary care physician or cardiologist. They may have restrictions or recommendations about your exercise program.

Aerobic Exercise                                                

Aerobic exercise helps your body burn carbohydrates and fat energy while it builds muscle. It also helps strengthen the heart and bones, relieves stress, improves blood circulation, improves mood and stimulates insulin to work better. If done regularly, aerobic exercise reduces your risk for heart disease, improves blood glucose levels, body weight, and may lower blood pressure and cholesterol.

We Recommend: Aiming for 30 minutes of moderate-to-vigorous intense aerobic exercise at least 5 days a week or a total of 150 minutes per week. Spread your activity out over at least 3 days during the week and try not to go more than 2 consecutive days without exercising.

Note: Moderate intensity means that you are working hard enough that you can talk, but not sing, during the activity. Vigorous intensity means you cannot say more than a few words without pausing for a breath during the activity.

 

 

Get Started

If you haven't been very active recently, you can start out with 5 or 10 minutes a day. Then, increase your activity sessions by a few minutes each week. Over time, you'll see your fitness improve, and you'll find that you're able to do more.

If you are just starting outyou may want to check out our starting walking plan.

Find the Time

If your busy schedule doesn't allow you to exercise for a 30-minute period during the day, you have the option to break it up into bouts of 10 minutes or more. Research has shown that the health benefits are similar when you do this!

For example, you might take a brisk 10-minute walk after each meal. Or you could try doing 15 minutes of aerobics in the morning before work and another 15 minutes when you get home.

If you are trying to lose weight and keep it off, most people need to do closer to 60 minutes of aerobic exercise per day.

Below are some examples of aerobic activities:

  • Brisk walking (outside or inside on a treadmill)
  • Bicycling/Stationary cycling indoors
  • Dancing
  • Low-impact aerobics
  • Swimming or water aerobics
  • Playing tennis
  • Stair climbing
  • Jogging/Running
  • Hiking
  • Rowing
  • Ice-skating or roller-skating
  • Cross-country skiing
  • Moderate-to-heavy gardening

 

Strength Training                           

Strength training (also called resistance training) makes your body more sensitive to insulin and can lower blood glucose. It helps to maintain and build strong muscles and bones, reducing your risk for osteoporosis and bone fractures.

The more muscle you have, the more calories you burn – even when your body is at rest.

Preventing muscle loss by strength training is also the key to maintaining an independent lifestyle as you age.

We Recommend: doing some type of strength training at least 2 times per week in addition to aerobic activity.

Below are examples of strength training activities:

  • Weight machines or free weights at the gym
  • Using resistance bands
  • Lifting light weights or objects like canned goods or water bottles at home
  • Calisthenics or exercises that use your own body weight to work your muscles (examples are pushups, sit ups, squats, lunges, wall-sits and planks)
  • Classes that involve strength training
  • Other activities that build and keep muscle like heavy gardening

There are other types of activity that you can add to your fitness routine. Learn more about activity throughout the daystretching and balance exercises.

Want to take a step towards better health?

Exercise is a wonderful option

- See more at: http://www.diabetes.org/food-and-fitness/fitness/types-of-activity/what-we-recommend.html#sthash.hGbLDqjc.dpuf

Local exercise options are:

Check with your insurance company to see if you are eligible for Silver Sneakers Program at the YMCA.

Marks Street Senior Center
Recreation Complex
99 E Marks Street
Orlando, FL 32803
Phone: (407) 254-1066

Renaissance Senior Center
South Econ Community Park
3850 S Econlockhatchee Trail
Orlando, FL 32829
Phone: (407) 254-9070

Orlando Magic Gymnasiums: http://www.orlandomagicocflgyms.net/

Jessie Brock Senior Center Winter Garden: http://www.cwgdn.com/resident/recreation/brock/

Check AARP for local exercise programs

Check church bulletins which will probably offer activities for a group specific to your liking. 

 

 

 

 

 

Updated by Maria Ines Marulanda, Clinical Research Coordinator for Endocrine Associates of Florida-Ocoee.

 

Specializing in

  • Diabetes Mellitus
  • Thyroid Disease
  • Lipid Disorders
  • Metabolic Diseases
  • Nutrition Counseling

 

Ask about out Research Clinic for diabetes and other metabolic disorders

407 480-4836

 

*Please see notice about nondiscrimination and accessibility requirements in patient form

Office Hours

Mon-Thur 8 am to 4:30 pm

Fri 8 am to 3 pm

 

Contact:

Phone (407) 480-4830

Fax (407) 480-4834

Research Clinic (407) 480-4836

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