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Endocrine Department

Endocrinology dept. Is the key specialty of Traditional Chinese medicine in Zhejiang Province during the 13th Five-Year Plan period and a key medical discipline in Hangzhou. At present, there are 12 physicians and 13 nurses, among which 9 are senior physicians and 2 are intermediate physicians. There are 42 open beds. Department is equipped with diabetes specialist, thyropathy specialty, gout specialty, obesity specialist and other endocrine disease specialist, etc., at the early stage of the diabetes and early screening and intervention of Chinese medicine, individualized treatment of the chronic complications of diabetes, the use of insulin pump, hyperthyroidism alkali combine traditional Chinese and western medicine treatment, dynamic blood sugar monitoring using accumulated a wealth of experience.

Characteristics of diagnosis and treatment

1pre-diabetes and early screening and intervention of traditional Chinese medicine: based on the traditional Chinese medicine "cure not ill at work" thought, to carry out high-risk groups for the primary prevention of diabetes - for diabetes and the metabolic syndrome for screening of glucose tolerance and insulin function, simultaneously I features - sugar number of traditional Chinese medicine therapy and lifestyle intervention.

2Individualized treatment of chronic complications of diabetes: Mainly targeted at the two most common, disabling and fatal chronic complications of diabetes:

1Treatment of diabetic nephropathy with integrated Traditional Chinese and Western medicine: breakthrough tripterygium wilfordii only for the treatment of immune nephropathy traditional mode, mining its non-immunotherapy characteristics, used for the treatment of diabetic nephropathy refractory proteinuria, significant curative effect, and clinical and experimental studies to provide mechanism of action and safety support for its curative effect.

2Diagnosis and treatment of diabetic foot: The diabetic foot screening diagnosis evaluation system was applied to analyze the lower limb vascular Doppler waveform and blood pressure and blood flow parameters of diabetic foot patients, and to provide diagnosis and suggestions for clinical treatment of diabetic foot. Through the self-made Chinese medicine "Tangzu " and the traditional Chinese foot bath therapy, the medicine can directly act on the skin through the foot bath, improve the local blood circulation and nerve conduction, quickly improve the symptoms, non-toxic side effects, and economic and practical.

3Insulin pump: It simulates human physiological insulin secretion mode to control blood glucose rapidly and stably, and is applicable to the following groups:

1People with type 1 diabetes.

2For patients with gestational diabetes or diabetes complicated with pregnancy, blood glucose should be controlled stably to ensure the safety of mother and infant, because insulin pump treatment is the first step.

3 Type 2 diabetes patients with the following conditions: acute complications; Uncontrolled high blood sugar; Patients with recurrent alternation of hyperglycemia and hypoglycemia, such as frequent hypoglycemia and morning hyperglycemia (dawn phenomenon), should be treated with multiple daily insulin injections for patients who are difficult to achieve the treatment goals.

4Patients with diabetes who undergo surgical, gynecological and ophthalmic operations safely through the perioperative period.

5Diabetic patients requiring intensive care can reduce blood glucose fluctuation, protect important organs, and reduce the occurrence of fatal cardiovascular and cerebrovascular endpoint events.

6Diabetes patients with irregular life and various occupations.

4Dynamic blood glucose monitor: Traditional methods of blood glucose detection can only reflect instantaneous blood glucose values, while the application of dynamic blood glucose monitor (CGMS) can provide dynamic blood glucose changes throughout the day, which is one of the most effective methods of blood glucose monitoring at present:

1CGMS is a dynamic blood glucose monitoring system, which can automatically record an average blood glucose value every 5 minutes and 288 blood glucose values in 24 hours. The system analysis results can generate a daily blood glucose fluctuation curve. It can monitor blood glucose level and fluctuation trend objectively, comprehensively and in detail.

2CGMS can detect postprandial hyperglycemia in people with normal fasting glucose, so it can reduce the rate of missed diagnosis of diabetes.

3CGMS can effectively detect and identify dawn phenomenon and Somogyi effect, reduce the pain of blood glucose measurement at night, ensure sleep quality, and provide sufficient blood glucose information, which is conducive to the adjustment of treatment plan.

4CGMS can detect asymptomatic hypoglycemia more effectively than conventional blood glucose monitoring, which is beneficial to prevent the occurrence of severe hypoglycemia.

5In addition, CGMS is also active and effective in evaluating the treatment plan of diabetes and helping patients with diabetes to conduct self-management.

5Double C treatment: After wearing CGMS for 24 hours, the insulin pump CSII is implanted. According to the monitoring results of CGMS, the dose of the insulin pump is adjusted so that the patient's blood glucose can quickly reach the control standard.

6 Treatment of hyperthyroidism with combination of Traditional Chinese and Western medicine: to treat hyperthyroidism and hypothyroidism with conventional western medicine, supplemented by immunomodulatory Chinese medicine, to achieve the purpose of treating both symptoms and root causes, improving curative effect and reducing recurrence.