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Endocrinology (including Diabetes)
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About N. Marshall
(Top Expert on this page)

Expertise
My expertise is in the practical management of Type 2 Diabetes and its complications. Questions in the area of medication use, lab results , and symptoms would be most welcome. I do not want questions related to Type 1 Diabetes.

Experience
Family Physician with training in the United Kingdom and Canada and hold a professorship at a Canadian University in the Department of Family Medicine. I have various roles that have given me a wealth of experience, our practice looks after many diabetic patients, we are a teaching practice and have full time residents, I also have a role in a primary care research unit that with others has done a number of successful research projects in Diabetes.

Organizations
College of Physicians and Surgeons of Ontario College of Family Medicine on Canada Member and presenter for North American Primary Care Research Group

Publications
Family Practice Journals in the US and Canada

Education/Credentials
MB, BCh, BAO degrees from Queen's University of Belfast, Northern Ireland, U.K. CCFP- Canadian Certification in Family Medicine FCFP- Fellow of the College of Family Physicians of Canada

Past/Present Clients
my own practice of 1200 plus patients

   

You are here:  Experts > Health/Fitness > Medical Specialists > Endocrinology (including Diabetes)

Questions Answered By Expert  N. Marshall 
In Category  Endocrinology (including Diabetes)

SubjectDate Asked

Fasting Blood Glucose11/3/2009
  Q: I recently had a fasting blood glucose test done the other morning. It came back elevated at 102. I ...
  A: Your numbers, in spite of not being truly fasting, are in the non diabetic range The criteria for ...
Nocturia?10/11/2009
  Q: I've been getting up once per night to pee for a long time, but this has recently increased to twice ...
  A: serum electrolytes and glucose, urine specific gravity, urinary sodium, simultaneous serum and urine ...
blood sugar flunctuation10/8/2009
  Q: I'ld like to know why my blood sugar rises drastically 2 hours after meal.I take 15units of humulin ...
  A: There are two long acting insulins available in Canada.. Insulin glargine, Insulin detemir, There ...
blood sugar flunctuation10/8/2009
  Q: I'ld like to know why my blood sugar rises drastically 2 hours after meal.I take 15units of humulin ...
  A: It is natural for blood sugar to go up after a meal.. however how high it goes up will depend on how ...
Medication-- a life sentence?10/8/2009
  Q: N, I've been on diabetic medication for 3 weeks. Numbers: after fasting 11 after glucose ...
  A: unfortunately with a fasting glucose of 11 or more before treatment the likelihood of needing and ...
diabetes10/6/2009
  Q: What is diabetes and how is it diagnosed?
  A: Diabetes in its broadest sense is a disease of sugar metablolism.. There are several types and some ...
pituatry gland10/5/2009
  Q: i have a high level of prolactin 4790 had no periods for 2 years i also have hypothyroidism which i ...
  A: This is a very high level of prolactin and would suggest that you need to find out where it is ...
Hi. Question regarding Diabetes.9/24/2009
  Q: Ive recently had a few symptoms that I am concerned with and I fear I may have Diabetes. I have had ...
  A: An interesting question.. pins and needles and numbness can be signs of nerve damage from diabetes.. ...
borderline fasting levels9/19/2009
  Q: I am a fit and normal weight (BMI 21-22) 32 yr old and have had borderline fasting glucose levels ...
  A: This is an interesting question.. however it is not one I have dealt with in my practice. Both of ...
borderline fasting levels9/18/2009
  Q: I am a fit and normal weight (BMI 21-22) 32 yr old and have had borderline fasting glucose levels ...
  A: Indeed your post eating numbers are higher than normal and you, with your family history , are at ...
Blood Sugar Levels9/17/2009
  Q: I am a 44 year old female and I weigh 90lbs. I am also 5'2". What should my normal blood sugar range ...
  A: Your low sugars are not really low and in itself should not be causing you much issue.. I think it ...
Blood Sugar Levels9/17/2009
  Q: I am a 44 year old female and I weigh 90lbs. I am also 5'2". What should my normal blood sugar range ...
  A: Try small regular meals with protein and low glycemic index carbs.. (complex starchy foods like ...
Blood Sugar Levels9/16/2009
  Q: I am a 44 year old female and I weigh 90lbs. I am also 5'2". What should my normal blood sugar range ...
  A: My first concern is that with a weight of 90lb and a ht of 62 inches you have quite an unhealthy BMI ...
C Reactive Protein Blood Tests9/10/2009
  Q: can you tell me if a test score for the CRP of 0.58 High is a mild elevation or worse. The normal ...
  A: There are different types of C reactive protein tests done and the lab values also vary by lab.. ie ...
Diabetes 29/10/2009
  Q: My husband has Diabetes 2. He is experiencing numbness & pain in the tip of one finger. I ...
  A: Diabetes can cause nerve damage and it can be just a single little nerve.. but that is really less ...
Treatment for Diabetes8/31/2009
  Q: She is having Liver cancer and cirrhosis. Now liver cancer is in under control. But she is suffering ...
  A: If your friend/relative is on insulin it is not really that important what type of insulin she is ...
Low Carb and Diabetes8/27/2009
  Q: I've just recently incoorporated the low carb diet to my diabetes lifestyle and seems to have ...
  A: If you use a low carb diet and eat mostly good carbs(those with a low glycemic index(google this) ...
Nocturia?8/24/2009
  Q: I've been getting up once per night to pee for a long time, but this has recently increased to twice ...
  A: There are many potential causes of passing a lot of urine at night.. you are correct in thinking it ...
Byetta diabetes Medication8/22/2009
  Q: So nice of you to offer your time to people with questions about diabetes. My questions is about ...
  A: This medication is one of the newer Type 2 diabetic medications and you are indeed correct that it ...
FASTING WITH DIABETES8/20/2009
  Q: MY HUSBAND HAS TYPE 2WITH AN AVERAGE READING OF ABOUT 100-120 SOMEONE SUGGESTED HE FASTS FOR 1 WEEK. ...
  A: The answer to your question is simple.. its not in itself dangerous to fast for a week, at least not ...
How long does levothyroxine stay in your system and how to get rid of it fast?8/19/2009
  Q: I had my thyroid totally removed long ago. My doctor precribed me 150mcg and 200mcg every other day. ...
  A: TSH stands for thyroid stimulating hormone and is produced by the hypothalmus in the brain.. the ...

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