Specialties

Endocrinology, Metabolism and Diabetes' team works to improve the overall health and well-being of patients through expert care and personalized care, prevention, diagnosis, treatment and cure of Diabetes, Obesity, Metabolic disorders and Endocrine disorders.

Type 1 and Type 2 Diabetes Mellitus, Lipid Disorders, Obesity
Our experienced multidisciplinary team of providers specialize in the diagnosis, prevention and treatment of Type 1 Diabetes, Type 2 Diabetes, Pancreatic Diabetes and Prediabetes. Healthy eating, physical activity and weight management are emphasized along with the use of the latest FDA approved oral and injectable medications and/or insulin therapy. Our team also provides comprehensive knowledge of and experience with the most advanced diabetes technologies, including insulin pumps, inhaled insulin and continuous glucose sensors.

In addition, we have providers that specialize in advanced evaluation and treatment of disorders of lipids (cholesterol, triglycerides and subfractions) and cardiovascular disease prevention. We offer the best evidence-based lifestyle and medical treatments available for these conditions, including the latest FDA approved medications as well as LDL apheresis.

Thyroid, Pituitary, Adrenal and Neuroendocrine Tumors
Our expert Endocrinologists and Endocrine Surgeons constitute a nationally recognized team specializing in the evaluation and management of thyroid cancer, thyroid nodules, goiters, hypothyroidism and hypothyroidism. We utilize on-site ultrasound guided thyroid fine needle aspiration (FNA) biopsies, cytological and advanced molecular analysis, and high resolution Ultrasound and Nuclear Medicine imaging to provide cutting edge evaluation of benign and malignant thyroid neoplasms. In collaboration with experienced colleagues in Nuclear Medicine, Radiology and Medical Oncology, this multidisciplinary team provides comprehensive state-of-the-art treatment options, including surgery, radioiodine therapy, radiation therapy and targeted chemotherapy, for thyroid tumors ranging from benign nodules to advanced thyroid cancer.

We take a multidisciplinary approach to care for patients. Our Endocrinologists work with our Pituitary Surgeons and colleagues in Radiation Oncology to offer a multidisciplinary clinic providing nationally recognized expertise in the evaluation and management of pituitary tumors and disorders of pituitary function including Cushing’s Disease, Acromegaly, Prolactinomas, non-functioning pituitary tumors and pituitary gland insufficiency.

Advanced treatment options for pituitary tumors include transsphenoidal pituitary surgery, radiation therapy, stereotactic radiosurgery and targeted medical tumor suppressive therapy. Here, we have a multidisciplinary team, offering advanced, state-of-the-art evaluation and management of benign and malignant adrenal tumors and neuroendocrine tumors.

Metabolic Bone Disease
Metabolic Bone Diseases are disorders of bone remodeling that result in fractures or deformity of bones. The most common metabolic bone diseases are osteoporosis, osteomalacia, Paget's disease, renal osteodystrophy, osteitis fibrosa cystica and osteogenesis imperfecta. Osteoporosis is a particularly common disease that is responsible for approximately 1.5 million fractures in the United States each year. Our experienced providers specialize in the diagnosis and management of these conditions.

Diagnostic techniques available include state-of-the-art bone densitometry (Dual Energy X-ray absorptiometry or DXA), radiology, biochemical testing and bone biopsy, when indicated. Treatment modalities include exercise counseling, physical therapy, nutritional counseling, calcium supplements, vitamin D supplements, medications that inhibit bone resorption (bisphosphonates, estrogen, selective estrogen receptor modulators, calcitonin) and medications that stimulate bone formation (parathyroid hormones).

Adrenal Tumors
The University of Colorado multidisciplinary Adrenal Cancer Program established in 2013 offers a comprehensive treatment approach, and patients benefit from the expertise of a team of physicians. We specialize in the diagnosis and treatment of adrenal tumors – including adrenal cancer as well as adrenal tumors associated with Cushing’s syndrome, hyperaldosteronism, and pheochromocytoma. Our services Include:

• Same-Day outpatient evaluation in a joint Endocrine, Oncology and Surgery clinic
• A multidisciplinary approach to patients with adrenal tumors with specialists in: Endocrinology, Surgery, Oncology, Radiology, Pathology, Radiation Oncology and Medical Genetics.
• Comprehensive medical management of patients with hormonally active tumors
• Endocrine surgery team has advanced expertise in adrenal tumor and adrenal cancer surgery

Nonalcoholic Fatty Liver Disease
Nonalcoholic Fatty Liver Disease (NAFLD) is the most common chronic liver disease in the United States and can progress to cirrhosis or End Stage Liver Disease. Risk factors include being overweight or obese, having Type 2 Diabetes or pre-diabetes, abnormal cholesterol levels, high blood pressure, and obstructive sleep apnea. With the right treatment plan, this disorder is reversible. Our trained specialists provide screenings for NAFLD, a workup for comorbid conditions, and management through lifestyle interventions and therapies to reverse this disorder. Unlike others who typically rely on liver biopsy for diagnosing and staging of NAFLD, we stress the use of noninvasive techniques to screen and stratify patients. Usually, this requires simple blood tests and use of imaging, such as ultrasound and tissue elastography to detect the presence, severity, and progression of NAFLD. Rarely do we recommend liver biopsy. If you have been diagnosed with fatty liver disease or nonalcoholic steatohepatitis (NASH), or are concerned a patient may have this disorder, consider a referral to the Fatty Liver Clinic.

Treatment of NAFLD includes: Through a comprehensive workup, our providers can identify risk factors and other potentially contributing disorders to NAFLD, stage the severity of NAFLD and routinely monitor for progression of the disease. Lifestyle modifications are the foundation for management of NAFLD at any stage, which is promoted with help from nutritionists and weight loss experts. In addition, the Fatty Liver Clinic can help manage contributing disorders such as:

• Type 2 Diabetes
• Cholesterol Disorders
• High Blood Pressure
• Sleep Apnea
• Advanced Fibrosis/Hepatocellular Carcinoma
• Complications of Cirrhosis