We offer a wide variety of services both to diagnose, treat and prevent disease for patients with diabetes and other endocrine disorders.

Services

Hayes Endocrine and Diabetes functions as a consultative practice for endocrine and diabetes care.  We work in tandem with primary care physicians and other specialists.  We require that all of our patients maintain a relationship with their primary care doctors so that we can focus solely on patient's individual metabolic needs.  Along with diabetes care, we focus on prevention and attention to micro and macrovascular risk factors with treatment of hypertension, dyslipidemia, and cardiovascular risk reduction.  We are strong promoters of proper nutrition and physical activity.


In addition to providing medical care through routine office visits, we also provide other services in order to maximize the care that we can give to our patients.  Listed below are several of the services that patients may receive through our office.
Ultrasound guided Fine Needle Aspiration Biopsy
Did you know that diabetes is the leading cause of preventable blindness in our country?
Prevention is the key word.  With early detection vision can be saved. 
Did you know that diabetes increases the risk of foot ulcers, neuropathy, vascular disease and potentially  losing a limb?
Prevention is key.  With early detection of peripheral vascular disease and risk factor reduction, the chance of limb loss is drastically reduced.
Thyroid nodules are very common today in both women and men.  A fine needle aspiration biopsy gives us more information of whether the nodule is a benign finding or a cancer.  We utilize on-site thyroid ultrasound and perform fine needle biopsies on the first office visit for patients with nodules in need of cytologic evaluation.  We use AFIRMA lab for diagnostic specimens, utilizing the most advanced genetic technology in determining if a nodule is benign or malignant.  This technology has reduced unnecessary thyroid surgeries by 50%, a dramatic improvement in diagnostic testing.
Screening for Diabetic Eye Disease
For patients with diabetes we screen for eye disease by taking photos of the retina with a retinal camera.  The photos are sent electronically to opthalmologists skilled in interpreting retinal photos.  Using this technology we are able to detect vision threatening retinopathy and refer patients to retinal specialists immediately in order to prevent blindness.  We find this very useful for patients who have not seen their eye doctors in a timely fashion.
Peripheral Vascular Disease Screening
Patients with diabetes are at risk for developing blockages to the arteries supplying blood flow to the feet and legs.  An ABI (ankle brachial index) test allows us to determine if there is decreased blood flow to the lower extremities.  With this knowledge, we can reduce risk factors that impede vascular flow.  Our goal is to prevent amputation and take measures to allow normal blood flow in this area.  We routinely refer patients to vascular surgeons if necessary.
 Diabetic Kidney Disease Screening
Diabetic kidney disease is a leading cause of renal failure in our country.  We screen for kidney disease by testing for small amounts of protein in the urine.  We can prevent progression to kidney failure by using certain medications, controlling blood sugars and controlling blood pressure.  It is much easier to prevent decline in kidney function if detection occurs early in the course of the disease.
Diabetic Neuropathy Screening
Diabetic neuropathy can cause burning, numbness and tingling in the toes and feet.  If an individual has decreased sensation in the legs and feet, the person is at increased risk for foot injury and foot ulcer.  In order to detect early neuropathy we perform annual foot exams on our patients and more often when there is a problem.  Many of our patients wear diabetic foot gear in order to protect the feet from improper pressure points that occur with conventional shoes.
Blood draws and Hemoglobin A1C Testing
We are fortunate to have an on-site lab with our own full time phlebotomist to assist us with our blood collections and lab processing.  Our specimens are sent to Quest Diagnostics, a national lab recognized for it's excellence in endocrine laboratory tests.  We routinely check A1Cs every three months to assess the blood sugar average of the previous three months.  This serves as a diabetes "report card" and allows us to make medication changes in part due to this result.