Pittsburgh Endocrine & Diabetes Associates

Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Medical Clinics, Physicians & Surgeons

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Map & DirectionsDirections1370 Washington Pike Ste L8Bridgeville, PA 15017 Write a ReviewWrite Review

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Hours

Regular Hours

Mon - Fri:	9:00 am - 5:00 pm

Places Near Bridgeville with Physicians & Surgeons, Endocrinology, Diabetes & Metabolism

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Imperial (15 miles)
Canonsburg (15 miles)

Accepted Insurance

Aetna
Assurant Health
Blue Cross Blue Shield (BCBS)
Bravo Health
CHAMPVA
CareSource

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Specialties

Primary: Endocrinologist (Diabetes & Hormones Specialist)

Sub-Specialty: General

Additional Specialties: Internal Medicine

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Extra Phones

Fax: (412) 221-5620

Payment method

master card, visa

AKA

Swarna, Varma, MD

Dr. Swarna Varma, MD

Categories

Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Medical Clinics, Physicians & Surgeons, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gastroenterology (Stomach & Intestines), Physicians & Surgeons, Gynecology, Physicians & Surgeons, Nephrology (Kidneys), Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Ophthalmology, Physicians & Surgeons, Osteopathic Manipulative Treatment, Physicians & Surgeons, Rheumatology (Arthritis)

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Phone: (412) 221-4740

Address: 1370 Washington Pike Ste L8, Bridgeville, PA 15017

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Pittsburgh Endocrine & Diabetes Associates

General Practitioners

Osteoporosis
Arthritis
• You should have a bone density checked after menopause if you are a female or male between ages 50-70 years and have other risk factors for osteoporosis: family history of hip fracture, rheumatoid arthritis, steroid use, smoking history, alcohol intake of 3 or more drinks a day, low body mass index or previous fracture.
Medical Weight Loss
If your Vitamin D levels remain persistently low, ask your doctor if you need to be screened for celiac disease. That could be especially important if you have continued weight loss, and unexplained diarrhea.
Primary Care
As commented by Dr. Pedersen, (The senior author of the Early Multifactorial Intervention Key in Diabetes), there is a need to translate these kinds of greenhouse experiments done during this clinical trial to the real world primary care setting where patients are treated.
Smoking Cessation
With ideal or optimal care for people with diabetes, i.e. everybody achieving A1C goal of less than 7%, blood pressure less than 130/80mm/Hg, LDL cholesterol less than 100mg/dl, HDL cholesterol greater than 40 mg/dl in men and greater than 50 mg/dl in women, triglycerides less than 150 mg/dl, daily aspirin use for those over 40 years of age, smoking cessation, and BMI less than 25 kg/m², there could be $325 billion estimated cost savings in 30 year total medical cost i.e. 20% cost reduction.
Emergency Care
Colonoscopy
Other tests (stools for occult blood) might be performed instead of or in addition to colonoscopy/sigmoidoscopy if you or your doctor prefer.
Constipation
Erectile Dysfunction
Infectious Diseases
Diarrhea
Immunizations

Ophthalmologists

Glaucoma
The American Optometric Association recommends eye exams every 2 years if you are between ages 41-60; yearly eye exams if you are 61 years and older. However, if you have additional risk factors i.e. diabetes, hypertension, family history of diabetes or hypertension, family history of cataract or glaucoma, are in a visually demanding job or job that may be hazardous to your eyes, are taking medications that may have side effects affecting the eyes, have reading or learning difficulties, headache, squinting, tired eyes, need glasses for near-sightedness at an early age, or a family history of refractive error, you may need more frequent eye examinations.
Ophthalmology
Laser Eye Surgery
You should have regular eye exams every 1-2 years depending on your medical condition and recommendations made by your doctor. That could be your Optometrist (doctors trained in the diagnosis, treatment of eye disease and vision problems) or Ophthalmologist (doctors trained in the diagnosis and treatment of vision problems, eye disease and eye surgery). You may need eye exams more frequently (as recommended by your doctor) if you have headaches, tired eyes, squinting, need glasses for impaired vision at an early age, family history of vision problems, reading or learning difficulties. More frequent eye exams may be necessary if you have diabetes, hypertension, family history of diabetes or hypertension, family history of cataract or glaucoma, are taking medications that may have side effects affecting the eyes, or have a job that may increase your risk of damage to the eyes.
Cataracts
For every 1% decrease in HbA1C, there is a 37% decrease in risk of microvascular complications (i.e. damage to the eyes and kidneys), 43% decrease in peripheral vascular disease/leg amputation, 14% decrease in heart attacks, 12%decrease in strokes, 16% decrease in heart failure, and 19% decrease in cataract extraction and 21% decrease in diabetes related deaths.
Eye Exam
The American Academy of Ophthalmology recommends one eye exam if you are between 20-29 years old; 2 eye exams between ages 30-39; eye exams every 2-4 years between ages 40-64; and eye exams every 1-2 years if you are 65 or older. However you may need more frequent eye exams depending on your medical condition.

Gynecology
Female Infertility

Urology
Urology follow up would be advisable especially if PSA levels increased to greater than 4 ng/cc per year, or a PSA concentration greater than 1.4ng/cc is detected within any 12 month period of treatment with testosterone replacement therapy or a PSA velocity of greater 0.4 ng/cc per year is detected over 2 years.
Kidney Cancer
According to a report from the World Cancer Research Fund (WCRF) and American Institute for Cancer Research (AICR), eating a balanced, nutritious diet, maintaining physical activity and decreasing body fat may allow some prevention of the following cancers – endometrial cancer: 70%, esophageal cancer: 69%, cancer of the mouth, pharynx and larynx: 63%, stomach cancer: 47%, colorectal cancer: 45%, pancreatic cancer: 39%, breast cancer: 38%, lung cancer: 36%, kidney cancer: 24%, cancer of the gallbladder: 21%, cancer of the liver: 15%, cancer of the prostate:11%.
Kidney Stones
17) Have your urine tested for signs of infection, blood, or kidney stones if you have symptoms or risk factors. That could prevent spread of infection to the blood and future kidney damage.
Testicular Cancer
Cervical Cancer
Pap testing every year or liquid based Pap test every 2 years for women who are sexually active or age 21 and up.
Colon Cancer
Urinary Tract Infection
In the United States 62 million adults ages 20 years and older have reported at least 1 episode of urinary tract infection. More than 50 million of these individuals were women.
Prostate Cancer
Yearly prostate-specific antigen (PSA) blood test and digital rectal exam should be considered for men age 50 and up.
Cancer Care
Net costs were higher at the initial phase, with later stage at diagnosis. Example: colorectal cancer care $24,221 with local disease, $35,981- $36,692 with regional disease $51,158 with distant disease.
Lung Cancer
According to a report from the World Cancer Research Fund (WCRF) and American Institute for Cancer Research (AICR), eating a balanced, nutritious diet, maintaining physical activity, and decreasing body fat may allow some prevention of the following cancers – endometrial cancer: 70%, esophageal cancer: 69%, cancer of the mouth, pharynx and larynx: 63%, stomach cancer: 47%, colorectal cancer: 45%, pancreatic cancer: 39%, breast cancer: 38%, lung cancer: 36%, kidney cancer: 24%, cancer of the gallbladder: 21%, cancer of the liver: 15%, cancer of the prostate:11%.

Multiple Sclerosis
Low vitamin D levels add to the risk of type 1 diabetes mellitus, hypertension, Crohn’s disease, cardiovascular disease, multiple sclerosis, schizophrenia, and depression.

Depression
Insomnia
Anxiety

Endocrinologist

Diabetes Care
Fasting (at least eight hours without food intake) plasma glucose of 126 mg/dl or greater or two hour post-glucose (75 grams of glucose in water) reading of 200 mg/dl or greater or some symptoms of diabetes mellitus: such as increased thirst, increased urination, unexplained weight loss or fatigue and any plasma glucose reading of 200 mg/dl or greater (American Diabetes Association criteria for diagnosis and classification of Diabetes Mellitus. Diabetes Care, Vol. 30, supplement 1; January 2007)
Endocrinology
In our community-based endocrinology practice (CBEP) a retrospective chart audit of 395 consecutive patients seen for diabetes mellitus over 5 years, 2000-2004, revealed that 47.1% achieved HbA1C goal of <7% vs. NHANES 1999-2000: 37%, p = 0.003; blood pressure goal of <130/80 53.2% vs. NHANES 1999-2000: 35.8%, p< 0.0001; total cholesterol <200mg/dL 82% vs. NHANES 1999-2000: 48.2%, p < 0.0001, and all three ABCs CBEP: 22% vs. NHANES 1999-2000 7.3%, p < 0.0001. The proportion of patients meeting all 3 ABCs goals in our practice significantly increased from 12.4% in 2000 to 23.6% in 2004 (p < 0.0001). When NHANES was updated for 1999-2002 similar results were observed for blood pressure (CBEP: 53.2% vs. NHANES 1999-2002 39.6% p < 0.0001), LDL cholesterol (CBEP: 68.8% vs. NHANES 1999-2002: 36% p < 0.0001). The proportion of patients achieving A1C goals was similar (CBEP: 47.1% vs. NHANES 1999-2002: 49.8%)
Hypothyroidism
Thyroid
Thyroid testing should also be done in individuals with a goiter, diabetes mellitus, vitiligo, pernicious anemia, prematurely gray hair, and individuals taking medications such as lithium, amiodarone, iodine containing medications, kelp, following exposure to iodinated contrast agents. Individuals with a family history of thyroid disease, pernicious anemia, adrenal insufficiency, and diabetes mellitus would also benefit from testing.
Diabetic Retinopathy
Diabetes is the leading cause of new cases of blindness in adults in the United States (12-24,000 new cases per year due to diabetic retinopathy)
Thyroid Cancer
American Thyroid Association Guidelines For Thyroid Nodules and Cancer: Thyroid cancer occurs in 5-10% of thyroid nodules depending on age, gender, radiation exposure, family history, and other factors. (A thyroid nodule is defined as a discrete lesion with in the thyroid gland that is palpable or ultrasonographically distinct from the surrounding parenchyma).

Ultrasound
• Size of your thyroid and lumps in the gland. You may need an ultrasound and ultrasound guided biopsy of any nodules (lumps) that are detected, to check for thyroid carcinoma.
Radiation Therapy
Certain population groups who are at a higher risk for thyroid disease includes women older than 60 years, individuals with prior radiation treatment of the thyroid gland or external radiation therapy, individuals who have had thyroid surgery or thyroid dysfunction in the past, individuals with diabetes mellitus, past history of auto-immune disease, family history of thyroid disease, or atrial fibrillation would benefit from thyroid testing.

Plastic Surgeons

Bariatric Surgery

Skin Cancer
7) Get evaluation for skin diseases/ skin cancer depending on your medical condition and risk factors. Early diagnosis and treatment could prevent advanced stages of disease.
Dermatology
Ulcer
Psoriasis
You should have a total body skin examination yearly by a dermatologist or trained health care provider (specializing in diseases of the skin and skin cancer) if you have a personal history of skin cancer, a family history of melanoma, multiple nevi, nevi which are changing in appearance, have received ultra violet light treatment for psoriasis, received radiation therapy for cancer in childhood, are on specialized medications after organ transplantation, have naturally red or blonde hair, tendency to freckle, or develop skin burns easily.
Burns

General Podiatry
Diabetic Foot Care

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