Information of news

Stress and Diabetes

Category: Patient Education » Stress and Diabetes

Stresss and Diabetes




Stress is the most important factor to predispose to diabetes.


Many diabetic patients have had a major stress before diabetes in my eperiences.

I have visited many diabetic patients who didn't  have positive diabetic family history,however, they have developed diabetes and they had major stress before diabetes.  


Stress can increase blood sugar and it can lead to bad habits like overeating, which can make diabetes harder to manage. 

Recerntly, some papers were published about this subject.


I strongly recommended to avoid stress and anxiety.


Dr. Alireza Arefzadeh.

Tags for this article: دکتر عارف زاده, دکتر عارف زاده علیرضا, دکتر علیرضا, دکتر عارف زاده علیرضا., دکتر علیرضا عارف زاده, Doctor arefzadeh alireza, Doctor alireza arefzadeh, alireza arefzadeh, تهران, ایران, فوق تخصص غدد, متخصص داخلی, متخصص غدد, Dr. alireza arefzadeh, Dr. Arefza

Information of news

Short Statue

Category: Patient Education » Short Stature

  Short Stature is one of the most important problems in children. 


The European Society for Pediatric Endocrinology (ESPE) classifies the main causes of

  • Primary growth disorders, where the condition is intrinsic to the growth plate.
  • Secondary growth disorders, where the growth plates change as a consequence of the condition.
  • Idiopathic, where there is no identifiable cause of short stature.


Primary growth disorders

  • Clinically defined genetic syndromes, such as:
    • Down's syndrome
    • Prader-Willi syndrome
    • Silver- Russell syndrome
    • Noonan's syndrome
    • Turner syndrome
  • Intrauterine growth restriction with failure to catch up:
    • Fetomaternal factors
    • Prematurity
    • Placental dysfunction
  • Congenital bone disorders such as:
    • Achondroplasia
    • Hypochondroplasia
    • Osteogenesis imperfecta

Secondary growth disorders

  • Endocrine:
    • Hypothyroidism.
    • Panhypopituitarism.
    • Hypothalamic or pituitary lesions (eg, trauma or tumour).
    • Laron's syndrome (growth hormone insensitivity).
    • Cushing syndrome.
    • Growth hormone deficiency or insufficiency.
    • Precocious puberty.
    • Disorders of the growth hormone insulin-like growth factor I axis.
  • Metabolic:
    • Mucopolysaccharidoses.
    • Glycogen storage diseases.
  • Diabetes mellitus (poor control).
  • Chronic disease:
    • Cardiovascular disease.
    • Respiratory disease (eg, cystic fibrosis).
    • Haemoglobinopathies.
    • Renal disorders disease.
    • Malignancy.
    • Neurological (eg, hydrocephalus).
    • Juvenile arthritis.
  • Malnutrition:
    • Poverty or neglect.
    • Inflammatory bowel disease.
    • Coeliac disease.
    • Bowel obstruction.
    • Enzyme deficiencies.
    • Chronic bowel infection.
    • Short bowel syndrome.
    • Anorexia nervosa.
    • Rickets.
  • Psychosocial deprivation, including hyperphagic short stature syndrome.
  • Medication: steroid therapy.



Although many etiologies have roles in short stature, however, malnutrition is  important factor in short stature.


Malnutrition is the most common cause of growth failure and is usually related to poverty or anarchy. Nutritional deficiencies in developed countries are more often the result of self-restricted diets. Poor weight gain is often more noticeable than short stature.


Nutrition is most important factor specially before puberty.


Parents should check their children and refer to doctor continuously to assess children's stature.




After puberty and fusion of the growth plates, doctor can not help to increase height, therefore patients should refer before this time.


Tags for this article: SHORT, STATURE, Alireza, arefzadeh, puberty, growth, development, doctor

Information of news


Category: Patient Education » Hirsutism

What Is hirsutism?

Hirsutism is excessive hair growth in unusual areas of a woman’s face and body, such as the mustache and beard areal like male. .

Hirsutism in women means that hair follicles are being over-stimulated by testosterone or other androgen hormones. Androgens are the dominant sex hormones in men. Women normally have low levels of androgens. Hirsutism can be caused by abnormally high levels of androgens or abnormal stimulation of hair follicles even when androgen levels are normal.




Hirsutism can be caused by:

Polycystic ovary syndrome.
Cushing's syndrome.
Congenital adrenal hyperplasia.





Stress and Anxiety.




 significant growth of hair  on the upper lip, chin, sideburn area, around the nipples or lower abdomen.


Your doctor will ask you about your medical history with special attention to your menstrual cycles. He or she also will examine you. If you have a normal cyclic pattern of menstrual periods, the hirsutism is most likely genetic (inherited).


Expected Duration

Many women will have a satisfactory response to medical treatment if they continue the therapy for several months or longer. A few causes of hirsutism (such as tumors that produce androgen hormones or tumors in the pituitary gland) can be cured with surgical treatment, radiation or both.

Cosmetic treatments can remove unwanted hair temporarily, and may limit hair regrowth in treated areas.


If a specific cause of hirsutism is diagnosed, your doctor may suggest appropriate treatment for that cause. For women who are overweight, losing weight may reduce androgen levels and improve hirsutism.


Information of news

Diabetes Mellitus

Category: Patient Education » Diabetes Mellitus

Diabetes mellitus is very common in Iran.

It is a complex disease and patients need to control four important factors :

1) Reduce stress and sudden emotional behaviour


2)Control of Diet 


3) Excersie 


4) Self monitoring blood glucose 




Tags for this article: alireza, arefzadeh, Dr. Arefzadeh, Dr. Alireza Arefzadeh, Diabetes, Mellitus, Diabetes mellitus, Thyroid, Address, Endocrinology, Tehran, Iran, Assistant, Prof, Of, Endocrinologist, Education, Sugar

About Us :

Dr. Alireza Arefzadeh
Assistant Prof of Endocrinology & Metabolism
Faculty Member of Medical University
Internal Medicine Specialist
Endocrinology and Metabolism SubSpecialist
Clinician and Researcher
Member of American Diabetes Association(ADA).
Member of European Society of Endocrinology(ESE)and European Research Association(CORDIS).

Contact Us :

Address :Norrebrogade, Copenhagen N, 2200 Denmark.
Phone :004591731837
Contact TEL Number for patients outside Iran: 0016612623255-0037253141799-00447700309990
Contact TEL Number for patients inside Iran: 02122898836-09198673034-09373622621
آدرس: تهران، خیابان شریعتی، بالاتر از میرداماد، روبروی مترو شریعتی، جنب پمپ بنزین شریعتی(مینا)، کوچه شواری، پلاک 29، ساختمان پزشکان سینا، طبقه4، واحد 16. روزهای زوج از ساعت 5بعداز ظهر تا 7 شب تلفن تماس:09198673034-02122898836 تلفن پاسخ گویی به سوالات09373622621

سئو فروشگاه اینترنتی | کاشت مو غرب تهران | صندلی ناصر پلاستیک | مزوتراپی مو