Endocrinology, Diabetes & Clinical Nutrition Center

Endocrinology, Diabetes & Clinical Nutrition​​ at Bumrungrad International Hospital offers a comprehensive approach to the treatment of diabetes and other endocrine disorders. Its internationally trained team of diabetes specialists helps children and adults take charge of their own health and well-being.


Diabetes can be associated with serious complications and premature death, but persons with diabetes can take measures to reduce the likelihood of such occurrences. There are four types of diabetes: 
  • Type 1 diabetes which accounts for 5% to 10% of all diagnosed cases.
  • Type 2 diabetes which accounts for about 90% to 95% of all diagnosed cases. 
  • Gestational diabetes which develops in 2% to 5% of all pregnancies: 
    • Diabetes that is discovered before pregnancy
    • Diabetes that is discovered during pregnancy
  • "Other specific types" of diabetes which account for 1% to 2% of all diagnosed cases.

Complications of diabetes

High blood pressure
Kidney disease
Nervous system disease
Dental disease
Complications of pregnancy
Other complications

Risk Factors

High Risk Factors for Gestational Diabetes
  • Obesity, with body mass index (BMI) higher or equal to 30

  • Immediate family with type 2 diabetes

  • History of gestational diabetes (in previous pregnancy)

  • Sugar is detected in the urine


Women with high risk factors should be tested for blood sugar levels at the beginning of their pregnancies and again during weeks 24-28 of their pregnancies.

Moderate Risk Factors for Diabetes
  • Age over 25 years

  • Overweight before pregnancy

  • Large fetus

  • Problems with previous pregnancy, such as miscarriage, stillbirth, or toxemia

  • Previous baby’s birth weight was over 4,500 grams


Women with moderate risk factors should be tested for glucose levels during weeks 24-28 of their pregnancies.

Thyroid and diabetes 

Metabolism depends on the state of the thyroid gland. Thyroid disease can lead to high blood sugar levels, which in turn leads to the development of type 2 diabetes. The level of insulin also depends on the state of the thyroid gland. Hyperthyroidism (thyroid disease) speeds up the metabolic process. Therefore, insulin is excreted faster and causes an increase in blood sugar levels. This leads to an increased risk of developing diabetes. Hypothyroidism can also lead to low blood sugar levels. Autoimmune thyroid disease is often accompanied by type 1 diabetes (an autoimmune form of diabetes). A problem with the production of the stress hormone cortisol leads to abnormal levels of insulin and thyroid hormones.


Identification of "pre-diabetes" to prevent the onset of the disease
Provision of treatment protocols for women with prenatal diabetes.
Laser treatment to treat diabetic eye disease and prevent blindness
Dietary and behavioral counseling
Personal health and medical education
Identification and management of other hormonal diseases


Osteoporosis is a type of bone disease that involves bone denigration due to a loss of calcium in the bones. This condition is generally not painful, unless bones are fractured or broken. It is most commonly found in the spine, hips, and wrists, but can also occur in other parts of the body.

Causes of osteoporosis

  • The loss of estrogen due to menopause is the most common cause of osteoporosis. In fact, 25% of women older than 60 years old are found to have osteoporosis.
  • Women who go through menopause early or those who have had their ovaries surgically removed before the age of 45 are at risk.
  • The aging process is a major factor because, by the age of 50, bones start thinning by 1-3% every year.

Common risk factors

  • A family history of osteoporosis
  • European or Asian lineage
  • Lack of vitamin D or calcium
  • Regular consumption of alcohol or caffeine
  • Smoking
  • Sharp decreases in weight due to excessive exercising or dieting
  • Overuse of steroids
  • Conditions such as hormonal imbalances or thyroid disease
  • Chronic diseases such as liver disease or gastrointestinal disorders
  • Conditions
    • Diabetes
    • Osteoporosis
    • Diabete before pregnancy
    • Hyperthyroidism
    • Hyporthyroidism
    • Autoimmune thyroid disease
  • Treatment
    • Bariatric endoscopy
    • Bariatric Surgery
    • Controlling diabetes with an insulin pump and glucose sensor
    • Insulin injections
    • Medications
    • Laser treatment
  • Diagnostics
    • Impaired fasting glucose
    • Glucose tolerance testing

Talk to our Referral Office Representative in Russia

Our Russian Cultural Support can assist you by answering any questions you have about the hospital as well as book travel arrangements. There are no additional costs for using this service.