Endocrinology
Diabetes
Metabolism
Medical Weight Loss
Internal Medicine
New Clinic Element Endocrinology and Diabetes - Now Accepting New Patients
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New Clinic Element Endocrinology and Diabetes - Now Accepting New Patients **
My name is Nicholas Fiacco and I am an internal medicine, endocrinology, and obesity medicine physician. In an ever changing medical landscape, I enjoy the opportunities to continue learning and honing new treatment protocols for “old” problems.
As a result of my background in athletics and coaching, I developed a strong sense of the importance of goals and goal setting. I bring this attitude to the bedside to help my patients reach goals for their health.
My practice includes all areas of endocrinology with special interests in diabetes, obesity, and lifestyle management. I enjoy spending time educating on lifestyle factors for health and, when necessary, optimization of medication therapies.
I look forward to helping you reach your goals for health.
In health,
Areas of Practice
Type 2 Diabetes
Type 2 Diabetes is a disorder of insulin action at the target cell; commonly called insulin resistance. Many times, background obesity is what has lead to the development of abnormal glucose tolerance. Lifestyle treatments with appropriate dietary intake and insulin sensitizing activities such as aerobic exercise are the first line therapies. Fortunately, many very effective medications are available to help you and your care team get you to your goals. The decision to start medical therapies should be done in the context of a thoughtful discussion with your physician with respect to your individual health needs.
Type 1 Diabetes
Type 1 Diabetes results from autoimmune destruction of the insulin producing cells of the pancreas. Treatment relies on optimizing the replacement of insulin deficiency through either injections or insulin pumps. The use of technology and new medical therapies are available to improve the quality of lives of patients with type 1 diabetes.
Hypothyroidism
Hypothyroidism is a condition that can result in a decreased quality of life. It is commonly caused by autoimmune destruction of the thyroid gland; commonly called Hashimoto’s disease or thyroiditis. Hypothyroidism can also be related to surgery or ablative therapies as well as certain medications. Treatment should be individualized and include appropriate monitoring of and replacement of thyroid hormone.
I have always loved wise sayings and thoughout my childhood my father used them frequently. On a near daily basis (to the point that it’s almost a joke in our house), we heard the Emily Dickinson quote,”If you take care of the small things, the big things will take care of themselves.”
I try to approach all aspects of my life as well as patient care with this wisdom in the back of my mind. To me, taking care of the little things is focusing on the patient in front of me. It’s meeting them where they are and making sure I help address the seemingly small things that can make such a big difference. It’s taking time to educate and taking time to learn.
“Take care of the small things…”
Get in Touch
Whether you are looking for someone to help walk with you on a journey of weight loss or chronic management of endocrine condition or just in search of a discussion about a specific endocrine issue, we would love to hear from you.