Heart and Health Medical

Long Island Endocrinology

The Endocrinology Team at Heart and Health Medical diagnose and treat conditions affecting the endocrine system, including but not limited to diabetes, thyroid disorders, osteoporosis, growth hormone deficiency, infertility, and obesity. 

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The Endocrine System

The endocrine system includes organs that respond to, modify or metabolize hormones. The primary organs of the endocrine system are the: Thyroid, Hypothalamus, Pineal body, Pituitary, Parathyroids, Adrenals, Pancreas, Testes, Ovaries.

The Endocrine system controls bodily functions including:

  • Blood sugar control
  • Growth and development
  • Tissue function
  • Metabolism 
  • Regulation of heart rate and blood pressure
  • Sexual development and function
  • Reproduction
  • Mood
Endocrine System

Dr. Julia M. Macchiaroli, Ed.D., MS, RN-C, NE-BC, ANP-C

American Academy of Nurse Practitioners

Dr. Julia Macchiaroli has been an Adult Nurse practitioner since 1999 after graduating from SUNY Stony Brook and is nationally certified through the American Academy of Nurse Practitioners. She has experience in Internal Medicine, Geriatrics, and Endocrinology. She is also certified through the ANCC as a nurse executive in gerontological nursing. Aside from private practice, Julia has hospital and nursing home experience, as well as longterm resident and sub-acute care.

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Julia Macchiaroli

Endocrinology specialists diagnose and treat a wide range of conditions including:

  • Adrenal Gland Disease
  • Thyroid Disease
  • Pituitary Disease
  • Calcium Metabolism
  • Men’s Reproductive Disorders
  • Women’s Reproductive Disorders
  • Diabetes and Metabolic Disorders
  • Obstructive Sleep Apnea
  • Narcolepsy
  • Insomnia
  • Restless Leg Syndrome

Diabetes

Diabetes mellitus is a group of diseases that affect how the body converts glucose into usable energy. Diabetes, when left untreated, can lead to excess sugar in the blood. Too much sugar in the blood can lead to serious health problems.

37.3 million people have diabetes (11.3% of the US population) Diagnosed: 28.7 million people, Undiagnosed: 8.5 million people.
96 million people aged 18 years or older have prediabetes (38.0% of the adult US population) 65 years or older: 26.4 million people aged 65 years or older (48.8%) have prediabetes.

Diabetes Blood Sugar Testing

Thyroid Disorders

Your thyroid creates and produces hormones that control your metabolism, the process where the food you take into your body is transformed into energy. When your thyroid makes either too much or too little of these important hormones, it’s called a thyroid disease. There are several different types of thyroid disease, including:

Reproductive Issues

Reproductive health issues can affect both men and women. Reproductive systems are made of internal and external sex organs and hormone-producing glands, including the pituitary gland in the brain.

Pituitary Gland Dysfunction

Pituitary Dysfunction

The pituitary gland, located at the base of the brain and no larger than the size of a pea, is often called the “master” gland because it produces the hormones that control the functions of the other endocrine glands and organs. These hormones include:

  • Growth hormone, which affects growth and metabolism
  • Prolactin — to stimulate milk production after giving birth
  • ACTH (adrenocorticotropic hormone) — to stimulate the adrenal glands
  • TSH (thyroid-stimulating hormone) — to stimulate the thyroid gland
  • FSH (follicle-stimulating hormone) — to stimulate the ovaries and testes
  • LH (luteinizing hormone) — to stimulate the ovaries and testes
  • Melanocyte-stimulating hormone — to control skin pigmentation
  • ADH (antidiuretic hormone) — to increase the absorption of water into the blood by the kidneys
  • Oxytocin — to contract the uterus during childbirth and stimulate milk production

Adrenal Disease

The adrenal glands, located on the top of each kidney, are responsible for releasing different hormones. Adrenal gland disorders occur when the adrenal glands produce too much or too little of these hormones.

Adrenal Disease