Physician Detail

Michael James LeMay, MD

Practice

Hartford HealthCare Medical Group

Specialty

Endocrinology, Board Certified < Accepting new patients for this specialty
Internal Medicine, Board Certified < Not accepting new patients for this specialty

Areas of Interest

Adrenal Disease, Calcium Disorders, Diabetes Management, Osteoporosis, Pituitary Diseases, Thyroid Diseases

Physician Quicklink

https://hartfordhealthcare.org/MichaelLeMay

Phone

860.696.2240

Call for Appointment

Gender
Male

Languages
English

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Office Locations



Bio

Tonight in Medical Rounds…Diabetes…It is one of the most prevalent diseases in the United States…Nearly thirty-million Americans have it…according to the American Diabetes Association…

To help us better understand this disease and what it means for people who have it, we are joined by Dr. Michael Lemay an Endocrinologist at Hartford HealthCare…Good evening Dr. Lemay… Good evening!

Q. First, what is the difference between Type I and Type II Diabetes…

A. Both types of diabetes are chronic diseases that affect the way your body regulates blood sugar, or glucose. Glucose is the fuel that feeds your body’s cells, but to enter your cells it needs insulin. People with type 1 diabetes don’t produce insulin. People with type 2 diabetes don’t respond to insulin as well as they should and later in the disease often don’t make enough insulin. If not managed, both types of diabetes can lead to chronically high blood sugar levels, which can lead to serious complications.

Q. What are the symptoms of diabetes and how is it diagnosed?

A. Both types of diabetes, if not controlled, share many similar symptoms, including:

• Frequent urination

• Feeling very thirsty and drinking a lot

• Feeling very fatigued

• Blurry vision

People with type 1 diabetes may experience irritability and mood changes, and unintentionally lose weight. Many people with type 2 diabetes won’t display symptoms for many years, and may develop slowly over time. Some people with type 2 diabetes have no symptoms at all and don’t discover their condition until complications develop. Type 1 diabetes symptoms develop fast, typically over the course of several weeks. Type 1 diabetes, which was once known as juvenile diabetes, usually develops in childhood or adolescence. But it’s possible to get type 1 diabetes later in life.

Q. What are some of the treatment options available at Hartford HealthCare to both Type I and II patients?

A. There’s no cure for type 1 diabetes. People with type 1 diabetes don’t produce insulin, so it must be regularly injected into your body, through multiple daily injections or a pump. Type 2 diabetes can be controlled and sometimes even reversed with diet and exercise, but many people need extra support. If lifestyle changes aren’t enough, there are medications that help the body use insulin more effectively. Monitoring your blood sugar is an essential part of diabetes management because it’s the only way to know if you’re meeting you are staying in the target blood sugar range.

Q. What lies ahead in the development of new treatment options for patients?

A. For type one diabetes-there are many advancements with insulin pumps and connecting to it with your smart phone. There also different Continuous Glucose Monitors that use Bluetooth technology to send your blood sugar reading to your smart phone every five minutes. The future of diabetes treatment includes an “artificial pancreas,” which we should see in a few years. This device uses a continuous glucose monitor to enable it to adjust insulin on a minute-by-minute basis, including insulin boluses when the patient eats, and it will actually contain another hormone, glucagon, as a counterbalance if there is a low blood sugar reading. The patient will, actually, be wearing a “pancreas” on his or her belt to both control high blood sugar and prevent or treat low blood sugar. For type 2 diabetes there were only two types of oral medications, now there are multiple classes and within each class are several different medications. One new class prevents glucose from being absorbed in the kidneys and as a result they decrease the glucose in the blood and it spills into the urine. There are also some non-insulin injectable meds that increase insulin secretion from beta cells and suppress glucagon secretion.

Thank you, Dr. Lemay, for joining us this evening and sharing your helpful insight into this disease.

If you would like to learn more…call 1-855-HHC-HERE.

Media


Education

Undergraduate

  • University of Hartford

Graduate School

  • University of Connecticut

Medical School

  • American University of the Caribbean MD

Residency

  • University of Connecticut School of Medicine

Fellowship

  • Baystate Medical Center, Endocrinology, Diabetes, and Metabolism

Hartford HealthCare


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