New TMC One endocrinologist is now available to tackle an assortment of complex cases

Dr. Shubh Preet Kaur Board-Certified Endocrinologist  TMC One

Dr. Shubh Preet Kaur
Board-Certified Endocrinologist
TMC One

Tucson Medical Center and TMC One, formerly Saguaro Physicians, are proud to welcome Dr. Shubh Preet Kaur, a board-certified endocrinologist who is accepting new patients. She specializes in diagnosing and treating diabetes, thyroid disorders, adrenal and pituitary gland disorders, metabolic disorders, menstrual irregularities, osteoporosis and calcium disorders.

“I believe in providing the same care to each patient that I would want for my family. My goal is to provide evidence-based, cost-effective and personalized health care of the highest quality to all my patients,” said Dr. Kaur.

Learn more about Dr. Kaur, her unique approach to patient care and why she really knows firsthand what challenges diabetics face:

What is your background?

I grew up in India and completed medical school there before starting a residency in internal medicine at Rochester General Hospital in upstate New York. I was then presented with a great opportunity to be the chief resident for the Internal Medicine Residency Program at the University of Arizona. I went on to complete an endocrinology and metabolism fellowship here at the University of Arizona.

What inspired you to go into Endocrinology?

I find complexities of the endocrine system challenging and fascinating. Having multiple family members with diabetes inspired and attracted me further to care for people suffering from diseases of the endocrine system.

How do you help primary care physicians care for their patients with diabetes?

Diabetes is a very complex disease, which affects almost all the organs of the human body. I help primary care physicians care for patients affected by this dreadful disease in whom simple medication regimens do not work, whose disease is hard to control or whose disease has progressed to a stage of complete insulin dependence or overt organ damage. Together, we help patients maintain optimal metabolic goals with the latest the field has to offer. I work with my patients to help them prevent further complications and maintain a healthy and independent lifestyle. Multiple other specialists also help us provide the best possible care to our patients.

At what point does a diabetic patient need to see an endocrinologist rather than just receive care from a primary care physician?

Patients are usually referred to an endocrinologist for adrenal, pituitary, thyroid and calcium metabolism-related issues. Patients with diabetes are often referred if the disease is hard to control, progresses to a state where they require complex medication regimens, have wide blood sugar ranges, multiple complications or if they are having difficulty getting to their target blood sugars.
After completing your endocrinology fellowship from the University of Arizona, what made you decide to stay in Tucson?

My training brought me to Tucson. I never thought I would stay here long, and now I don’t think I will ever leave. The small town feel with the amenities of a big city, great outdoors and the warm weather keep me in Tucson.

What interests you outside of work?

I try to spend as much time as possible with 2-year-old daughter, taking her to the zoo to meet her favorite animal, Nandi, the baby elephant.

What has been your most valuable life experience that has impacted your medical career?

My parents have diabetes so I have firsthand experience about how difficult it can be on patients and their families. I think of my parents when I see my patients and strive to improve their quality of life.

How do you approach your relationship with your patients?

I believe in providing the same care to each patient that I would want for my family. My goal is to provide evidence-based, cost-effective and personalized health care of the highest quality to all my patients.

Dr. Kaur is located at TMC One, 5295 E. Knight Dr., right across from TMC.
She is accepting new patients! Call (520) 324-1010 to make an appointment.
Standard office hours are Monday through Friday, 8 a.m. – 4 p.m.

Type 1 vs. Type 2 Diabetes: Under new management

No doubt, a diabetes diagnosis changes a person’s life.  They may find themselves doing things they’ve never had to do before, like check their blood sugar multiple times a day, count carbohydrates, and perhaps even give themselves insulin shots.  Even starting an exercise plan may be a first for them.  The good news is that diabetes educators are available to help.  Diabetes educators are health care professionals who teach those with diabetes how to adjust their lifestyle and behavior so that they can successfully manage their disease.

Nancy KlugTMC Certified Diabetes Educator

Nancy Klug
TMC Certified Diabetes Educator

TMC Certified Diabetes Educator Nancy Klug developed her passion for educating others about diabetes after two close family members were diagnosed with it.  She’s been helping diabetics understand their disease, and get their blood sugar under control for more than 25 years.  She shares some valuable information about appropriate diabetes testing, and how the disease is managed.

Type 1 Diabetes

Background:  People with Type 1 diabetes often get strong symptoms that could land them in the emergency room.  Their blood sugar may be 300 or higher.  Many times they are very sick.  They may be vomiting, and even have trouble breathing.  Other symptoms include increased urination.  They may find themselves getting up many times during the night to use the restroom.  They’re also very thirsty, and extremely tired.  Rapid weight loss is another common symptom we see.  Many times Type 1 affects people who are under age 30.  There is a hereditary factor, but it’s not as strong as it is in Type 2.

Appropriate Testing:  A test called c-peptide is done.  This tells a clinician if the patient is making insulin.  They’ll also do some antibody testing to see if the patient has the antibodies that would kill their beta cells. 

Managing Type 1:  Type 1 diabetics will start on insulin right away.  They’ll need at least four shots a day.  A short-acting insulin at each meal, and then a long-acting insulin.  Or, they may be on an insulin pump.  There is no cure for Type 1, but like Type 2, it can be controlled.

Type 2 Diabetes

Background:  With Type 2 diabetes, there s a very strong hereditary factor, but it is possible for someone to develop it without having a family history.  The tricky part with Type 2 is that oftentimes it’s difficult for people to tell they have the disease, as there are no, or very few, symptoms.  Patients may have to get up in the middle of the night to use the restroom.  They also may be a little thirstier or more tired than usual, and have a wound that is slow to heal.  Unlike Type 1 diabetics, Type 2 diabetics do not have weight loss.  If diabetes goes uncontrolled for several years, complications can develop, including kidney, nerve and eye damage.  The biggest complication, however, is heart attack and stroke.

Appropriate Testing:  A physician who suspects a patient has diabetes will order an A1C test.  The blood test gives the physician an average of the patient’s blood sugar over the last three months.  A non-diabetic person may have an A1C around 4-6 percent.  Prediabetes is 5.7-6.4 percent.  A diabetes diagnosis is 6.5 percent or higher.

Managing Type 2:
  The American Diabetes Association recommends patients start on a medication called Metformin.  Patients are advised exercise at least 30 minutes, five times a week, and attend diabetes education classes where they’ll learn how to count their carbs, and keep them down, along with their saturated fat intake.  Eighty percent of Type 2 diabetics are overweight, so losing even a little weight can be very beneficial.

The American Diabetes Association (ADA) suggests Type 2 diabetics have a blood sugar range of 70-130 before meals, and 130-180 two hours after meals.  The American College of Endocrinology (ACE) has even stricter guidelines.  They recommend a blood sugar level of under 110 before meals, and under 140 two hours after meals.  At TMC, Klug says they teach patients both sets of guidelines, encouraging them to get into the ADA range first, and then aim for the ACE range.

In conclusion, Klug says, “The good news is that we know how to control diabetes.  Patients have to learn how to do it, but a diabetes educator and their team can work with you.  If you’re able to keep your numbers down, you can minimize the complications and have a fairly healthy life.  There’s nothing that you can’t do with diabetes.  There is no cure, and it will never go away, but you can get it under control.”

If you or someone you know has diabetes and wishes to speak to a diabetes educator at TMC, please call (520)324-3526 or (520)324-1265.


Tucson Medical Center | 5301 E. Grant Road | Tucson, Arizona 85712 | (520) 327-5461