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Avera Medical Group Endocrinology & Diabetes

Plaza 3
1315 S. Cliff Avenue, Suite 3000
Sioux Falls, SD 57105

Our Services

Our Services

Diagnostic evaluation and treatment by a team of board-certified endocrinologists for patients with:


Diabetes is a metabolic disease characterized by excessive glucose in the blood resulting from defects in insulin secretion, insulin action or both. Chronic excessive glucose in relation to diabetes is associated with long-term damage, dysfunction and failure of various organs, especially the eyes, kidneys, nerves, heart and blood vessels.


  • Frequent urination
  • Unusual thirst
  • Extreme hunger
  • Unusual weight loss
  • Extreme fatigue and irritability
  • Blurred vision
  • Slow healing of cuts and bruises
  • Tingling/numbness in hands/feet

Types of diabetes

  • Type 1
  • Type 2
  • Latent autoimmune
  • Gestational

Thyroid Disorders

Hormones produced by the thyroid gland influence almost all of the metabolic processes in your body. The most common thyroid problems involve abnormal production of thyroid hormones.


  • Fatigue
  • Depression
  • Difficulty concentrating
  • Excessive weight gain
  • Dry/coarse skin/hair
  • Constipation
  • Muscle cramps
  • More frequent periods
  • Infertility

Types of thyroid disorders

  • Hypothyroid
  • Hyperthyroid
  • Hyperparathyroid
  • Hypoparathyroid
  • Thyroid cancer
    • Papillary
    • Follicular
    • Medullary
    • Anaplastic
  • Thyroid nodules
  • Goiter
    • Multinodular goiter
  • Thyroiditis
  • Hashimoto’s disease
  • Grave’s disease

Growth Disorders

Regulation of growth and development throughout our bodies can be abnormal due to imbalances in different types of hormones.


  • Headaches
  • Numbness/burning in hands/feet
  • Cardiac dysfunction
  • High blood pressure
  • Sleep apnea
  • Decreased libido
  • Menstrual disorders

Types of growth disorders

  • Acromegaly
  • Growth hormone deficiency
  • Idiopathic short stature
  • Turner syndrome
  • Hirsutism

Adrenal Disorders

The adrenal glands are small, triangular glands located on top of each kidney. The adrenal cortex produces glucocorticoids, mineralocorticoids and androgens. The medulla is responsible for the production of epinephrine and norepinephrine (adrenaline), which affect blood pressure, heart and metabolism.


  • High blood pressure
  • Headaches
  • Excessive sweating
  • Rapid heart rate
  • Rapid breathing
  • Anxiety
  • Nausea
  • Fatigue

Types of adrenal disorders

  • Adrenal insufficiency
  • Congenital adrenal hyperplasia
  • Hyperaldosteronism
  • Cushing’s syndrome

Pituitary Disorders

Over- or underproduction of a pituitary hormone will affect the respective end-organ.


  • Vision changes
  • Headache
  • Infertility
  • Fatigue
  • Abnormal blood pressure

Types of pituitary disorders

  • Acromegaly
  • Cushing’s syndrome
  • Hyperprolactinemia
  • Pituitary incidentaloma
  • Pituitary tumors
  • Pituitary microadenoma
  • Pituitary macroadenoma


Osteoporosis is a disease of the bones that leads to an increased risk of fracture. Bone mineral density is reduced, bone microarchitecture deteriorates, and the amount and variety of proteins in bone are altered.


  • Back pain
  • Loss of height
  • Stooped posture
  • Unexpected bone fractures
  • Loss of height
  • Early menopause

Types of osteoporosis

  • Vitamin D deficiency
  • Osteopenia
  • Paget’s disease

Polycystic Ovarian Syndrome

Polycistic ovarian syndrome is a condition in which a woman has an imbalance of female sex hormones. This may lead to menstrual cycle changes, cysts in the ovaries, trouble getting pregnant, and other health changes.


  • Few/no menstrual periods
  • Heavy/irregular vaginal bleeding
  • Hair loss
  • Acne/oily skin
  • Depression
  • Repeat miscarriages

Reproductive Disorders

Disorders that affect the internal and external organs in the pelvic and abdominal areas.


  • Decreased libido
  • Painful menstrual cycles

Types of reproductive disorders

  • Male hypogonadism
  • Menopause
  • Klinefelter’s syndrome
  • Gynecomastia
  • Erectile dysfunction
  • Decreased libido
  • Infertility
  • Amenorrhea
  • Decreased/low testosterone


Obesity contributes to the development of type 2 diabetes, and weight loss can significantly reduce the impact of metabolic conditions including diabetes, and reduce or eliminate the need for medication. Medical treatments for obesity include:

  • Diet/weight loss
  • Gastric bypass/lap band

Fatty Liver Disease

Alcoholic and nonalcoholic fatty liver disease is a condition in which fat accumulates in the liver. In its more serious forms of NASH, fatty liver disease can lead to significant inflammation and scarring, and ultimately liver failure, liver cancer and the need for liver transplant or death.


Fatty liver disease often develops without symptoms. When symptoms occur they might include:

  • Malaise
  • Fatigue
  • Upper abdominal pain

Types of fatty liver disease

  • Alcoholic fatty liver disease
  • Nonalcoholic simple fatty liver (steatosis)
  • Nonalcoholic steatohepatitis (NASH)

Learn about these conditions and many more in the Avera Health Library.


Take our Diabetes Health Risk Assessment

Take our online assessment to learn more about potential risk for diabetes.

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Avera McKennan Diabetes Center

Offering inpatient and outpatient diabetes services as well as education and support groups for those with the disease and their families.

Learn more