Diabetes
Diabetes
Empowering you to live better.

Diabetes & Endocrinology

The DHR Health Diabetes and Endocrinology Institute is a one-of-a-kind institution on the front lines of the world epidemic of diabetes. We are leading the battle to conquer diabetes in all of its forms through cutting-edge research and innovative approaches to clinical care and education. Our multispecialty physicians are experts in diagnosing and treating the full spectrum of endocrine disorders among adults and children using advanced testing technology and innovative treatment options.

Services

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Adrenal Disorders

Adrenal disorders are the result of the adrenal glands producing excessive or inadequate amounts of hormones that are essential to the body’s normal processes. If left untreated, these disorders can cause health problems such as heart disease, high blood pressure and obesity.

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Continuous Glucose Monitoring System

This monitoring system tracks the body's glucose levels throughout the day and night, helping people with diabetes better manage their health. This potentially life-saving system continually checks blood sugar and sends an alert before the user begin experiencing low or high blood sugar levels.

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Diabetes Education

We provide diabetes education for people with pre-diabetes, type 1 diabetes, type 2 diabetes, and gestational diabetes. Classes are provided by expertly trained, nationally certified educators. Diabetes education classes provide you with the knowledge and tools to manage your condition.

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Diabetes Medical Nutrition Therapy

Proper nutrition is a major tool for controlling your diabetes. We provide medical nutrition therapy that is important in preventing diabetes, managing existing diabetes and preventing or slowing the development of diabetes-related complications. A registered dietitian will work one-on-one with you review your current diet, establish nutrition goals and develop a meal plan tailored to your needs.

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Gestational Diabetes

Gestational diabetes develops during pregnancy, often without noticeable signs or symptoms. Our expert team of endocrinologists and diabetes educators can provide you with the tools necessary to control your diabetes. Good nutrition, exercise, and, if necessary, medication can help control your blood sugar to keep you and your baby healthy.

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Growth Disorders

Growth disorders affect the development of a child's height, weight, or sexual maturity. Growing very fast or very slow may signal a problem with the pituitary gland, thyroid, or another underlying health condition. Some growth disorders are genetic, while others may be caused by hormonal problems or poor absorption of food.

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Insulin Pump Education

We offer education for individuals that have type 1 or type 2 diabetes and require the use of an insulin pump. We will help you learn self-management techniques such as how to wear the pump, temporary removal guidelines, and the mechanics of your particular pump. We will also teach you how to care for the infusion site and how to prevent and fix pump problems.

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Parathyroid Disorders

The parathyroid is made up of four pea-sized glands in the neck. It controls hormones that play an important role in keeping the balance between calcium and phosphorous in the body. An imbalance in these hormones, called hypoparathyroidism (too little) or hyperparathyroidism (too much), can cause problems with bones, muscles, skin, and nerves. While there is no approved hormone replacement therapy for hypoparathyroidism, the goal of treatment is to restore calcium, magnesium, and phosphorous levels to normal. Hyperparathyroidism can be treated with medication or surgery.

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Pediatric & Adolescent Endocrinology

We are committed to providing a smooth transition of care from adolescence into adulthood. For young adults with diabetes and endocrine disorders, the transition from a pediatric to a new adult doctor can be an obstacle. We provide a variety of resources, services and support that you and your family need to make this transition as seamless as possible.

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Polycystic Ovary Syndrome

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that affects women of reproductive age. Women with PCOS may develop numerous ovarian follicles and fail to regularly release eggs, which causes hormonal imbalances and metabolic problems, leading to symptoms such as infrequent or prolonged menstrual periods, excess male hormone levels, and infertility. The cause and cure for PCOS is unknown, but your doctor can help you manage the symptoms and related health concerns.

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Pubertal Disorders

Puberty is the physical process a child's body goes through as it matures into an adult body. During puberty, the body grows faster than any other time during a person's life, except for infancy. It is also during this process that the body becomes capable of sexual reproduction. While children develop at different rates, most will go through puberty between the ages of 8 and 13. A pubertal disorder is when this process doesn't occur as it normally should. There are several forms of pubertal disorders, including delayed puberty, precocious puberty, and contrasexual pubertal development. The best course of treatment is based on the underlying cause of the pubertal disorder.

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Thyroid Disorders

The thyroid is a butterfly-shaped gland located in the neck in front of the windpipe. It is one of the largest endocrine organs in the body, and produces hormones that regulate growth and metabolism. Diseases of the thyroid gland include irregularities in the production of thyroid hormone, defects in the anatomy or structure of the thyroid, and thyroid cancer. Thyroid disorders can affect your weight, energy levels, muscle strength, skin, memory, cholesterol and heart rate.

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Thyroid Fine Needle Aspiration

An ultrasound-guided thyroid fine need aspiration is a procedure used to take a sample from the nodule, which allows your physician to determine if the nodule is benign or malignant. Needle aspiration biopsy is less invasive than surgical biopsy, leaving little to no scaring. The majority of thyroid nodules are benign.

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Thyroid Ultrasound

A thyroid ultrasound is an imaging test that produces pictures of the thyroid gland, which are used to evaluate lumps or nodules found during a physical or other imaging exam.

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Young Adult Transition Clinic

For young adults with diabetes and endocrine disorders, the transition from a pediatric to a new adult doctor can be an obstacle. We provide a variety of resources, services and support that you and your family need to make this transition as seamless as possible.

Find the care you need

Our Physicians

Juan Diego Palacios, MD
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Juan Diego Palacios, MD

Endocrinology
Locations
2609 Michelangelo Drive
Edinburg, TX 78539

(956) 362-5650
(956) 362-2574
Get Directions
2121 E. Griffin Parkway
Suite 17
Mission, TX 78572

(956) 362-5650
(956) 362-2574
Get Directions
101 FM 3167
Suite 106
Rio Grande City, TX 78582

(956) 362-3920
(956) 362-3929
Get Directions
Marcel Twahirwa, MD
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Marcel Twahirwa, MD

Endocrinology
Locations
4770 N. Expressway 77-83
Suite 303
Brownsville, TX 78526

(956) 362-3715
(956) 362-3716
Get Directions
2609 Michelangelo Drive
Edinburg, TX 78539

(956) 362-5650
(956) 362-2574
Get Directions
2121 E. Griffin Parkway
Suite 17
Mission, TX 78572

(956) 362-5650
(956) 362-2574
Get Directions
Maria Belen Naranjo, MD
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Maria Belen Naranjo, MD

Diabetes & Endocrinology
Locations
2609 Michelangelo Drive
Edinburg, TX 78539

(956) 362-5650
(956) 362-2574
Get Directions
101 FM 3167
Suite 106
Rio Grande City, TX 78582

(956) 362-3920
(956) 362-3929
Get Directions
505 Angelita Dr.
Suite 14
Weslaco, TX 78599

(956) 362-3720
(956) 362-3737
Get Directions
Melany Castillo, MD
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Melany Castillo, MD

Endocrinology
Locations
2609 Michelangelo Drive
Edinburg, TX 78539

(956) 362-5650
(956) 362-2574
Get Directions
2121 E. Griffin Parkway
Suite 17
Mission, TX 78572

(956) 362-5650
(956) 362-2574
Get Directions
Mohammed W. Jeraq, MD
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Mohammed W. Jeraq, MD

Endocrine Surgery
Locations
4770 Frontage Rd
Suite 305a
Brownsville, TX 78520

(956) 362-3980
(956) 362-3979
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2609 Michelangelo Drive
Edinburg, TX 78539

(956) 362-5650
(956) 362-2574
Get Directions
Surya Narayan Mulukutla, MD
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Surya Narayan Mulukutla, MD

Adult & Pediatric Endocrinology
Locations
4770 N. Expressway 77-83
Suite 303
Brownsville, TX 78526

(956) 362-3715
(956) 362-3716
Get Directions
2821 Michelangelo Drive
Suite 102B
Edinburg, TX 78539

(956) 362-5650
(956) 362-2574
Get Directions
Find the care you need

Our Locations

Edinburg

DHR Health Diabetes & Endocrinology Institute (Edinburg)
2609 Michelangelo Drive
Edinburg, TX 78539
(956) 362-5650
(956) 362-2574
Hours:

physicians
Get Directions

Mission

DHR Health Diabetes & Endocrinology Institute (Mission)
2121 E. Griffin Parkway
Suite 17
Mission, TX 78572
(956) 362-5650
(956) 362-2574
Hours:

physicians
Get Directions

Edinburg

DHR Health Diabetes & Endocrinology Institute Pediatric and Adult Clinic
2821 Michelangelo Drive
Suite 102B
Edinburg, TX 78539
(956) 362-5650
(956) 362-2574
Hours:

physicians
Get Directions

Brownsville

DHR Health Specialty Clinic (Brownsville)
4770 N. Expressway 77-83
Suite 303
Brownsville, TX 78526
(956) 362-3715
(956) 362-3716
Hours:

physicians
Get Directions

Rio Grande City

DHR Health Specialty Clinic (Rio Grande City)
101 FM 3167
Suite 106
Rio Grande City, TX 78582
(956) 362-3920
(956) 362-3929
Hours:

physicians
Get Directions

Weslaco

DHR Health Specialty Clinic (Weslaco)
505 Angelita Dr.
Suite 14
Weslaco, TX 78599
(956) 362-3720
(956) 362-3737
Hours:

physicians
Get Directions
Patient-Centered Care

What our patients are saying

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The staff and Dr. Jeraq at DHR are very knowledgeable, professional, and courteous. We appreciate the guidance and patience. If you’re considering receiving treatment, just know you are in good hands.

E. Carvajal Jun 22, 2024
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Dr. Juan Diego Palacios is a phenomenal endocrinologist specialist! Five stars all the way. From the moment I stepped into his office, I experienced excellent customer service. The wait time is impressively short, and once in consultation, Dr. Palacios not only treats but educates.

N. Borrego Mar 22, 2024
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Of all the physicians, including endocrinologists, that I have seen for my Type II diabetes over the last 30+ years, Dr. Naranjo has helped me to gain control over my blood sugars more than any other. What impresses me the most is her tenacity. She does not give up on her patients, which helped me to resume my fight against diabetes…I will forever be grateful for Dr. Naranjo’s intervention. My blood sugars are now under control thanks to the treatment protocols that she implemented.

D. Diehl Feb 22, 2024
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I was so happy with Dr. Castillo! She was knowledgeable, helpful, and did not make me feel rushed. I learned new things during my initial visit about my diabetes. I feel very confident in the care I’m getting from Dr. Castillo.

DHR Health Patient Aug 24, 2020
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Dr. Castillo is awesome. I always feel at ease with her. She is a good listener and genuinely seems to care.

DHR Health Patient Aug 19, 2020
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Dr. Palacios and his staff are amazing! They make you feel really comfortable and the doctor really takes time to get to know his patients.

DHR Health Patient Aug 19, 2020
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Wonderful experience. I am 100% happy.

DHR Health Patient Aug 19, 2020
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Walk in feeling concerned, and walk out feeling better!

DHR Health Patient Aug 19, 2020
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Dr. Surya Mulukutla is awesome! He is great with my kids and is extremely informative and friendly.

DHR Health Patient Aug 19, 2020

Videos

AskDHR • Are Diabetic Patients at an Increased Risk for COVID-19?

As we continue to learn to live with and adapt to COVID-19, it is important to gauge the risk levels associated with varying pre-existing conditions. In our latest #AskDHR video, Dr. Palacios discusses the risks of COVID-19 as it pertains to diabetes.

AskDHR • Is Diabetes Genetic?

Is diabetes genetic? Tune in to AskDHR to hear what DHR Health physician Dr. Surya Narayan Mulukutla has to say about the risk factors of Diabetes.

AskDHR • How Do I Know if I Have Diabetes?

Early intervention with diabetes is key to preventing further complications and side effects. Learn the signs and symptoms of diabetes from DHR Health endocrinologist Dr. Cordoba Kissee.

AskDHR • How Can Complications From Diabetes be Prevented?

What complications can arise from diabetes, and how can you avoid the more serious ones such as amputation? Vascular surgeon, Dr. J. Andres Gonzalez, explains in our latest AskDHR.

AskDHR • What Causes Diabetes in Kids?

This National Diabetes Awareness Month, we encourage you to take steps to improve your family's health. Pediatric Endocrinologist, Dr. Jose Gamez, reviews the main causes, symptoms, and preventive steps to be aware of when it comes to type 2 diabetes in kids.

AskDHR • Can Weight Loss Surgery Cure Diabetes?

Are you considering a gastric bypass or gastric sleeve? Many patients undergo weight loss surgery to help in the treatment of their diabetes. Learn more about the results of this procedure with our latest AskDHR with DHR Health Endocrinologist Dr. Cordoba Kissee.

AskDHR • What Happens if Diabetes is Left Untreated?

Have you been delaying treatment for your Type 2 Diabetes? Learn the risks of doing so from DHR Health Endocrinologist Dr. Cordoba Kissee in our latest AskDHR video.
DHR Health

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Our Physicians

DHR Health is majority owned by the same doctors that treat patients every single day. Choose from our wide range of specialty clinic doctors, physician-partners, and hospital staff.

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