Dr. Nadeem Aslam – Endocrinologist | Etobicoke, ON

Dr. Nadeem Aslam, a Endocrinologist (Diabetes & Metabolism Focus), provides expert care for adult patients, and may also see older adolescents for certain endocrine conditions. With conditions related to Diabetes & Metabolism, he practices at an endocrinology clinic within a hospital department in Etobicoke, ON. He is a dedicated member of the local medical community, practicing in accordance with the standards set by the College of Physicians and Surgeons of Ontario (CPSO). His role centers on the comprehensive management of hormonal and metabolic health, focusing on the diagnosis, treatment, and ongoing care of conditions such as diabetes, thyroid disorders, and lipid abnormalities.

Dr. Aslam graduated with a Medical Degree from Allama Iqbal Medical College in Pakistan. He has over 12 years of experience practicing as an Endocrinologist (Diabetes & Metabolism Focus) since 2012. He is recognized as a CPSO Recognized Specialist by the College of Physicians and Surgeons of Ontario (CPSO), ensuring adherence to the highest standards of medical practice and patient safety.

His clinical philosophy is rooted in a commitment to evidence-based hormonal and metabolic care, emphasizing early and accurate diagnosis, patient education, and personalized treatment plans aimed at long-term well-being. Dr. Aslam is dedicated to serving his patients in Etobicoke with compassion and professionalism. He also speaks Panjabi/Punjabi and Urdu in addition to English, facilitating effective communication with a diverse patient population.

Dr. Nadeem Aslam diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Diabetes & Related Metabolic Disorders

• Dyslipidemia (High Cholesterol, High Triglycerides, Low HDL): Abnormal levels of lipids (fats) in the blood, including elevated LDL ('bad') cholesterol, high triglycerides, or low HDL ('good') cholesterol, significantly increasing cardiovascular disease risk.
• Gestational Diabetes Mellitus (GDM): Diabetes diagnosed during pregnancy that was not clearly overt diabetes prior to gestation, requiring careful management to ensure healthy outcomes for both mother and baby.
• Monogenic Forms of Diabetes (e.g., MODY, Neonatal Diabetes): Rare types of diabetes caused by mutations in a single gene, differing from the more common Type 1 and Type 2 diabetes in presentation and management.

Bone Health & Mineral Metabolism Disorders

• Osteoporosis (Postmenopausal, Senile, Glucocorticoid-Induced): A progressive bone disease characterized by decreased bone mass and density, leading to an increased risk of fractures, particularly of the hip, spine, and wrist.
• Vitamin D Deficiency and Insufficiency: Inadequate levels of vitamin D, which is essential for calcium absorption and bone mineralization, leading to potential bone pain, muscle weakness, and increased fracture risk.
• Rickets & Osteomalacia: Conditions characterized by softening and weakening of bones, typically due to severe and prolonged vitamin D deficiency. Rickets occurs in children, leading to skeletal deformities, while osteomalacia occurs in adults.

Thyroid & Parathyroid Gland Disorders

• Thyroid Cancer (Differentiated - Papillary, Follicular; Medullary - follow-up care): Malignant tumors of the thyroid gland. Endocrinologists are involved in post-operative management, hormone suppression, and long-term surveillance.
• Hypoparathyroidism: A rare condition in which the parathyroid glands produce too little PTH, resulting in low blood calcium levels (hypocalcemia) and high phosphorus levels.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Nadeem Aslam.

• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.
• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Aslam for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Nadeem Aslam practices at an endocrinology clinic located in an accessible area near central Etobicoke. The facility is situated close to local points of interest, with convenient access via local public transit options. The clinic is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located nearby, providing flexible transportation choices for patients visiting from various parts of Etobicoke and surrounding neighborhoods.

Are consultations, hormone tests, and treatments with Dr. Aslam, an Endocrinologist (Diabetes & Metabolism Focus), covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Aslam, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Aslam's office, the hospital/clinic, or Ontario Health Insurance Plan (OHIP) directly.

Is a referral required to see Dr. Aslam, an Endocrinologist (Diabetes & Metabolism Focus)?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Endocrinologist (Diabetes & Metabolism Focus) such as Dr. Aslam. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

Dr. Aslam mentioned 'dynamic endocrine testing'. What does that mean?

Dynamic endocrine testing involves tests that assess how your endocrine glands respond when stimulated or suppressed by specific substances. Unlike simple blood tests that measure baseline hormone levels, these tests evaluate the gland's functional reserve or its responsiveness to normal control mechanisms. For example, an ACTH stimulation test checks how well your adrenal glands produce cortisol when stimulated. A dexamethasone suppression test helps diagnose Cushing's syndrome by seeing if cortisol production can be suppressed. An oral glucose tolerance test can be used to diagnose diabetes or acromegaly. These tests usually involve taking a baseline blood sample, then administering a medication or substance, followed by one or more timed blood samples to measure hormone changes. Dr. Aslam uses these tests for more precise diagnosis of certain complex endocrine conditions.

What types of diagnostic tests are commonly used by an Endocrinologist (Diabetes & Metabolism Focus) like Dr. Aslam?

An Endocrinologist (Diabetes & Metabolism Focus) like Dr. Aslam utilizes a variety of tests to diagnose endocrine disorders. Blood tests are fundamental for measuring levels of specific hormones (e.g., TSH, free T4, cortisol, ACTH, testosterone, estrogen, LH, FSH, insulin, HbA1c, prolactin, PTH, calcium, vitamin D). He often orders dynamic endocrine function tests, where hormone levels are measured after administering a stimulating or suppressing agent (e.g., ACTH stimulation test for adrenal function, oral glucose tolerance test for diabetes/acromegaly, dexamethasone suppression test for Cushing's). Imaging studies like thyroid ultrasounds, CT scans, or MRIs of the pituitary or adrenal glands are common. Bone mineral density (DXA) scans assess for osteoporosis. For thyroid nodules, a fine-needle aspiration (FNA) biopsy might be performed or arranged.

How does Dr. Aslam typically approach managing diabetes (Type 1 or Type 2)?

Dr. Aslam's approach to diabetes management is comprehensive and individualized. For Type 1 diabetes, the focus is on intensive insulin therapy (using multiple daily injections or an insulin pump), continuous glucose monitoring (CGM), carbohydrate counting, and education on managing blood sugar fluctuations and preventing hypoglycemia. For Type 2 diabetes, management often starts with lifestyle modifications (diet, exercise, weight loss), followed by oral medications if needed. Newer injectable medications (like GLP-1 receptor agonists or SGLT2 inhibitors) or insulin may be added as the disease progresses or if blood sugar targets aren't met. In both types, a key goal is to achieve optimal glycemic control (measured by HbA1c and glucose monitoring) while minimizing side effects and preventing long-term complications affecting the eyes, kidneys, nerves, and cardiovascular system. This often involves a multidisciplinary team approach.

What is Hormone Replacement Therapy (HRT) and when might Dr. Aslam recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Aslam might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Aslam will discuss thoroughly.

Unit 104, 1723 Kipling Avenue
Etobicoke, ON M9R 4E1

Phone: (416) 645-1035 | Fax: (416) 645-1036

The facility is wheelchair accessible.

Dr. Aslam is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Aslam for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Aslam-Nadeem/0282821-99654