Locations
Office
New York, NY
Phone
Practice website
About
Bio
In private Internal Medicine practice since 1991 specialising in general medical care with emphasis on preventive care and with a special interest and expertise in treating diabetes.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Diabetology
Languages spoken
English
Doctor Q&A
46 Answers
1 Agree
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Not necessarily: Often type ii patients who require Insulin will need larger doses than in type i diabetes. This is because of a tendency to Insulin resistance and ob... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
It's possible: Thirst can be caused by many things including uncontrollled diabetes. Typically in uncontrolled diabetes there will also be excessive urination with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
It's possible: A common presentaton with new diabetes is excessive urination with excessive thirst. Simple blood work will give you the answer.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Depends: If you are known to be diabetic then you should be seeing an ophthalmologist yearly (sooner for problems). If you are not currently known to be diabet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
It's not the sugar: Ketosis happens when you metabolize fat as your body's main source of energy. It happens to all of us if we fast. Ketosis is a particular problem for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
1 comment
A 34-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
No: Microalbuminuria represents the spillage of Albumin into the urine in small amounts. Albumin is the most prevalent protein in the blood and is made i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Typically, no.: Once the thyroid makes too little thyroid hormone it typically does not regain normal function on its own. Under active thyroid is treated by taking t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Glucose value: Normal blood glucose is in the neighborhood of 100 mg/dl. When it is higher one is hyperglycemic. When it is lower one is hypoglycemic. A blood sugar ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Sure: Repaglinide and other short-acting secretagogues (stimulate the pancreas to secrete insulin) are most helpful to control the rise in blood sugar that ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Depends: The most common drug that we use for Insulin resistance is metformin. For various reasons that is often held during hospitalizations. If one is on aco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes: Caduet contains two medications, amlodipine for hypertension and Atorvastatin for elevated cholesterol. Both of these are common problems in diabetic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
GI side-effects: The single most common side effect of Byetta is nausea and occurs in most people when they start therapy. Typically it goes away over time. It is best... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Diabetes and others: Being obese at any age puts you at higher risk of developing diabetes and hypertension and of having an undesirable cholesterol pattern. The big worry... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Needs evaluation: Urinating more fequently could be due to a lot of causes including but not limited to urinary tract infection, bladder spasm, diabetes or even drinkin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Weight control: Insulin resistance varies with your weight and with other factors such as the amount of physiologic stress at any one time (infections, trauma, surger... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Sugars ands carbs: The best treatment for hypoglycemia for diabetics is glucose tablets.They are easy to take and quantitate. Other options are drinks that contain simpl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Helps yeast grow.: High blood sugars are often associated with yeast infections especially in the mouth (thrush) or on the skin (particularly in skin folds such as the a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes, typically.: You should be able to find strips for your glucose monitor assuming that it is a current meter (still being manufactured). Most pharmacies carry a var... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Generally safe.: Onglyza (saxagliptin) is not associated with cancer. There are reports of pancreatitis with Onglyza (saxagliptin) and the other dpp-4 inhibitors but ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
It might be: Numbness in the hands and feet might be seen in longstanding diabetes, particularly diabetes that is not well-controlled. Other conditions may cause n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes: A morning fasting value of greater than 126 will indicated diabetes as well as any random blood sugar of 200 or more. Both of these readings should b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
No: Hga1c is a blood test only. The only useful urine test in this setting is to look for the presence of glucose. Glucose is only seen in the urine if ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
It's a quick process: There are many commercially available blood glucose meters on the market.Get one at your local pharmacy.Read the directions. Most have a spring-loade... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Calorie restricted: The key to Insulin resistance is to attain (or maintain) a lean body habitus. There is no special diet for people with Insulin resistance but they sho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Absolutely not!: There is no rationale for taking metformin or Onglyza (saxagliptin) in that fashion and taking such large amounts all at once may lead to toxic side-e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Absolutely: There are many aspects of diabetes that need to be followed by a professional. Among these are the control of the blood sugar as well as blood pressu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
I don't think so: To my knowledge there are no commercially available kits for home measurement of Insulin allergy or resistance.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Three main reasons: Diabetes accelerates the process of atherosclerosis which may lead to decreased blood flow into the legs. Normal blood flow is needed to bring oxygen ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes: Prediabetes put you at high risk of developing diabetes. To prevent that from happening you need to maintain (or attain) a normal body habitus. That ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Diabetes control.: These two medications control glucose levels in diabetics by complementary mechanisms. Metformin works as an Insulin sensitizer, especially in the liv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 19-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
About 100 mg/dL: Blood gloucester is normally maintained near 100 mg/dl. It may be somewhat lower in the fasting state or after exercise and a little higher after meal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Avoid sweets/starch: As a diabetic your father has difficulty clearing sugar from his blood. Simple sugars such as table sugar and the sugar in milk, fruits etc. Will rai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes: After eating your blood sugar is considered to be abnormal if it is more than 140. 162 does not meet the definition of diabetes after eating but it s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
There are many.: Acute effects of hyperglycemia can be fatigue, blurred vision, excessive urination and thirst. Over time one may lose weight abnormally. Long term h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Improve blood sugar: The way to improve your hga1c is to improve your average blood sugar. Work to keep your fasting blood sugars near normal and watch your diet carefull... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Endocrine disorder: Type ii diabetes is an endocrine disorder in which there is inadequate Insulin in the bloodstream to maintain blood glucose (sugar) at a normal level.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Better than non-diet: If it is your habit to drink non-diet soda then the diet variety is clearly better. Non-diet soda typically has high amounts of sugar that leads to u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes: Yes you can lose weight even if you are hypothyroid. The first thing to do is to take the appropriate amount of thyroid hormone so that your metaboli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
That's complicated: There are many possible alternatives. Which one is chosen depends on many factors including how long one has had diabetes, how well it is currently co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes: Your fingerstick glucose value will be affected by when and what you last ate. If you check your blood sugar in the morning with nothing to eat since... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 26-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Yes: Any physiological stress can raise your blood sugar. That would include infections, trauma, burns, surgery, acute events such as heart attacks and st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Blood tests: Typically all that is needed to diagnose hypothyroidism is simple blood tests. Generally that means testing for the amount of thyroid hormone in the b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Seek help: Foot infections in diabetics are potentially dangerous. They need to be assessed face to face (face to foot?). Might be a good opportunity to have a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Ineffective insulin: Insulin is very stable at a range of temperatures from refrigerator temps to body temperature. It will denature if heated (don't leave on the dash whi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
That depends: How an overdose of Insulin will effect you depends on many factors. Short-acting Insulin starts to work in 15 minutes. Long-acting varieties like Lan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Richard Scofieldanswered
Diabetology 35 years experience
Not necessarily: Diabetes is nearly unique among diseases in that an individual's outcome is mostly dependent on how motivated and disciplined they are about treating ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
223
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Scofield is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Scofield is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you so much for getting back to me. God bless you.
HealthTap member
This saved my life. Thank You! This has happened to me great to no what happened
HealthTap member
Thank you, your answer was very helpful! Thank you Dr. Richard
Education & Training
Medical/Graduate school
Case Western Reserve University School of Medicine, OH
MD
Affiliations
New York-Presbyterian Medical Center
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less