Personalized care for diabetes and endocrine disorders.

At CED, we have you covered

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Highly rated by our patients

Specialized team focused on diabetes, endocrine, and thyroid disorders

15+ years of medical experience

Broad range of medical services to cover your needs

Customized treatment options for patients

We are happy to take your questions

Send us an email or give us a call

We serve the Greater Austin area

Including residents of Austin, Burnet, Cedar Park, Georgetown, Leander, Liberty Hill, Marble Falls, and Round Rock

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At Capital Endocrine & Diabetes, our mission is to partner with patients with the goal of achieving best possible health outcomes through a personalized approach.

- Dr. Venkatesh Segu, MD, FACE, ECNU

Medical Director & Founder

Specialized, professional care in a family friendly environment

Medical Expertise + You

Endocrine and Thyroid disorders are tough. That is why we leverage 15+ years of medical experience to design achievable treatment plans with you in mind

Hospitable Clinic & Staff

Our brand new office offers convenient space, complementary Wi-Fi, and a friendly staff to make your visit as stress-free as possible

Thorough Symptom Analysis

We administer a wide suite of modern tests, including laboratory panels, biopsy, ultrasound, radiology, continuous glucose monitoring, and sleep analysis to give you the best medical advice

Thyroid Services

We offer a comprehensive platform to treat thyroid disorders

Diseases we treat include:

  • Hyperthyroidism (including Graves’ disease, Thyroiditis)
  • Hypothyroidism (including Hashimoto’s Thyroiditis)
  • Thyroid nodules, goiter
  • Thyroid cancer

Potential treament strategies we offer:

  • Medical management
  • Radiactive treatment
  • Iodine treatment
  • Surgical referral
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Diabetes Services

Best in class diabetes treatment programs tailored to your goals and needs

Diseases we treat include:

  • Type 2 Diabetes
  • Type 1 Diabetes
  • Secondary Diabetes
  • Gestational Diabetes

Potential treament strategies we offer:

  • Oral medication
  • Injectables including insulin
  • Insulin pump therapy
  • Continuous glucose monitoring
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Endocrine Services

Our internal medicine services are robust and span a variety of medical conditions

Diseases we treat include:

  • Pituitary tumors (including acromegaly, prolactinoma)
  • Adrenal disorders (including Addison’s disease, adrenal nodules, pheo)
  • Polycystic ovary syndrome (PCOS)
  • Male testosterone deficiency (hypogonadism)

Potential treament strategies we offer:

  • Medication
  • Hormone replacements
  • Surgical referral for certain tumors
  • Radiation treatment
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Metabolic Bone Disorder Services

We also treat a variety of bone health disorders

Diseases we treat include:

  • Osteporosis
  • Vitamin D deficiency
  • Osteomalacia

Potential treament strategies we offer:

  • Oral medications
  • Injectables
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Obesity & Weight Disorders

We help you manage weight related disorders through several treatments

We evaluate for the following secondary causes:

  • Hypothyroidism
  • Cushing’s Syndrome
  • Polycystic Ovary Syndrome
  • Other Related Disorders

Potential treament strategies we offer:

  • Nutritional Guidance
  • FDA-approved weight loss medicines. Over the past 5 years, four medications have been approved for chronic weight management by the FDA: Qsymia, Belviq, Contrave and Saxenda
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See what our patients say

We always appreciate feedback! Post your patient experience at the below sites:

I have had the privilege of being ushered through a significant life event by Dr. Segu and his staff -- they have provided exceptional care. It is obvious that Dr. Segu is devoted to his patients and his practice. Most importantly, he is honest and straightforward when it is needed the most.

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- Justin Gigliotti, August 2016

THANK YOU so much Dr Segu and staff for taking care of me! if you are looking for a doctor for your specific needs, please go to dr segu!!!! he is by far one of the best doctors I've ever had. we all know something like this can be scary or intimidating... he went over everything from start to finish and made me feel at ease. you don't feel like just a "patient" with dr segu. HIGHLY recommend their office!!

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- Liz Olson, May 2016

Dr. Segu's professionalism and outstanding medical care have been a constant with each of my appointments for over a year now. His office staff always great me with a smile and handle all of my appointment and prescription needs quickly and efficiently.

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- Maureen Sinibaldi, May 2016

I would recommend Dr.Segu to anyone searching for answers about their health. I have been extremely satisfied with my treatment. Dr. Segu is very thorough with his diagnosing, and communicates with you and explains everything! I finally found a Dr. who listens to me and truly cares! The staff also follows up very quickly when you have questions. I travel over an hour and a half to see him, and he is worth the drive!

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- Lisa Meadows, April 2016

I highly recommend Dr. Segu. He is knowledgable, caring, gentle, and really listens to his patients' needs. The CED staff is helpful and easy to work with, and responsive on the phone.

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- Sharanya Rao, February 2016

The office staff is amazing! The ladies are very helpful (dealing with my insurance) and friendly every time. Dr. Segu is also very approachable and knowledgeable. I would recommend Capital Endocrine & Diabetes for anyone looking for a great doctor and staff.

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- Bethany Nystrom, January 2016

He takes the time to truly explain what is actually going on, whether it's test results on questions you have he has answered all of mine, and made my life much better.

- Russell Teague

Dr.Segu is an extremely nice man. He is very thorough in his explanation of medication labs and plan for care. I have never had an endo that I liked so well.

- Letha Weckler

Dr.Segu is great, very friendly staff and professional. If there were concerns with my lab, he called immediately instead of waiting till my appointment to inform me.

- Alice Andrews

Thorough Professional, extremely helpful together we discussed and developed a plan to take my AIC from 12.2 to 6.3 in 3 Months. I am very pleased.

- Mark Neuman

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Dr. Venkatesh Segu

Medical Director & Founder

MD, FACE, ECNU

Dr. Venkatesh Segu has over 15 years of clinical experience in Endocrinology, Diabetes, and Internal Medicine. He has been formally trained in both the U.S. and India and has actively contributed to a variety of research publications. He is passionate about dedicating time to patients so they can get the best medical care possible.

Dr. Segu is happily married, and has a son, daughter, puppy and parrot. He also enjoys watching basketball, football, and tennis.

  • Board Certification in Endocrinology, Internal Medicine, and Metabolism
  • 15+ years of clinical practice in Texas, Indiana, and Utah
  • Research Fellowship at the Pacific Northwest Research Institute
  • Senior Endocrine Fellowship at the University of Washington Medical School
  • Endocrine Fellowship at the University of Wisconsin
  • Thyroid Ultrasound and Biopsy Certification by the American College of Endocrinology

Member of the Texas Medical Association

Member of the Endocrine Society

Member of the American Diabetes Association

Fellow of the American Association of Clincial Endocrinology

Endocrine Certified in Neck Ultrasound Procedures

Member of the Endocrine Society of India

Member of the American Association of Physicians of India

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Adrienne Chagoly

Nurse Practitioner

MSN, RN, ACNS-BC, CDE

Adrienne Chagoly is a board certified Adult Clinical Nurse Specialist in Endocrinology and a Certified Diabetes Educator with 12 years of experience. Prior to joining CED, she worked for an insulin pump company and has extensive knowledge in pump therapy and continuous glucose monitors. She strives to partner with her patients to individualize their care and provide them with the knowledge and tools to successfully live healthy lives.

She grew up in the beautiful Texas Hill Country and now lives in Austin with her husband, son and daughter. She loves attending her children’s various sporting events, running, and taking her two miniature longhaired dachshunds for walks.

  • Board Certification as a Adult Clinical Nurse Specialist
  • Certified Diabetes Educator
  • MS in Nursing from University of Texas School of Nursing
  • BS in Biomedical Science from Texas A&M University

Member of the American Diabetes Association

Member of the American Association of Diabetes Instructors

Member of the Texas Clinical Nurse Specialists

We are near Cedar Park Regional Medical Center, just off TX-183A and Hwy 1431

1603 Medical Pkwy, Suite #330

Cedar Park, TX 78613

  • Take the RM 1431 exit from 183 Toll Road
  • Drive east towards Parmar Lane
  • Turn Left on Cottonwood Creek Trail
  • Turn right on Medical Pkwy
  • Our office is just behind Holiday Inn Express and Candlewood Suites

Come visit our spacious, new office

General Office Hours

Monday: 8:30 am - 12:30pm
Tuesday: 8:30 am - 12:30pm 1:30pm - 5:00pm
Wednesday: 8:30 am - 12:30pm 1:30pm - 5:00pm
Thursday: 8:30 am - 12:30pm 1:30pm - 5:00pm
Friday: 8:30 am - 12:30pm 1:30pm - 5:00pm
  • 1st Saturday of every month (New Patients Only)
  • 9:00 am - 12:00 pm

Resources for our patients

Download Our Patient Forms

  • Save time by downloading and completing the appropriate form below prior to your appointment

View Our Patient Policies

  • See what insurance providers are in our network
  • Please review our appointment policy before you visit

Diabetes Mellitus

According to the Centers of Disease Control more than 29 million US adults have diabetes, and 25% of them don’t know it. About 86 million US adults— more than a third—have prediabetes, and and 90% of them don’t know it *. The prevalence of diabetes has increased tremendously over the years and if current trends were to continue it is estimated that 1 in 3 US adults would have diabetes by 2050.

What is Diabetes?

Diabetes is a chronic health condition and has been associated with variety of long-term complications including damage to the eyes (retinopathy), kidneys (nephropathy), nerves (neuropathy) besides higher incidence of heart disease, strokes and disease of the peripheral vascular system. One of the major goals of treatment for this condition is to reduce the risk of these complications. There are two major types of diabetes.

Type 1 Diabetes

Type 1 diabetes accounts for ~5% of all cases of diabetes. This condition results from the destruction of insulin-producing beta cells in the pancreas by the patient's immune system. Insulin is the main treatment for type 1 diabetes, and this can be accomplished by injections, inhaled insulin or an insulin pump. Fortunately, insulin treatment is more flexible and user-friendly than ever before due to advancements in medical science and technology.

Type 2 Diabetes

Type 2 diabetes accounts for ~90-95% of all cases of diabetes. This condition results from a combination of insulin resistance, relative insulin deficiency, and additional defects in metabolic pathways. Type 2 diabetes is closely associated with other metabolic disorders such as obesity, abnormal lipids and high blood pressure. Sedentary lifestyle and unhealthy eating habits also contribute to this type of diabetes. It can be diagnosed fairly easily via standardized blood glucose testing. Early on, this condition typically responds to a combination of diet, exercise and pills. As the condition progresses, patients usually require injectables including insulin. Several new medication classes are now available to manage this condition.

* Working to Reverse the US Epidemic, CDC 2016

Thyroid Disorders

An estimated 15 million people in this country are suffering from some type of thyroid disorder that has yet to be properly diagnosed. An additional 15 million have been diagnosed and treated.

Thyroid Nodules

Thyroid nodules are a common clinical finding, with an estimated prevalence on the basis of palpation that ranges from 3% to 7%. The prevalence of clinically inapparent thyroid nodules is estimated with US at 20% to 76% in the general population, with prevalence similar to that reported from autopsy data. Moreover, 20% to 48% of patients with one palpable thyroid nodule are found to have additional nodules on ultrasound investigation *. One of the important services that an endocrinologist could offer is a needle biopsy of these nodules to help distinguish between benign nodules from cancerous ones. Benign nodules are often followed over time unless they cause local pressure symptoms or lead to hyperthyroidism. Cancerous nodules are referred to a thyroid surgeon for surgical removal.

Other Thyroid Disorders

Some of other thyroid disorders which are common in the population include disorders of thyroid function- hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid) and thyroiditis (thyroid inflammation) and disorders of thyroid structure- goiter (thyroid enlargement). Many of these are occur at a higher frequency in women than in men. An endocrinologist/thyroid specialist can evaluate for signs and symptoms of these disorders and order appropriate blood tests and scans to diagnose these conditions. Following this, a patient-specific treatment plan can be developed by the endocrinologist.

* AACE/AME/ETA Thyroid Nodule guidelines, Endocr Pract. 2010;16(Suppl 1).

Continuous Glucose Monitoring

Overview

One of the main goals of treating a patient with diabetes is to control blood sugar levels. It would be ideal to return patients’ 24- hour blood sugar profile towards normal healthy pattern seen in non-diabetic subjects. Technological advances have allowed physicians and patients to view these patterns continuously using Continuous Glucose Sensors. Broadly there are two applications of continuous glucose sensors. Sensors for professional use are used on patients by endocrinologists/diabetologists as a test to analyze glucose patterns and plan appropriate treatment modifications. On the other hand, continuous glucose sensors are available for ongoing patient use to enable patients to follow their glucose patterns in real-time. Alarms and notifications are made possible so patients can take appropriate corrective measures in anticipation.

Example of a patient with a healthy blood sugar profile

Example of a patient with an unhealthy blood sugar profile

Insulin Pumps

Osteoporosis

Overview

The word “Osteoporosis” literally means “porous bones”. It is a metabolic disorder of bones resulting in progressive weakening and increased likelihood of breaking bones (fractures). It is estimated that about 54 million Americans have this condition. Up to one in two women and one in four men 50 years or older will break a bone in their lifetimes due to osteoporosis. Fractures from osteoporosis most often occur in the hip, spine (vertebral column) or wrists but other bones may break too. Pain, disability, immobility, loss of height are some of the known sequelae of fractures. Sadly, one in five senior citizens who break a hip die within a year (from complications related to fracture or from surgery done to repair the fracture).

Diagnosis

Bone mineral density test is widely used to evaluate for bone quality. It is used as a screening tool as well as a test to monitor for serial changes with treatment interventions. An endocrinologist can evaluate for potential secondary causes of osteoporosis and offer specific medications to help reduce risk of future fractures and improve bone density.

Obesity

Prevalance

The prevalence of obesity is increasing at an alarming pace across the world. The World Health Organization (WHO) predicts that by the year 2015 there will be 2.3 million adults worldwide who will be overweight and more than 700 million will be obese. In the US, obesity has doubled in its prevalence in adults aged 20-74 between 1980 and 2010. Presently about 35% of US adults are estimated to be obese and another third overweight.

Obesity as Chronic Disease

For a long time obesity was not considered by medical community as a significant medical condition. It is now considered as a disease by NIH (National Institutes of Health), WHO, FDA (Food and Drug Administration), AMA (American Medical Association), The Obesity Society (TOS), American Association of Clinical Endocrinology (AACE), Endocrine Society, American College of Cardiology and several other medical societies and associations.

Associated Health Problems

Obesity has been associated with over 25 medical conditions. In other words obesity increases risk of developing other health problems such as type 2 diabetes, hypertension (high blood pressure), dyslipidemia (abnormal cholesterol panel), heart disease, degenerative arthritis (osteoarthritis), sleep apnea, gall bladder disease, acid reflux, infertility, fatty liver, breast cancer, colon cancer, prostate cancer, polycystic ovary syndrome etc.

Excess body weight may sometimes be due to another medical condition such as Cushing’s syndrome, hypothyroidism (underactive thyroid), lipodystrophies etc.

Benefits of Weight Loss

Even modest weight loss of 3-5% in these individuals has been shown to provide various metabolic benefits including lowering of blood sugars, blood pressure and improvement in cholesterol panel. Other potential benefits include improvements in sleep apnea, sexual function, mobility, mood etc.

The American Heart Association, American College of Cardiology, and The Obesity Society all recommend that lifestyle modifications (dietary changes and increasing physical activity) as the backbone of treatment for obesity *. For those needing additional help, today there are medication options and surgical options that are FDA approved.

* Jensen MD et al. Circulation 2014. 129(25 Suppl. 2): S102-S138

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