Dr. Srinivas R. Panja, MD

Dr. Srinivas R. Panja, Endocrinologist and Diabetes Specialist

Dr. Srinivas R. Panja is a board-certified endocrinologist and internal medicine physician who treats adults with diabetes, thyroid disease, metabolic disorders, and other conditions involving the body’s hormones and endocrine glands.

His clinical interests include managing type 1 and type 2 diabetes, evaluating thyroid nodules, treating thyroid hormone disorders, and helping patients control complex metabolic conditions. He is also trained in thyroid ultrasound and fine-needle aspiration of thyroid nodules.

Patients seeking hormone-related medical care can browse additional specialists in the Doctiplus endocrinologist directory.

Doctor Information

Name: Dr. Srinivas R. Panja, MD
Specialty: Endocrinology, Diabetes and Metabolism
Additional Specialty: Internal Medicine
Board Certifications: Internal Medicine and Endocrinology, Diabetes and Metabolism
Medical School: Kurnool Medical College
Residency: Internal Medicine, Aurora Sinai Medical Center
Fellowship: Endocrinology and Metabolism, University of New Mexico
Additional Qualification: Member of the Royal College of Physicians, United Kingdom
Practice: Greater Houston Diabetes & Endocrinology Center
Hospital Affiliations: HCA Houston Healthcare Kingwood, Memorial Hermann Northeast Hospital, and Memorial Hermann The Woodlands Medical Center
Languages Spoken: English, Hindi, and Telugu
NPI Number: 1336298199
Accepting New Patients: Current availability should be confirmed directly with the practice

About Dr. Srinivas R. Panja

Dr. Panja earned his medical degree from Kurnool Medical College in India. He completed an internal medicine residency at Aurora Sinai Medical Center in Milwaukee before completing advanced fellowship training in endocrinology and metabolism at the University of New Mexico in Albuquerque.

He is board-certified in internal medicine and endocrinology, diabetes and metabolism. This combination of training allows him to evaluate endocrine conditions while also considering how they interact with a patient’s cardiovascular health, kidney function, weight, medication, and general medical history.

Dr. Panja has practised as an endocrinologist since 2005. His special clinical interests include diabetes management, metabolic disorders, thyroid disease, and thyroid nodules.

His approach treats healthcare as a partnership. Patients are encouraged to participate in decisions, understand their treatment options, and remain involved in follow-up planning.

Patients comparing experienced hormone specialists can also read about Dr. Basil O. Burney’s endocrinology care.

Endocrine Conditions Treated

The endocrine system includes glands that produce hormones controlling blood sugar, metabolism, growth, reproduction, stress response, and bone health.

Dr. Panja may evaluate and manage conditions such as:

• Type 1 diabetes
• Type 2 diabetes
• Prediabetes
• Insulin resistance
• Low blood sugar
• Thyroid nodules
• Hypothyroidism
• Hyperthyroidism
• Goitre
• Metabolic syndrome
• Osteoporosis
• Parathyroid disorders
• Adrenal gland conditions
• Pituitary gland disorders
• Abnormal calcium levels
• Lipid and cholesterol disorders
• Hormonal imbalances
• Weight-related metabolic concerns

Symptoms of endocrine disease can overlap with many other medical problems. Blood testing, imaging, medical history, and physical examination may be needed to determine the cause.

Diabetes Management

Diabetes develops when the body cannot produce enough insulin, cannot use insulin effectively, or experiences both problems. Poorly controlled blood sugar can gradually affect the heart, kidneys, eyes, nerves, and blood vessels.

Dr. Panja provides ongoing care for patients with different forms of diabetes. His services may include:

• Reviewing blood sugar patterns
• Measuring A1C levels
• Adjusting oral diabetes medication
• Starting or changing insulin treatment
• Reviewing continuous glucose monitor results
• Managing insulin pump therapy
• Identifying low blood sugar episodes
• Evaluating diabetes complications
• Discussing nutrition and physical activity
• Coordinating eye, kidney, and foot care
• Supporting diabetes management during illness

Treatment is personalised according to diabetes type, blood sugar results, lifestyle, other medical conditions, and the patient’s ability to follow the plan safely.

Patients can also compare the diabetes and metabolic services offered by Dr. Genevieve Lama.

Type 1 Diabetes Care

Type 1 diabetes occurs when the immune system damages the pancreatic cells that produce insulin. People with this condition need insulin to control their blood glucose.

Long-term management may involve:

• Multiple daily insulin injections
• Insulin pump therapy
• Continuous glucose monitoring
• Carbohydrate planning
• Exercise-related insulin adjustments
• Prevention of severe low blood sugar
• Sick-day management
• Ketone monitoring
• Regular screening for complications

Insulin needs can change because of illness, exercise, stress, food intake, sleep patterns, and other medications. Regular follow-up allows treatment to be adjusted as these factors change.

Type 2 Diabetes Care

Type 2 diabetes is often connected with insulin resistance. It may develop gradually and can remain unnoticed until blood testing identifies high glucose levels.

Treatment may include:

• Nutrition changes
• Safe physical activity
• Weight management
• Oral medication
• Injectable non-insulin medication
• Insulin therapy
• Glucose monitoring
• Blood pressure control
• Cholesterol management
• Screening for kidney, eye, and nerve complications

The most suitable medicine depends on blood sugar levels, cardiovascular risk, kidney function, weight goals, side-effect risks, insurance coverage, and existing medical conditions.

Continuous Glucose Monitoring

A continuous glucose monitor measures glucose levels throughout the day and night using a small sensor. It can show how food, exercise, medication, sleep, and illness affect blood sugar.

Dr. Panja may review continuous glucose monitoring data to assess:

• Time spent within the target glucose range
• High blood sugar patterns
• Overnight glucose changes
• Low blood sugar episodes
• Glucose changes after meals
• Response to insulin doses
• Day-to-day variation

These readings can provide more information than a single blood sugar measurement. However, the data still needs to be interpreted in the context of the patient’s medication, meals, symptoms, and routine.

Thyroid Disorder Care

The thyroid gland produces hormones that influence metabolism, body temperature, heart rate, digestion, and energy use.

Dr. Panja may evaluate and treat conditions including:

• Hypothyroidism
• Hyperthyroidism
• Hashimoto’s thyroiditis
• Graves’ disease
• Thyroid enlargement
• Thyroid nodules
• Abnormal thyroid blood tests
• Thyroid inflammation
• Medication-related thyroid changes

Possible thyroid symptoms include tiredness, weight changes, sensitivity to heat or cold, rapid heartbeat, constipation, tremor, anxiety, dry skin, and changes in menstrual cycles.

Because these symptoms can have many causes, thyroid blood testing is generally needed before treatment is recommended.

Thyroid Nodule Evaluation

A thyroid nodule is a lump or area of abnormal growth within the thyroid gland. Many nodules are non-cancerous and do not cause symptoms, but they still need proper assessment.

An evaluation may include:

• Neck examination
• Thyroid hormone blood tests
• Thyroid ultrasound
• Review of nodule size and appearance
• Assessment of swallowing or breathing symptoms
• Fine-needle aspiration when appropriate
• Follow-up imaging

Dr. Panja is certified in thyroid ultrasound procedures and fine-needle aspiration of thyroid nodules.

Fine-needle aspiration uses a thin needle to collect a small sample of cells from a thyroid nodule. The sample is examined to help determine whether monitoring, further testing, or treatment is needed.

Patients interested in additional thyroid expertise can review Dr. Panagiota Andreopoulou’s profile.

Metabolic Disorders

Metabolism describes how the body converts and uses energy. Metabolic disorders can affect blood sugar, cholesterol, weight, and cardiovascular risk.

Dr. Panja may help patients manage:

• Insulin resistance
• Metabolic syndrome
• Abnormal cholesterol levels
• High triglycerides
• Weight-related endocrine concerns
• Blood sugar changes
• Hormonal causes of metabolic symptoms

Treatment may combine medication with realistic changes to nutrition, activity, sleep, and daily routines.

The aim is not limited to changing a number on a laboratory report. Metabolic care can also lower the long-term risk of heart disease, kidney problems, and diabetes complications.

Osteoporosis and Bone Health

Hormones play an important role in maintaining strong bones. Osteoporosis causes bones to lose strength and become more likely to fracture.

Dr. Panja may assess bone health using:

• Medical and family history
• Bone-density testing
• Calcium and vitamin D levels
• Thyroid and parathyroid testing
• Medication review
• Fracture history
• Menopause or hormone history
• Kidney function testing

Treatment may include nutrition guidance, appropriate physical activity, supplements when needed, fall-prevention planning, and prescription medication.

The most appropriate treatment depends on bone density, fracture history, age, kidney function, and other individual risk factors.

Adrenal and Pituitary Conditions

The adrenal and pituitary glands produce hormones that regulate stress response, blood pressure, growth, reproduction, and several other body functions.

Possible symptoms of gland disorders can include:

• Unexplained weight changes
• Severe tiredness
• Muscle weakness
• Abnormal blood pressure
• Changes in menstrual cycles
• Reduced sexual function
• Unusual thirst or urination
• Changes in skin appearance
• Headaches or vision concerns
• Abnormal sodium or potassium levels

These symptoms do not always indicate an endocrine disorder. Diagnosis may require specialised blood tests, urine testing, imaging, or carefully timed hormone studies.

Endocrine Diagnostic Testing

Testing is selected according to the patient’s symptoms and suspected condition. It may include:

• A1C testing
• Fasting glucose testing
• Continuous glucose monitoring
• Thyroid-stimulating hormone testing
• Thyroid hormone measurement
• Thyroid antibody testing
• Thyroid ultrasound
• Fine-needle aspiration
• Calcium and vitamin D testing
• Bone-density scanning
• Cholesterol and triglyceride testing
• Adrenal hormone testing
• Pituitary hormone testing
• Kidney and liver function tests

Hormone levels can change throughout the day and may be influenced by medication, illness, sleep, and food. Some tests therefore require special preparation or a particular collection time.

Medication Management

Endocrine conditions often require continuing medication and regular laboratory monitoring.

During follow-up visits, Dr. Panja may review:

• Whether symptoms have improved
• Blood sugar or hormone test results
• Medication side effects
• Missed doses
• Possible drug interactions
• Changes in weight or activity
• Pregnancy plans
• Kidney or liver function
• Whether treatment adjustments are needed

Patients should not stop insulin, thyroid medicine, steroid replacement, or other prescribed hormone treatment without medical guidance.

Preparing for an Endocrinology Appointment

Patients can prepare by bringing:

• A current medication list
• Recent laboratory results
• Blood glucose records
• Continuous glucose monitor reports
• Insulin pump information
• Previous thyroid ultrasound reports
• Earlier biopsy results
• Bone-density reports
• A list of supplements
• Details about current symptoms
• Questions about treatment

Patients with diabetes may find it helpful to record medication doses, meal times, exercise, and episodes of high or low blood sugar.

Patients with thyroid concerns should bring earlier blood-test, imaging, or biopsy results when available.

Patient-Centered Endocrine Care

Dr. Panja’s training in internal medicine and endocrinology supports comprehensive care for patients with diabetes, thyroid disease, metabolic disorders, and other hormonal conditions.

He encourages patients to take an active role in decision-making, treatment planning, and follow-up care. This approach can be particularly helpful for endocrine conditions that require daily self-management and long-term monitoring.

Patients should confirm appointment availability, accepted insurance plans, telehealth services, and referral requirements directly with the practice.