DIABETES UPDATE. Diabetes Update
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1 Diabetes Update 2 nd April 2016 POOVAR, KERALA "Diabetes Update was held at Isola Di Cocoa at Poovar, Thiruvanthapuram, Kerala. It was organized by of Asian Society of Continuing Medical Education. The sole objective of the CME was to update the General Practitioners about Diabetes mellitus, level of morbidity and mortality due to diabetes and its associated spectrum of complications and diabetes management as the disease is now highly visible across all societies within India. The session was open with an introductory session by Asian Society of continuing Medical Education and followed by the scientific agenda. Date : 2 nd April Venue : Isola Di Cocoa, Poovar, Thiruvanthapuram, Kerala Total Participants : 48 TOPICS : 1. PPBG and its Significance in Coronary Artery Disease. 2. Relationship Between DM and CAD. 3. Diabetes and bone. 4. Diabetes Dyslipidemia: Are Indian Different? Up? 5. Management of Glycaemia in Renal Impairment. 6. Oxidative Stress.
2 SPEAKERS Dr. Anand Moses M.B.B.S, M.D., FRCP, FICP Consultant Diabetologist Dr. R. Madhavan MBBS, MD (Medicine) Director and Professor, (Retired), Institute of Diabetology, Madras Medical College and Rajiv Gandhi Govt. General Hospital, Chennai. Dr. Pravin K. Aggarwal M.B.B.S, MD (Medicine) Consultant Physician and Cardiologist Dr. T. S. Kannan M.B.B.S, MD (Internal Med) Consultant Diabetologist Dr. Vamsie Mohan MBBS, MD (Internal Medicine) Consultant Physician and Diabetologist
3 Dr. K. P. Pichumani MBBS, MD, Dip. (Diab) Managing Director & Consultant Diabetologist Dr. P. Dharmarajan MBBS, MD (Medicine), Dip. (Diab) Civil Assistant Surgeon at Tamilnadu Medical Service. Director & Professor HOD at Institute of Diabetology, Madras Medical College, Chennai. Dr. G. Vijaya Kumar M.B.B.S, Dip. (Diab.), CCDE (WHO) Consultant Diabetologist, Managing Trustee- DEAR Foundation 1. Dr. Pravin K. Agarwal discussed about PPBG and its Significance in Coronary Artery Disease. The scientific session was deliberated on: - Increasing Prevalence of Diabetes & IGT in Urban India - Insulin Resistance & Insulin Deficiency:2 strongly linked mechanisms - Glycemic Index, Glycemic Load - The Funagata Diabetes Study. - Bi - Phasic Insulin Secretion - DECODE study - Cardiovascular disease and its relationship with postprandial plasma glucose. - Factors contributing to PPG in Type 2 Diabetes. - PPH Management: Stepwise approach - Post Prandial Hyperglycemia. 2. Dr. T. S. Kannan talked about relationship between DM and CAD. The informative session was highlighted upon: - - Causes of mortality in Patients with Diabetes.
4 - Magnitude of problem in India. - Prevelence in Diabetes with CAD in India. - Indian perspective of CVD. - Emerging risk factors of CVD. - Risk factors for CAN in Indians. - Pathogenesis of CAD in DM. - Diabetic Vasculopathy. - Controlof risk factors- Obesity, Physical activity, Food fads, Control of blood pressure, Statins. 3. Dr. Vamsie Mohan discussed about Diabetes and bone. The informative session was highlighted upon: - - Diabetes and Risk of Fracture - Risk Factors For Osteoporotic Fractures In Diabetes. - Hyperglycemia, Insulin and IGF-1, Bone Turnover. - Obesity and Adipocytes in the Bone marrow. - DM and Renal Osteodystrophy. - Type 2 DM and bone quality impairment - Skeletal effects of pharmacological treatments for T2DM. - Pleotropic Functions of Osteocalcin - Uncarboxylated OC levels & Type II DM. 4. Dr. K. P. Pitchumani discussed about Glycemic Diabetes Dyslipidemia: Are Indian Different? The scientific talk was deliberated on: - - Insulin Resistance - Clinical Clues. - Dyslipidemia in DM and IRS. - Mechanisms of DM Dyslipidemia. - Vascular Protection in DM. - The A B C of Diabetes Management. - Treatment of DM Dyslipidemia. - MNT and Dyslipidemia. - Priorities for Treatment : If all lipid values are normal, LDL cholesterol lowering First priority, HDL cholesterol raising Second priority, Triglyceride lowering Third priority, Triglyceride Lowering (continued), Combined Dyslipidemia. - Anti Diabetic Drugs and Lipids - Anti HT Drugs and Lipids 5. Dr. P. Dharmarajan talked about Managemant of Glycaemia in Renal Impairment. The scientific session highlighted following: - - Aetiopathogenesis. - Hypoglycemia in DKD. - Metabolic Control in DKD. - OADS for Metabolic Control in DKD.
5 - DPP4 i vs SGLT2 i. in Renal impairment. - DM and Peritoneal Dialysis, Hemodialysis, Transplants. 6. Dr. G. Vijaya Kumar discussed about Oxidative Stress. The session deliberated upon:- - Coronary Heart Disease and Peak Glucose Levels. - Excessive Glucose Fluctuations With Same A1C Values. - Oxidative stress is also present with Glycemic Variability. - Functional Parameters that Measure the Vascular toxicity of the Post Prandial State. - Pharmacological Agents to treat PPG. - Alpha-glucosidase inhibitors.
6 SNAPSHOTS
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