Day 2 :
Keynote Forum
Huang Wei Ling
Medical Acupuncture and Pain Management Clinic, Brazil
Keynote: Why are diabetic patients still having hyperglycemia despite diet regulation, antiglicemic medication and insulin?
Time : 10:00-11:00
Biography:
Huang Wei Ling has graduated in Medicine, specializing in infectious and parasitic diseases. She is a General Practitioner, Parenteral and Enteral Medical Nutrition Therapist. She is the owner of the Medical Acupuncture and Pain Management Clinic and since 1997 has been presenting her work worldwide concerning the treatment of various diseases, using techniques based on several medical traditions around the world.
Abstract:
Diabetes and the complications related to it were responsible for 8.8% of deaths worldwide in 2017. Many of those deaths could be avoided. Western medicine manages the disease with lifestyle changes and medication. The aim of this work is to demonstrate how in traditional chinese medicine, all diseases are associated with the Yin and Yang imbalance, including diabetes. Although western medicine and traditional chinese medicine (TCM) share the diabetes treatment goals of reducing symptoms and preventing complications, their approaches to conceptualizing, diagnosing and treating the disease are very different. The methods used were two case reports and bibliographic researches of traditional chinese medicine medical literature and Five Elements Theory, on the pathophysiology of energy imbalances in diabetes. Those imbalances lead to the manifestation of diabetes clinical symptoms. The treatment results, when looking from energy point of view, treats the individual as a whole, not treating the disease but the patient, as recommends Hippocrates, the father of Medicine. The results are excellent, because knowing how to rebalance this energies, prevention is more effective, based on internal (emotional) factors, dietary factors, and external (climatic) factors. Concluding, when looking at patients as a whole, from the point of view of Yin and Yang energy and five elements theory, we can analyze aspects of the diet normally recommended and the use of hypoglycemic medication and/or insulin, and have greater balance of hyperglycemic diabetic patients, treating them according to the energy point of view with dietary recommendation, acupuncture, etc.
- Diabetes in Healthcare| Diabetes and Immunology | Diabetes and Treatment
Location: Helsinki, Finland
Session Introduction
Ashish S. Dengra
Mahi Diabetes Thyroid Care and Research Center, India
Title: Does all juvenile & young diabetics requires insulin? Let’s talk about it. A case based work shop
Biography:
Ashish S Dengra is trained in Diabetologist from All India institute of Diabetes, S.L. Raheja Hospital Mumbai. He has done his Preceptorship course in Diabetology (Italy), Diploma in Diabetes, Cardiff University (UK), PG Course in Diabetes, Boston University, Advanced Certificate Course in Diabetes, Cleveland Clinic and Certificate Course in Diabetes Foot. He has published various papers in peer reviewed journals including original articles. His current area of interest in research includes GDM, Young DM. He has received diabetes awareness award at RSSDI 2014.
Abstract:
Diabetes is a long-term condition that can have a major impact on the life of a child or young person, as well as their family or careers. In addition to insulin therapy, diabetes management should include education, support and access to
psychological services. Young patient can have different diagnosis of diabetes and their management must be individualized. Five young patients with five different types of diabetes: Nine-year-old boy, FPG: 208, PPPG: 342, HbA1c: 10.1% -> Type 1 DM Twelve-year-old girl, FPG: 196, PPPG: 320, HbA1c: 9.8% -> Type 2 DM Fifteen-year-old girl, FPG: 205, PPPG: 321, HbA1c: 9.9% -> MODY Twenty year old man, FPG: 234, PPPG: 398, HbA1c: 10.2 % -> FCPD, Twenty two year man, FPG: 202, PPPG: 320, HbA1c: 9.9% -> LADA. A case based discussion on Juvenile and young diabetes and their management.
Reza Shoghli
Azad University of Tehran Ceantral Branch, Iran
Title: Association of hemoglobin HbA1c with in-Hospital mortality following valvular heart surgery
Biography:
Reza Shoghli has completed his Master Degree in Biology–Biochemistry trends in September 2018 and he has been working in Tehran Heart Center Hospital ofIran in laboratory for the last 17 years.
Abstract:
Background: We aimed to determine the association between the level of HbA1c and in-Hospital mortality in patients who underwent valvular heart surgery in our center in a retrospective cohort.
Methods: In this retrospective cohort study, patients with type 2 diabetes mellitus who were referred to our center for elective valvular surgery were enrolled and followed up. The endpoint of this study was in-Hospital mortality. Based on the level of HbA1c, patients were dichotomized around a level of 7% into two groups: Exposed patients with HbA1c≥7% and unexposed patients with HbA1c<7%. Then, the study variables were compared between the two groups.
Results: 224 diabetic patients who were candidate for valvular surgery were enrolled. 106 patients (47.3%) had HbA1c<7% and 118 patients (52.6%) had HbA1c≥7%. There was no significant difference between the groups in demographic and clinical characteristics. 13 (5.8%) cases died during Hospital admission which 9 cases were in the high HbA1c group. Both the unadjusted and adjusted logistic regression models showed that HbA1c was not a predictor for in-Hospital mortality
Conclusion: This study showed no association between preoperative HbA1c levels and in-Hospital mortality in the candidates for valvular heart surgery.