Day 2 :
Keynote Forum
Rohit Kumar
Medeor 24x7 Hospital Dubai, United Arab Emirates
Keynote: Bariatric surgery - Current perspective and types of procedures
Biography:
Rohit Kumar is Medical Director & Head of Surgery at Medeor 24x7 Hospital Dubai, United Arab Emirates. He completed his FIASGO Field of Study Fellowship - International Association of Surgical Gastroenterology & Oncology from Athens Medical Center, Greece And FHBPS Field Of Study Hepato-biliary & Pancreatic Surgery from Chiba Medical University, Japan. His skills and endorsements are in the fields of Laparoscopic Surgery and Healthcare management.
Abstract:
Obesity is a serious problem giving health related issues to people on almost daily basis. A number of people who go through the bariatric surgery to remove the excess pounds solely do it for some health issues that they have been experiencing including uncontrolled diabetes, hypertension, polycystic ovarian disease, thyroid related problems etc. Never the less few also opt for the procedure when diet and exercise alone have not helped them to achieve the expected results. Over a period of 8years we have performed over 250 bariatric procedures. There is a wide range of procedures commonest being gastric bypass and sleeve gastrectomy however which one fits whom varies from patient to patient. Without a doubt bariatric surgery has many advantages. It is as safe as any other procedure and can be done via keyhole minimally invasive approach. Our experience has been great where patients have lost weight without being malnourished or getting underweight. Maximum weight loss happens over a period of 6 months with more pounds being shed over a period of two years. Obese patients are given a new life with improved health with bariatric surgery.
Break: Networking and Refreshments Break@11:00-11:15
- Diabetes and Obesity
Location: Abu Dhabi, UAE
Session Introduction
Eman Ibrahim Anwar
Alexandria University, Egypt
Title: Pharmacological aspects of ketogenic diet
Biography:
Eman I. Anwar is a Lecturer in Clinical Pharmacology at Alexandria Faculty of Medicine, Egypt, college female section. completed her Master degree Medical Basic Science in Pharmacology general grade Excellent, 2011 and Doctor degree in Clinical Pharmacology with GPA score: 3.642, August 2016. She is Pharmacovigilance & drug counseling center advisor at university hospital clinics Since June 2015 and Egyptian Association of Medical Basic Sciences (EAMBS) member since 2009. Her research interest is on Experimental pharmacology in oncology, endocrinology, Pharmacovigilance, Medical education and E-learning.
Abstract:
The concept of restricting dietary fat intake for body weight reduction is changed since 1920. When multidrug resistant epileptic patients used ketogenic diet as a non-pharmacological therapeutic option for epilepsy control and a concomitant weight reduction was statistically proved. Ketogenic Diet (KD) entails high fat, low carbohydrates and controlled protein consumption. This ketotic state can be also pharmacologically induced with the consumption of ketone salts/esters and consequently provide a source of ketone bodies without fasting or adherence to ketogenic diet. The reviewed randomized controlled trials and meta-analytic studies in literature demonstrated an expanding role of KD in various other adult neurological disorders including Parkinsonism, Alzheimer’s disease, sleep and cognitive disorders. The pleotropic anti-seizure,
antioxidant, anti-inflammatory and neurotropic actions of ketone bodies were suggested by authors besides their metabolic advantages. Thus, in one hand KD is considered as a dietary therapeutic option while on the other hand various adverse effects were reported. The long-term adverse effects of KD consumption were hepatic steatosis, renal stones and hypoproteinemia and vitamin deficiencies. These necessitate adequate patient selection, monitoring until reaching the ideal body weight and gradual shift to normal dietary caloric
consumption when needed.
Ashish S Dengra
Mahi Diabetes Thyroid Care and Research Center, India
Title: Does all juvenile & young diabetics requires Insulin? Let’s talk about it
Biography:
Ashish is trained in Diabetologist from All India institute of Diabetes S.L. Raheja Hospital Mumbai. He has done his Preceptor- Ship 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:
Statement of the Problem: 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 carers. 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
Break: Lunch Break @ 12:45-13:45
- diabetes in Healthcare
Location: Abu Dhabi, UAE
Session Introduction
Royida MHD Said Al Marastani
Al Samha Healthcare Center - Middle Regions Clinics Division, UAE
Title: Enhancing diabetic care by the implantation of medication therapy management (MTM) in ambulatory health services (AHS) in Abu Dhabi
Biography:
Royida Al Marastani is a Senior Pharmacist with more than thirty years of experience in the UAE in Abu Dhabi in Primary Health Centers (PHC), Urgent Care Center (UCC) and Ambulatory Health Services (AHS) and MSc in Clinical Pharmacy UK. She is a lecturer from 2003 in Ministry of Health (MOH), in CPE/CME pharmacist’s program from 2011 in SEHA/ Ambulatory Healthcare Services (AHS). Her roles include conducting research, conference abstracts, invited presentations in the national & international conferences, focusing on pharmaceutical care based on safety and efficacy of the medications.
Abstract:
Aim: To clarify the role of the pharmacist intervention by practicing MTM as pharmaceutical care in uncontrolled adult’s diabetic patients based on the improvement of HBA1c and other patients/outcomes.
Introduction: Diabetes is a chronic progressive disease requiring continuous medical care. HbA1c measures blood glucose control in is well accepted as a measuring performance allows the organization to assess how well care is currently provided and address the points of improvement.
Mythology: During the 6 months, starting from (1/3/2018 till 31/8/2018) we establish MTM for Diabetic Mellitus patients, by follow-up the patients for minimum 2 clinical visits:
• We identify uncontrolled patients HbA1c > 7 (found 39 patients)
• We reassess the treatment plan and provide the proper required intervention in timely manner
• We assess patient’s compliance to their medication and provide the counseling
• We assess patient’s Self-Monitoring Blood Glucose and we provide the education
The results: The types of pharmacist’s intervention in 39 totals are:
• Improve medication adherence 21 cases (54%)
• Initiate new drug therapy 14 cases (36%)
• Institute a monitoring plan 4 (10%)
Considering the target of HbA1c for controlled diabetic patients is (7%):
• The patients achieved the target are 16 patients (41%)
• The patients not achieved the target (HbA1c > 7%) are 21 patients (54%)
• No data for 2 patients (5%)
Improving HbA1c towards the target:
• The patients improved 24 patients (62%)
• The patients not improved 2 patients (5%)
• No data (only one reading for HbA1c) 13 patients (33%)
The mean of HbA1c before and after MTM implantation:
• The average of HbA1c before MTM implantation 8.88%
• The average of HbA1c after MTM implantation 7.26
The patient with self-monitoring blood glucose (SMBG):
• Compliant with SMBG 17 patients (44%)
• Non-Compliant with SMBG 22 patients (55%)
Conclusion:
With markedly improved the patients outcomes, by measuring HBA1c, achieve the target and Self-Monitoring
Blood Glucose (SMBG), before MTM and after, still we have some challenges and some barriers. An action
plan will be established to bridge all that challenges and the barriers to improve the overall health and the
quality of life for our diabetic’s patients.
- Diabetic Neuropathy | Risk Factors Associated with Obesity | Obesity and Diet
Location: Abu Dhabi, UAE
Session Introduction
Alafraa Ahmed Mohammed Ahmed
University of Khartoum, Sudan
Title: Knowledge, attitude and practice regarding foot care among diabetic patients who visit health centers in Khartoum State, Sudan, 2018
Biography:
Alafraa Ahmed, 23 years old, fifth year medical student from university of Khartoum, faculty of medicine, Sudan. working as organizer committee in many event in university, working in medical campaign, member of local team of standing committee of medical education(SCOME) and public health (SCOPH) which related to MEDSINSUDAN under umbrella of international federation of medical students association(IFMSA)
Abstract:
Foot care received little attention from medical doctors who are concentrating on therapeutic and diagnostic measures more than education of patients and preventive aspects. The aim of this study was to assess knowledge, attitude and practice regarding foot care among diabetic patients. In this multicentral
cross-sectional study, 270 diabetic patients interviewed using a questionnaire containing qualitative and quantitative aspects after taking verbal consent. Data has been analyzed using SPSS statistic version20. Overall, 176(65.2%) women and 94(34.8%) men were included. The average of age was 57 years(SD=11.6). A total of 219(81.1%) have educational level below the level of university those who have knowledge about foot care constitute 151(55.9%) with different response to knowledge measures. The source of information was
medical staff in 95(63%) of patients. Regarding atitude, 257 patients (95.2%) aware about foot care, and they considered as a preventable method from foot complication. On the other hand, 158 patients (58.5%) have poor practice. There are highly significant association between educational level and knowledge (<0.001),educational level and practice (0.012) and between knowledge and practice (0.001). These results supported the view that education and trained health care providers have a role in increasing the awareness of diabetic patients about foot care.
Samih Abed Odhaib
Fellow of Iraqi Board of Medical Specialization (FIBMS), Iraq
Title: Case report: He lost 18 kilograms and his diabetes
Biography:
Samih Abed Odhaib completed his medical education in Nahrain Medical School in 2001. He is a Fellow of Iraqi Board of Medical Specialization (Internal Medicine) FIBMS, Member of American College of Physician (ACP), Member of American Association of Clinical Endocrinologist (AACE), and now he is involved in Master Degree post doctorate in adult endocrinology since September 2018 in Faiha Specialized Diabetes, Endocrine, and Metabolism Center (FDEMC)
Abstract:
Introduction: The T2DM in adulthood is strongly related to weight gain and excessive accumulation of pancreatic and hepatic fat. It is very uncommon to have remission without bariatric surgery. Acute negative energy balance can reverse the twin defects of beta cell failure and insulin resistance alone with diet restriction to around 700 kcal; that result in decreased pancreatic and liver triacylglycerol stores. Weight loss of at least 10–15 kg has been shown to achieve euglycemia in people with short-duration T2DM for at least 12 months.
Case Presentation: AJ is a 48 year old diabetic male presented to Faiha Specialized Diabetes, Endocrine,and Metabolism Center two years ago with very poorly controlled T2DM that was diagnosed more than 3 years ago, along with severe hypertension and marked dyslipidemia. AJ underwent complete remission of his diabetes after losing 18 kg of his original weight (58 kg), with a very good euglycemia measures, on no treatment at all for the last 2 years. The effect that extends to make AJ had normal blood pressure and normal
lipid profile, with decreased cardiovascular risk from 26% to be less than 1%.
Rekha Jithin
The Health Concierge, UAE
Title: Proven lifestyle modifications that can help to reverse diabetes
Biography:
A medical doctor by background (Bachelor of Ayurvedic Medicine & Surgery) and a gold medalist from SP Jain University with specialization in Operations & Marketing Management, Dr Rekha has proven expertise and experience of more than 10 years in the areas of Healthcare Marketing, Ayurvedic Medicine, Holistic Nutrition & Digital Transformation and has proven expertise in the healthcare management.