A cardiodiabetes CME was conducted last evening at Muthoot Plaza,
Trivandrum.
More than 50 doctors participated.
Chair:
Dr.Madhusudanan
(Rtd.Prof. of Medicine)
Speakers:
Dr.Bahulayen C.G (Cardiologist),
Dr.Jothydev Kesavadev - Changing perceptions on Insulin therapy: The era
of analogue insulins
(Diabetologist)
Some points of Public interest:
Heart attacks have become the major cause of premature death in diabetics.
Many a time a silent heart attack is diagnosed during the time a routine
ECG
is taken.The patient despite the fact he has no symptoms has to undergo
further tests like angiogram so as to prevent sudden deaths, cautioned
Dr.Bahulayen. Not only diabetes, even subjects with prediabetes are now
recognized as having a higher chance for death due to heart attacks and
strokes, said Dr.Jothydev. Prediabetes subjects are apparently healthy
individuals with so called 'normal' sugars.In such subjects correction of
excess body weight, blood pressure and lipids helps a lot to prevent
further
progression to diabetes.In treatment of diabetes there are three major
components: correction of raised blood pressure even if minimally raised,
correction of cholesterol with drugs even when it is minimal elevation
because of potential benefits. The third component is blood sugar
normalisation, which is the most difficult part because of the phenomenon
of
glucose "excursions". Even in USA more than 50% on regular medications
fail
to achieve sugar control but blood pressure and cholesterol targets are
more
easily achieved!! Jothydev Kesavadev pointed out that average A1c
levels(average of 3 months blood sugar) have no normal cut off limits,
because even in healthy subjects with no diabetes, minimal elevations of
A1c
predicts future occurrence of heart diseases and strokes.Newer insulins
helps sustain normal sugars without fear of low sugars.Jothydev said that
globally inhaled route of administration of insulins met with commercial
failure due to difficulties using this equipment ; though found to be
absolutely safe and effective and hence research in this direction has
stopped.Basal insulins should be started early enough in diabetes with an
aim
to prevent devastating future complications of diabetes.
The CME was followed by active interaction by audience.Prof.Dr.K A Kumar
stressed the importance of metabolic memory and its realization by both
physicians and patients.
Seen in the pictures are
Dr.KSS Nair,
Dr.Ramesan
Pillai,
Dr.Chacko Varghese, Dr.Titus,Dr.Murukesan, Dr.Balachandran,
Dr.Devin
Prabhakar,
Dr.Vivekkrishnan, Dr.Lekha, Dr.Ajith kumar,
Dr.Abraham Philip,
Dr.Hari etc.,
The program was organised by Aventis.
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