should be noted that a decline of A1C typically occurs during pregnancy that is related to the expanding red blood cell mass and independent of glucose levels.
U2D
The Endocrine Club
General endocrinology and diabetes practical points
Chairman/admin :
Abdulqawi Almansari MBBS FACP FACE
Chairman Abdulqawi Almansari MD FACP FACE
Consultant endocrinologist
Myclinic alsafa Jeddah
American board of Endocrinology Diabetes and Metabolism2000
American Board internal Medicine 1998
And ensure the patient is taking it away from the food and medications ( especially iron containing vitamins and calcium)
If levothyroxine dose requirements are much higher than expected, consider evaluating for gastrointestinal disorders
ATA
Women should aim for a glycated hemoglobin (A1C) of ≤7.0% (ideally ≤6.5% if possible) when planning pregnancy, or ≤6.5% (ideally ≤6.1% if possible) during pregnancy.
Diabetes Canada Clinical Practice Guidelines Expert Committee
Fragility fracture indicates severe osteoporosis by itself regardless BMD
The recommended management in severe osteoporosis is to start anabolic agents ( Romosozumab or PTH) for 12 months then antiresorptive agents
A formal diagnosis of posttransplantation diabetes mellitus (PTDM) is best made once the individual is stable on an immunosuppressive plan and in the absence of an acute infection. B
The OGTT is the preferred test
ADA2024
Routine screening for thyroid disease in pregnancy is NOT recommended.
It should be done if suspected or risk factors
Routine screening is NOT recommended
R20. Pharmacologic therapy is strongly recommended for patients with osteopenia or low bone mass and a history of fragility fracture of the hip or spine (Grade A
AACE 2020 Osteoporosis Guidelines
Nearly 1 in 4 stroke survivors will have another stroke. Take steps to prevent a second stroke, starting with identifying what caused previous stroke and uncovering risk factors.
American Stroke Association
Thyroid function testing is indicated if suspected ( family history. History of radiation. Symptomatic. Previous thyroid surgery)
Fruit Juices are NOT healthy choice, because of high glycemic index . Eating fruit is.
In hypoglycemia post bariatric surgery
-Rapid increase in glucose ( Refined carb)
-Rapid increase in insulin

When patient should break fasting
My slide presentation
Source IDF DAR 2021
Perioperative thyroid dysfunction screening is NOT recommended in asymptomatic patients.
SSRI are less likely to cause hyperprolactinemia (rare reports) compared to cyclic antidepressant
Uptodate
2/3 of pheochromocytomas presented as adrenal incidentloma.
JCEM 2019
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