The Endocrine Club

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

01/09/2026

Steroid induced osteoporosis .
How to asses ?
Clinical risk factors include history of fragility fracture
GC dose-adjusted FRAX,
(BMD)
European Journal of Endocrinology Dec. 2024

01/09/2026

What is the next step ?
27 f pregnant 27 th week. referred for TSH 8 FT4 N TPO abss negative

01/09/2026

If it can be safely attained, the on-treatment blood pressure goal is

01/09/2026

We recommend consideration of glucocorticoid withdrawal syndrome that may occur during GC taper. When withdrawal syndrome is severe, dose can be temporarily increased to the most recent one that was tolerated, and the duration of taper could be increased.

Endo Society 2024

01/09/2026

n a meta-analysis of 16 studies (6,131 participants 17.3 months) , bariatric surgery was associated with 9.8 to 15.8 times higher odds of remission of type 2 diabetes compared to conventional medical therapy
Obes Surg. 2014;24(3):437-455

31/08/2026

Steroid induced osteoporosis .
How to prevent ?
All patients prescribed GCs for ≥3 months
- Calcium and protein intake should be normalized,
-25(OH) vitamin D of 50-125 nmol/L should be attained
-The risk of falls be minimized

European Journal of Endocrinology Dec. 2024

31/08/2026

Individuals with blood pressure ≥180/110 mmHg and cardiovascular disease could be diagnosed with hypertension at a single visit.
ADA 2026

31/08/2026

We suggest that the test indicates recovery of the HPA axis if cortisol is >300 nmol/L or 10 μg/dL and glucocorticoids can be stopped safely

Endo Society

31/08/2026

We recommend measuring levels of prolactin and IGF-1 in all patients with incidentally discovered pituitary adenomas; screening for hypercortisolism should be performed if clinically warranted.
Pituitary Society 2025

31/08/2026

In sexually active individuals of childbearing potential who are not using reliable contraception, avoid ACE inhibitors, ARBs, MRAs, direct renin inhibitors, and neprilysin inhibitors, as they are contraindicated in pregnancy. A
ADA 2026

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