The Endocrine Club

The Endocrine Club

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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

18/02/2025

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

18/02/2025

And ensure the patient is taking it away from the food and medications ( especially iron containing vitamins and calcium)

18/02/2025

If levothyroxine dose requirements are much higher than expected, consider evaluating for gastrointestinal disorders
ATA

17/02/2025

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

17/02/2025

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

17/02/2025

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

16/02/2025

Routine screening for thyroid disease in pregnancy is NOT recommended.
It should be done if suspected or risk factors

16/02/2025

Routine screening is NOT recommended

16/02/2025

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

16/02/2025

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

15/02/2025

Thyroid function testing is indicated if suspected ( family history. History of radiation. Symptomatic. Previous thyroid surgery)

15/02/2025

Fruit Juices are NOT healthy choice, because of high glycemic index . Eating fruit is.

15/02/2025

In hypoglycemia post bariatric surgery
-Rapid increase in glucose ( Refined carb)
-Rapid increase in insulin

14/02/2025

When patient should break fasting

My slide presentation

Source IDF DAR 2021

14/02/2025

Perioperative thyroid dysfunction screening is NOT recommended in asymptomatic patients.

14/02/2025

SSRI are less likely to cause hyperprolactinemia (rare reports) compared to cyclic antidepressant

Uptodate

13/02/2025

2/3 of pheochromocytomas presented as adrenal incidentloma.

JCEM 2019

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