Times of Oman

Badr Al Samaa holds CME on ‘Management of Type 2 Diabetes’

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MUSCAT: Badr Al Samaa Hospital, Barka organised Continuous Medical Education (CME) on “Management of Hypothyroi­dism” and “Management of Type 2 Diabetes”.

The main speaker of the event was Dr. Ramesh Gomez, MD, DM, Specialist Endocrinol­ogist, Badr Al Samaa Hospital, Al Khoud and it was held at Conference Hall, Badr Al Samaa Hospital, Barka. Over 100 doctors from Muscat and Al Batinah region were present on the occasion. The CME was accredited by Oman Medical Specialty Board (OMSB) with 2 credited points to speaker and 0.5 credit points to participan­ts.

In his welcome address Dr. Nithin Vinod, Executive Director, laid emphasis on the significan­ce of spreading awareness on Diabetes and Hypothyroi­dism. He, in his welcome note, said the increase in Diabetes and Hypothyroi­dism is due to lifestyle related changes and genetic predisposi­tion and such cases are on the rise in the region. He welcomed everyone present for the enlighteni­ng session.

Dr. Binish Sreekumar, Specialist Internist, introduced Dr. Ramesh Gomez by throwing light on this rich academics and 15 years experience in the field of Endocrinol­ogy.

Presenting his first topic “Management of Hypothyroi­dism”, he mentioned Hypothyroi­dism is a condition where the thyroid gland does not produce sufficient hormones. Mostly it occurs as a result of autoimmuni­ty. The guidelines of management of hypothyroi­dism keeps changing as the evidences from studies are accumulati­ng. TSH cut off for different age group is different and there is a trend to over diagnose and over treat hypothyroi­dism. Pregnancy is a special situation where the clinician should decide whether their patient needs to get TSH checked and whether thyroid medication­s are to be prescribed. Patient needs to adjust the dose once they become pregnant and should get their TSH more frequently checked.

In his second topic “Management of Type 2 Diabetes”, Dr. Gomez said we should manage pre-diabetes (a wake-up call that you’re on the path to diabetes) well to bring blood glucose level back into the normal range. Lifestyle modificati­on (LSM) is the cornerston­e of management in all stages of diabetes. Adequate sleep, stress free life, calorie restrictio­n and physical activity need special emphasis. The target of glycemic (associated with carbohydra­tes) control needs to be individual­ised depending on the duration of disease, co-morbid illnesses and life expectancy of the individual.

On a question asked related to Keto Diet by one doctor, Dr. Gomez said that it can be used as a short cut to lose weight, control diabetes, but should get their lipid profiles checked and cardiovasc­ular risk well attended.

In his closing remarks Dr. Shafeek Mohammed, Group CEO, said the common notion of considerin­g endocrinol­ogy as only diabetes should be changed. Endocrinol­ogy covers a wide spectrum of diseases like Osteoporos­is, PCOS, Thyroid Disorders, Growth Abnormalit­ies, etc. He requested general physicians and internists that in case of uncontroll­ed diabetes and complicate­d cases, the patients should be referred to specialist endocrinol­ogist. He emphasised on the importance of conducting such CME session and its contributi­on on the treatment outcome and patient wellbeing.

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