Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 2nd Global Meeting on Diabetes and Endocrinology Istanbul, Turkey.

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Scientific Program Day 1
Scientific Program Day 2

Day 1 :

Keynote Forum

Alessandro Ferrario

Gruppo Ospedaliero San Donato, Italy

Keynote: Plastic surgery after massive weight loss
Conference Series Endocrinology Meet 2019 International Conference Keynote Speaker Alessandro Ferrario photo
Biography:

Alessandro Ferrario graduated in medicine and surgery in 1999, specialized in plastic surgery in 2004; he traveled abroad for work both to improve himself in renowned hospitals, and for humanitarian missions. After a fundamental experience in a department that is located for rhinoplasty, for the last 8 years now he has found his own professional dimension in postbariatric surgery; a surgery that combines functional indications and aesthetic potential has aroused such enthusiasm as to bring him with his group to national excellence.

Abstract:

Plastic surgeons and patients refer to the areas of the body including the face, breasts and buttocks as deflated. These patients have significant functional and cosmetic issues related to the excess skin which presents unique problems and challenges for plastic surgeons. In the upper torso, massive weight loss can cause upper and mid-back rolls, in the breast droopiness or ptosis and excess skin in the arms. In the lower torso, a pannus or apron may develop in the mid abdomen, lower abdomen and pubic area as well as excess tissue in the flanks. Excess skin develops in the inner thighs as well, creating skin laxity both vertically and horizontally. A patient becomes a good candidate for plastic surgery approximately one year after weight loss surgery when weight has been stable for at least three to six months. The average range of BMI at time of presentation is approximately 25-28. The best candidates are those with a BMI<28 poor candidates include those with BMI 28 or greater body contouring after weight loss surgery is a growing and constantly evolving field. Conventional procedures are not always able to address these patient’s needs. Massive weight loss patients may require two to five or six procedures to address all of their concerns. Proper selection of the correct patient, operative technique and accurate markings prior to surgery are imperative in ensuring correct placement of scars. The volume loss often gives the face an emaciated and gaunt appearance.

Break: Networking and Refreshments @ 11:00-11:30

Keynote Forum

Anshoo Agarwal

RAK Medical and Health Sciences University, UAE

Keynote: Metabolic syndrome and obesity in children with genetic disorders
Conference Series Endocrinology Meet 2019 International Conference Keynote Speaker Anshoo Agarwal photo
Biography:

Anshoo Agarwal is currently working as Professor & Chairperson at Department of Pathology, Northern Border University, Arar Kingdom of Saudi Arabia. She received her Bachelor of Medicine & Bachelor of Surgery from King George's Medical College Lucknow. She received her M.D in Pathology from LLRM Medical College / Ch. Charan Singh University. She is an Associate Professor and Discipline Coordinator in University Technology MARA, Malaysia. Dr. Anshoo Agarwal has served on many scientific memberships like life member of Indian Association of Pathology and Microbiology, Member of International Academy Pathology, Life Member of Indian Society of Hematology & Transfusion Medicine, Emirates Medical Association Pathology Society. She has more than 80 publications. She is an editorial member of 3 journals and has many reviewed publications. Her research interests include Advance Haematology & Immunohaematology, Breast cancer and Anticancer vaccines.

Abstract:

Obesity has become one of the major risk factors for chronic diseases later in life. It is a reversible predisposing factor for several debilitating diseases including atherosclerosis, hypertension and diabetes mellitus. So our main goal is to raise awareness among the special care centers and to educate the parents and staff about the risks of obesity and associated disorders and measures to be taken to improve their lifestyle and prevent the complications which may occur in the future in such individuals.
 
Aims & Objectives: (1) Determination of risk factors by assessing the prevalence of obesity, overweight, central obesity, their associated factors and other diseases in children, (2) To educate the parents and care takers about the risk of among them.
 
Materials & Methods: The study was done based on a pre-structured questionnaire comprising the lifestyle data, in particular, age, sex, ethnicity, medical condition, diet, socio economic status, education level, family history of obesity and frequency of physical activity in in children with genetic disorders. Variables including height, weight, height/weight ratio, waist circumference, calculation of BMI were also determined as a requirement to study obesity among them. Diagnosis of obesity and central obesity was confirmed by the WHO standard recommended method by determining of Body Mass Index (BMI) and waist circumference (WC).
 
Results & Discussion: We studied the percentage of children with genetic disorders who were obese or had metabolic syndrome. The study provided information about the changes in lifestyle which are required to avoid the complications and reducing the prevalence of obesity among the children with genetic disorders It also helped in educating the parents and care takers of these people regarding risk of cardiovascular disorders and the diseases associated with obesity and among these people. All the children were above 10 year of age. Male to female ratio was 1:1.6, ethnicity was Asian: 49% , Arab 49%, American 2%. 55% of these children were having Down syndrome-56%, Autistism-27%, Turner syndrome -7%, Misc-10%, Heart Problems: 12.5%. Majority of children stated that they do follow any routine for exercise or other physical activities. Most of the children have history of eating junk food and consume and are fond of tetra fruit juices and fizzy drinks.
 
Conclusion: The prevalence of obesity was high indicating that children with genetic disorders are prone to chronic diseases in the future, if not intervened at early stages. There is a need to educate the parents and care takers of these children. More health programs should be introduced among these centers to fight the prevalence of obesity and make the health care providers aware of the danger of obesity among them.

Break: Lunch Break @ 12:30-13:30
  • Diabetes and Cardiovascular Disease | Bariatric Therapy | Weight Management | Obesity and its Causes | Obesity and Diabetes
Location: Istanbul, Turkey

Session Introduction

Aydin S Ahmed

Northern Technical University, Iraq

Title: Blood lipid levels and its correlation with glucose status in diabetic patients Kirkuk province
Biography:

Aydin S Ahmed has completed his PhD in Physiology-Neurosciences from Tikrit University -College of Medicine. He is the Vice-Dean in the College of Technology –Head of Medical Laboratory Sciences Department. He has published more than 19 papers in reputed journals.

Abstract:

Background & Aim: Prevalence of type-2 DM has been increasing steady everywhere the globe and quick turning into an outbreak in some countries of the globe, particularly in poorly developed countries. Untreated DM can cause serious long-term complications include peripheral vascular disease, stroke, chronic renal disease, foot ulcers and eye damages From the available data on 20 Arab countries with more than twenty million were diabetic. Although data on diabetes in Iraq are scanty, but it is considered as having a medium prevalence 9.3% of the diabetes in in the Middle East. Hyperlipidemia is common comorbidity in diabetes and is associated with diabetes. The aim of the present study is to investigate the blood lipid levels and their relationship with HbA1c in diabetic patients.
 
Method: 190, equa type-2 diabetic diagnosed patients (95 male and 95 female) attending Babagurgur Diabetes Center in K1 Hospital-Kirkuk from 10/11/2018 to 10/4/2019, were subjected to this study. Their ages ranged between 32-79 years with mean age of 61.8×±5.03 years. Biochemical tests for evaluation of diabetes; Fasting Blood Glucose (FBG) and Hemoglobin A1c (HbA1c %), cholesterol, triglyceride, high density lipoprotein and low density lipoprotein levels were measured.
 
Result & Conclusion: The results showed that there were increased in the tests of evaluation of blood sugar; FBG was 13.4 mmol/L and HbA1c of 9.4% as mean values among the patients. FBG levels were correlated with increasing levels of cholesterol, triglycerides and HDL while LDL decreased. Regarding the changes in parameters among age groups, age group 50-59 years constituted most the diabetic cases (43%). Hyperglycemia and hyperlipidemia levels in females significantly (p<0.05) elevated than males. It is concluded that the older age and poor glycemic control are important risk factors related to hyperlipidemia in the current T2DM population and associated with adverse lipid profiles.

Sneha Naik

Mediheal Hospital- Nairobi, Kenya

Title: Carotid intima media thickness: A predictor for subclinical atherosclerosis in syndrome X
Biography:

Sneha Naik had finished her MBBS from Prestigious Govt Institute of Medical Science Karnataka, India. She is working as Resident Physician since 5 yrs. Presently she is working as Resident Physician in Mediheal Group of Hospitals Kenya since 2018. She has had several National and Regional Presentation on her list.

Abstract:

Background: Individual criteria of metabolic syndrome pose high risk for atherosclerosis leading to Cerebro Vascular and Cardiovascular Disease (CVD). One of the well-known markers of subclinical atherosclerosis is Carotid Intima Media Thickness (CIMT). This study was designed to assess risk of atherosclerosis by assessing the CIMT in patients with metabolic syndrome.
 
Method: One year cross-sectional study was conducted in the Department of Medicine at Mediheal Hospital Nairobi Kenya from March 2018 to March 2019. A total of 100 patients were included in the study. Metabolic
syndrome was diagnosed based on National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criteria. All the patients were subjected to carotid B mode ultrasonography.
 
Result: The most common age group was 51 to 60 years (29%). Out of 100 individuals who were diagnosed to have metabolic syndrome, 60% had five criteria fulfilled. Almost 60% of the individuals had normal CIMT, while high CIMT levels were found in 49.00% of the individuals. The mean CIMT was noted as 0.13±0.16 cms. The mean SBP, DBP, total cholesterol levels and triglyceride level were noted high in individuals with raised CIMT compared to individuals with normal CIMT.
 
Conclusion: Patients with syndrome X are likely to have raised CIMT. The rise in CIMT among the patients with metabolic syndrome is associated with raised SBP, DBP, total cholesterol and triglycerides.

Muhammad Kashif

SIMS/Services Hospital, Pakistan

Title: Dealing with obesity at a public sector hospital in Pakistan, A third world country with limited resources
Speaker
Biography:

Muhammad Kashif has completed FCPS Surgery Residency training from Services Hospital, Lahore. His areas of interest are diabetes and its complications, laparoscopic and open colorectal surgery and bariatric surgery.

Abstract:

Obesity is a preventable medical condition characterized by increased fat deposition in the body having serious health effects and it is a known independent risk factor for many non-communicable diseases including cardiovascular diseases, hypertension, type-2 diabetes mellitus etc. Pakistan is 9th most obese nation in world and WHO 2016 data suggests about 21% percent of Pakistan population is overweight and about 5% of population fall into obesity category. The prevalence of metabolic syndrome in Pakistan according to different definitions is reported to be from 18-46%, comparable to the data from other South Asian countries. Pakistan spends only 12 billion rupees on health sector which is 0.45 percent of GDP. We performed 16 laparoscopic sleeve gastrectomy in public sector hospital of Pakistan from January 2015 to December 2018, out of which only 12% were done from public funds, rest of the procedures were self-financed by the patient. Mean BMI of patients was 41 kg/m2 and excess weight loss at 6 months averaged 55%. Mean postoperative hospital stay was 40 hours with no patient developing staple line leaks.

Vahid Eidkhani

Shahid Beheshti University of Medical Sciences and Health, Iran

Title: Impaired Fasting Glucose (IFG) prevalence surge among Iranian adolescents in a decade: The Tehran lipid and glucose study
Biography:

Vahid Eidkhani has completed his MD and MPH studies at Shahid Beheshti University of Medical Sciences, Tehran, Iran. He is currently working as a General Physician in Iran. He has been working as a Researcher Assistant at Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences of the University for about 7 years.

Abstract:

Background & Aim: Impaired Fasting Glucose (IFG) is associated with incident diabetes, cardiovascular risk cand markers of atherosclerosis in early adulthood. We aimed to explore the 10-year change in IFG prevalence among adolescent participants of the Tehran lipid and glucose study, a population-based study from Iran.
 
Method: For our study, we used data on Fasting Plasma Glucose (FPG), anthropometric and demographic information of 11-19 year-old adolescents in study period-I (1999-2005; 1415 boys, 1583 girls) and study period- II (2011-2014; 477 boys, 469 girls). Sex-adjusted and sex-stratified multivariable logistic regression models were used to assess the relationship of the study period (reference: study period-I) with IFG.
 
Result: The prevalence of IFG, general obesity and central obesity increased from 7%, 13.3% and 18.8% in study period-I to 16.6%, 24% and 37.4% in study period-II; while a favorable trend was seen for blood pressure, triglycerides and high density lipoprotein cholesterol. In the fully adjusted model, being older (age group 15-19 vs 11-14 years) and female gender were associated with lower risk. Being overweight and obese increased the risk by risk ratios (confidence interval) of 1.57 (1.17-2.11) and 1.63 (1.15-2.30), respectively. Central adiposity did not remain as an independent risk factor. Nevertheless, study period persisted as a significant factor despite all adjustments [2.20 (1.81-2.68)]. Results in the sex-stratified models were generally the same.
 
Conclusion: Our results demonstrated that the over 2-fold rise in IFG prevalence among adolescents was not solely dependent on general and central obesity.

Samrat Shah

Mediheal Group of Hospitals, Kenya

Title: Musculoskeleteal manifestations of diabetes mellites
Biography:

Samrat A Shah have done his MBBS and MD Internal Medicine from India. He was awarded as best outgoing student and Gold Medalist in Internal Medicine. Followed by Fellowship in Non Invasive Cardiology and Fellowship in Diabetology from Dr Mohans Academy (IDF approved programme). He have 8 International presentation and 12 National presentations. He is presently working as Consultant Physician and Head of Department of Medicine at Mediheal Hospital Nairobi Kenya. He is also working as President of NJDF a social organization in India.
 

Abstract:

Introduction & Aim: Diabetes is one of the most common non-communicable diseases globally. The complications of diabetes mellitus are numerous and include involvement of the musculoskeletal system. The incidence of diabetes mellitus and the life expectancy of the diabetic patient have both increased in
view of wide variety of treatment options, resulting in increased prevalence and clinical importance of musculoskeletal disorders in diabetic subjects. This study represents the common musculoskeletal disorder among the diabetic patients. The aim of the study is the musculoskeletal manifestations of diabetes mellitus and to study correlation of severity with duration of diabetes mellitus
 
Method: A cross-sectional study was conducted in patients presenting to Department of Internal medicine at Mediheal Group of Hospital Nairobi-Kenya fulfilling inclusion criteria. All the patients with type-2 diabetes with duration of 5 year underwent a complete rheumatic examination to assess the musculo skeletal disorders. X-ray of involved joint was taken if clinical signs and symptoms are present. Descriptive statistics was used for data analysis.
 
Result: The study results show that more than half of the participants 69% were male and 31% were female. The study also reveals that (n=100) 96% diabetic patient were suffering from musculoskeletal pain and 4% diabetic patient were free from musculoskeletal pain. Our study showed prevalence of Charcot’s joint (35%), followed by Dupuytren contracture (33%), frozen shoulder and limited Joint Mobility syndrome (21%), trigger finger (17%), Carpel Tunnel Syndrome (11%) and Diffuse Idiopathic Skeletal Hyperostosis (DISH) in 8%.
 
Conclusion: Musculoskeletal disorders have a high prevalence rate in diabetics. Many of these disorders are treatable especially if diagnosed early and can improve quality of life by reducing morbidity associated with these disorders. Diabetes must be considered as one of differential diagnosis for any patient with musculoskeletal disorder. Locomotor system examination yields lot of information regarding musculo skeletal manifestations in diabetes mellitus. Thus, having an awareness of the potential musculoskeletal complications of diabetes can be an invaluable part of diabetes care.

Alemayehu Z Golla

College of Medicine and Health Sciences, Ethiopia

Title: Nephropathy and dyslipidemia in diabetic patients attending diabetic clinic at hawassa university comprehensive specialized hospital, Southern Ethiopia
Biography:

Abstract:

Uzair Abbas

Pakistan

Title: Micro RNA 29a and b expression in youngsters of diabetic and non-diabetic parents
Biography:

Abstract: