Endocrine Abstracts

Background and Aims: The gut microbiome has been shown to differ between healthy individuals and those with diabetes and even in women with gestational diabetes mellitus (GDM). This raises the question of its role in postprandial glycemic response (PPGR). We aimed to evaluate the impact of microbiome features in PPGR in women with GDM and healthy pregnant women.Methods: We obtained stool samples for 96 pregnant women (65 GDM, 31 control), previously recr...

Background: Hypothyroidism has profound effects on cardiac function, however, the effect of over- and undertreatment of hypothyroidism on hospitalization outcomes of patients with acute exacerbation of heart failure (HF) has not been evaluated yet.Methods: We conducted retrospective cohort analyses of outcomes among 231 consecutive patients with treated hypothyroidism who were admitted to the internal medicine departments of Shamir Medical Center with HF...

Aim: The aim of this study was to compare maternal and neonatal outcomes between Israeli Arab and Jewish women with GDM not controlled with lifestyle modification.Methods: We conducted a retrospective cohort study of women with GDM who were not controlled with lifestyle modification and were followed and gave birth in a university affiliated medical center between 2005 and 2015.Results: The study included 343 women, 45 (11.8%) of t...

Background: The diagnosis of hypocortisolism is challenging in hemodialysis (HD) patients due to shared clinical features between renal failure and cortisol deficiency. We hypothesize that in a significant percentage of HD patients we miss cortisol deficiency.Methods: A prospective cohort of 56 end stage kidney disease patients on maintenance HD treatment (mean age 65.3±13.1, females 80 %) was studied. Low dose (1 mg) adrenocorticotropic hormone (AC...

Aim: Loss of protective sensation (LOPS) commonly precede Diabetic foot ulcer (DFU) which is one of the most fearsome/serious diabetic complications and the leading cause of foot amputation in T2D patients. However, the prevalence of this high risk state is unknown.Methods: To estimate the presence of LOPS among hospitalized diabetes patients in internal wards, vibration perception and 10-g monofilament tests were done. Patients with foot ulcer or status...

Background: The management of relapsing Graves’ disease is controversial. Previous surveys from different regions in the world demonstrated variations in the clinical practices of patients with Graves’ disease relapse.Methods: To determine management pattern among endocrinologists in Israel an electronic questionnaire was e-mailed to all members of the Israeli Endocrine Society. Questionnaires included demographic data and clinical scenarios wi...

Introduction: Ovarian adrenal rest tumors (OARTs), in contrast with testicular adrenal rest tumors, are very rare. Up to date, 13 cases were reported in the literature; all treated surgically.Aim: We describe a case of a young female with uncontrolled classical congenital adrenal hyperplasia (CCAH), presenting with bilateral OARTs, successfully treated with steroid replacement.Methods: Data on clinical history and biochemical work-...

Background: Previous studies evaluating the association between falling insulin requirements (FIR) during late pregnancy and adverse maternal and neonatal outcomes yielded controversial results.Methods: We conducted a retrospective cohort analysis of data collected from women delivering at Shamir Medical Center (a referral university-affiliated facility in central Israel), between 2008–2018. The percent of FIR was calculated by dividing the remaind...

Background: Basal-Bolus (BB) insulin treatment is increasingly used in uncontrolled diabetes patients during hospitalization and is commonly recommended on their discharge. However, the extent of adherence with this recommendation is unknown.Aim: To determine the short term adherence of type 2 diabetes mellitus (T2DM) patients discharged from internal medicine wards with recommendation for BB insulin treatment.Methods: Prescription...

Aim: The aim of this study was to evaluate the effect of pre-gestational body mass index (BMI) and gestational weight gain (GWG) on adverse pregnancy outcomes in women with gestational diabetes mellitus (GDM) controlled with medication.Methods: We conducted a retrospective cohort study of women with singleton pregnancies, diagnosed with GDM and treated with glucose lowering agents that were followed and gave birth between 2005–2015 in the Assaf Haro...