Endocrine Abstracts

Background: Patients with type 2 diabetes mellitus (T2DM) have elevated risk of coronary artery disease (CAD) development. In this population CAD often proceedsasymptomatically, especially if cardiac autonomic neuropathy (CAN) is present. Our aim was to assess relation between glycemia control and asymptomatic CAD inT2DM pts. Materials and methods: Participants were 160 T2DM patients without documented CAD divided into four groups (Gr.) according to HbA1c levels: Gr. 1 -HbA1c6...

Background and Aims: Diabetes causes immeasurable personal suffering and costs to the society, though diabetes and its complications are largely preventable. There are proven, affordable preventions available, that can stop or delay diabetes/complication development. Political Declaration adopted by UNO stresses importance of educational measures to promote health education and literacy. IMAGE Project/Toolkit on Type 2 Diabetes Prevention in Europe outlines education as corner...

Art-painting, poetry, music, is an inexhaustible source of inspiration and motivation. Patient education (TPE) in chronic diseases is a long and tedious process. To achieve high motivation one must use all existing possibilities. Art is the most potent tool to influence the conscious and subconscious of a person to motivate him/her to adhere to treatment and healthy lifestyle. Literature, and mainly W. Shakespeare, could be used for TPE, as deep understanding of existing healt...

Background and aims: Mortality rate from cardiovascular disease (CV) including sudden death (SD) is pronounced in type 2 diabetic (T2DM) patients with cardiac autonomic neuropathy (CAN) and/or complex ventricular arrhythmias (CVA). Early repolarization (ER) is also considered to be a significant risk factor for SD. The aim of the study was to evaluation the relation between CAN, CVA and ER in T2DM patients.Materials and methods: Participants were 44 T2DM...

Background and aims: Cardiovascular disease (CVD) is a leading causes of death in type 2 diabetes mellitus (T2DM), thus prevention of CVD is of utmost importance. Our aim was to determine whether the ESC/EASD guidelines on CVD prevention in T2DM patients are followed in clinical practice in Georgia.Materials and methods: In total, 824 T2DM patients (age <80 yrs) with no history of coronary or other atherosclerotic disease, who entered Georgian Diabet...

Background: It is impossible to provide qualified diabetes care without patient education (TPE). Effect of education on treatment outcomes was demonstrated in 1972. Unfortunately in 1970-ies we lived in society, where many progressive ideas were not acceptable. Though progress at the end of 1980-ies leading Centers started to implement TPE. Methods: In Georgia first “5-day in-patient education course” was initiated. It was carried out at our Center. The Course was ba...

The aim: To reveal relation between altered left ventricular (LV) geometry (G) and contractile ability (CA) in nonbese type 2 diabetic (DM2) patients with mild hypertension (MH).Materials and methods: BP at rest, 24-h ambulatory BP monitoring and echocardiography were investigated in 70 non-obese males, aged 25–50 yrs. They were divided into the following groups: Gr.1, n=15 – DM2 and normal BP, fasting C-peptide (C-p, ng/ml) 4.3±0.9...

Our aim was to evaluate the efficacy of a structured outpatient education and treatment program (SOETP) in type 1 diabetes patients (T1DM) patients during preconception care (PC) and pregnancy, and its effect on pregnancy outcomes. Study Methods: In total 173 women with T1DM were supervised. Maternal age was 28±8 yrs and diabetes duration - 12±7yrs. SOETP combined group and individual training. Stage 1 - preconception care (group and individual training). Stage 2 - i...

It is clear that effective control of blood glucose, hypertension and dyslipidemia, may prevent development of vascular complications in type 2 diabetes (T2DM).The aim of the present work was to reveal correlation between glycemia levels and mortality rate in T2DM patients (pts) with prior myocardial infarction (PMI).Materials: Totally, 131 T2DM pts with PMI were studied (mean age – 57.2±3.1 yrs; diabetes duration – ...

Background: It is generally believed that glycemic targets in diabetic pregnancies should mimic those found in normal pregnancies.Aim: The aim of the present work was to reveal how glycemia indices in pregnant patients with type 1 diabetes mellitus (T1DM), their infants’ birth weight (IBW).Methods: Totally, 128 pregnant women with T1DM were enrolled in the study (mean age – 26±7 yrs; diabetes duration – 10.2&#17...