Searchable abstracts of presentations at key conferences in endocrinology

ea0073aep337 | Diabetes, Obesity, Metabolism and Nutrition | ECE2021

A challenging presentation of Catamenial DKA

Ahmed Nabeel

A 34-year-old T1DM nurse was admitted with a history of recurrent episodes of DKA. In the current admission at our hospital, on detailed history she reported of getting DKA almost every month when her menses would start. She would be following the sick day rules of DKA but it wouldn’t help prevent her going into DKA. No other precipitating factors were found. She was diagnosed as a case of Catamenial DKA and was started on OCP’s to see how what effect it would have o...

ea0081p261 | Adrenal and Cardiovascular Endocrinology | ECE2022

Bilateral adrenal haemorrhage due to e.coli sepsis precipitating adrenal crisis in pregnancy: a case report

Ahmed Nabeel , Nair Sunil

A 25-year-old primi 26 weeks pregnant was admitted with B/L flank pain & pleuritic sounding chest pain. She was septic on initial assessment by the Obstetric team and preliminary investigations revealed high inflammatory markers, raised CRP of 336 & deranged LFT’s. Her USS scan suggested possible hepatitis/cholangitis and blood cultures grew E. coli & she was started on IV Ceftriaxone & metronidazole for the same. At day 3 of her admission, she started det...

ea0038p468 | Thyroid | SFEBES2015

TSH receptor antibodies testing in hypothyroid pregnant women

Saeed Nabeel , Ahmed Shakir , Haddadin Firas

Hypothyroidism is a common endocrine condition and if untreated can have serious consequences in pregnant women. Generally, TSH receptor antibodies (TRAb) is performed in hyperthyroid pregnant women as high titres can cause foetal hyperthyroidism Neonatal thyrotoxicosis develops in 1% of infants born to thyrotoxic mothers due to placental transfer of TRAb.As part of management of hypothyroid pregnant women, TRAb are checked routinely in our hospital in k...

ea0094p40 | Bone and Calcium | SFEBES2023

Importance of Evidence-based management of Primary Hyperparathyroidism

Ahmed Nabeel , Hatton Rebecca , Harris Laura , Tabasum Maria , Clarke-Burns Rossana , Brotherton Sophie , Srinivasshankar Upendram

Background: Primary Hyperparathyroidism (PHPT) is the leading cause of hypercalcaemia. Early diagnosis and management is important to prevent long term complications. National institute of clinical excellence (NICE) published guidelines on diagnosis and management of Primary Hyperparathyroidism and we sought to compare our practice with the NICE guideline (NG 132).Methods: This was a retrospective observational study of ...

ea0094p244 | Neuroendocrinology and Pituitary | SFEBES2023

Co-occurrence of neurofibromatosis type 1 and pituitary rathke cleft cyst

Tabasum Maria , Ahmed Nabeel , Harris Laura , Clarke-Burns Rosanna , Brotherton Sophie , Srinivas-Shankar Upendram

Introduction: The most common sellar and suprasellar lesions are pituitary adenomas, craniopharyngiomas and benign cysts. Rathke’s cleft cyst (RCC) is a benign developmental sellar or suprasellar cystic lesion, which is rarely symptomatic.Case HistoryWe present the case history of 21-year-old woman with a suprasellar RCC, causing early optic chiasmal compression and associated with hyperprolactinemia. Past medical history included neurofibromatosis type 1...

ea0090p57 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

A Quality Improvement initiative to assess differences of diabetic ketoacidosis (DKA) management across hospitals in the United Kingdom

Dalzell Joseph , Skaria Maria , Kauser-Malik Saima , Raghavan Rajeev , Soghal Shamanth , Tabasum Maria , Ahmed Nabeel , Nizza Jael , Acharya Jayashekara , Saraf Sanjay , Dekode Team

Background: Joint British Diabetes Societies (JBDS) have developed guidelines for the treatment and management of diabetic ketoacidosis (DKA) in adults in the United Kingdom (UK). Multiple single center audits are known to assess compliance to guidelines. However, unified data on DKA management across multiple centers is unknown.Aims: To study the precipitating factors and assess for differences in DKA management across UK hospitals.<p class="abstext...

ea0094p215 | Metabolism, Obesity and Diabetes | SFEBES2023

Trends in the rate of complications and outcomes in DKA management following modifications in JBDS national guidelines-Results from DEKODE study

Abraham Anu , Solomon Alexandra , Birchenough Amy , Cheung Jason , Rengarajan Lakshmi , Hebbar Meghna , Ali Karamat Muhammad , Ahmed Nabeel , De Parijat , Soghal Shamanth , Working group DEKODE , Falowo Durodoluwa

Introduction: Joint British Diabetes Societies Inpatient (JBDS-IP) recommended reducing fixed-rate intravenous insulin infusion (FRIII) rate to 0.05units/kg/hr when blood glucose falls <14 mmol/l to avoid hypoglycaemia during diabetes-related ketoacidosis (DKA).Aim: We studied the impact of guideline change on complications and outcomes of DKA.Methods: We included all DKA episo...