Endocrine Abstracts

Diabetes is a manageable but serious illness characterized by high blood sugar. In present study, comparison of treatment of metformin, insulin (biphasic isophane insulin) and insulin (biphasic isophane insulin)+metformin in the patients of type 2 diabetes mellitus with HbA1c>7% was performed. A total 45 patients of type 2 diabetes with HbA1c>7% were selected. The selected 45 patients were divided into three groups of 15 each. First group was treated with metformin (10...

Purpose: To gain an understanding of lived experiences of the role of family and carers during an acute episode of adrenal crisis through qualitative interviews with family carers. To gain an understanding of the role of family members and cares during an acute episode and to make recommendations for future standards of care in supporting family and carers to support self-management for loved ones, and health care professionals.Methods: This study used t...

We present the case of a 49 year old Caucasian lady who was referred for urgent evaluation to rule out Cushing’s syndrome. She had progressive increase in bulk of her shoulders and upper arms over several months. She had a history of asthma, hypertension, and alcohol excess. She had inadvertently been using fostair (steroid inhaler) as a reliever up to 10 times a day. She denied anabolic steroid or drug use. She had no clinical features of Cushing’s syndrome. There w...

Background: There has been little research into methods of learning clinical endocrinology, a speciality encompassing rare conditions and pattern recognition. Problems include limited patient exposure outside specialist centres and increasing pressure on doctors to manage their own educational needs. An understanding of learning methods in use across the spectrum of students and doctors will help to identify trusted resources and untapped techniques.Aim:...

Case: A 73-year-old Pakistani gentleman with known hypertension and type two diabetes mellitus initially presented to hospital hypotensive, with epigastric pain and vomiting. An abdominal CT confirmed no abdominal aortic aneurysm, but discovered incidental findings of a 5.5×3×3.7 cm left-sided adrenal mass and a 1.5 cm gallbladder stone. He was treated for suspected cholecystitis and 24-h urinary free catecholamines requested. Unfortunately he was lost to follow-up.<...

A 24-year-old female make-up artist presented with a 6 months history of emotional lability, heat intolerance, weight loss and shaking of the hands. She described a deteriorating relationship with her spouse and increasing difficulties performing her professional role. On examination, she demonstrated marked agitation, tremor, sweating and tachycardia. Biochemistry confirmed severe thyrotoxicosis (fT4 84 pmol/l, TSH<0.01 mU/l). Subsequent clinic attendance and c...

Background: As thyrotoxicosis is associated with significant morbidity, treatment and ultimately cure is essential. Along with anti-thyroid medication and surgery, the use of radioactive Iodine (I-131) has long been established. However, opinion still varies as to when to use I-131, in which patients and whether to give a fixed or tailored dose. To see if our practice was consistent with published data, we conducted an audit of patients treated with I-131 for benign thyroid di...

QLS-H is a new, weighted QoL questionnaire developed for patients with hypopituitarism. We evaluated QLS-H data from UK patients in the HypoCCs International surveillance study, and compared results with a sample of the general UK population (n=1090).The QLS-H questionnaire was administered at baseline and at yearly intervals. Scores were corrected for age and gender differences, and expressed as Z-scores based on UK-specific reference ranges. Using this...

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Sporadic Medullary thyroid carcinoma (MTC) is an uncommon thyroid cancer. The prevalence has been studied in two large European studies(1,2). Serum calcitonin provides a highly sensitive and specific tumour marker for this. We shall present a case which typifies the presentation of MTC and discuss its relevance.A 71-year-old gentleman of Italian descent was admitted in 2001 with left lower limb cellulitis. It was documented that he had an incidental goitre, that had been p...