Endocrine Abstracts

Background: In India, physicians recognise the need for communication skills training (CST) so as to improve patients’ physical and mental wellbeing. Yet, there is a lack of culturally informed and evidence-based training programs in the current medical curriculum. In our pilot study, we explored the cultural suitability of the Relationship: Establishment, Development and Engagement (REDE) model for CST for Indian physicians. The REDE model proposes three ways (i.e., esta...

Women diagnosed with polycystic ovarian syndrome (PCOS) experience several physiological (weight gain, hirsutism, acne) and psychological challenges (emotional distress, anxiety, shame). This is particularly apparent in India where PCOS intersects with gender and patriarchal notions of womanhood (interfering with one’s marital prospects, compromising one’s ability to procreate). A young woman’s first source of support, therefore, is usually their mother. In Indi...

Introduction: A novel classification of adult onset DM into five subgroups: Severe Autoimmune Diabetes (SAID); Severe Insulin-Deficient Diabetes (SIDD); Severe Insulin-Resistant Diabetes (SIRD); Mild Obesity-Related Diabetes (MOD); and Mild Age-Related Diabetes (MARD) has been postulated. We aim to formulate a consensus statement towards reassessing gliclazide use based on cluster classification of diabetes mellitusMethods: A virtual collaborative educat...

Background: People with chronic metabolic conditions such as type 2 diabetes (T2D) encounter challenges with self-management regimens to improve their glycemic control, weight and as well as to reduce complications associated with diabetes. Optimal management of T2D requires regular monitoring by physician, access to multidisciplinary care and achieving target HbA1c without hypoglycemia. Digital therapeutics (DTx) provide highly accessible, cost-effective, evidence-based solut...

Background and aim: Early glycemic control and weight reduction in diabetes has been associated with prevention of progression of β-cell dysfunction and reduction in diabetes-related complications. Digital therapeutics (DTx) platforms can provide evidence-based therapeutic interventions to improve glycemic control using sustainable behavior change. This study aims at assessing the real-world effectiveness of the Fitterfly Diabetes program in improving glycemic control and...

Background: Managing the relentless requirements of diabetes management can lead to an increase in distress among people with diabetes. There is a need for feasibility studies to understand the effectiveness of multi-disciplinary care delivered using digital therapeutics interventions to provide effective glycemic control along with improved overall well-being of individuals. The study aims to evaluate the feasibility and effectiveness of the Fitterfly diabetes program to impr...

Introduction: National Institute of Health and Care Excellence (NICE) recommends screening for emotional wellbeing as part of consultations for polycystic ovary syndrome (PCOS).Aim: We evaluated several dimensions of emotional wellbeing in people attending PCOS consultation in the UK and India.Methods: All people attending reproductive endocrine clinic for PCOS at three centres: Queen Elizabeth Hospital Birmingham, UK; Apollo Hospi...

Aim: To study differences in various aspects of emotional wellbeing among women with PCOS living in the UK and India.Methods: Women with PCOS were invited to complete an online survey between September and October 2020 in the UK and May and June 2021 in India. The survey included Hospital Anxiety and Depression Scale (HADS; score ≥11 cases of anxiety and depression, respectively), Body Image Concern Inventory (BICI; score ≥72 suggestive of bo...

Objective: This study investigated the association between ethnicity, birthplace and emotional and psychosexual wellbeing in women with Polycystic Ovary Syndrome (PCOS) in the community.Design: International cross-sectional study.Methods: Women with a self-reported PCOS diagnosis by a healthcare professional were invited to complete an online Blue Morpho questionnaire between September-October 2020 (UK) and May-June 2021 (India). F...

Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder, with an estimated prevalence of 10-15% worldwide. PCOS can have adverse consequences on the emotional wellbeing of the patient. However, evidence exploring the relationship between PCOS and psychosexual wellbeing, specifically sexual function, and dysmorphic appearance concerns, is largely inconclusive.Aim: A systematic review and meta-analysis were undertaken to assess differ...