Endocrine Abstracts

Some literary data demonstrate that the twin defect of beta-cell failure and insulin resistance that underline T2DM can be reversed by acute negative energy balance alone. The aim of the present work was to assess treatment outcomes in women with new onset T2DM, who were previously diagnosed with GDM treated with acute dietary restriction or conventionally at 32 weeks postpartum (PP).Methods: In total 174 women with T2DM at 32 weeks PP, were enrolled in ...

Background: The Israeli-Georgian Program Diabetes in Pregnancy was initiated at the Georgian Diabetes Center in 1997, with the aim to provide care for women with diabetes. The Program has become possible as a result of Twinning between Union of Diabetes and Endocrine Association and Israeli Diabetes Association. It was initiated in 1997, and since then it successfully works, being the longest and most sustainable Twinning program in Europe. The aim to assess the efficacy of tr...

Introduction: Over 94% of total mortality in Georgia is attributable to non-communicable diseases (NCDs). Alhought various NCDs guidelines and protocols have been developed and approved in Georgia, their implementation at the primary healthcare (PHC) level has not been successful. The AIM of the study was to assess PHCs approaches to prevention and management of diabetes.Methods: General practitioners (GPs), family and village doctors were involved in a ...

Background and aims: Diabetes (DM) is a huge global health emergency of the 21st century. Around 463 million adults haveDM. Every 2-nd adult with DM is undiagnosed. Over 374 million people have impaired glucose tolerance, their risk of developing DM is very high. According to Diabetes Atlas-2019 DM national prevalence for Georgia is 7.1%. Increasing prevalence of DM/other endocrine disorders, specific health needs ofthese populations, increasing load on healthca...

Background: Diabetic neuropathy is a widespread chronic diabetes complication. This heterogeneous group of conditions affects different parts of nervous system and presents with diverse clinical manifestations. Diabetic peripheral neuropathy (DPN) is a common complication of type 2 diabetes (T2DM), it may cause foot ulcer, gangrene or amputation. The risk of developing DPNincreases with age, diabetes duration and poor glycemia control. About 60% to 70% of all T2DM people will ...

Background: Sudomotor function is used to assessperipheral autonomic system. Electrochemical Skin Conductancemeasurement using electrochemical reaction betweenchloride ions in sweat and stainless steel plate electrodes is a simple, non-invasive and quick method. Several factors, including age, sex, BMI, glycemic status influence sweat function.Aim: Our aim was to determineprevalence of peripheral (DPN) and cardiac autonomic neuropathy (CAN) in hypertensi...

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...