Endocrine Abstracts

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...

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...

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: 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...

Background and aims: Components of metabolic syndrome (MS) carry an increased risk for cardiovascular disease (CVD). People with abnormal glucose regulation are more prone to develop complications. At diagnosis 20–30% of type 2 diabetic (T2DM) patients (pts) already have neuropathy-one of the most dangerous complications. Cardiac autonomic neuropathy (CAN) is associated with five-fold risk of mortality. Our aim was to study possible relation between CAN and some component...

Background and Aims: Components of metabolic syndrome (MS) carry an increased risk for cardiovascular disease (CVD). People with abnormal glucose regulation are more prone to develop complications. At diagnosis 20-30% of type 2 diabetic (T2DM) patients (pts) already have neuropathy-one of the most dangerous complications. Cardiac autonomic neuropathy (CAN) is associated with five-fold risk of mortality. Our aim was to study possible relation between CAN and some components of ...

Background and aims: At diagnosis 20–30% of patients (pts) with type2 diabetes (T2DM) have neuropathy, that often goes unrecognized. Cardiac autonomic neuropathy (CAN) is associated with 5-fold risk of mortality. As today there is no specific treatment for overt neuropathy, it is important to use prevention and timely revealing. The goal of the work was to evaluate prevalence of peripheral neuropathy and CAN in pts with newly diagnosed T2DM.Material...

Background and aims: There are consistent findings about increased prevalence of depressive disorders in diabetes. The aim of the study was to reveal prevalence of depression in patients (pts) with type 1 (DM1) and type 2 (DM2) diabetes.Materials and methods: Totally, 157 pts with DM were questioned. To assess depression degree Beck’s scale was used, and 83 depressive pts (scores>10), were allocated into 2 groups (Gr.): Gr.1 (n=44)-DM2 pt...

Background and aims: The aim of this study was to study the effect of Nebivolol on clinical course and heart rate variability (HRV) parameters in type 2 diabetes (T2DM) patients (pts) with coronary heart disease (CHD) and Chronic heart failure (CHF) of III-IV FC.Materials and methods: Participants were 35 T2DM pts with CHD and CHF/ III-IV FC. The pts were divided into 2 groups (Gr.) Gr.1 (n=15, 10m/5f, mean age 59±7 years) on basic therapy. G...

Background and Aim: One of the greatest problem in pregnancy, complicated by diabetes is screening and appropriate care for women, whose diabetes is manifested during pregnancy. The study is aimed at gathering epidemiological data on gestational diabetes mellitus (GDM) and evaluating the of appropriate therapy in this condition.Materials and Methods: Screening for GDM was carried out in – 692 pregnant women. GDM was observed in 3.3% (22 women) and i...