Diabetes & Endocrinology

Diabetes & Endocrinology

Saeed AhmedChronic Kidney Disease
Saeed Ahmed (Consultant Nephrologist)

Chronic kidney disease (CKD) is common, frequently unrecognised and often exists together with other conditions (for example, cardiovascular disease and diabetes). Saeed Ahmed is a consultant nephrologist practising in Sunderland, and his lecture here is an essential overview of the subject for GPs.

CKD has a high risk of mortality and early recognition and treatment can prevent or delay its impact on health, reducing or preventing the development of complications and reducing the risk of cardiovascular disease.

(If you want to listen to the whole lecture you must be logged in and have a current paid subscription.)


Ketan DhatariyaDiabetes
Katen Dhatariya (Consultant in Diabetes and Endocrinology)

Ketan Dhatariya is a Consultant in Diabetes, Endocrinology and General Medicine and Hon Senior Lecturer in Medicine, University of East Anglia. He is a member of the ABCD National committee as well as having several other national roles commissioning guidelines. During the early part of his career he worked as a GP. He spent 2 years as a research fellow in endocrinology at the Mayo Clinic in Minnesota returning as a locum consultant at King's College Hospital and the Homerton Hospital (both in London), until his appointment at the Norfolk & Norwich University Hospital which he commenced in September 2004.

Ketan gives an overview of how important diabetes is to overall cardiovascular health and risk reduction. He then discusses each of the important diabetic agents and their place in treatment. The oral agents are introduced and reviewed by group , and the major insulin types are discussed.

This lecture will enable you to keep up to date with the core diabetes management lessons that every GP should know about.

(If you want to see the whole lecture you must be logged in and have a current paid subscription.)


Garry JohnLaboratory Diagnosis Diabetes
Garry John (Consultant Clinical Biochemist)

Professor Garry John is a Consultant and Honorary Professor of Clinical Biochemistry and was Chairman of the IFCC Working Group for HbA1c Standardisation.
The accepted glucose cut-off values for diagnosis have changed a number of times. In 1979 the WHO criteria included the measurement of glucose tolerance using 7.8 mmol/L as a fasting cut-off and 11.1 mmol/L as the cut-off two hours post glucose load. The fasting value was revised down to 7.0 mmol/L in 1997 along with inclusion ofsymptoms in the criteria and the introduction of impaired fasting glucose.
The use of HbA1c for the diagnosis of diabetes is the next development, albeit seemingly changing the definition of diabetes from hyperglycaemia to hyperglycation.

An HbA1c of 48 mmol/mol (6.5%) or greater is considered to be diagnostic of diabetes.
What has precipitated this development? And what does it all mean?
Professor John explains the biochemistry and and the application of the Hba1c test to clinical diagnosis. A perfect diagnostic algorithm , he states, has not yet been perfected, but may be possible. This is understandable once you have digested this lecture; Hba1c can mis-diagnose some individuals, and on a population basis, some diagnoses may be delayed. It is a simple to perform test, but not so simple to understand what it actually means. A definite must-attend lecture for any GP.

(If you want to see the whole lecture you must be logged in and have a current paid subscription.)


Abbi LulseggedVitamin D deficiency
Abbi Lulsegged (Consultant Physician)

Abbi Lulsegged is a Consultant Endocrinologist & General Physician at the South London Healthcare NHS Trust (Princess Royal University Hospital), where he is a general endocrinologist with an interest in Thyroid, Parathyroid disease, calcium disorders PCOS and Female reproductive endocrinology. He also has an interest in nutrition as applied to diseases.

There is growing awareness about the importance of vitamin D, both by patients and amongst the medical profession. There are now guidelines for routine maintenance supplements for at -risk groups. This lecture by Abbi Lulsegged is very timely, outlining as it does the main evidence for supplementing vitamin D in a variety of situations. Whether it is reducing the incidence of Type 1 diabetes amongst Norwegian children ( 88% risk reduction) or reducing the incidence of flu infections amongst asthmatic children (83% reduction) this talk will provide you with some fascinating talking points.
The lecture here starts by outlining the basic biochemistry and physiology of vitamin D, defines deficiency and what normal levels are.

Abbi then proceeds to look at how vitamin D deficiency impacts on a wide variety of disease entities, and the evidence base that exists.

His talk does ask some important questions about what vitamin D deficiency is and what doses we ought to use to manage it.

A very enjoyable lecture, highly recommended

(If you want to see the whole lecture you must be logged in and have a current paid subscription.)


Abbi LulseggedHypothyroidism and pregnancy
Abbi Lulsegged (Consultant Physician)

Abbi Lulsegged is a Consultant Endocrinologist & General Physician at the South London Healthcare NHS Trust (Princess Royal University Hospital), where he is a general endocrinologist with an interest in Thyroid, Parathyroid disease, calcium disorders,PCOS and Female reproductive endocrinology. He also has an interest in nutrition as applied to diseases.

This is an important lecture about the management of hypothyroidism in pregnancy. Once watched you will be keen to overview your management protocols...

(If you want to see the whole lecture you must be logged in and have a current paid subscription.)