The Study of Diabetes and Metabolism (AASD) The AASD as one of the leading diabetes Associations aims at sharing in: …


The Arabic Association for
The Study of Diabetes and Metabolism AASD
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The Third Annual Conference
29 - 31 October, 2008
Cairo Sheraton Hotel,
Cairo Egypt

Under The Patronage of
His Excellency Mr Amr Mousa
Secretary General of Arab League

His Excellency Prof Dr Hany Helal
Minister of High Education Scientific Research

His Excellency Prof Dr Hatem El Gabaly
Minister of Health Population

In Collaboration with
Union of Arab Doctors ENGLAND

Conference AASD Honorary President
Prof Ragaey Henry

AASD Honorary President
Prof Raafat Rashwan

Conference AASD President
Prof Inass Shaltout

Conference AASD Vice
President
Prof Abbas Oraby

The Conference AASD Coordinators
Prof Amr Abdel Wahab Prof Mohamed Assy

President of The Vascular Surgeons Society
Member of AASD Board
Prof Amr Gad
Welcome to The Conference

Distinguished Professors and Dear Colleagues,

Welcome to our 3rd annual conference of The Arabic Association for The
Study of Diabetes and Metabolism AASD We are honored to held our
conference under the patronage of his Excellency Mr Amr Mousa Secretary
General of The Arab League
We appreciate a lot his support to our conference and we are truly grateful
for his special attention to AASD conference and his patronage to all AASD
scientific Medical Activities

We are also grateful to Prof Dr Hany Helal Minister of High
Education and Scientific Research and Prof Dr Hatem El Gabaly Minister of
Health and Population for their guidance and valuable support We thank
also all Arabic doctors coming as representatives of their companies This
year we are proud of
having colleagues of more than 10 Arabic Countries,
our gratitude to the eminent international speakers who paid a lot of their
valuable time to join our AASD conference
The AASD as one of the leading diabetes Associations aims at sharing in:

1- Public awareness and patient education with the aim of prevention and
optimum management
2- Medical Conferences intending to share knowledge and stimulate
research
3- Post graduate continuous medical education AASD CME
4- News letters for health care professionals that intend to increase
knowledge about the standards of medical care in diabetes and
associated comorbidities and complications

On behalf of AASD board, it is a pleasure to welcome all of you
distinguished professors and guests to the conference and looking forward
to meet you again at the next one ensha Allah 28 - 30 October 2009

AASD Conference President
Prof Inass Shaltout
AASD Annual Conferences:
- First Annual AASD Conference, Cairo, 20 - 21 December 2006
- Second Annual AASD Conference, Cairo, 28 - 30 November 2007
Attendance: 1500 Doctors

AASD Arabic Conferences:
- AASD in collaboration with University of Medical Sciences and
Technology, Sudan, Khartoum 1- 4 February 2008
- AASD in collaboration with Maghrabian Society of Diabetes and
Nutrition SMEDIAN and FMED Morocco, 1-4 May 2008
- International Faculty: alphabetical

El Sheikh Abdel Aziz Al Torki KSA
Prof Ababou Mohamed Reda Moracco
Prof Abbas Ali Mansour Iraq
Prof Abdel-Azim Kaballo Sudan
Prof Abdel-Aziz Abdallah El Molhem KSA
Prof Abdelmajid Chraibi Moracco
Prof Ahmad Jwan Libya
Prof Ahmed Dirar Sudan
Prof Ahmed M Maken Sudan
Prof Ali Makhlouf Libya
Prof Amin Banaga Sudan
Prof B Domres Germany
Prof Chaieb Larbi Tunis
Prof El Guermai Najib Moracco
Prof Gaafar shahr KSA
Prof Hamed Shabana Germany
Prof Louay El Tarazi Syria
Prof Maamoun Hemeda Sudan
Prof
Maged Al-Jonaid Yemen
Prof Mark Evans UK
Prof Mohamed Awwad Alqahtani KSA
Prof Mohamed Hassanein UK
Prof Nadim Haboubi UK
Prof Nejib Ben Abdullah Tunis
Prof Nuha Haboubi UK
Prof Richard Berthold Germany
Prof Saloua Fakir Moracco
Prof W Schmidt Germany
Prof Zeinab Khalil Australia

Pictures
Sponsors

|Sanofi Aventis |
|Glaxo Smith Kline |
|NovoNordisk |
|MSD | |Delta Pharm | |Servier |
|Abbott |Eva Pharm |Novartis |Merck |Lilly |
|Pfizer | |AstraZenica | |October |
| | | | |Pharma |
|MUP |Chemipharm |Glopal Napi |Mina Pharm |El Borg Lab|
|Apex Pharm |Atos
|Egyphar |IDA |IDI |
|Julphar |ESAG | | | |
Scientific Committee: alphabetical

Abdel Khalek Hamed
Abdel Moteleb Eissa
Ali Abdel Rehiim
Allia Mosalam
Amr El Melegy
Amr Gad
Ashraf Okba
Assem Zeyada
Atef El Bahary
Azza Gohar
Dawlat Belal
Ebtesam Zakarya
El Bahey Reda
Fadila Gadalla
Faeda Abdel Hamid
Fahmy Amara
Farid Fawzy
Fouad El Nawawy
Hanan Sotohy
Hassan Hamdy
Hussein Oraby
Ibrahim El Ibrashy
M Magdy El Sadek
M Fahmy Abdel Aziz
Mabaheg Soka
Magdy Badran
Mahmoud Khattab
Mamdouh El Nahas
Moghazy Mahgoub
Mohamed Abo El Gheit
Mohamed Eissa
Mohamed Kamar
Mohamed Khattab
Mohamed Sheta
Nabil El Bahrawy
Nagwa Lashin
Omar El Khashab
Osama Abdel Aziz
Rawia Khater
Reda Awadin
Safaa Tawfeek
Salah Ibrahim
Samir Helmy
Samir Naeem Assad
Sanaa Gazarin
Soliman Nasr
Tarek Hishmat
Zakaria Gad

08:00 - 09:00 Registration
09:00 - 11:00 Opening Ceremony

Chairmen :

His Excellency Mr Amr Mousa
Secretary General of Arab League

Prof Ibrahim El Ebrashy,On Behalf of
His Excellency Dr Hatem El Gabaly
Minister of Health Population

Prof Salah Ibrahim
President of The Egyptian Group of
Diabetes

Prof Ragaey Henary
AASD The Conference Honorary President

Prof Inass Shaltout
AASD The Conference President

Prof Abbas Oraby
AASD The Conference Vice President

Prof Amr Abdel Wahab
AASD The Conference Coordinator

Prof Mohamed Assy
AASD The Conference Coordinator

Prof B Domers
Chairman of Scientific Committee

Welcome Speeches

Prof B Domers 5 min
Prof Mohamed Assy 5 min
Prof Amr Abdel Wahab 5 min
Prof Abbas Oraby 5 min
Prof Inass Shaltout 5 min
Prof Ragaey Henary 5 min
Prof Salah Ibrahim 5 min

Prof Ibrahim El Ebrashy,On Behalf of 5 min
His Excellency Dr Hatem El Gabaly
Minister of Health Population

His Excellency Mr Amr Mousa
Secretary General of Arab League

Arabic Countries Representatives:

Prof Abdel Azim Kaballo
President of The Sudanese Medical Syndicate, Consultant of Diabetalogy
5 min

Prof Abdel Magid
Charaibi,
President of Moracco Society of Diabetes Endocrinology SMEDIAN
Moracco 5 min

Prof Abdel Aziz Abdallah Al Molhem, 5 min
President of the Scientific Committee, Saudi Diabetes Society

Prof Zeinab Khalil, Australia 5 min

Prof Abbass Ali Mansour, Iraq 5 min

Prof Aly Makhlouf, Libya 5 min

Coffee Break 11:00 - 11:20

|11:20 - 13:00 |Symposium I |

Chairpersons: In Alphabetical Order

Prof Abdel Azim KaballoSudan Prof Osama Abdel Aziz
Prof Abdel Aziz A MolhemKSA Prof Rawia Khater
Prof Mohamed Kamar Prof Salah Ibrahim
Prof Omar El Khashab Prof W Schmidt Germany

Egyptian Diabetes, Controversies in the New Horizon
Prof Inass Shaltout Egypt 15 M
The Incretin therapy concept, a revolution in the treatment of type 2
diabetes Mellitus
ProfW Schmidt Germany 30 M
Impact Of Recent Evidence: Is Tight Blood Glucose Control A Good

Thing?
Prof Marc Evans England 25 M
Diabetes Ramadan: to Fast?
Prof Abdel Majid Charaibi Morocco 20 M

Discussion 10 M

|13:00 - 14:30 |Symposium II |

Chairpersons: In Alphabetical Order

Prof Ebtessam Zakaria Prof M R Ababou Moracco
Prof Foaad El Nawawy Prof Omar El Khashab
Prof Gaafar Shahr KSA Prof Osama Abdel Aziz
Prof Soliman Nasr

Structure of an Diabetologische Schwerpunktpraxis and its position
in the web of medical institutions for the treatment of patients with
diabetes mellitus in the Federal Republic of Germany
Prof Richard Berthold Germany 20 M

PathoPhysialogy of Basal Insulin
Prof Mohamed Shetta Egypt 20 M

What is New in Peripheral Neurepathy Research How it Might Change
our Every Day Practice?
Prof Zeinab Khalil Australia 20 M

A Questionnaire on Representations of Type 2 Diabetes Patients
Prof M R
Ababou Morocco 20 M

Diabetes Female Sexual Dyshinction
Prof Aly Abdel Rehim Egypt 20 M
Discussion

|14:30 - 15:20 |Symposium III |

Sanofi-Aventis
Chairpersons: In Alphabetical Order

Prof Amr Abdel Wahab
Prof Faeda Abdel Hamid
Prof Foaad El Nawawy
Prof Ibrahim El Ibrashy
Prof Moghazy Mahgoub
Prof Mohamed Assy
Prof Rawia Khater

Insulin Intensification from Basal Plus to Basal Bolus Regimen
Prof Inass Shaltout Egypt 20 M
Are All Sulphonylurea The Same?
Prof Yasser Shatta Egypt 20 M

Discussion 10 M

|15:20 - 15:50 |Symposium IV |

Servier

Chairpersons: In Alphabetical Order

Prof Abdel Khalek Hamed
Prof Ebtesam Zakarya
Prof Faeda Abdel Hamid
Prof Farid Fawzy
Prof M Fahmy Abdel Aziz
Prof Moghazy Mahgoub
Prof Reda Awadin

Advance Blood Glucose Lowering Arm: Finding Clinical Implications
Prof
Abbass Oraby Egypt 30 M

15:50 Lunch

|09:00 - 10:30 |Symposium V |

Chairpersons: In Alphabetical Order

Prof Abdel-Aziz El MolhemKSA
Prof Amin Banaga Sudan
Prof Amr El Melegy
Prof Azza Gohar
Prof Fahmy Amara
Prof Farid Fawzy
Prof Gaafar shahr KSA

Appetite Suppressing Food
Prof Safaa Tawfik Egypt 20 M

Modifying Patients Goals in Obesity Management
Prof Mohamed Abo El Gheit Egypt 20 M

Exercise for Obesity - How much is Enough?
Prof Nadim Haboubi England 20 M
Polycystic Ovary its Relation t o Metabolic syndrome
Prof Nuha Haboubi England 20 M

|10:30 - 11:00 |Plenary Lecture |

Chairpersons: In Alphabetical Order
Prof Abdel Khalek Hamed
Prof Abdel Moteleb Eissa
Prof Allia Mosalam
Prof Mabaheg Soka
Prof Mohamed Assy
Prof Mohamed Eissa
Prof M Fahmy Abdel Aziz

Management of Diabetes in Hospitals
Prof Assem Zeiada
Egypt

|11:00 - 12:00 |Symposium VI |

Chairpersons: In Alphabetical Order
Prof Abbas Oraby
Prof Ebtesam Zakarya
Prof Fahmy Amara
Prof Hassan Hamdy
Prof Mohamed Sheta
Prof Nagwa Lashin

MERC

Fixed Dose Combination The Management of T2 Diabetes
Prof Samir Helmy Egypt 20 M

Novo Nordisc

Prof Mohamed Hassanin England 40 M
|12:00 - 12:30 |Symposium VII |

GLaxo Smith Kline

Chairpersons: In Alphabetical Order
Prof Amr Abdel Wahab
Prof Farid Fawzy
Prof Mabaheg Soka
Prof Nagwa Lashin
Prof Samir Helmy
Prof Tarek Hishmat

Type 2 Diabetes, The Challenge Of Long Term Glycemic Control
Prof Abbass Oraby Egypt 30 M

|12:30 - 13:00 |State of Art Lecture |

Chairpersons: In Alphabetical Order
Prof A Chraibi Moracco
Prof Abdel-Azim KaballoSudan
Prof Abdel-Aziz El MolhemKSA
Prof Fahmy Amara
Prof Gaafar
Shahr KSA
Prof Inass Shaltout
Prof Ragaay Henry

Brain Diabetes
Prof Salah Ibrahim Egypt

13:00 - 13: 20 Coffee Break

|13:20 - 14:10 |Symposium VIII |

Delta Pharm
Chairpersons: In Alphabetical Order
Prof Amr El Melegy
Prof El Bahey Reda
Prof Fadila Gadalla
Prof Zeinab Khalil Australia
Prof Samir Goerge
Prof Sanaa Gazarin
Prof Soliman Nasr
Neuropathic Pain, From Molecular to Clinical Level
Prof Omar Tawfik Egypt 20 M
Diabetic Neuropathy, Pathophysiology, Pathogeneis Clinical Picture
Prof Mohamed Fahmy Abdel Aziz Egypt 20 M

Discussion 10 M

|14:10 - 14:40 |Symposium IX |

Merck Sharp Dohme
Chairpersons: In Alphabetical Order
Prof Abdel Moteleb Eissa
Prof Ashraf Okba
Prof Hussein Oraby
Prof Mabaheg Soka
Prof Sanaa Gazarin
Pathophysiology of T2 Diabetes and role of Incretin Hormones
Prof Inass Shaltout
Egypt 20 M

|14:40 - 16:30 |Symposium X |

Chairpersons: In Alphabetical Order
Prof Ahmad Jwan Libya
Prof Ahmed M Maken Sudan
Prof Fahmy Amara
Prof Hassan Hamdy
Prof Hussein Oraby
Prof Saloua Fakir Moracco
Prof Zeinab KhalilAustralia

Case study of a patho physiological orientated therapy with a patient
having diabetes mellitus type 2 considering the individual situation
and the sickness progression
Prof Richard Berthold Germany 20 M

Differences between ACEI and ARBs
Prof Nagwa Lashin Egypt 20 M

Prevention Management of Diabetic Foot Disease
Prof Mohamed Hassanin England 20 M

Inflammation Atherothrombotic Disease
Prof Ashraf Okba Egypt 20 M

Patients Opinion on The Barriers to Diabetes Control in Areas of
Conflict, The Iraqi Example
Prof Abbass Ali Mansour Iraq 20 M

16:30 Lunch

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???????

Special Quiz and Prizes for early attendants

10:00 - 10:15 Enjoy your Breakfast Meet with the Experts

|10:15 - 11:05 |Symposium XI |

Chairpersons: In Alphabetical Order

Prof Abbas Ali Mansour Iraq
Prof Ahmed M Maken Sudan
Prof Hanan Sotohy
Prof M Magdy El Sadek
Prof Mahmoud Khattab
Prof Mohamed Khattab
Prof Tarek Hishmat

Insulin Resistance Cardiomyopathy
Prof Samir Naeim Egypt 20 M

Pitfalls in Management of DKA
Prof Mamdouh El Nahas Egypt 20 M

11:05 - 12:10 Prayer

|12:10 - 13:00 |Symposium XI |

Chairpersons: In Alphabetical Order

Prof Abbas Oraby
Prof Ahmad Jwan Libya
Prof Ahmed M Maken Sudan
Prof Atef El Bahary
Prof M Magdy El Sadek
Prof Mamdouh El Nahas
Prof Samir Naeem Assad

Obesity Cardiovacular Diseases
Prof Mohamed Khattab Egypt 20 M

Exercises for Diabetics
Prof Magdy Badran Egypt 15
m

13:00 - 13:20 Coffee Break

|13:20 - 14:30 |Symposium XII |

Chairpersons: In Alphabetical Order

Prof Ahmed Taha
Prof Ashraf Hedayet
Prof B Domres Germany
Prof El Bahey Reda
Prof Hamed Shabana Germany
Prof Khaled Hendawy
Prof Zeinab KhalilAustralia

Diabetic Neuropathy
Prof Hanan Sotohy Egypt 15 M

Guidelines in the therapy of Diabetic for syndrome
Prof B Domres Germany 20 M

Vascular Management of Arabic Diabetic foot ischemia an update
Prof Alaa Abdel halim Egypt 15 M

Preserving Renal Functions During Diabetic Limb Salvage
Prof Louay El Tarazi Syria
20 M

|14:30 - 15:15 |Papers Presentation |

Chairpersons: In Alphabetical Order

Prof Abbas Oraby
Prof Amr Abdel Wahab
Prof Inass Shaltout
Prof Mahmoud Khattab
Prof Mohamed Eissa

Permanent Neonatal Diabetes Experience from Southern Region of Saudi
Arabia
Prof Mohamed Awad KSA
15 M

Study of Metabolic Control of Diabetic Patients at Gabir Abuliz
center
Dr Zienab ABasheer Sudan 15 M

Study Of Complications In Diabetic Patients At Jaber Abu - Aliz Centre
Dr Rogia A Ali Sudan 15 M

15:15 Farewell Party
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General Information

Venue Accommodation:
29 - 31, October 2008 - Cairo Sheraton Hotel, Cairo

Congress Language:
English is the official language of the congress

Registration Desk:
Nour Media will provide the following registration desks:
- Chairmen speakers - Pre-registered delegates
- Group registrations - On-site registration

Coffee Breaks lunches :
- Coffee breaks will be served against special tickets
- Lunch will be served after the end of the scientific program against
special tickets
which are provided for all registered delegates

Tourist visits:

You can enjoy many tourist visits in Cairo during the congress days
If you have any inquiries, kindly contact the official organizer NOUR
Media

Currency
Local Currency in Egypt is The Egyptian Pound LE, 1 US 550 LE

Exhibition
A unique exhibition for pharmaceutical, medical supplies and medical
equipment companies will be organized in the meeting exhibition area

For More Information
Website: wwwaasdonlinecom
Prof Inass Shaltout: 002 23584553 002 012 312 22 05
AASD Secretary: 002 011 988 4994 002 018 61 10 129
Official Organizer: Nour Media Co
Tel Fax: 202 22750103
Mr Moh Abiedo 0121622323/22
nourmediaorg@hotmailcom
nourmediaorg@yahoocom
Abstracts

Egyptian Diabetes
Challenges in the New Horizon
Prof Inass Shaltout
Professor of Internal Medicine Diabetology, Cairo University

Diabetes mellitus is a major emerging clinical and public health
problem in Egypt A modern lifestyle, characterized by inactivity and a
high-energy diet, is adopted Rural
populations with more traditional
lifestyles exhibit lower rates of diabetes risk factors and diabetes,
whereas urban populations, and particularly those of a higher socioeconomic
status, have higher rates of both risk factors and diabetes Changes in
physical activity and dietary patterns have promoted the development of
diabetes and if we do nothing, by the year 2025, more than 9 million
Egyptians 13 of the population above 20 year old will have diabetes

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————

Diabetes and Ramadan: to fast or not to fast?
Prof A CHRAIBI,I BENABBAD
Unit of Endocrinology, Diabetology and Nutrition, Ibn Sinas Hospital

The approach of the holy month of Ramadan is for the doctors in
general, and the diabetologists in particular, a quasi obligatory occasion
of consultation of the diabetics The Moroccan diabetics generally ask
doctors for an authorization to fast However many situations exist
explaining sometimes contradictions on medical opinions which express the
degree of relation doctor-patient and especially the impact of the socio-
cultural
traditions

The International Consensus on Diabetes and Ramadan, even if it is old of
more than 10 years, still a reference for a lot of Moroccan doctors but
also for other doctors of Muslim countries Nevertheless it has to be
updated because of the advent of new anti-diabetic medications In practice
to the question: does the diabetic have to fast or not?

The simple answer is no, however in front of the insistence of the patient
and sometimes with the authorization of the doctor; a lot of diabetics fast
under conditions which are not controlled medically

New medications, in particular the soft insulin secretagogues or those with
a long life action and also the analogs of insulin made possible to several
patients to fast without notable riskAll things considered, even if on the
scale of the population it is always advises to diabetics to dont fast; on
an individual scale, the patient eager to fast with their doctors can
combine their efforts so that the fasting involves fewer risks possible and
perhaps a good value

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Structure of an Diabetologische Schwerpunktpraxis and its position in
the
web of medical institutions for the treatment of patients with diabetes
mellitus in the Federal Republic of Germany

Prof Richard Berthold

- On the one hand the structure and the sequencing of an Diabetologische
Schwerpunktpraxis will be shown

Examples for that are the care for a large number of diabetics by types,
the realization of varying patient-customized diabetics instructions, the
regular structured follow-up of various parameters relevant to diabetes,
the qualification and advanced training of employees, spatial requirements,
introduction of DMPs

- On the other hand the cross-linking with diverse medical facilities and
various professional groups who are also involved in the treatment of
patients with diabetes mellitus for example general practitioners,
podiatrists, physiologists, heart specialists, nephrologists, foot
ambulance will be pointed out

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Case study of a patho physiological orientated therapy with a patient
having diabetes mellitus type 2 considering the individual situation and
the sickness
progression

Prof Richard Berthold

A patient having diabetes mellitus type 2 appears in my
Diabetologische Schwerpunktpraxis for the first time after the occurrence
of diabetes has been recognized and after an insulin therapy has been
started recently at a hospital following a metabolism disorder We will
have a typical care and coaching of the patient with a patho
physiological change in therapy and a formidable improvement of the
metabolic parameters
Patients opinion on the barriers to diabetes control in areas of conflicts
The Iraqi example

Abbas Ali Mansour-MD- Assistant professor of Medicine- Department of
Medicine, Basrah College of MedicineBasrah ,Iraq

Background: The health system in Iraq has undergone progressive decline
since the embargo that

followed the second gulf war in 1991 The aim of this study is to see
barriers to glycemic control
form the patient perspective, in a diabetic clinic in the south of Iraq
Methods: A cross sectional study from the diabetes out-patient clinic in Al-
Faiha general hospital
in Basrah, South Iraq for the period from January to December 2007 The
study includes
diabetic
patients whether type 1 or 2 if they have at least one year of follow up in
the same clinic Those
with A1C ? 7 were interviewed by special questionnaire, that was filled in
by the medical staff of
the clinic The subjects analyzed in this study were adults ? 18 years
old with previously diagnosed
diabetes n 3522 The duration of diabetes range from 1 to 30 years
Results: Mean A1C was 84 2 percent, with 835237 patients with A1C
less than 7 and
2688763 equal to or more than 7 Of 3522 studied patients, 466 were
men and 515 were
women, with mean age of 5378 1281 year and age range 18-97 years
Patient opinion for not
achieving good glycemic control among 2688 patients with HbA1C ? 7
included the following No
drug supply from primary health care center PHC or drug shortage is a
cause in 508 of cases,
while drugs and or laboratory expense were the cause in 502 Thirty point
seven percent of
patients said that they were unaware of diabetics complications and 209
think that diabetes is an
untreatable disease Thirty percent think that non-control of their
diabetes is due to migration after
the war No electricity or erratic electricity,
self-monitoring of blood
glucose SMBG is not
available, or strips were not available or could not be used, and
illiteracy as a cause was seen in
15, 108 and 99 respectively
Conclusion: Our patients with diabetes mellitus declared that of the causes
for poor glycemic
control most of them related to the current health situation in Iraq

EXERCISE FOR OBESITY - HOW MUCH IS ENOUGH?

Prof Nadim Haboubi

Exercise is an important part of weight management, particularly in
the long term However, there is conflicting evidence about how much
exercise obese subjects need to perform Diet, genetic or other factors
may contribute to the difference in weight between normal and obese
subjects if physical activities are equal between groups Obese subjects
may therefore need to be more active and perform more exercise than their
normal weight counterparts in order to lower or maintain their weight

Professor Nadim Haboubi MD FRCP London, Edinborough
Consultant Physician
Nevill Hall Hospital
Abergavenny
NP7 7EG
United Kingdom

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————

Effectiveness of Monochromatic Infrared Photo Energy MIRE in improving
Balance of Diabetic Peripheral
Neuropathy
Mohamed N El Bahrawy 1 Foad Abd Allah2
Departments of Neurology Faculaty of Physical therapy , 1 clinical
Neurology,Faculaty of Medicine, 2 Cairo-University

Background and purpose of work:
Patients with long standing diabetic peripheral Neuropathy suffers marked
affection of lower limb proprioception and often develop balance problems
that can significantly increase fall risk The purpose of this study was to
determine whether the application of Monochromatic infrared photo energy
MIRE to the lower extremities of patients with diabetic peripheral
Neuropathy would improve balance and gait patterns Patients and Methods:
The study conducted on 40 diabetic patients with peripheral neuropathy
divided equally into two groups20 patient each Group I received
exercise program only, Group II received in addition to exercise program 30
minutes Monochromatic Infrared Photo Energy MIRE
three times a week for one month Tandem walkTW test was used to assess
mean step width,
speed and end sway pre and post therapy in both groups of
patients Results: Both groups were selected to have identical clinical
characteristics, mean of age, duration of both diabetes and peripheral
Neuropathy, Blood sugar control Highly statistical significant difference
p 00001 between the two groups regarding speed post therapy
implicating the beneficial effect of Monochromatic infrared photo energy
MIRE on balance parameters Conclusion: As deducted from the observed
data as well as from the reviewed literature we could recommend that the
application of 12 photo therapy sessions induced improvement in balance and
consequently decrease the incidence of falls in diabetic peripheral
neuropathy

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————
Study of Metabolic Control of Diabetic Patients at
Gabir Abuliz center
October 2007_august 2008

Dr zienab ABasheer, Dr khanssaMalamin, Dr rogiaAali,
Prof ElmohdiMAElmohi

Gabir Abuliz is specialized centre for diabetes at Khartoum It
includes medical ,surgical, ophthalmologic,
nutritional and educational
departments Our referred clinic is conducted once per week
This is prospective; cross sectional study 141 Sudanese patients
were studied Most of the patients 348 age lie between 50_60yrs
84have diabetes for less than 10 yrs
Male : female ratio is 7:10
61were type2 diabetes
Metabolic control of patients was assessed by measuring the fasting
blood sugar , HbA1c, BMI fasting lipid profile
The overall metabolic control in the study showed that 326 had a
good metabolic control ie fasting blood sugar less than 117mg/dl While
HbA1c was 6 in 357
Regarding the body weight of the patient ,335 were overweight
And 294 were obese
337 of the patients had fasting serum cholesterol 200mg/dl
We conclude that diabetes is common disease of high morbidity and
need more attention regarding metabolic control As far as we have high
percent of obesity and hyperlipidemia

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————

Study of complications in diabetic patients at JABER ABU - ALIZ centre

Dr Rogia A Ali, Dr Khansse M Alamin, Drzainib AAlbsheer
Professor: Elmhdi M A
Elmhdi

This is prospective cross - sectional descriptive study conducted on
diabetic patients in JABER ABU - ALIZ specialized diabetic centre in the
period from Oct 2007 - Aug 2008 looking for the complications among these
patients
141 patients were included in this study, most of the patients age is
between 50-60 years, male to female ratio is 7:10, 61 were type 2
diabetic and 84 have diabetes for less than 10 years
Their complication found to be distributed as follows:
Peripheral neuropathy 386,

Ischemic heart disease 318,

hypercholesterolaemia 333,

hypertriglyceridaemia 331,

nephropathy 89,

autonomic neuropathy 31,

We think that rate of long term complications were higher in comparison to
other studies

4-9-2008g

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————

———————–
Friday 31st October 2008

Thursday 30th October 2008

Conference AASD President
Prof Inas Shaltout
0020123122205

inassshaltout@hotmailcom
aasdiabetes@hotmailcom

Wednesday 29th October 2008

———————–
The 3rd Annual Congress of AASD

29-31 October, 2008

The 3rd Annual Congress of AASD

29-31 October, 2008

Source:aasdonline.com

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