Day 1 :
Keynote Forum
Gerald C Hsu
EclaireMD Foundation, USA
Keynote: Health-maintaining tips for diabetes travelers
Time : 10:00-11:00
Biography:
Gerald C Hsu has completed his PhD in Mathematics and has been majored in Engineering at MIT. He has attended different universities over 17 years and studied seven academic disciplines. He has spent 20,000 hours in T2D research. First, he studied six metabolic diseases and food nutrition during 2010-2013, then conducted research during 2014-2018. His approach is math-physics and quantitative medicine based on mathematics, physics, engineering modeling; signal processing, computer science, big data analytics, statistics, machine learning and AI. His main focus is on preventive medicine using prediction tools. He believes that the better the prediction, the more control you have.
Abstract:
For the past 6.5 years (2012-2018), the author has made 179 trips by air which included 69 long-haul travels and 110 short-distance travels. The average trip was 14 days. This paper provides his experience on maintaining his health during travelling days. Prior to 2015, both of his daily average glucose and Metabolism Index (MI), which has a 73.5% break-even level, were high. After 2015, his glucose and MI levels improved to a healthy state; however, he did not meet his own targets- glucose 117 mg/dL and MI 59%. Nevertheless, by following the guidelines listed below from the period after 2015, the author had better results. Therefore, other busy T2D travellers can also maintain their healthy level of both glucose and metabolism during their travelling days by using the same method. The travelling tips summary- (1) Try to avoid having meals at the airport, airline lounge and in-flight food. (2) Don’t indulge yourself, avoid soft drinks, high carbs/sugar food (<15 grams/meal); eat mostly vegetables (size: ~2 fists) and eat berries and tomatoes, not overly sweet fruits. (3) Maintain exercise regimen. After eating, find places to walk 4,000 steps. If inside the airport, walk along the hallway between gates, wherever is safe. (4) Drink 2,000 to 3,000 cc of water each day, dress comfortably, control your weight, maintain sufficient sleep hours, keep a positive mindset and avoid getting sick or injured.
Keynote Forum
Keshena Patterson
Siemens Healthineers, USA
Keynote: Polycystic ovarian syndrome and the importance of ultrasound imaging
Time : 11:30-12:30
Biography:
Keshena has a Bachelors of Science in Radiology Technology. She has worked as a Radiology Technologist for over 7 years. She has experience in a variety of positions including leadership. She currently works as a Clinical Education Specialist for Siemens Healthineers. She is also a respected independent author publishing a part memoir, part informational non fiction book about her journey with PCOS(polycystic ovarian syndrome) called “I Kept My Smile, From A Girl To A Woman With: PCOS”. Her passion is self-love, patient care, raising awareness for PCOS, and to support and encourage women and young girls with PCOS to be fearless and take control. She is also a motivational speaker and has written publications in her career field and the PCOS community.
Abstract:
PCOS-Polycystic Ovarian Syndrome is a metabolic disorder that effects the hormones and endocrine system. This disorder affects so many young girls and women, it is said that 1 in 10 women of childbearing age have it and may not know it. Symptoms range from infertility, being overweight, cardiovascular issues, acne, unwanted hair, etc. Many specialized medical providers can treat PCOS patients but the beginning starts with Ultrasound imaging and lab work for diagnosis. Ultrasound provides images of the ovaries to understand if cysts are present.
- Diabetes Mellitus |Gestational Diabetes| Endocrinology | Metabolic Syndrome | Diabetes and Obesity |Obesity and Nutrition | Chronic Obesity | Weight Loss Medications | Bariatric Surgery |Prevention of Obesity | Obesity and Cancer
Chair
Gerald C Hsu
EclaireMD Foundation, USA
Session Introduction
Rama Adnan Mnla
Rashid Center for diabetes and research, UAE
Title: Ketogenic diet and glycemic control in obese and diabetic patients
Time : 12:30-13:00
Biography:
Rama Adnan Mnla is an experienced Clinical Dietitian with a demonstrated history of pre and post graduate experience in a variety of inpatient and outpatient settings in different hospitals including John Hopkins hospital (Tawam hospital), Imperial college Diabetes Centers in the United Arab Emirates.
Abstract:
Glycemic control in diabetes is the primary goal to delay and/ or prevent diabetes complications. Dietary carbohydrate is the major determinant of postprandial glucose levels, and several clinical studies have shown that low-carbohydrate diets improve glycemic control, thus carbohydrate restriction is considered to be a crucial therapeutic approach for the glycemic control. Diets low in carbohydrate was used for the treatment of diabetes before insulin or other medication therapies were available. Macronutrient distribution in the diet has different effect on the body physiology and metabolism and eventually on the body composition and clinical outcomes. Ketogenic diet is a type of diet that consist of a very low carbohydrates and high fat which drives the body to get its energy from burning body fat which produces an energy source known as ketones. It has been shown that ketogenic diet is effective in improving blood glucose control and helping towards weight loss in people with diabetes and non-diabetic. It has been presently included in the evidence based practice guidelines for nutritional management of diabetes and obesity. In this lecture, we will be discussing the macronutrients recommendation, ketogenic diet, alterations in metabolism in patient on ketogenic diet, the benefits of ketogenic diet on clinical outcomes, in addition to safety, compliance and guidelines.
Biography:
Apurva Vyas has extensive experience in obesity surgeries and has a record of performing the highest number of laparoscopic surgeries in Gujarat, India. He has performed more single port surgeries (SILS – Single Incision Laparoscopic Surgery) than any other doctor in India. His laparoscopic surgical video papers were awarded the best surgical videos in conference at Singapore in the year 2010-2011.
Abstract:
This study includes robotic bariatric surgery performed at a single tertiary care centre from 2015 to 2017. 56 cases of robotic bariatric surgery are compared to conventional laparoscopic surgery. Robotic surgery can be performed in all the patients who are planned to undergo laparoscopic surgery. Robotic bariatric arms have smooth movement during the surgery due to 270 degree rotation and no tremors. Robotic arms can lift and hold thick mesentery and bowels which are difficult for human hands due to excess omental and mesenteric fat. Chances of injury to tissues are nil during robotic surgery. Robotic surgery causes less physical stress to the surgeon and with experience it effectively reduces operative time also.
Nabil Al-Kayssi
University of Alberta, Canada
Title: New canadians guideline for basal bolus insulin therapy
Time : 14:30-15:30
Biography:
Nabil Al-Kayssi has done his graduation from medical college in Baghdad/ Iraq and granted M.B.Ch.B. in 1984, then he finished a master degree in Human anatomy, embryology and neuroscience in 1994 from Iraq. He was a lecturer and assistance professor of Human Anatomy in Iraq for 12 years. In 1999 Dr. Al-Kayssi immigrated to Canada and obtained a full licence of medical council of Canada in 2005 and then Canadian board in Family medicine in 2009. Dr. Al-Kayssi worked as family and emergency physician and as a Hospitalist at different Canadian hospitals from 2001. Now Dr. Al-Kayssi works as a Hospitalist and intravenous Clinic staff physician, infectious diseases at Sturgeon Hospital, Site Lead, East Edmonton Health Centre and Clinical lecturer at University of Alberta, Faculty of Medicine in Alberta, Canada.
Abstract:
Insulin dose calculation and adjustment to reach an optimum glycemic control is a challenging mission for physicians both as an outpatient and inpatient settings. Those challenges are applied on diabetes mellitus of both type I and II when insulin is indicated. In Alberta, Canada a new Basal Bolus Insulin Therapy (BBIT) guideline for adults with diabetes mellitus was established to make calculating and adjusting Insulin dose easier for all medical staff including physicians, pharmacists and nurses to accomplish a good glycemic target for inpatients in all acute facilities (hospitals) in Alberta. In this presentation I will discuss this new guideline and how it makes glycemic control by calculating and dose adjustment easier to reduces the risk of errors in administering bolus and basal insulin. To apply this guideline we need collaborative efforts of all medical staff involved in patient’s management.
Samra Abouchacra
University of Toronto Medical School, Canada
Title: The Obesity epidemic and eating behaviour: Are diets the answer?
Time : 15:30-16:00
Biography:
Dr. Abouchacra is a graduate of University of Toronto and has board certification from the Royal College of Physicians of Canada in Internal Medicine and Nephrology as well as American Boards certification in both. She also completed 2-year Clinical Research Fellowship sponsored by the National Kidney Foundation of Canada which served as thesis for Masters in Science (MSc) at Institute of Medical Sciences, University of Toronto, Canada. Dr. Abouchacra is an active membership of Royal College of Physicians of Canada, College of Physicians & Surgeons of Ontario and is a fellow of the American Society of Nephrology (FASN). She is also an affiliate member of the American Heart Association’s “Kidney Council”, member of the American Society of Nephrology as well as Emirates Medical Association of Nephrology. She has extensive clinical experience in nephrology & internal medicine and has served as Chairperson of Nephrology Department, Tawam Hospital-JHMI. Currently she is seconded as Director of Outpatient services, Al Ain Hospital, Al Ain. She was previously Director of Outpatient services at Tawam Hospital - JHMI, and was also the Chairperson for SEHA Urology & Kidney Disease Service Line Council. Dr Abouchacra is an Adjunct Clinical Professor at Faculty of Medicine and Health Sciences (FMHS) Al Ain, UAE and had previously served as the Chairperson of Academic Affairs Department at Tawam Hospital-JHMI. She actively participates in teaching as well as research activities with numerous publications and scientific projects in peer reviewed journals.
Abstract:
Obesity is the largest man-made epidemic and is the single most important contributor to metabolic syndrome and type II diabetes. Weight loss is of proven effectiveness in controlling or even reversing these metabolic abnormalities. However, the achievement and sustainability of weight loss continues to be extremely challenging. It has been shown that despite the availability of myriads of diets, patients invariably regain the weight they lost and rebound beyond. Furthermore, attributing overweight primarily to an imbalance between energy intake and expenditure is over simplistic, as there are many factors affecting food ingestion behaviour that seriously interfere with weight control. This lecture will explore eating patterns and dietary habits in overweight and obese persons as well as external influences promoting overconsumption. These eating practices may be key elements in sabotaging weight loss and maintenance efforts and may present potential areas for intervention through behaviour modification.
Samra Abouchacra
University of Toronto Medical School, Canada
Title: The Obesity epidemic and eating behaviour: Are diets the answer?
Biography:
Dr. Abouchacra is a graduate of University of Toronto and has board certification from the Royal College of Physicians of Canada in Internal Medicine and Nephrology as well as American Boards certification in both. She also completed 2-year Clinical Research Fellowship sponsored by the National Kidney Foundation of Canada which served as thesis for Masters in Science (MSc) at Institute of Medical Sciences, University of Toronto, Canada. Dr. Abouchacra is an active membership of Royal College of Physicians of Canada, College of Physicians & Surgeons of Ontario and is a fellow of the American Society of Nephrology (FASN). She is also an affiliate member of the American Heart Association’s “Kidney Council”, member of the American Society of Nephrology as well as Emirates Medical Association of Nephrology. She has extensive clinical experience in nephrology & internal medicine and has served as Chairperson of Nephrology Department, Tawam Hospital-JHMI. Currently she is seconded as Director of Outpatient services, Al Ain Hospital, Al Ain. She was previously Director of Outpatient services at Tawam Hospital - JHMI, and was also the Chairperson for SEHA Urology & Kidney Disease Service Line Council. Dr Abouchacra is an Adjunct Clinical Professor at Faculty of Medicine and Health Sciences (FMHS) Al Ain, UAE and had previously served as the Chairperson of Academic Affairs Department at Tawam Hospital-JHMI. She actively participates in teaching as well as research activities with numerous publications and scientific projects in peer reviewed journals.
Abstract:
Obesity is the largest man made epidemic and is the single most important contributor to metabolic syndrome ad type II diabetes. Weight loss is of proven effectiveness in controlling or even reversing these metabolic abnormalities. However, the achievement and sustainability of weight loss continues to be extremely challenging. It has been shown that despite the availability of myriads of diets, patients invariably regain the weight they lost and rebound beyond. Furthermore, attributing overweight primarily to an imbalance between energy intake and expenditure is over simplistic, as there are many factors affecting food ingestion behaviour that seriously interfere with weight control. This lecture will explore eating patterns and dietary habits in overweight and obese persons as well as external influences promoting overconsumption. These eating practices may be key elements in sabotaging weight loss and maintenance efforts and may present potential areas for intervention through behaviour modification.