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Gestational Diabetes Mellitus
Gestational Diabetes Mellitus (GDM) is a condition characterized by elevated blood sugar levels during pregnancy, typically developing in the second or third trimester. It arises when the body cannot produce enough insulin to meet the increased demands of pregnancy, leading to insulin resistance. GDM poses risks to both the mother and the baby, including preeclampsia, preterm birth, and higher birth weight, which can complicate delivery. Mothers with GDM are also at increased risk for developing type 2 diabetes later in life. Management includes lifestyle modifications, such as diet and exercise, and, in some cases, medication to maintain blood glucose levels within a target range.
About the Speaker
Dr. Dina Nagodra Mithani
Endocrinologist, DENMARC Institute, Mumbai
Dr. Dina Nagodra Mithani is a highly qualified and experienced diabetes and endocrinology specialist with a comprehensive educational background and extensive international work experience. She holds postgraduate diplomas in endocrinology and diabetes from the University of South Wales, the International Diabetes Federation, the Royal College of Physicians, and Fortis CDOC, as well as a postgraduate certificate in stem cell and regenerative medicine from the University of Utrecht. Additionally, she has a Master of Science in Public and Tropical Health and was promoted for a PhD at the University of Medical Sciences and Technology in Sudan, where she also earned her Bachelor of Science in Medicine and Surgery. Dr. Mithani's career spans several countries, including roles at the DENMARC Institute in Mumbai, the Omdurman Military Hospital in Sudan, the Norfolk and Norwich University Hospital in the UK, and the Midland Regional Hospital in Ireland. She has provided diabetes and endocrinology services in various clinical settings, such as the Acute Medical Assessment Unit at Wexford General Hospital and the Abdalla Khalil Diabetes Center in Sudan. Her experience also includes working in intensive care at Imperial Private Hospital and serving with the State Ministry of Health in Khartoum. In addition to her clinical work, Dr. Mithani has contributed significantly to medical research, with publications in esteemed journals like the New England Journal of Medicine. Her research topics include diabetes in pregnancy, the relationship between diabetes and heart failure, diabetic neuropathy, cardiometabolic disease, and novel therapies for diabetes management. Dr. Mithani's dedication to her field is reflected in her ongoing efforts to improve diabetes care and outcomes for patients globally.
Upcoming Case Discussions
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.
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Dr. Dina Nagodra Mithani's Talks on Assimilate
- 22th-June-2024, TIME : 3:00PM TO 4:00 PM
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Gestational Diabetes Mellitus (GDM) is a condition characterized by elevated blood sugar levels during pregnancy, typically developing in the second or third trimester. It arises when the body cannot produce enough insulin to meet the increased demands of pregnancy, leading to insulin resistance. GDM poses risks to both the mother and the baby, including preeclampsia, preterm birth, and higher birth weight, which can complicate delivery. Mothers with GDM are also at increased risk for developing type 2 diabetes later in life. Management includes lifestyle modifications, such as diet and exercise, and, in some cases, medication to maintain blood glucose levels within a target range.