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Medical Nutrition Therapy in Diabetes
Medical nutrition therapy (MNT) is a cornerstone in the management of diabetes, focusing on individualized dietary plans tailored to the patient's specific needs and goals. It emphasizes a balanced intake of macronutrients, including carbohydrates, proteins, and fats, to achieve optimal blood glucose control while promoting overall health and well-being. MNT aims to stabilize blood sugar levels, prevent complications, and improve quality of life through careful monitoring of food intake, portion control, and timing of meals. Additionally, MNT educates patients on carbohydrate counting, glycemic index, and meal timing to help them make informed choices and better manage their condition. Collaborative efforts between patients, healthcare providers, and registered dietitians play a vital role in implementing and sustaining effective MNT strategies tailored to each individual's lifestyle and dietary preferences, thereby enhancing diabetes management and long-term health outcomes.
About the Speaker

Dr. Shruthi Bettegowda
Consultant Endocrinologist, Aster G Madegowda hospital, Mandya
Dr. Shruthi Bettegowda is a highly skilled Endocrinologist with a comprehensive background in managing a wide range of endocrine disorders. With over four years of dedicated experience in the field, she has held esteemed positions as an Assistant Professor in the Department of Medicine at Adichunchanagiri Institute of Medical Sciences, Mandya, and later as an Associate Professor in the same department. Dr. Bettegowda's expertise lies in the diagnosis and management of conditions such as hyperthyroidism, hypothyroidism, PCOS, type 1 and type 2 diabetes, and gestational diabetes. She is committed to providing personalized care to her patients, utilizing her extensive knowledge and clinical skills to optimize treatment outcomes and improve overall patient well-being. Currently serving as an Assistant Professor in the Department of Endocrinology and Metabolism at SVIMS, Tirupati, Dr. Bettegowda continues to contribute significantly to the field of endocrinology through her clinical expertise and academic pursuits.
Upcoming Case Discussions
Endometriosis and Infertility
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside of it, often affecting the ovaries, fallopian tubes, and pelvic organs. This disorder can cause painful periods, pelvic pain, and, in many cases, infertility. The presence of endometrial-like tissue outside the uterus can disrupt normal reproductive function by causing inflammation, scarring, and adhesions, which can interfere with ovulation, fertilization, and embryo implantation. Approximately 30-50% of women with endometriosis experience infertility, making it one of the leading causes of reproductive challenges in affected individuals. However, treatment options like surgery, medication, or assisted reproductive technologies can help improve fertility outcomes.
Impact of Endometriosis on Fertility
Endometriosis, a condition where endometrial-like tissue grows outside the uterus, can significantly impact fertility. It causes inflammation, scarring, and adhesions that may distort pelvic anatomy, block fallopian tubes, and impair ovarian function. Endometriosis is also linked to hormonal imbalances and poor egg quality, reducing the chances of conception. Symptoms like chronic pelvic pain and painful intercourse further complicate fertility. Diagnosis often requires laparoscopy, while management includes pain relief, hormonal therapy, and assisted reproductive techniques like IVF. Early intervention with medical or surgical treatment can improve reproductive outcomes, but severe cases may necessitate advanced fertility treatments for conception.
Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
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.
Abnormal Uterine Bleeding: Diagnosis and Management
Abnormal Uterine Bleeding (AUB) is a common gynecological condition characterized by bleeding outside the normal menstrual cycle, excessive flow, or irregular patterns. It can result from structural causes (polyps, fibroids, adenomyosis, malignancy) or non-structural factors (coagulopathy, ovulatory dysfunction, endometrial disorders). Diagnosis involves a thorough history, physical examination, laboratory tests, imaging (ultrasound), and sometimes hysteroscopy. Management depends on the underlying cause and includes hormonal therapy (oral contraceptives, progestins), non-hormonal options (NSAIDs, tranexamic acid), and surgical interventions (endometrial ablation, myomectomy, hysterectomy). A tailored approach ensures effective symptom control and improved quality of life. Early evaluation is key to preventing complications.