The Endocrine Club

The Endocrine Club General endocrinology and diabetes practical points
Chairman/admin :
Abdulqawi Almansari MBBS FACP FACE

Chairman Abdulqawi Almansari MD FACP FACE
Consultant endocrinologist
Myclinic alsafa Jeddah
American board of Endocrinology Diabetes and Metabolism2000
American Board internal Medicine 1998

21/12/2025

In patients with long steroid duration..
1- decrease the dose gradually
2- once reaching 5 mg prednisone or equivalent you plan for gradual tapering every other day
3- cortisol 8 am ( 24- 48 hours after the last dose ) is indicative of adrenal insufficiency if below 3 other wise 250 mcg ACTH Stim test should be done

21/12/2025

Approximately 15 percent of patients with primary hyperparathyroidism (PHPT) have hyperplasia or double adenoma. For patients with suspected or known multigland disease, bilateral neck exploration is the procedure of choice
Uptodate

21/12/2025

Coffee May Slow Biological Aging in Severe Mental Illness

JAMA mental health Nov 2025

21/12/2025

To reduce CKD progression and cardiovascular events in people with CKD and albuminuria, a nonsteroidal MRA that has been shown to be effective in clinical trials is recommended (if eGFR is ≥25 mL/min/1.73 m2). Potassium levels should be monitored 1 month after initiation. A

ADA 2026

21/12/2025

If Initial BP is over 159/90 . start 2 blood pressure agent .
Single pill combination is preferred for better adherence.

Modified from ADA 2026

21/12/2025

AACE/ADA guidelines strongly discourage the use of a sliding-scale insulin regimen as the only form of treatment. This method is reactive and has been shown to result in poor glycemic control.

20/12/2025

If it can be safely attained, the on-treatment blood pressure goal is

20/12/2025

The incidence of a MI is increased sixfold in women and threefold in men who smoke at least 20 ci******es per day compared with subjects who never smoked
Uptodate

20/12/2025

In adults with type 2 diabetes who have heart failure (HF) (with either reduced or preserved ejection fraction), an SGLT2 inhibitor is recommended for both glycemic management and prevention of HF hospitalizations (irrespective of A1C)

ADA 2026

20/12/2025

The risk of recurrent infarction in a study of smokers who had an MI fell by 50 percent within one year of smoking cessation and normalized to that of nonsmokers within two years

Uptodate

20/12/2025

The sensitivity of BNP in heart failure is 97%. Therefore, a normal BNP l(

19/12/2025

Guidelines from the American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA), Heart Failure Society of America (HFSA), European Society of Cardiology (ESC) recommend measuring BNP and NT-proBNP levels as they are increased in heart failure

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