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

05/04/2026

There are two types of amiodarone-induced thyrotoxicosis (AIT). In type 1, there is increased synthesis of thyroid hormone (usually in patients with a preexisting nodular goiter), whereas in type 2, there is excess release of T4 and T3 due to a destructive thyroiditis

UPTODATE

05/04/2026

We recommend repeat MRI every 2–3 years for stable macroadenomas that are ≥5 mm away from optic chiasm

Pituitary Society international consensus guideline statement 2025

05/04/2026

Patients with mood disorders who are treated with lithium have an increased incidence of hyperthyroidism

UPTODATE

05/04/2026

What is the antihypertensive option in this case..
62 M not diabetic with frequent low stream urination

04/04/2026

Postpartum thyroiditis occurs in women within one year after parturition or abortion. approximately 8 to 10 percent of pregnancies, In clinically hyperthyroid women, it must be distinguished from postpartum exacerbations of Graves' disease.

Uptodate

04/04/2026

Iatrogenic hypoglycemia may occur after sudden reduction of corticosteroid dose
ADA 2026

04/04/2026

It is reasonable to withhold SGLT2i during times of prolonged fasting, surgery, or critical medical illness (when patients may be at greater risk for
ketosis).

KDIGO 2022

04/04/2026

Low dose Aspirin and Optimal glycemic control are recommended to prevent preeclampsia by ADA 2025 and ACOG

04/04/2026

Advise contraception in women receiving ACEi or ARB therapy and discontinue these agents in women who are considering pregnancy or who become pregnant.

KDIGO 2022

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03/04/2026

Random glucose value 11.1 mmol/L (200 mg/dL) can be utilized to establish the diagnosis of Steroid Induced Hyperglycemia

J. Clin. Med. 2021, 10, 2154

03/04/2026

Remember to rule out other causes of Irregular menstrual period before diagnosing .

The Royal College of Obstetricians and Gynaecologists (RCOG) recommends the following baseline screening tests for women with suspected polycystic ovarian syndrome (PCOS): thyroid function tests, serum prolactin levels, and a free Testesterone

03/04/2026

The recommendation for SGLT2i is for
kidney and CV protection and SGLT2i have been
shown to have safety and benefit in CKD patients, even without T2D. Thus, if patients are already being treated with other glucose-lowering agents, an SGLT2i can
be added to the current treatment regimen

KDIGO2022

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