Thesis Archive

Title- Can ‘Gestational Diabetes Mellitus’ be prevented?

Abstract-Gestational Diabetes Mellitus [GDM] constitutes a major health problem worldwide and the incidence of which is escalating tremendously, paralleling the high incidence of obesity and sedentary lifestyle. The adverse pregnancy outcomes reflect the negative impact of gestational diabetes mellitus on the fetus and the mother. The primary objective of this research is to study the risk factors among 50 patients with Gestational Diabetes Mellitus and the secondary objective is to study the feasible opportunities for prevention of Gestational Diabetes in these patients.  Data collection was done as a retrospective study. The medical records of these patients were reviewed. This study was conducted at Hamad Medical Corporation -Al Khor Hospital in State of Qatar.

On analysis, the results revealed that around 68% of patients were expatriates and amongst these 70% were found to be obese and that the - Maternal age > 25 years was seen in 54% of patients. The significant risk factors for Gestational Diabetes Mellitus for individuals of maternal age above 25 years are Obesity, family History of diabetes mellitus. The preventive measures for these individual who are under the risk are Physical Activity, Dietary Modifications, Counseling and administration of drugs like Metformin, Inositol Therapy.

Dr. Hassan Osman Abdelgalil Abuzaid

Consultant Physician

Qatar

Title- Glycemic Control In Critical Ill Patients; Literature Review Of Glycemic Targets 

Abstract- Background: Hyperglycemia is common in critically ill patients. Patients with hyperglycemia could be known diabetic or non-diabetic. Definitely hyperglycemia can increase morbidity and mortality in critically ill patients. Correction of hyperglycemia may improve clinical outcomes. To date, a definite answer with regard to glucose management in general intensive care unit patients, including treatment thresholds and glucose target is undetermined.

Objective: The main objective of this review to explore the impact of hyperglycemia and it is treatment on critically ill patients and which glycemic targets are safe and effective in critically ill patients.

Methodology: The type of the research is literature review. The Cochrane Library and PubMed databases were used for search. The search was limited to English publications and studies published from 1990 until April 2014.  Selected papers were assessed for methodological validity using theOxford quality scoring system. Initial keywords to be used will be: Hyperglycemia, Tight glycemic control, strict glycemic control, critically ill patients and intensive insulin therapy.............

Dr. Mohamed Milad Abuhmaira 
Alkhor Hospital - Medicine Department Qatar