Dr. Gaurab Bhaduri, M.D. Internal Medicine, Kolkata.

Read what Dr Gaurab Bhaduri, who enrolled in the Six Months Certification Course in Diabetes in 2017. says about his course experience

1. What led you to choose the Six Months Certification Course in Diabetes? I was genuinely interested in a career in Diabetology after I completed my MD Internal Medicine, and as the Six Months Certification Course in Diabetes was certified by Royal College of Physicians UK it ensured a certain quality and would add value to my resume. 2. How is the course in diabetes different from other courses? The course was not only online, it had a contact program, which ensured that students could directly interact with the faculties. The next best part of the course was the examination format which included MCQS, 15 OSCE, 1 clinical case, and viva  taken separately by 3 faculty members. Usually examination is carried online and that I believe is not the ideal way to test a candidate's proficiency. 3. Do you have any advice for potential candidates? Read the materials well, read as much as you could about medical nutrition therapy and lifestyle changes in diabetes therapy. prepare yourself for some difficult questions during viva round. 4. What were your top three learnings from the course? Top three learnings would be (a) dietary goals and how to set them for my patients backed with real scientific data (b) Details of effects of physical exercise on diabetes patients and to  how better plan exercise schedule for them (c) how to use insulin pumps and dose calculations.

[caption id="attachment_571" align="aligncenter" width="1024"] Hands on Training is an essential component of the Six Months Certification Course in Diabetes. This training is rigorous, intensive and structured. We have commenced enrollments for the next batch of the course. Limited seats are available - register today at http://educationindia.bmj.com/#sign-up[/caption]

  We have received encouraging feedback for the Six Months Certification Course in Diabetes "A very nice introduction to prevelance, demographic influence, high risk groups and possible complications." "Local epidemiology details are well elaborated " "Unit 1 is a well designed module provided insight about global burden, prevelance & distinctive features of diabetes in Asian Indians." "Essential knowledge related to pre-diabetic assessment .awareness in simple way,thanks for this knowledge .start one year or two diploma in preventive cardiology" "Comprehensive information. helpful for clinical services and research also" Enroll today for the Six Months Certification Course in Diabetes. Register now at http://educationindia.bmj.com/#sign-up  

 

 

We understand that you are in the process of setting up your professional development goals. To help you meet your goals in remaining updated with the latest developments in diabetes and its management. We have outlined the top five reasons to enroll in the Six Months Certification Course in Diabetes.   Here are the top six reasons to enroll for the Six Months Certification Course in Diabetes

1. This is a comprehensive course spanning theory, assessment, and contact programs – the content is peer reviewed, relevant for South Asian population. You can view more about the units in our course here

 

2. The course developed by national and international experts. Our course directors are Dr. Prof Anoop Misra (Chairman, Fortis-C-DOC Hospital) and Dr Dean Jenkins, (BMJ, UK).

 

3. Our learning pedagogy is unique - it comprises of a mix of online and face-to face learning. We have high quality interactive units with videos (basic, intermediate and advanced). Our two hands on training sessions allow you to interact with our faculty members, giving you insights, knowledge and information far beyond than an online learning environment.

 

4. The course designed to improve your daily practice, enhance confidence and improve patient safety. The carefully constructed contact program curricula for developing core clinical skills.

 

5. Our course is endorsed by the Royal College of Physicians, (RCP) bringing to you a collaboration of three powerful names in medicine, BMJ, Fortis C-DOC and RCP, as part of your course experience.

  We have successfully commenced three batches of the course – a testament to the trust and interest in the course – we are now about to start the next batch.  We have limited seats per batch - so enroll today and be at the forefront of diabetes management.   Thanks & regards, BMJ India Diabetes Team For further information, please write to: Chandrakala Chauhan E: education.india@bmj.com / cchauhan@bmj.com T: +91-120-4345733 – 38 / 9871528290  

Clinicians now have many demands on their time, and an educational course needs to be designed to fit in their busy schedules. The Six Months Certification Course in Diabetes, is designed to meet the needs of busy clinicians and help them meet their learning needs. We are at risk - and we need you -  India has the second highest number of diabetics in the world, at about 66.8 million, after China, and this figure is likely to reach 80 million by 2030¹. We know you handle cases in diabetes and would like to help more patients manage their diabetes better. We want to help you in this - by introducing our Six Months Certification Course in Diabetes, conducted by BMJ & Fortis C-DOC and endorsed by The Royal College of Physicians. Whether you have just started managing diabetes cases recently or if you have an established practice, our course can meet your needs. How? Our two hands on training sessions allow you to interact with our faculty members, giving you insights, knowledge and information far beyond than an online learning environment. Every hands on training session is unique and the discussions are enriched by the participation of your fellow colleagues in the course. Few things that might help you to decide.

• The course provides you access to our world-class content designed by few of the most renowned names in diabetes - Fortis C-DOC and BMJ.
• The hands on training sessions facilitates interaction with faculty members - Ask your questions right away!
• The curriculum tailor made for audiences in the Indian subcontinent -carefully reviewed and quality controlled by top experts from UK
• Our learning pedagogy (online plus contact programs) ensures the right mix of faculty interaction and self learning.

Our course directors are Dr. Prof Anoop Misra (Chairman, Fortis-C-DOC Hospital) and Dr Dean Jenkins, (BMJ, UK). We have limited seats per batch - so enroll today and be at the forefront of diabetes management. Thanks & regards, BMJ India Diabetes Team For further information, please write to education.india@bmj.com T: +91-120-4345733 – 38 / 9871528290 / 91-9650264443  

Why Should I enroll in Course in Diabetes? Summary: We understand that your needs in undertaking a course in diabetes may be different. We have outlined some discussion areas to help you reach a decision to enroll for the Six Months Certification Course in Diabetes.  

• How can a diabetes course help me?
• I am a private practitioner, how will this course help me?
• I am a MBBS student, is this course relevant for me?
• I am already managing diabetic patients, how can this course help me?

  How can a diabetes course help me? India has the second highest number of diabetics in the world, at about 65 million, after China, and this figure is likely to reach 80 million by 2030. We need healthcare professionals trained in diabetes management who can help address this epidemic. This course will help you in professional enrichment and will help you in acquiring skills that will help you in effective management & treatment of diabetes   I am a private practitioner, how will this course help me? In case you are a private practitioner and you have diabetic patients, then this course is perfectly suited for you. Many private practitioners have enrolled for the Course in Diabetes and have remarked that the course helped them in understanding how to manage diabetes better in their patients.     In case you are already handling diabetes patients We know you handle cases in diabetes and would like to help more patients manage their diabetes better. By doing this course, you can acquire more skills to manage diabetes cases better. Our course content is peer reviewed and our faculty members are top experts from India and UK. You can learn not only through the course material but by also interacting with your fellow course members during the hands on training sessions, thus enriching your learning experience.   For which specializations is this course relevant? We have received interest from across specializations for our course – thus reaffirming our belief that this course is relevant for everyone who deals with patients who have diabetes. We’ve had doctors from psychiatry, dermatology, surgery, pulmonology amongst general practitioners enrolling for this course.   Our course directors are Dr. Prof Anoop Misra (Chairman, Fortis-C-DOC Hospital) and Dr Dean Jenkins, (BMJ, UK). We have limited seats per batch - so enroll today and be at the forefront of diabetes management.   Thanks & regards, BMJ India Diabetes Team For further information, please write to education.india@bmj.com T: +91-120-4345733 – 38 / 9871528290  

Summary: In the present scenario, where the diabetes burden is the country stands at 69.1 million cases in 2015, it becomes imperative to have educational initiatives that aid the healthcare community in clinical diagnosis and management of diabetes. In case you are looking for a course in diabetes, you may want to consider the Six Months Certification Course in Diabetes. India has the second highest number of diabetics in the world, at about 66.8 million, after China, and this figure is likely to reach 80 million by 2030. The country needs healthcare professionals who can manage this diabetes epidemic – in case you are looking for a course in diabetes, you may want to consider the Six Months Certification Course in Diabetes, jointly conducted by BMJ & Fortis C-DOC and endorsed by The Royal College of Physicians (RCP). Our course highlights are as below:

• Online and supplemented by contact programs at the Fortis C-DOC Hospital, New Delhi.
• Comprehensive - spanning theory, assessment, and hands-on training
• Developed by national and international experts.
• Interactive: 6 high-quality interactive units with videos (basic, intermediate and advanced)

Our course directors are Dr. Prof Anoop Misra (Chairman, Fortis-C-DOC Hospital) and Dr Dean Jenkins, (BMJ, UK). You can download the course brochure here and visit our website http://educationindia.bmj.com/ for further details. You can fill in the application form here. Position yourself strongly amongst your peers and enroll for the Course in Diabetes. We have limited seats per batch - so enroll today and be at the forefront of diabetes management. Thanks & regards, BMJ India Diabetes Team For further information, please write to education.india@bmj.com T: +91-120-4345733 – 38 / 9871528290 References International Diabetes Federation, http://www.idf.org/membership/sea/india

Diabetes. ED

Hypogonadism and Erectile Dysfunction: Implications in Diabetes Ritesh Gupta Summary: With the growing epidemic of diabetes, a huge burden of its complications has surfaced globally as well as in India. Most of these complications affect vital organs like heart, kidney, brain, eyes, nerves etc. and are the focus areas in terms of prevention and management. However, erectile dysfunction (ED) as a complication of diabetes often does not receive as much attention. Several factors like hesitation and embarrassment on part of either patient or physician, incorrect perception of ED being an age related ‘normal’ phenomenon and lack of understanding about the underlying serious disease are responsible for suboptimal identification and management of this disorder. The prevalence of ED in diabetes has been variously reported to be between 20-85%, depending on the duration of diabetes, age of study population and the definition of ED. The prevalence of ED was reported to be 28% in diabetics and 10% in nondiabetics in Massachusetts Male Ageing Study. In a recent study from Italy, the prevalence of ED was 43% in 1503 men with newly detected T2DM (duration < 2 years). There is only one study from India (Bikaner, Rajasthan) in which the prevalence of ED was reported to be 78% in 50 patients with diabetes. Evaluation of a diabetic patient with ED should include a careful history with psychological evaluation. International Index of Erectile Function (IIEF-5) is a useful tool to detect and grade ED. Physical examination should include assessment of secondary sexual characters, testicular size and any penile deformity or plaque. Most patients will need a hormonal evaluation with measurement of serum testosterone and prolactin. Dynamic Doppler study of penis after either intracavernosal alprostadil or oral sildenafil is needed occasionally. There are two management goals in a patient with diabetes who presents with ED. The primary and immediate aim is to treat his disability. But what is equally important is to uncover an underlying disorder like hypogonadism or cardiovascular disease. It is now well recognized that ED is a marker of widespread endothelial dysfunction in several vascular beds and may precede the onset of coronary artery disease. The recent Joslin Medalists Study of longstanding (>50 years) type 1 diabetics reported a strong relationship between sexual dysfunction and cardiovascular disease. In a prospective study of more than 2000 patients with diabetes with no cardiovascular disease, those with erectile dysfunction had a significantly higher risk of an incident cardiovascular event. Therefore ED has emerged as a risk factor for coronary artery disease and its presence provides an opportunity for primary prevention. Any patient with diabetes with erectile dysfunction should have a cardiovascular risk assessment and those with very high cardiovascular risk may have a coronary evaluation by exercise testing or coronary calcium scoring. A significant number of diabetic patients with erectile dysfunction have hypogonadism or low serum testosterone levels. There is some evidence that treatment with testosterone in diabetic patients with hypogonadism improves insulin sensitivity and glycemic control, however robust and long term evidence is lacking. Nevertheless, there are other benefits to be derived from testosterone replacement like improvement in libido and sexual function, as well as in bone density, muscle strength and cognition. Endocrine Society recommends testing of serum testosterone levels in all patients with type 2 diabetes. Erectile dysfunction in diabetic patients can be treated as in nondiabetics. Usually, PDE-5 inhibitors are the first line agents in treatment. These drugs can be used safely in diabetes; however care should be taken about interaction with antihypertensive drugs and nitrates. These drugs are generally used on an as needed basis; however daily low dose tadalafil has been used with good success. In patients who fail to respond to PDE5 inhibtors, the options are intracavernosal injections of Alprostadil, intraurethral Alprostadil, vacuum device and penile prostheses. About the Author Dr. Ritesh Gupta is a practising Diabetologist and Endocrinologist in New Delhi. He is currently Additional Director, Head - Clinical Operations & Senior Consultant at Fortis C-DOC, a Centre of Excellence for Diabetes, Metabolic Diseases and Endocrinology, located at Chirag Enclave. Dr. Gupta completed his MBBS and MD from the All India Institute of Medical Sciences (AIIMS) in New Delhi. He then spent three years as a Senior Resident in the Department of Medicine at AIIMS, followed by two years as Senior Resident in the Department of Cardiology and as Internist at Escorts Heart Institute, New Delhi. Subsequently, Dr. Ritesh worked for a total of five years at Apollo Clinic (Noida) and Vinayak Hospital (Noida). Just prior to joining Fortis C-DOC in Jan 2011, he had a two-and-half-year stint as Consultant in the Department of Diabetes and Metabolic Disease at Fortis Flt. Lt. Rajan Dhall Hospital (Vasant Kunj).

Management Treatment of Diabetes Mellitus

Diabetes increases the risk for disorders that predispose individuals to coronary artery,   nephropathy, infection, cerebrovascular and peripheral vascular disease, and lower-extremity amputations.

Successful treatment is a major key factor to long-term health, and achieving balanced diabetes treatment can be the key to living with both type 1 and type 2 diabetes.

Treatment is different for each individual, it varies not only the type of diabetes, but also more individual-specific diabetic treatment differences. The aim of diabetes treatment is to keep blood glucose levels as near to normal as possible. Training in self-management of diabetes is an important part of diabetes management. Treatment should be agreed on an individual basis and address medical, psychosocial and lifestyle issues.

Management of Type 1 diabetes treatment is a daily activity. Lack of insulin production by the pancreas makes management of Type 1 diabetes difficult.

Treatment requires a strict regimen that typically includes a carefully calculated diet, planned physical activity, multiple daily insulin injections and home blood glucose testing a number of times per day.

To know more about the diabetes and our new course in diabetes write us at marketing.india@bmj.com .