High-intensity statin therapy is recommended for all patients with diabetes and ASCVD. Statins reduce cholesterol levels and offer other benefits, including plaque stabilization, reduction of inflammation, reversal of endothelial dysfunction, and decreasing thrombogenicity, thus reducing cardiovascular disease risk. Guidelines recommend statin therapy for all patients with T2DM who are >40 to 75 years old and have a low-density lipoprotein (LDL) cholesterol level of 70 mg/dL or greater for primary prevention of cardiovascular diseases. Dr. Ganapathi Bantwal, HOD- Endocrinology at St. Johns Medical College & Hospital, joins us LIVE to illustrate the indications for statin therapy in diabetic individuals 

Statins in Diabetes

It's that time of the week again! For the sixth episode of the case of the week series we have with us as mentor & guide, Dr. Ganapathi Bantwal, Prof & Head of Department of Endocrinology at St.Johns Hospital, Bangalore. In the spirit of World Diabetes Day month, our resident Dr. Abhishek Kulkarni brings to the table a rather gripping case of a 13/M, k/c/o Type 1 DM who has recurrent episodes of DKA. From the initial evaluation up until the preferred line of Mx, let's discuss it all. Say no to the fear of medical exams, Experience the #JoyOfLearning Medicine. Stay tuned on 25th November, Friday at 9 PM only on Medflix!

Case of the Week #6

Cushing's syndrome remains an extremely complex endocrine condition. It comprises a large group of signs and symptoms that reflect prolonged and inappropriately high exposure of tissue to glucocorticoids. More often patients have a number of features that are caused by cortisol excess but that are also common in the general population, such as obesity, depression, diabetes, hypertension, or menstrual irregularity. As a result, there is an overlap in the clinical presentation of individuals with and without the disorder. The choice of tests, the integrity of the specimens and the quality of endocrine assays are key factors for optimal patient care. On Medflix, Dr. Ganapathi Bantwal joins us LIVE to provide us with extensive guidance on how to overcome these diagnostic challenges.

Cushing's syndrome: Why is it difficult to diagnose?

The term “glucocorticoids” (GCs) represents both naturally secreted hormones by adrenal cortex and anti-inflammatory and immunosuppressive agents. Systemic glucocorticoids are an essential therapy for a range of conditions, but their multiple side effects can produce significant morbidity for patients. Cushing’s syndrome, adrenal suppression, hyperglycemia, dyslipidemia, cardiovascular disease, osteoporosis, psychiatric disturbances, and immunosuppression are among the most important side effects which are significantly noticeable at high doses for prolonged periods. Dr. Ganapathi Bantwal, Professor & Head of Dept. of Endocrinology helps us understand these crucial parameters to effectively manage glucocorticoid side effects.

Managing and Minimizing the side effects of Glucocorticoids 

Dyslipidemia is common in diabetes and there is substantial evidence that decreasing cholesterol improves cardiovascular outcomes, even in patients with seemingly normal lipid profiles. There is an association between atherosclerotic cardiovascular disease and serum cholesterol and triglyceride levels in both type 1 and type 2 diabetes. High triglyceride levels and low high-density lipoprotein (HDL) cholesterol are hallmarks of type 2 diabetic dyslipidemia. Join us LIVE on Medflix as we further explore this topic with renowned endocrinologist and diabetologist, Dr. Ganapathi Bantwal.

Defying Dangers of Diabetic Dyslipidemia

Immediate Past President - Endocrine Society of India | Professor & Head, Dept. of Endocrinology | St. John's Medical College & Hospital, Bangalore.

In order to reduce glucose concentrations in people with type 2 diabetes mellitus, metformin is frequently regarded as the best initial pharmacological option. Due to concerns about lactic acidosis, the medication is, however, contraindicated in a large number of people with impaired kidney function. Metformin should occasionally be administered cautiously or not at all. Learn more about these unique situations with Dr. Ganapathi Bantwal, live only on Medflix.

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