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

28/05/2026

This case report demonstrates that a long-term ketogenic diet in a person with type 1 diabetes has considerable therapeutic benefits. 43% decrease in daily insulin requirements.
JCEM july 2024

28/05/2026

Metformin restores ovulatory me**es in approximately 30 to 50 per cent of women with PCOS

Health Vol.10 No.5, May 2018

28/05/2026

PCOS pooled global prevalence of 21.27%

Deswal R, et al.J Hum Reprod Sci. 2020

17 y M . Complaining of weakness, salt craving and dizzeness on standing. PE showed orthostatic hypotension What is next...
28/05/2026

17 y M . Complaining of weakness, salt craving and dizzeness on standing. PE showed orthostatic hypotension
What is next step?

28/05/2026

As an alternative to hydrocortisone, we suggest using
prednisolone (3–5 mg/d), administered orally once or
twice daily, especially in patients with reduced compliance.
Endo Society 2016

28/05/2026

Where COCP is contraindicated, not accepted, or not tolerated, metformin may be considered for irregular menstrual cycles. For hirsutism, other interventions may be needed.

Endo Society 2023

27/05/2026

We report a mean ‘peak’ weight gain of 8.4 kg and a mean
‘last’weight gain of 7.3 kg in patients undergoing treatment
for hyperthyroidism, over a median period of 1 and
2 years, respectively. Indeed, more than half of this
patient cohort had a significant weight gain of more
than 10% of their presentation weight.

Kyriacou et al. Thyroid 2026

27/05/2026

30% prevalence of MAFLD and MASH in PCOS ( PMOS)

Schwimmer JB et al. Fertil Steril. 2005

27/05/2026

Decreased vitamin B12 levels are a known consequence of long-term treatment with metformin. The mechanism is currently thought to be multifactorial, comprising altered intestinal motility, bacterial overgrowth, and reduced uptake of vitamin B12 within the small intestine (or a combination of these factors).

NICE 2024

27/05/2026

Prior and during lithium therapy.

TFT
US thyroid
TPO Abs

Thyroid research Feb 2015

27/05/2026

In patients with severe adrenal insufficiency we recommend immediate
therapy with stress dose IV hydrocortisone prior to the availability of the results of diagnostic tests..
Endo Society 2016

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