12^th World Congress on Diabetes & Endocrinology July 05-06, 2019 Columbus, USA

Biography:

Shrouq Mahameed a DAAD scholarship holder who finished MSc in analytical toxicology from the University of Jordan, she has the bachelor degree in pharmacy from Palestine since 2010. She holds several positions such as a licensed pharmacist, research assistant, and lecturer in the Hebron University in Palestine. Shrouq now working in AJMAN UNIVERSITY since 2017 as a researcher in the area of clinical pharmacy practice specialized in Diabetes Mellitus scope.

Abstract:

The purpose of this study to assess health literacy among diabetic patients in UAE to explore the relationship between health literacy and diabetes glycemic control.

Diabetes is an important health problem that affects the quality of life and leads to severe complications such as heart attacks, blindness, and end-stage renal disease. The economic load of prediabetes and diabetes in the UAE estimated to be around US$8.52 billion if the current attitude remain with medical costs swelling to US$1.04 billion by 2020.

Health literacy skills include the ability to read and understand information in documents, the ability to speak and communicate about health-related information; the ability to make suitable health decisions; and the ability to use numeric information for tasks, such as dose, food labels, and blood glucose measurements. These skills are accomplished with more confidence for higher health literacy patients. Thus, patients with inadequate health literacy may not benefit from such educational efforts. Three hundred and fifty patients with diabetes who lives in UAE were administered to validated Arabic version instruments to assess health literacy. Both LAD and DNT scores and HbA1c level were found to be significantly associated with patient literacy (P = .004 and P = .02, respectively). Based on the multivariable model, patients with less than a fourth-grade literacy level had 13% lower DKT scores and 1.36% higher HbA1c levels relative to those with a high school literacy level. Low health literacy was significantly associated with worse glycemic control and poorer disease knowledge in patients with diabetes.

 

Biography:

Cheryl Wang, MD, PhD, earned her MD at Binzhou Medical College, MSc. in Endocrinology and metabolism, internal medicine from Medical School of Shanghai Jiaotong University (formerly Shanghai Second Medical University), PhD in Endocrinology and metabolism, internal medicine at PLA medical college.

She did internship with all specialties at Zibo Central Hospital, internal medicine residency and trained as an Endocrinologist in Donying People’s Hospital, China, did surgery residency at Mount Sinai and Rutgers in the United States.

She was a fellow of obesity at Pennington, of Diabetes at UTHSCSA, of endocrinology at Mayo clinic, of Anesthesia at UB and Columbia Uni, of immunology, surgery, and OB & Gyn at Pitts, of hematology and oncology at UM, a CRC at Cetero, a tech at RIKEN, a RA at UTHSCSA, a translator, medical writer, and editor of Medimedia and many companies, an assistant professor at UB and Pennington, a professor and endocrinologist at Affiliated Hospital of Taishan Medical College. She also had short training at Harvard medical school, Brigham and Women Hospital, Massachusetts General Hospital, Joslin Diabetes Center, Beth Israel Hospital, Boston Children Hospital, MIT, Cleveland Clinic, Cornell, Banner health, SUNY, UB, Ruijin Hospital, Shanghai Institute of Endocrinology and Metabolism, PLA hospital, etc. She is currently a distinguished professor and endocrinologist at Shengli Oilfield Central Hospital.

Abstract:

Regardless of enormous effort we put, diabetic foot remains challenging for physicians, surgeons, scientists, patients, and the society. Diabetic foot is a complicated pathogenesis progress, with nerve, vessels, local pressure, inflammation and infections involved. Better blood sugar control, local debridement, wound care, and tissue regenerative are quite essential for better outcome. Neater team healthcare is essential to prevent leg amputation.

Regular checkup shall be performed by patients themselves on daily basis, by podiatrists on routine visits.

Better diabetes control effort shall be carried by diabetologists, patients, nutrition, diabetic educators and family and social support. Agents softening arteries, blood thinner, anti-platelets, and lipid-lowering may be used on regular basis. Positive attitude and stress management can be practiced by patients, family, psychiatrists, psychologists, activists, social workers.

The local necrotic tissues, infections, inflammation and other insults block the oxygenation and nutrition of the vessels and tissues, and as such prevent the wound from healing. Thorough debridement carried by wound care nurses, surgeons, and practitioners shall lay a whole picture of the patient’s situation, as well as the local blood supply and infections, cautions shall be paid for the direction of tunnels and oozing to make sure excessive discharge drained well, to offer a fresh, better oxygenated, and relatively healthier setting that promotes the growth of new tissues and vessels. Tips like avoiding pressure/weight on the foot, elevation of the lower limbs, comfort and fit footwear and shoes, regular self-checking of the feet with/without mirror shall reminded and urged by patients themselves, the family, nurses and physicians. Vascular surgeons may do their best to reconstruct the blood supply.  Orthopedic surgeons may take effort to salvage as neat as possible.

Stem cell bioengineering can be applied for tissue and vessel regeneration after the debridement, with a nice scientific team work consist of bioengineers, cell scientists, immunologists, bioconduct companies, pharmacists, physical therapists, experts for regenerative medicine etc. Mesenchymal derived stem cells (MDSC) and adipocytes derived stem cells (ADMS) can be autologous or endogenous. Endogenous stem cells and tissue-engineered implant can be applied with immunopression with scalable tech using biconstruct transplantation.  Exosome from stem cells culture media is found rich in MALAT1 that is essential for wound healing. Local injection of neural growth factor (NGF), TPO, soluble stem cell recruitment factors (SDF-1), inflammation-modulators, progenitors, nitrate oxide (NO), hypoxia indicible factor (HIF-1a) can promote the growth of vessels, angiogenesis, and the regeneration of the tissues. Local light energy can also be used for better outcome.

No man can move the mountain along. With neater team healthcare, not only it will benefit diabetic foot, but wound care and regenerative medicine of any kind.