A seminar was organized by the Pakistan Endocrine Society, Sindh Chapter, in collaboration with Khairpur Medical College, Khairpur Mir’s, Sindh on 16 March 2016. This was 3rd. in a series of provincial CME programs, followed by Programs at LUMHS, Jamshoro and Mirpur Khas.

The principal of the College, Professor MashoorAlam Shah was the chief guest of this event. This seminar was attended by a large number of family physicians, faculty members, and medical students. Due to a large number of registered audiences, two overflow rooms were arranged with the latest AV system. Speakers were Prof. M. Zaman Shaikh, Prof MashoorAlam Shah, Dr. Aisha Sheikh, and Dr. Nanik Ram.

On this occasion, Co-coordinator of the program and Vice President of PES, Sindh Chapter, Prof. M.Zaman Shaikh welcomed the guests on the behalf of PES and highlighted the achievements of the Society, like introduction of the post-graduate course in Endocrinology, making latest guidelines for Type 2 Diabetes, awarding research and travel grants to post-graduates, previous academic seminars symposia and conferences, including its international roles in the organizations like SAFES and AACE.

Professor Zaman Shaikh also talked on “Update on Thyroid Failure.” He said that due to non- specific signs and symptoms in the early stages of hypothyroidism, patients may land at the clinics of Rheumatologists, psychiatrists, Dermatologists, and Cardiologists. Therefore index of suspicion should be high to make the correct diagnosis.  He discussed investigation protocols and updates in the management of hypothyroidism and myxedema coma.

The chief guest Prof. MashoorAlam Shah spoke on this occasion and highlighted the need for establishing Khairpur Medical College and informed about various academic achievements so far. He emphasized the role of prevention in various communicable and non-communicable diseases. He highlighted the joint role and efforts of LHWs, Government officials of Health departments, and medical colleges to achieve this goal. He also talked about Diabetes: “Past, Present, and Future”. He said that diabetes causes 5% of all deaths globally every year. Up to 80% of type 2 diabetes is preventable diseases by lifestyle modifications. He said that causes of the rise in the prevalence are population aging, unhealthy diet, sedentary lifestyle, and obesity. He mentioned in detail historical background, current status and future prospectus of diabetes.

Dr. Nanik ram spoke on “Male Hypogonadism”. He said that adult androgen deficiency or “Andropause” is quite common and contributes to metabolic syndrome. He said that while considering the etiology, androgen resistance must be considered.

Dr. Aisha sheikh highlighted the deleterious effect of poor glycemic control on fetal outcome. She emphasized the need of preconception counseling. She said that Diabetes affects pregnancy and pregnancy affects diabetes. Drugs like ACE inhibitors and ARBs must be stopped before trying to conceive. She said that retinopathy may worsen during pregnancy. Metformin and glibenclamide is safe during pregnancy and lactation.

ProfessorJavedphulpoto, HOD of the Department of Medicine presented the vote of thanks. In the end, traditional AJRAK and SINDHI TOPI (caps) were distributed to all the guests. This was followed by a lively Question and Answer session and Hi-Tea.