Novo Nordisk annual diabetes update is a nation wide major diabetes update
programme for doctors. Regional update for Kerala doctors was held this
year at Munnar on August 26 and 27, 2006. Dr Anil Shinde, Medical Director
of Norvo Nordisk was the master of ceremony. Regional Manager Pratap Kumar
welcomed the gathering. Dr Mohan Badgandi, Head of Endocrinology at Manipal
hospital, Bangalore and Dr Jothydev Kesavadev were the two speakers.
Audience comprised of physicians, diabetologists, endocrinologists and other
doctors from various parts of Kerala (Trivandrum, Kollam, Pathanamthitta,
Palai, Manjeri, Kasargode, Kannur, Kozhikode, Mananthavadi, Kochi,
Thiruvalla etc) and they very actively participated in the discussions.
Dr Jothydev's spoke on August 27 at NNDU, on patient education in diabetes
management. He shared his experiences being the chairperson of Diabscreen
Kerala, conducting diabetes awareness programs along the length and breadth
of Kerala. Patient education in diabetes should be continuous, repetitive,
patient centered and individualized. Reasons for early insulin treatment,
use of multiple drugs in diabetes, preventing discontinuation of therapy,
cutting down the cost of treating complications ; can all be successfully
accomplished through a organized scientifically conducted diabetes education
programme by a TEAM of experts.
Doctors actively participated in the discussion and raised their concerns
over advertisement and unscientific medications for diabetes being
propagated and resulting in complications of diabetes and serious damages to
liver, kidney etc; These so called herbal remedies, insulin plants etc.,
have to be dealt with legally so as to save the common man.
Insulin Pumps are the best devices for a perfect and ideal metabolic control
for insulin requiring diabetes patients. For the common man the cheapest and
the most cost effective option is the Novopen-3. Newer 31G and 32G needles
are absolutely painless. However, it is recommended that each time after
the shot, needle should be removed from pen devices. If needle is left in
place it can result in a open communication between the insulin and
atmosphere which can invite bacteria, contaminate the insulin and result in
its loss of potency.Dr Rajagopal Rao from Kasargode suggested that tight
recapping of the needle can probably prevent this phenomenon.