Speakers: Dr.Jothydev Kesavadev, Trivandrum
Dr.Govinda Rajan, Madurai
Dr.Sundara Raj, (Rtd. Prof and HOD of Medicine, TNVL, MCH)Thirunelveli
Introduction: Mr.Kannan, Novo Nordisk, Madurai
Dr.Devadas, senior Physician from Nidravila, Kaliyikkavila, is seen
presenting the memento to Dr.Jothydev.
Around 40 doctors participated.
One Selected Question:
Qtn: Can Metformin be used in prevention of diabetes routinely?
Ans by Jothydev: No.All diabetes prevention trials have shown that Lifestyle
modification is the best method of diabetes prevention.
We have to set targets in terms of abdominal circumference reduction, BMI
reduction etc., to reach the goals.
However Metformin, glitazones, acarbose, orlistat, rimonabant etc., were
used in various diabetes prevention trials.
In Chinese diabetes prevention trial, acarbose is found to prevent diabetes
by as high as 88% of the study population.
Since more than 50% of pre diabetes will develop diabetes later on, it is
worth considering pharmacological interventions when life style fails:IDF