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Dr.M S Valiathan talks to Dr.Jothydev:Health and Medical Education in Kerala
Part. 1
Part. 2
Part. 3
Oct 06, 2007: Talk for doctors from S.TamilNadu:Dr.Jothydev talks on "Type 2 diabetes: State of the Nation" Estuary Resort, Poovar, Kovalam

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 guidelines states...

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