Conferences and Symposia

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    Awareness on alternative medical systems among diabetes mellitus patients in Uva and North Central provinces; Mullaithivu, Mannar and Killinochchi districts in the Northern Province
    (Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Nuwansiri, L.S.B.; Abeysooriya, S.R.; Thilakarathne, M.G.T.C.; Pathirana, G.K.M.; Peiris, L.D.C.; Mirfaha, M.A.F.
    BACKGROUND: Diabetes Mellitus is a metabolic disorder due to deficiency of insulin. According to Ayurveda concepts this is part of urinary disorders characterized by profuse urination with several abnormal qualities due to Dhosic imbalances. According to the Siddha concept Alaldhosha increase first, then Walidhosha increase, afterwards Wali and Aryamdhoshas is increased. Concurrently disturbance of seven Dhathus function occur and eliminate body energy through urine. The concept of Unani that mentioned Zinbatusshukkari (Diabetes Mellitus) develops due to weakness of the kidney as a result of strong exposures power, weakness of the retentive power and causative factors. Prevention is the best method to control this disease. Awareness among people should be increased to prevent this disease. All medical systems should combine efforts. Other than allopathic system Ayurveda, Siddha, and Unani are other alternative medical systems that can provide awareness. OBJECTIVE: To find out awareness of people about other alternative medical systems that can control Diabetes Mellitus and to find out method of continuing treatment at diabetes clinics in these medical systems. METHODS: An interviewer administered questionnaire was used to collect data visiting Sidda, Unani, Ayurveda District Hospitals, Central Dispensaries and free Ayurveda Dispensaries in Uva province, North central province, Killinochhi, Mannar,and Mullaithivu districts. RESULTS: There were few hospitals that provide Diabetic clinics (Uva-20%, North central -11%, Killinochchi, Mannar and Mullaithivu districts -25%). Of 40 patients identified from clinics only 50% of patients were aware of Ayurveda, Siddha, Unani treatments for Diabetes. CONCLUSIONS: Availability of alternative medical facilities for management of Diabetes Mellitus is limited in these districts. The awareness of people about these systems is not satisfactory.
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    How important is blood glucose control in diabetes?
    (Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Patel, A.
    Diabetes is now a common condition, with rapidly increasing prevalence globally. Individuals with diabetes have a two to three-fold increased risk of developing macrovascular complications such myocardial infarction and stroke, compared with those without diabetes. Premature morbidity and mortality in people with diabetes is also associated with microvascular complications, including retinopathy and kidney disease. In 2008, the results of three large-scale randomised trials of intensive blood glucose control failed to provide evidence in the reduction of macrovascular disease in people with type 2 diabetes; indeed in one trial, intensive glucose control was associated with poorer outcomes. These findings were unexpected, in light of the epidemiological associations between blood glucose levels and both microvascular and macrovascular disease. Some proposed that the absence of benefits (or presence of harm) from intensive blood glucose lowering might reflect adverse effects of excess severe hypoglycaemia, or the concept of “metabolic memory”, whereby any beneficial effects may be observed only several years after the onset of tight blood glucose control. In this presentation I will provide an overview of the trial evidence relating to blood glucose control in people with type 2 diabetes, including recently reported data on long-term follow-up in the pivotal trials, ostensibly addressing the issue of “metabolic memory”.