🎓 That's a wrap on #DiabetesMasterClass2026!
👥 130+ participants
🔴 26+ hours live
🎙️ 9 expert speakers
📝 600+ questions shared
🌟 95%+ satisfaction
Thank you to our faculty and to everyone who made this journey possible 🙏🏻💙
No weight loss on semaglutide ≠ no benefit. 💊
SELECT (17,000+ patients): those who lost < 5% had the same CV risk reduction as those who lost ≥ 5%.
Similar weight-independent effects in MASH.
Dr Ali Alshehri · Session 10
#DiabetesMasterClass2026#Semaglutide
Diabetes remission at 5 years (STAMPEDE) 🔁
Gastric bypass ~30%
Sleeve, close behind
Medical therapy 5%
DiRECT: 46% at 1 year → 36% at 2 years.
Relapse is biology, not patient failure.
Dr Ali Alshehri · Session 10
#DiabetesMasterClass2026#DiabetesRemission
Normal HbA1c on a GLP-1 ≠ remission. ⚠️
Remission = HbA1c < 6.5% off ALL glucose-lowering meds for ≥ 3 months.
And it's not a cure: keep screening for complications.
Dr Ali Alshehri · Session 10
#DiabetesMasterClass2026#DiabetesRemission
Steno-2: treat glucose, BP and lipids together in type 2 diabetes. ⏳
All-cause mortality −46%
CV death −57%
HF hospitalization −70%
+7.9 years of life
Dr Mohammed Almehthel · Session 9
#DiabetesMasterClass2026#Steno2
Is lower HbA1c always better? ACCORD said no. 📉
Intensive arm (< 6%): no significant CV benefit, mortality +22%, stopped early.
Long-standing T2D + CVD: don't chase < 6.5%.
Newly diagnosed, no CVD: < 6.5% can still help.
Dr Mohammed Almehthel
#DiabetesMasterClass2026#ACCORD
High every morning, zero carbs. 🌅
Not Somogyi (no 3–4 am hypo).
Not dawn (no gradual rise from 3–4 am).
FOG, "Feet On the Ground": a spike on waking from a hormone surge.
Don't raise the basal; it only adds hypo risk.
Dr Ali AlQahtani · Session 8
#DiabetesMasterClass2026#T1D
They didn't wait for the industry. They built it. 🔁
Open-source AID = approved CGM + approved pump + a phone app.
30,000+ users worldwide.
ADA 2025: support people who choose it (level B).
Not approved by any regulator, and not for everyone.
#DiabetesMasterClass2026
Reading an AGP report 📊
1. ≥70% sensor wear
2. Hypos first
3. TAR, mean, variability
4. Find the pattern
Post-meal highs? Check carb counting and bolus timing before touching the carb ratio.
Dr Ali AlQahtani · Session 8
#DiabetesMasterClass2026#CGM