Daveric Pagsisihan

Endocrinologist

[Daveric Pagsisihan @cir_evad]

There is a need to double the number of primary care providers during UHC. They will serve as navigator of health.

[Daveric Pagsisihan @cir_evad]

Oncology as starting point, endocrinopathies due to treatment. #pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

Alendronate, Risedronate, Zoledronate, and Denosumab reduce Non-vertebral, vertebral and hip fractures among patients with Osteoporosis.
#pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

Dr. MA Sandoval: Are osteoporosis intervention thresholds for Filipinos different? Yes, thresholds are lower using the FRAX calculator.
#pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

Dr. MA Sandoval: Treat Osteoporosis if with fragility fracture, BMD T-score below -2.5, Osteopenia with increased risk for fracture (using FRAX), or high risk on OSTA or FRAX.
#pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

First 1000 days of life is crucial in optimizing pancreatic beta cell number and function. Good nutrition during this period is essential.
#pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

Natural History of Diabetes: Susceptibility then Adaptation then Failure
#pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

Poor maternal health (over- and underweight) correlates with diabetes risk of the offspring.
#pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

He BEST way to prevent hypoglycemia in patients using human insulin is EDUCATION. #pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

The use of human or analogue insulins demonstrates the great divide in our society in diabetes management. @BIENthoughts71
#pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

Human insulins are not inferior to analog insulins in terms glycemic control. #pcedm2023 #filipinoendo

[Daveric Pagsisihan @cir_evad]

#Endocon Key point: recognition is important

[Daveric Pagsisihan @cir_evad]

#Endocon Switching to MMI was done in some reports - no cross-reaction? Maybe RAI...

[Daveric Pagsisihan @cir_evad]

#Endocon Outcome is good except when pulmo hemorrhage ia present

[Daveric Pagsisihan @cir_evad]

#Endocon Tx of PTU-induced vasculitis - stop ptu, steroids, immunosuppressants

[Daveric Pagsisihan @cir_evad]

#Endocon Limited reports on simultaneous occurrence of HSP and GD - reportable?

[Daveric Pagsisihan @cir_evad]

#Endocon Negative ANCA - positivity is characteristic of ptu-induced vasculitis

[Daveric Pagsisihan @cir_evad]

#Endocon HSP: skin biopsy showing leukocytoclastic vasculitis, diffuse ab'l pain, inc esr, crp and IgA, and renal manifestation

[Daveric Pagsisihan @cir_evad]

#Endocon Skin lesions over lower extremities and prominent GI manifestations - consistent with HSP?

[Daveric Pagsisihan @cir_evad]

#Endocon Necrotizing cutaneous vasculitis - PTU-induced or other autoimmune vasculitis?