Rosslyn Ngugi-Mayavi

[Rosslyn Ngugi-Mayavi @ngugi_mayavi]

@fnoluga @WilliamsRuto Congratulations doc,well deserved

[The Kenyan Gyne (#HealthServiceCommission) @simonkigondu]

Just like the Cuban fiasco I think @EACCKenya needs to charge @kutrrh & those responsible for these actions with crimes against humanity.

To expose Kenyans to the mediocrity is a common thread of some government decisions.

#DoctorsStrikeKE
#ImplementCBA
#PostMedicalInterns

[The Lancet Diabetes & Endocrinology @TheLancetEndo]

#Acromegaly: pathogenesis, diagnosis, and management https://t.co/2fbnM4j7oA #pituitary

[Rosslyn Ngugi-Mayavi @ngugi_mayavi]

Enhance access to Diabetes care.
Know your risk
Know your response

[The Kenya Diabetes Study group @KDSGForum]

The 8th KDSG ASC is steadily approaching. Remember to mark your calendars, see you then!

What do you anticipate in this year's conference? Share your thoughts.
#diabetes
#KDSG2023

[Rosslyn Ngugi-Mayavi @ngugi_mayavi]

Join us live or in person as we discuss Diabetes and its complications and how to approach care. Great things in the horizon

[Rosslyn Ngugi-Mayavi @ngugi_mayavi]

https://t.co/W26YeJb0Z0

[Rosslyn Ngugi-Mayavi @ngugi_mayavi]

https://t.co/DNYZl4eQlI

[Rosslyn Ngugi-Mayavi @ngugi_mayavi]

Completed 10mks DMI walk in support of patients with Diabetes with key focus being education for both patients,relatives and HCP's

[The Kenya Diabetes Study group @KDSGForum]

KDSG 7th Annual Scientific Conference Call for abstracts!

The KDSG Scientific Committee invites you to submit abstracts under Diabetes or Endocrinology to [email protected].

Deadline: 20th May 2022

[Rosslyn Ngugi-Mayavi @ngugi_mayavi]

@Safaricom_Care your services are truly wanting. How do you deactivate someone's line then ask them to pay from another line yet you know they have registered with only one line. Very ridiculous customer service.

[IRENE NJERI @njerikamenju]

A systematic review and meta-analysis of 775,385 individuals and 12,539 strokes found that the risk of stroke in people living with diabetes was 27% higher in women compared to men living with diabetes.
https://t.co/zKowJZirgh

[IRENE NJERI @njerikamenju]

Similarly, another systematic review and meta-analysis of 858,507 individuals and 28,203 coronary events reported a 44% increased risk for incident coronary heart disease among women with diabetes compared to their male counterparts
https://t.co/04sEQ5H51R

[IRENE NJERI @njerikamenju]

A collaborative meta-analysis for emerging risk factors in diabetes found that even among individuals with a low absolute risk for CVD (younger ages,non smokers), dysglycemia remains a strong CVD risk factor.
https://t.co/PGMrjJrb8O

[IRENE NJERI @njerikamenju]

Microalbuminuria is a strong predictor of total & CV mortality in T2DM. One meta-analysis found that microalbuminuria in T2DM doubled the CV morbidity and mortality while the risk of all-cause mortality was more than doubled
https://t.co/N6g62Vh9NA

[IRENE NJERI @njerikamenju]

The MICRO-HOPE study found that compared to placebo, the use of ramipril in DM patients with microalbuminuria was significantly associated with a 25% reduction in the primary outcome of myocardial infarction, stroke or CV death.
https://t.co/4cWhB9utkB

[IRENE NJERI @njerikamenju]

The pathogenesis of macrovascular disease in diabetes involves the interaction of various metabolic and haemodynamic factors. Also important in this pathogenesis is the role played by the immune system.
https://t.co/cSdNKqgXwi

[IRENE NJERI @njerikamenju]

Implicated in the metabolic pathway of diabetes is the role played by advanced glycation end products (AGEs), protein kinase C activation, increased flux through the hexosamine pathway & sorbitol accumulation via the polyol pathway.
https://t.co/cSdNKqgXwi

[IRENE NJERI @njerikamenju]

The haemodynamic pathway that plays a role in vascular disease in diabetes involves activation of the RAS system and an increase in vasoactive hormones such as Angiotensin II and endothelin
https://t.co/cSdNKqgXwi

[IRENE NJERI @njerikamenju]

The interaction between the metabolic and the haemodynamic pathways leads to endothelial dysfunction and atherosclerosis which is the hallmark of macrovascular disease in diabetes
https://t.co/cSdNKqgXwi