26^th World Congress on Diabetes and Endocrine Disorders October 24-25, 2024 London, UK

Many individuals throughout the world are still unaware of what genetic diabetes is. This allows people enter pre-diabetic phases without ever realising it, which causes a plethora of problems. Because of hereditary factors that are activated, certain people are predisposed to Diabetic diseases.

Genetic diabetes, also known as monogenic diabetes, is a type of diabetes that is caused by a mutation or change in a single gene. Unlike type 1 or type 2 diabetes, which are complex conditions influenced by multiple genes and environmental factors, monogenic diabetes is primarily driven by a specific genetic mutation. This genetic Diabetes appearance will go through the precautions and treatments that must be taken to avoid inherited Diabetes. If you suspect you or someone you know may have genetic diabetes, it's crucial to consult a healthcare professional for proper evaluation, diagnosis, and management. They can provide specific guidance and treatment options based on the type of genetic diabetes involved.

Diabetes is a disease in which the body cannot produce enough insulin, cannot use normally produced insulin, the body cannot transport the sugar in the blood to the cells. This can lead to high Blood Sugar Level. Glucose, in the form of sugar in the blood, is one of the main sources of energy. Insulin shortage or insulin resistance can cause sugar to accumulate in the blood. This may cause different health problems those may

• Extreme hunger
• Frequent urination
• Unexplained weight loss
• Thirsty
• Blurry Vision
• Slow Wound Healing

Complications of Diabetes:

• Cardiovascular disease: Diabetes increases the risk of heart disease, stroke, and other cardiovascular conditions.
• Kidney disease: Diabetes can lead to kidney damage or failure over time.
• Eye problems: Diabetes can lead to vision problems, including diabetic retinopathy, cataracts, and glaucoma.
• Nerve damage (Neuropathy): This can lead to pain, tingling, and loss of sensation in the extremities.
• Foot problems: Poor blood circulation and nerve damage can lead to foot ulcers and infections.
• Skin conditions: Diabetes can cause skin problems, including bacterial and fungal infections.
• Alzheimer's disease: Some studies suggest a link between diabetes and an increased risk of developing Alzheimer's.

It's crucial for individuals with diabetes to manage their condition through proper diet, exercise, medication (if necessary), and regular check-ups with healthcare professionals. Early detection and proper management can significantly reduce the risk of complications.

Diabetes frequently referred to by specialists as diabetes mellitus is a chronic disease characterized by high blood sugar levels, and it can lead to serious health complications if left uncontrolled. Diabetes Diagnosis, management and prevention are crucial to reducing the impact of diabetes on individuals and society. Patients with high glucose will normally encounter polyuria (continuous pee); they will turn out to be progressively parched (polydipsia) and hungry (polyphagia). Recognizing type 1 and type 2 diabetes at determination is critical. Prevention of diabetes involves making lifestyle changes to reduce the risk of developing type 2 diabetes, which is the most common form of diabetes. This includes maintaining a healthy weight, engaging in regular physical activity, and eating a healthy diet. Other risk factors for diabetes include family history, age, and ethnicity, which cannot be modified.

• Recognizing type 1 and type 2 diabetes: similarities and differences
• Possibly, diabetes medication or insulin therapy
• Foot care
• Advances in diabetes treatment: Surgeries, lifestyle changes, and technology
• Diabetes prevention programs and public health initiatives

There are several types of anti-diabetes drugs available to help manage blood sugar levels in individuals with diabetes. Except for insulin, liraglitude, exenatide and pramlinitide they all are administered orally, so they are also called oral hypoglycaemic agents. These drugs work in various ways to increase insulin production, decrease glucose production in the liver, improve insulin sensitivity, or slow down the absorption of glucose from the digestive tract. There are different types of Anti-Diabetic Drugs, and their choice depends on the nature of diabetes, the person’s age and condition, and other factors. Type 1 diabetes is a disease caused by insufficient insulin. Insulin must be used for type 1 must be injected.

Here are some common classes of anti-diabetes drugs:

• Metformin
• Sulfonylureas
• Meglitinides
• Thiazolidinediones (TZDs)
• Alpha-glucosidase inhibitors and many more

Additionally, lifestyle changes like a healthy diet and regular exercise are often crucial components of managing diabetes.

Insulin is injected into diabetics who cannot control their condition with oral medications. Insulin therapy is a crucial treatment for people with diabetes. It involves directing insulin, a hormone that helps regulate blood sugar levels, either through injections or an insulin pump. The goal of insulin therapy is to mimic the body's natural insulin production and maintain blood sugar levels within a target range. Doing exercise daily may shorten insulin requirements as exercise boost up glucose uptake by body cells whose glucose uptake is composed by insulin and vice versa. Moreover, there are different types of insulin with differing times of onset and period of action.

Advances in Insulin Delivery Systems are:

• Glucose-responsive automated insulin delivery
• Continuous Glucose Monitoring (CGM) and Insulin Pumps Integration
• Closed-Loop Systems (Artificial Pancreas)
• Smart Insulin Pens
• Inhaled Insulin
• Ultra-Rapid-Acting Insulin and many more

Diabetic Neuropathy is a type of nerve damage that can occur in people with diabetes. It is a common complication of both type 1 and type 2 diabetes. High blood sugar levels over an extended period of time can lead to damage of the nerves throughout the body. Prevention and management of diabetic neuropathy involves maintaining good blood sugar control, regular exercise, and a healthy lifestyle. Medications may also be prescribed to manage symptoms and slow down the progression of the condition. Regular check-ups with a healthcare provider are crucial for individuals with diabetes to monitor for signs of neuropathy and other potential complications.

• Peripheral neuropathy
• Autonomic neuropathy
• Proximal neuropathy
• Focal neuropathy

Diabetic Nephropathy, also known as diabetic kidney disease, is a serious complication of diabetes that affects the kidneys. It is a leading cause of kidney failure worldwide. This condition develops in individuals with both type 1 and type 2 diabetes, but it is more common in those with poorly controlled blood sugar levels over an extended period. Regular check-ups with a healthcare provider are crucial for individuals with diabetes to monitor for signs of nephropathy and other potential complications.

• Dialysis
• Chronic Kidney disease and Management
• Nephrology and Therapeutics
• Glomerular Hyperfiltration

Diabetes is a common and debilitating disease that affects many organs including the skin. Between 30% and 70% of people with type 1 and type 2 Diabetes will develop diabetic skin complications at some stage in their lives. Various manifestations of skin diseases are related to diabetes. The severity of these conditions varies, and they may be benign, disfigured, or even life-threatening. These skin changes can provide information about the patient's blood sugar control and may be the first sign of metabolic disorders in undiagnosed diabetic patients.

Some common skin conditions in diabetic patients are:

• Diabetes food syndrome
• Limited joint mobility
• Acanthosis nigricans
• Diabetes thick skin

Cardiovascular disease (CVD) is a major complication of diabetes and a leading cause of morbidity and mortality worldwide. Diabetes mellitus is a chronic condition that occurs either the body cannot produce enough or produced insulin that the body does not use properly. Comparisons of people without diabetes, people with type 2 diabetes mellitus have a considerably higher risk of cardiovascular morbidity and mortality and are excessively affected by cardiovascular disease. Most of this excess risk is associated with better prevalence of well-known risk factors such as hypertension, dyslipidemia and obesity. For medication, such as statins and blood pressure-lowering agents, may be necessary for some individuals. Recent advances in personalized medicine and Regular approaches of healthcare providers are crucial for effective management and prevention of CVD.

• Hypertension
• Dyslipidemia
• Obesity
• Insulin resistance and Hyperglycemia
• Microvascular complications

Diabetic nutrition and exercise are two critical components of managing diabetes effectively. Proper nutrition and regular physical activity can help control blood sugar levels, reduce the risk of complications, and improve overall health and well-being. By adopting healthy eating habits and engaging in regular physical activity, individuals with diabetes can control their blood sugar levels, reduce the risk of complications, and improve their overall health and well-being.

In addition, experts also recommend resistance and strength exercise at least twice a week. Use sport to fight diabetes. If you have type 1 diabetes or type 2 diabetes, take action! Physical activity: increase your heart rate. Exercise also allows blood to flow to all organs, especially the brain, eyes, and kidneys. Reduce stress, stress increase the risk of diabetes. Moreover, for diabetic patients, stress makes it difficult for them to control their conditions.

• Balanced Diet
• Stay Hydrated
• Exercise and physical activity
• Listen to Your Body
• Be prepared to adjust your insulin or medication dosage

Diabetes can have significant effects on pregnancy, both for the mother and the developing baby. Two types of diabetes can affect pregnancy: pre-existing diabetes and gestational diabetes. Gestational diabetes mellitus (GDM) is a type of diabetes that develops during pregnancy. It is characterized by high blood sugar levels that occur for the first time during pregnancy and usually resolves after giving birth. GDM can develop in women who have never had diabetes before, and it is believed to be related to the hormonal changes and increased insulin resistance that occur during pregnancy.

Women with diabetes can have healthy pregnancies and deliver healthy babies. It is important for women with diabetes who are planning to become pregnant to work closely with their healthcare team to optimize their diabetes management before and during pregnancy and need to test for changes in blood sugar levels more frequently to manage Gestational diabetes and preventing complications such as macrosomia and neonatal hypoglycemia.

• A lack of physical activity
• If a woman's close family members have diabetes
• Previously delivering a baby weighing more than 9 pounds
• Overweight or Obesity

Stem cell treatment in diabetes refers to the use of stem cells to help manage or potentially cure diabetes mellitus. Stem cells are undifferentiated cells with the unique ability to differentiate into specialized cell types. They can be derived from various sources, including embryos (embryonic stem cells), adult tissues (adult or somatic stem cells), and induced pluripotent stem cells (cells that have been reprogrammed to have pluripotent properties).

In the subject of diabetes, stem cell treatment aims to harness the regenerative potential of stem cells to replace or repair damaged or dysfunctional pancreatic cells, which are responsible for producing insulin.

• Somatic cell Therapy
• Type 1 Diabetes Beta Cells
• Cord blood stem cells
• Stem Cell Educator
• Thymic regulatory T cells

Endocrine disorders refer to conditions that affect the endocrine system, which is responsible for producing and regulating hormones in the body. Hormones are chemical messengers that play a crucial role in controlling various bodily functions. When the endocrine system malfunctions, it can lead to an imbalance in hormone levels, causing a wide range of health disorders. These disorders can affect many aspects of a person's health, including growth and development, metabolism, reproductive function, and mood.

Some of the Endocrine disorders include:

• Hypothyroidism
• Hyperthyroidism
• Diabetes Mellitus
• Polycystic Ovary Syndrome (PCOS)
• Thyroid Cancer
• Hypopituitarism and many more

Endocrinology is the branch of medicine that deals with the endocrine system, which is a network of glands that secrete hormones into the bloodstream to regulate various bodily functions. Hormones play a crucial role in maintaining homeostasis and controlling processes such as metabolism, growth, reproduction, and stress response.

Diagnosing and treating hormonal disorders involves a combination of medical history review, physical examination, laboratory tests, and sometimes imaging studies.

Patient Evaluation and Assessment: Patient evaluation and assessment involve thorough clinical examinations and diagnostic tests to diagnose and monitor endocrine conditions.

Hormone Replacement Therapy: Hormone replacement therapy replaces deficient hormones with synthetic or natural hormones to restore hormonal balance in endocrine disorders.

Surgical Interventions in Endocrinology: Surgical interventions encompass procedures performed to treat endocrine disorders, often involving the removal of affected glands or tumors.

Multidisciplinary Approaches: Multidisciplinary approaches involve collaboration among healthcare professionals from different specialties to provide comprehensive care for endocrine disorders.

Endocrine oncology is the speciality of medicine that focuses on the diagnosis and treatment of tumors or cancers that arise from the endocrine system. The endocrine system is a network of glands that produce and secrete hormones, which are chemical messengers that regulate various physiological processes in the body. Common endocrine glands include the pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pancreas, ovaries, and testes. Tumors can develop in any of these glands, and they can be benign (non-cancerous) or malignant (cancerous).

Mainly Endocrine oncology deals with tumours caused by thyroid hormones, often known as endocrine neoplasia. There are two types of endocrine neoplasia; both are genetic abnormalities that can be passed down from generation to generation. The first kind is called as warmers disorder, while the second type is known as pheochromocytoma or straightforward condition, both of which resulted in medullary thyroid cancer.

• Adrenal gland tumors
• Multiple endocrine neoplasias 1 (MEN1)
• Multiple endocrine neoplasias 2 (MEN 2)
• Parathyroid gland tumors
• Pituitary gland tumors
• Pancreatic cancer
• Thyroid cancer

Pediatric Endocrinology is a specialized branch of medicine that deals with disorders of the endocrine glands in children. The endocrine system is responsible for producing hormones, which regulate various functions in the body. Pediatric endocrinologists are medical doctors who have received specialized training to diagnose, treat, and manage conditions related to hormone imbalances in children and adolescents. Treatment in pediatric endocrinology often involves a combination of medication, hormone replacement therapy, dietary modifications, and in some cases, surgery. Pediatric endocrinologists work closely with other specialists, such as pediatric surgeons, geneticists, and nutritionists, to provide comprehensive care for their patients.

• Type 1 and Type 2 Diabetes
• Growth disorders
• Thyroid disorders
• Puberty disorders
• Adrenal and Pituitary disorders
• Bone and Mineral disorders
• Metabolic disorders and Endocrine tumors

Neuroendocrinology is the branch of biology that studies the interactions between the nervous system and the endocrine system. The nervous system and the endocrine system are two major regulatory systems in the body, and they work together to coordinate various physiological processes. It has wide-ranging implications for both basic science and clinical medicine.

Pituitary Endocrinology refers to the study of the pituitary gland and its role in the endocrine system. The pituitary gland, also known as the hypophysis, is a small, pea-sized gland located at the base of the brain, just below the hypothalamus. Despite its small size, the pituitary gland plays a crucial role in regulating various bodily functions by secreting hormones. Treatment for pituitary disorders may involve medication, surgery (in the case of tumors), and hormone replacement therapy. Regular monitoring and management by endocrinologists or other healthcare professionals with expertise in pituitary disorders are crucial for individuals with these conditions.

Disorders related to Pituitary endocrinology include:

• Hypopituitarism
• Hyperpituitarism
• Pituitary Tumors
• Diabetes Insipidus

Thyroid disorders are the common endocrine conditions that affect the thyroid gland, a small butterfly-shaped gland located in the front of your neck. This gland produces hormones that regulate various bodily functions, including metabolism. There are several types of thyroid disorders, with the most common being. Thyroid disorders can arise due to various factors, and they can be influenced by a combination of genetic, environmental, and lifestyle elements. Current trends in thyroid disorder management focus on personalized treatment plans based on patient characteristics and disease severity. Diagnosis often involves blood tests and imaging studies, followed by appropriate management strategies, including medication, surgery, and radioactive iodine therapy. Recent advances in thyroid disorder management include the use of targeted therapy and immunotherapy for thyroid cancer. Additionally, thyroid hormone replacement therapy has been shown to improve outcomes for patients with hypothyroidism.

There are several types of thyroid disorders, including:

• Hypothyroidism
• Hyperthyroidism
• Goiter
• Thyroid Nodules
• Thyroiditis and Thyroid Cancer
• Congenital Thyroid Disorders

Obesity is regularly caused by an underlying condition characterised by excessive body fat build-up. It has a major negative impact on health, especially by raising the risk of other chronic illnesses such as heart disease and diabetes. Obesity is defined as a BMI (Body Mass Index) of more than 30 kg/m2. Obesity is one of the most prevalent disorders in developed nations, and its prevalence is rising.

Obesity increases the risk of developing type 2 diabetes, also known as insulin-resistant diabetes or adult-onset diabetes. This is when your blood glucose level remains elevated over a lengthy period of time. According to a study, obese people are up to 80 times more likely than non-obese people to get type 2 diabetes. Managing obesity through a combination of a balanced diet, regular physical activity, and, in some cases, medical intervention can help improve insulin sensitivity and reduce the risk of developing type 2 diabetes. Additionally, early detection and appropriate management of diabetes can help prevent complications associated with the condition.

There are several ways in which obesity can contribute to the development of diabetes:

• Insulin
• Inflammation and Cytokines
• Dyslipidemia
• Beta Cell Dysfunction
• Influence on Hormones
• Ectopic Fat Accumulation
• Lifestyle Factors

Obesity is a major risk factor for developing metabolic syndrome. Excessive body fat, particularly around the abdomen, is strongly associated with insulin resistance and other components of metabolic syndrome.

Metabolic syndrome is a significant risk factor for cardiovascular diseases like heart attacks and strokes, as well as type 2 diabetes. It is also associated with other health issues, including fatty liver disease and sleep apnea.

Lifestyle changes, such as maintaining a healthy weight, regular physical activity, and a balanced diet, can help manage and reduce the risk of metabolic syndrome. In some cases, medications may be prescribed to control specific risk factors. Additionally, medication and surgery may be appropriate for some individuals. In recent years, personalized medicine and precision health approaches have emerged as potential avenues for the prevention and treatment of obesity and metabolic syndrome.

Diabetes and mental health are closely interconnected, with diabetes increasing the risk of mental health conditions such as depression and anxiety, and poor mental health worsening diabetes management challenges. The fear of blood sugar fluctuations can be very stressful. Changes in blood sugar can cause rapid changes in mood and other mental symptoms such as fatigue, trouble thinking clearly, and anxiety. Managing diabetes not only involves monitoring blood sugar levels and taking medications but also addressing the emotional and psychological aspects of the condition. Additionally, lifestyle modifications, such as regular physical activity and stress reduction, can improve both physical and mental health outcomes. Addressing the mental health implications of diabetes is crucial for providing comprehensive care and improving health.

• Patient Education and Self-Management
• Screening for Mental Health Conditions
• Open Communication
• Medication Management
• Nutrition and Exercise
• Family and Social Support

Steroids, hormones, and their respective receptors play crucial role in the development and management of diabetes and Endocrine Disorders. Diabetes is a metabolic disorder characterized by high blood sugar levels, either due to insufficient insulin production (Type 1 diabetes) or ineffective use of insulin by the body (Type 2 diabetes).

Some of the steroids, hormones, and their receptors are involved in diabetes:

• Insulin
• Glucagon
• Hormone Receptors
• Glucocorticoids (Steroids)
• Corticosteroids steroid and Diabetes Risk

Diabetes research is a broad and continuously evolving field that focuses on understanding, preventing, managing, and ultimately finding a cure for diabetes. Clinical trials related to diabetes are essential for advancing our understanding of the condition and developing new treatments. It includes basic laboratory research, clinical trials, epidemiological studies, and translational research.

There are several important topics of research within the field of diabetes:

• Type 1 Diabetes (T1D) and Type 2 Diabetes (T2D)
• Gestational Diabetes
• Complications
• Technological Advances
• Genetics and Epigenetics
• Immunotherapy
• Regenerative Medicine
• Behavioral Interventions
• Global Health and Access to Care
• Artificial Intelligence and Data Analytics

It's important to note that progress in diabetes research and clinical trials are ongoing, and new discoveries and breakthroughs continue to emerge. Researchers and healthcare professionals around the world work tirelessly to improve the lives of individuals affected by diabetes.

Advanced technologies are revolutionizing diabetes and endocrine disorders monitoring and treatment, providing individuals with more accurate and personalized care. Continuous glucose monitoring (CGM) systems offer real-time tracking of blood glucose levels, reducing the risk of hypoglycemia and hyperglycemia. Smart insulin pens and connected devices provide easy tracking of insulin doses and blood glucose levels through mobile applications, improving medication adherence and disease management. Additionally, closed-loop insulin delivery systems, also known as artificial pancreas systems, offer automated insulin dosing based on CGM readings, reducing the burden of diabetes management for individuals. These new technologies provide individuals with more control over their diabetes management and can lead to improved health outcomes. Regular monitoring and communication with healthcare providers remain important for effective use of these new technologies.

• Continuous glucose monitoring (CGM)
• Insulin Pumps and Smart Insulin Pens
• Artificial Pancreas (Closed-Loop System)
• Gene Therapy
• Closed-Loop Apps for Smartphones and many more

Diabetes education and self-management are crucial for empowering individuals with diabetes to take an active role in their care and improve their health outcomes. Diabetes education programs can provide information on blood glucose monitoring, medication management, healthy eating habits, and physical activity, as well as offer support for emotional well-being. Self-management techniques such as goal setting, problem solving, and stress management can help individuals with diabetes to successfully manage their condition and prevent complications. Additionally, peer support groups and community resources can provide further support and motivation for individuals with diabetes. By emphasizing education and self-management, healthcare providers can empower patients to take control of their health and achieve better results.

Telemedicine refers to the remote delivery of healthcare services using technology, typically through video calls, phone consultations, and secure messaging platforms. Telemedicine has emerged as a valuable tool for diabetes care, offering opportunities to improve access to care, patient engagement, and clinical results. Telemedicine can facilitate remote monitoring of blood glucose levels, medication adherence, and lifestyle behaviours as well as provide virtual consultations with healthcare providers. However, challenges remain in ensuring equitable access to telemedicine services, addressing privacy and security concerns, and ensuring the accuracy and reliability of remote monitoring devices. Additionally, telemedicine should be integrated into a comprehensive diabetes care plan and not be seen as a substitute for in-person care when necessary. Addressing these challenges will be crucial for realizing the full potential of telemedicine in diabetes care

Additionally, patient education and training on how to effectively use telemedicine tools are crucial to ensure its successful implementation in diabetes care. Overall, the integration of telemedicine into diabetes care has the potential to significantly improve results and the overall quality of life for individuals living with diabetes. It offers a more patient-centric approach by providing convenient, accessible, and personalized care.