Endocrinology & Diabetes Endocrinology & Diabetes Services Services

Dr. Abdulmoein Al-Agha,Dr. Abdulmoein Al-Agha,

Ass. Professor & Pediatric EndocrinologistAss. Professor & Pediatric Endocrinologist

DIABETES MANAGEMENTDIABETES MANAGEMENT Major health problem in Saudi childrenMajor health problem in Saudi children Intensive methods of treatment Intensive methods of treatment

– Multiple daily injection / Insulin PumpMultiple daily injection / Insulin Pump Provide latest technology in management of children with Provide latest technology in management of children with

diabetes and latest technology in continuous glucose diabetes and latest technology in continuous glucose monitoring (CGMS)monitoring (CGMS)

INSULIN PUMP THERAPYINSULIN PUMP THERAPY Insulin pump therapy has greatly improved the way we Insulin pump therapy has greatly improved the way we

manage type 1 diabetic patients.manage type 1 diabetic patients. It enables them to achieve better sugar control in a more It enables them to achieve better sugar control in a more

flexible manner and also can prevent the dreaded low blood flexible manner and also can prevent the dreaded low blood sugars that often accompany type 1 diabetes managementsugars that often accompany type 1 diabetes management

CGMS (continuous glucose CGMS (continuous glucose monitoring system)monitoring system)

SensorSensorMonitorMonitorInserterInserterSoftwareSoftware

Endocrine Dynamic TestingEndocrine Dynamic Testing Full written protocols on dynamic endocrine testingFull written protocols on dynamic endocrine testing Useful tests to diagnose children with following Useful tests to diagnose children with following

pediatric endocrine problems:pediatric endocrine problems:– short stature due to GH deficiencyshort stature due to GH deficiency– children with panhypopituiterismchildren with panhypopituiterism– children with Adrenal insufficiencychildren with Adrenal insufficiency– Children with ambiguous genitalia & micropenisChildren with ambiguous genitalia & micropenis– Children with Diabetes insipidusChildren with Diabetes insipidus– Other variable testingOther variable testing

These tests usually done as Day – Case settingThese tests usually done as Day – Case setting

Pediatric Endocrine clinicsPediatric Endocrine clinics Follow –up children with diabetes Follow –up children with diabetes

– Dose adjustmentsDose adjustments– Diabetes education & dietary advicesDiabetes education & dietary advices

Thyroid disordersThyroid disorders ObesityObesity OsteoporosisOsteoporosis

– Variable causes of pediatric osteoporosisVariable causes of pediatric osteoporosis

– Children with osteogenesis imperfectaChildren with osteogenesis imperfecta

– Treatment with latest Bisphosphonate therapy of pediatric osteoporosisTreatment with latest Bisphosphonate therapy of pediatric osteoporosis

Adrenal gland disordersAdrenal gland disorders Pituitary gland disorders especially children with growth hormone Pituitary gland disorders especially children with growth hormone

deficiency or children post – pituitary tumor surgery (e.g. deficiency or children post – pituitary tumor surgery (e.g. craniopharyngioma)craniopharyngioma)