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Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
@omlakhani
Sep 29, 2019 • 4 tweets • 2 min read • Read on X
Patient excuses for poor control of diabetes 

April to June:

HbA1c - 8.0

 "Sir, it was Mango season, give me a few month and see how I do next time"

#TickingClockHypothesis

#WorldHeartDay

#Endotwitter
July- September: 

HbA1c. - 8.5 

"Doc, I couldn't go out for a walk because of the rains, just see how I do next time"
October-December

HbA1c - 9.0

"Boss, Diwali season, had a little more sweets. Will surely do better next time"
January

Patient has a heart attack early in the morning 

HbA1c - 9.5 on admission

Moral of the story:

Time is ticking. Don't make excuses to get the sugars under control. Do it now. Do it today. 

#TickingClockHypothesis

#WorldHeartDay

#Endotwitter

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More from @omlakhani

Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
Aug 7, 2023
🧵 Twitter Thread: The Surprising Case of a 6-Year-Old with Diabetes Mellitus
1/ Hey Twitterverse! 🌟 Today, I want to share an intriguing case that highlights the importance of considering all possibilities when diagnosing diabetes in children. Meet a 6-year-old boy who presented with newly diagnosed diabetes mellitus. #Diabetes #MODY #Pediatrics
2/ At first, we thought of the typical type 1 diabetes, which is quite common in children. So, we treated him accordingly with insulin therapy. But there was something that didn't quite add up. 🤔 #Type1Diabetes #InsulinTherapy
Read 14 tweets
Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
Jul 18, 2023
Oxytocin Deficiency in Patients with Diabetes Insipidus 🧪🩺
1/ Oxytocin deficiency in patients with diabetes insipidus (DI) has been investigated in a recent study published in The Lancet Diabetes & Endocrinology. Let's dive into the key findings and implications of this research!
2/ The study aimed to explore oxytocin deficiency in patients with arginine vasopressin deficiency (central DI) by using 3,4-methylenedioxymethamphetamine (MDMA), a potent activator of the central oxytocinergic system. This was a case-control study conducted at 🇨🇭
Read 18 tweets
Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
May 17, 2023
MC Thomas in his article argues that Type 2 Diabetes should be renamed the "CARAMEL Disease" (A 🧵)
What does CARAMEL stand for ?

CARAMEL stands for CArdiac, Renal, Adipo-Metabolic, Eye and Liver disease
His argument is that Type 2 diabetes is a mere manifestation of the "actual disease". So are the other manifestation of the CARAMEL acronym which all arise from the common soil... So that this common soil?
Read 10 tweets
Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
May 16, 2023
Good morning everyone,

Happy to share that we have received research funding from the RSSDI for our Precision Medicine project called Diabetology.co.in.

#MedTwitter #EndoTwitter #Technocrinology Image
Diabetology.co.in is India's first and only evidenced based precision medicine & personalized medicine platform for diabetes made for the doctors and by the doctors.
The project is mentored by Dr. Arvind Gupta, a legend in this field from Jaipur.

We thank the RSSDI Research team, especially Dr. @banshisaboo and @dramitaol for giving us this opportunity.
Read 5 tweets
Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
Apr 5, 2023
Q. What is Hemoglobin Glycation Index ?
1/5: 🩸 The Hemoglobin Glycation Index (HGI) compares a person’s actual HbA1c level to their predicted level based GMI (glucose management index) value from CGM
2/5: 📊 The HGI is calculated by subtracting the estimated HbA1c from the measured HbA1c. A high HGI suggests increased glycation rate, linked to microvascular complications in diabetes.
Read 6 tweets
Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
Apr 4, 2023
What is the Clarke error grid?

The Clarke Error Grid Analysis (EGA) is a tool developed in 1987 to assess the clinical accuracy of blood glucose meters by comparing their readings to reference values.
The grid breaks down a scatterplot of a reference glucose meter and an evaluated glucose meter into five regions:
Region A are those values within 20% of the reference sensor,
Read 7 tweets

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