Dr. Om Lakhani, MD, DNB (ENDO) Profile picture
Apr 6, 2020 12 tweets 3 min read Read on X
If you haven't done so already, I suggest you to read this excellent article on "Innovation for Pandemics" written by @BillGates for @NEJM . 10.1056/NEJMp1806283
We are all well aware from the now-famous @TEDTalks by Bill Gates on the subject that Gates predicted a pandemic of this sort back in 2018.
I am sharing a specific paragraph for the article in which he predicts that the next outbreak could be something like #Covid_19 Image
Gates has given many ideas on how to tackle the pandemic. Something which could give us hope.
But what is most important, and what I fear the most is that while we fight the #COVID19outbreak , we are not prepared for the next pandemic
History has taught us that the great pandemic of 1918-1920 the Spanish Flu killed more people than the first-word war. Yet our history books are full of details about the wars while the Spanish Flu is hardly even mentioned!
While we spend millions on preparing for wars, we spend only a fraction of the same on preparing for the pandemic.
Governments from the across the world need to join their efforts and resources to fight current and future pandemics.
We were all wrong, humans are not the biggest enemy of human beings, a virus is the biggest enemy of the human being.
Our defense budgets need to reduce and health budgets need to increase
Here is the link to the Bill Gates article nejm.org/doi/10.1056/NE…

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More from @omlakhani

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
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
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
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
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
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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