Jubbin Jacob

Adequate management of periodontal infections in patients with Type 2 Diabetes Mellitus is as effective as starting a new oral agent. HbA1c reductions of ~ 0.7%. Annual oral check ups are as important as annual fundus exams. #orocrinolgy #endotwitter jpma.org.pk/article-detail…

How long do you think HDFC Bank will take to transfer the money from your account to your nominee's after you die? Public sector banks get a bad rap, but it's been more than a year and we have not been able to get funds transferred from my now deceased husband's account in the country's largest private bank. The nominee is our adult daughter, there are no conflicting claims, the paperwork is clear, and yet for more than a year now HDFC has been giving us the run around. Get this paper, get that paper. Each time my daughter comes home for holidays, we have to take 2 days out to go and wait at the bank branch. Today, more than a year after the first application, they said a) we can't find the paperwork including the death certificate you submitted because the employee you submitted to is not here b) you have to get a stamp paper and notarise it for the auto debits that hit his account between the date of his death and the date the account was frozen (on the basis of the paperwork in point a, now non-traceable) c) you have to get HDFC Standard life to sign off because there is an auto debit for an investment from his account. (ME: they are the payee, he is the payer, why does the payee need to approve stopping a standing instruction? Bank: Hamare main aise hi hai). If you wait for 30 minutes, we'll get you the form. d) after 30 minutes. Sorry, we can't get the form, you have to go to their office and do it. By now it is 2.45 PM, HDFC Standard life office is at least 35 minutes away. They are open only till 3.30 PM. We are not sure we'll make it there on time. I call their number to ask if the branch is open tomorrow. Person: Sorry, I can't give you the information today, you will have to call and check tomorrow. (To repeat: HDFC Standard Life's call centre cannot tell you if a branch is working or not the following day) In all, we have spent many hours over many months trying to get this money in a case the bank officials themselves say "should not be complicated". What is worse is for my 20-year-old daughter to relive the trauma of losing her father each time we have to go and explain the case. Just today, we had to speak to three different people and start the story from the beginning. This is not just the bank's inefficiency, it is its utter callousness. (My husband also had money in Indusind Bank. It took one visit and two weeks for that to be transferred). The other, more important point, is that I have a job, we have the money to continue to pay for our needs without having to immediately access these funds. But I am certain that is not the case for many others. What about them? How can this be the system of a bank whose customers are dependent on it for giving them access to their own money?! It beggars belief. @HDFC_Bank @HDFCBank_Cares

Tu Youyou became the first mainland Chinese scientist to be awarded a #NobelPrize in a scientific field - for discovering artemisinin, a malaria cure that’s saved millions. Today we reveal the 2025 medicine laureate. Stay tuned.

Case shared in CME INDIA GROUP by Dr Subramanian Senthilkumaran,Manian Medical Centre, Erode, India First Reported Case of Hirata’s Disease Following Common Krait (Bungarus caeruleus) Envenomation in South India @drsthanus @DrAkhilX Clinical Case Note: Snakebite-Induced Hirata’s Disease (Insulin Autoimmune Syndrome) Patient Demographics: Age/Sex: 54-year-old female Occupation: Agricultural worker Location: Rural Tamil Nadu, India Past Medical History: No known comorbidities Clinical Timeline & Presentation: Day 0 (Snakebite): Bitten on the left foot by a common krait (confirmed by herpetologist). Developed neurotoxic symptoms: ptosis, hypersalivation, frothing. Treated at a primary care centre with 20 vials (200 mL) of polyvalent antivenom. Discharged after 4 days with full recovery from neurotoxic symptoms. Day 10 (Post-Bite): Presented with altered sensorium and severe hypoglycemia (blood glucose <40 mg/dL). Initial treatment with IV dextrose and corticosteroids provided transient relief. Labs: Extremely high serum insulin, positive insulin autoantibodies. Diagnosis: Insulin Autoimmune Syndrome (Hirata’s Disease). Treatment Administered: Initial therapy: IV glucose, corticosteroids. Definitive therapy: Plasmapheresis, leading to rapid clinical stabilization. Outcome: Full neurological and metabolic recovery without sequelae. Discussion & Clinical Relevance: Novelty: First reported case of snakebite-induced Hirata’s disease. Mechanism: Likely immune dysregulation post-envenomation, triggering insulin autoantibody formation. IAS Pathophysiology: Initial sequestration of endogenous insulin → transient hyperglycemia Subsequent uncontrolled release → postprandial or fasting hypoglycemia Differential Diagnosis Considered: Insulinoma, factitious hypoglycemia, reactive hypoglycemia Confirmed by: High insulin levels, positive insulin autoantibodies, absence of exogenous insulin use. Clinical Message: Be vigilant for autoimmune hypoglycemia like IAS after systemic envenomation, especially with unexplained hypoglycemia post-discharge. Early recognition and use of plasmapheresis can prevent complications and hasten recovery. Training rural clinicians and emergency providers to consider rare post-envenomation sequelae like Hirata’s disease is critical. Citation: Anbu M, Suraweera TL, Janardhanan J, et al. Common krait envenomation–induced Hirata’s disease (insulin autoimmune syndrome): a rare endocrine consequence of snakebite. sciencedirect.com/science/articl…

@deeptibehl1 Wah wah Guruji.

Great fun being the Guru in our hilarious Sanskrit play “Gurave Namah.” Grateful for ten years of laughter and learning with my wonderful Sanskrit class 😊

Fighting #obesity Our article received enough citations to be a Top Cited Article. Read it here onlinelibrary.wiley.com/doi/full/10.11… #TopCitedArticle @wileyinresearch

Several so-called ORS drinks (ORSL, ORSL Plus, ORS FIT) are misleading and dangerous. These sugar-loaded energy drinks falsely claim to be ORS The Endocrine Society of India is now legally fighting against this deception. @dr_sivaranjani @hariendo @dr_rsantosh

@Vighrane01 nejm.org/doi/10.1056/NE…

This is the 1st time I have seen such a combination. Mind blown.

@deeptibehl1 Happy Thanksgiving

Thankful for beautiful mornings and hikes and rivers and sunshine and the lovely dogs and people who walk with me in my life 💕💕🙏 Happy Thanksgiving everyone 😊

@AshishJVarghese Congratulations

Honoured and humbled to receive my FACS certificate today—a milestone in my surgical journey!

@prudraj @dr_rsantosh @magnaCODE @Endoananth @drsundar_endo @idrlakshmi All the best

A new beginning 🎉 Dr Prudwiraj’s Magna center for obesity diabetes and endocrinology, Kokapet, Hyderabad.

Pleased to attend #ESICON2024 the 53rd annual conference of the ESI the Endocrine Society of India (ESI) @IndiaESI in the coastal city of Visakhapatnam. I am told that ESI is the largest organization of Endocrinology in India with over 1500 qualified endocrinologists as its members. Endocrinology plays a crucial role in diagnosing, managing, & preventing conditions like diabetes & thyroid disorders, among others which are among common lifestyle diseases. Diabetes, both Type 1 & Type 2, is one of the most prevalent chronic diseases linked to lifestyle factors such as diet, physical activity, & stress. Thyroid disorders, such as hypothyroidism & hyperthyroidism, are also common endocrine issues that can be influenced by lifestyle choices, including diet & stress. Endocrinologists use tests like thyroid function panels to identify imbalances in hormone levels, to identify & manage these disorders. Otherwise, they can lead to fatigue, weight changes, & mood disturbances, which significantly impact the quality of life. Endocrinologists are integral to detecting & treating these disorders early, thereby reducing the risk of severe complications. By understanding the link between hormones & lifestyle factors, endocrinology offers a specialized approach to tackling modern diseases, improving health outcomes, & promoting preventive care. —-

@AshishJVarghese @IamShajanSamuel I confirm this.

@IamShajanSamuel 😃👍🏼 all I do but I wake up at 3.55 am

It's very rare to find people who don't smoke, drink, exercise regularly, sleep by 9 pm and wake up before 5 am. If you find them, let me know.

I’m always impressed by tv news people who can constantly talk for hours on election night. It’s very internal medicine of them.

Endocrine Society of India announces the launch of ESI textbook of Endocrinology at ESICON 2024, Vishakapatnam

United for Justice! The Endocrine Society of India stands strong in solidarity, demanding justice for Abhaya. We want justice. Now.

The Endocrine Society Of India stands united in demanding Justice for Abhaya and ensuring workplace safety for all. We will observe a 24-hour fast starting tomorrow at 6 AM and wear black. Join us in this peaceful protest for dignity, justice, and safety at the workplace.

It’s time we all come together to protest what’s happening !!! #Fastforjustice

@deeptibehl1 Why?

Why do the naughtiest kids always have the most angelic faces😊

@KapoorNitinDr @IndiaESI @EndoBrigade @Rssdi_official @IMPA_12 @SAFES_endocrine @IdecPune @southasiao35307 @SanjayKalraDr1 All the best

Looking forward to this webinar tonight @IndiaESI @EndoBrigade @Rssdi_official @IMPA_12 @SAFES_endocrine @IdecPune @southasiao35307 Link to register - us02web.zoom.us/webinar/regist…

@KapoorNitinDr All the best

A hectic but one of the most productive, power packed and passionate weekend.. #3/3 At the Annual National Congress of the Sri Lankan college of Endocrinologists. SLENDO 2024, proud to be a part of the Launch of the South Asia Obesity Forum and glad to take over as the Founder Editor in Chief of the Asian Journal of Obesity, the official journal of SOF. ojs.ijcp.in/AJO/index @IndiaESI @EndoBrigade @SAFES_endocrine @IdecPune @IMPA_12 @southasiao35307 @touchENDOCRINE