Endocrinology & Diabetes Services Dr. Abdulmoein Al-Agha, Ass. Professor & Pediatric Endocrinologist

DIABETES MANAGEMENT  Major health problem in Saudi children  Intensive methods of treatment –Multiple daily injection / Insulin Pump  Provide latest technology in management of children with diabetes and latest technology in continuous glucose monitoring (CGMS) INSULIN PUMP THERAPY  Insulin pump therapy has greatly improved the way we manage type 1 diabetic patients.  It enables them to achieve better sugar control in a more flexible manner and also can prevent the dreaded low blood sugars that often accompany type 1 diabetes management

CGMS (continuous glucose monitoring system)  Sensor  Monitor  Inserter  Software

Endocrine Dynamic Testing  Full written protocols on dynamic endocrine testing  Useful tests to diagnose children with following pediatric endocrine problems: – short stature due to GH deficiency –children with panhypopituiterism –children with Adrenal insufficiency –Children with ambiguous genitalia & micropenis –Children with Diabetes insipidus –Other variable testing  These tests usually done as Day – Case setting

Pediatric Endocrine clinics  Follow –up children with diabetes –Dose adjustments –Diabetes education & dietary advices  Thyroid disorders  Obesity  Osteoporosis –Variable causes of pediatric osteoporosis –Children with osteogenesis imperfecta –Treatment with latest Bisphosphonate therapy of pediatric osteoporosis  Adrenal gland disorders  Pituitary gland disorders especially children with growth hormone deficiency or children post – pituitary tumor surgery (e.g. craniopharyngioma)