Prevention: Endocrinology's Core
At the recent Rastogi–Dash Clinical Case Conference hosted by PGIMER's Department of Endocrinology, Director Professor Vivek Lal underscored a fundamental
principle: "prevention remains the soul of endocrinology." He stressed that while sophisticated diagnostic tools define contemporary medical practice, proactive healthcare and robust physical fitness are paramount. This perspective is particularly relevant in tackling the pervasive rise of non-communicable ailments like diabetes. Professor Lal shared personal insights, emphasizing that altering one's lifestyle possesses a remarkable capacity to reverse existing conditions. He strongly advocated for integrating preventive strategies and promoting physical activity as cornerstones of effective medical intervention, drawing inspiration from the pioneering efforts of endocrinologists Professor R J Dash and Dr Gopal Krishan Rastogi, who established the department's foundation at PGIMER. The director also acknowledged the Endocrinology Department's outstanding service, managing a substantial volume of complex patient cases with distinction.
GEP-NETs and Research Prowess
The third Rastogi–Dash Clinical Case Conference focused on Gastro-Entero-Pancreatic Neuroendocrine Tumours (GEP-NETs), a theme chosen to reflect the increasing intricacies and diagnostic challenges faced in this specialized area of endocrinology. This annual event serves as a vital platform, uniting leading endocrinologists, both nationally and internationally, alongside distinguished alumni and faculty. Their collective expertise is directed towards dissecting complex clinical scenarios and exploring the latest advancements within the field. Professor Sanjay Bhadada, Head of the Department of Endocrinology, highlighted the department's significant research achievements, noting that PGIMER secured a substantial Rs 200-crore external grant for research last year. Notably, the Department of Endocrinology was instrumental in securing Rs 50 crore of this total, showcasing its prominent role in pioneering cutting-edge endocrine research. This academic and research excellence is a testament to the department's commitment to continuous learning, collaborative efforts, and innovative approaches to managing the escalating burden of endocrine disorders.
Young Diabetes Alarms
A concerning trend emerging from Chandigarh, as observed by PGIMER, indicates a significant rise in diabetes diagnoses among younger demographics, challenging the traditional notion that it primarily affects middle-aged and elderly individuals. Experts are particularly alarmed by the increasing incidence of Type 2 diabetes, once predominantly an adult condition, now being identified even in teenagers. Data presented by Professor J S Thakur from PGIMER's School of Public Health reveals that approximately 20 individuals aged 18 years or younger have been diagnosed with diabetes over the past eighteen months, comprising 14 males and 6 females. Furthermore, an additional eight cases have been reported in the 19–44 age bracket, a demographic considered unusually young for such diagnoses. This shift necessitates a re-evaluation of public health strategies and early intervention programs to combat the growing prevalence of diabetes across all age groups.
