Diabetic Dyslipidemia in Practice [Prof. Magdy Helmy Megallaa]

Management of Diabetic Dyslipidemia, a Case Sudy, applying both the ESC 2021 guidelines and the ADA 2022 guidelines.

[@elprofesor3465]

ايه العظمة دى بجد عايزين فيديوهات براكتيكال اكتر يادكتر .. سمعت فيديوهات ال insulin therapy كمان والحالات الحقيقية اللى بتضيفها حضرتك .. خبرة رائعة .. زادك الله فضلا وعلما حقيقى ممتاز ماشاء الله

[@doctoressam4140]

ا. د مجدى جزاك الله خيراً جهد متميز can you upload the updated lecture of peripheral neuropathy

[@DiaAlex]

تسلم يا صديقي العزيز

[@lahchekhman1797]

بارك الله فيك ونفعنا الله بعلمك وجعله الله في ميزان حسناتك

[@DiaAlex]

اللهم آمين ، ربنا يحفظك و يبارك في علمك و عملك 🙏🙏

[@mahmoudkareem1594]

يا ريت نسمع محاضرات اكثر واكثر ❤

[@DiaAlex]

إن شاء الله ، دعواتك يا صديقي

[@ymmalqahtani]

فيديوهات د. مجدي من أجمل ما سمعت.. زادك الله علما وفضلا

[@DiaAlex]

ده بس من ذوقك و كرم أخلاقك ، ربنا يحفظك 🙏

[@tarektantawy5704]

Great prof

[@mahmoudkareem1594]

😍😍😍

[@DiaAlex]

🙏🌹🙏

[@mohamedlaimonah6073]

جزاكم الله خيرا أستاذنا الفاضل.

[@DiaAlex]

تسلم يا صديقي ، جزانا و إياكم إن شاء الله

[@samh3201]

دكتور عظيييم

[@DiaAlex]

متشكر أوي ، ده بس من ذوقك 🙏

[@basmaziz2379]

محاضرة عظيمة 👏🏻👏🏻👏🏻 لو ممكن حضرتك تدينا لينك الPowerPoint لأن في صور كتير مش واضحة

[@arsenaldream2156]

Thank you so much for this valuable lecture, In regard of diabetic patient who has hypertriglyceridemia only with target LDL What would be the best treatment

[@magedali4081]

If TG more than 500 you have to treat to avoid risk of pancreatitis If 135-499 and LDL is controlled by statin and within normal range for estimated 10 years ASCVD Then 1st look for 2ndry cause for hypertriglyceridemia like hypothroidism or nephrotic syndrome and if No cause treat if patient has high or very high ASCVD RISK score using icosapent ethyl 2gm BD

[@arsenaldream2156]

@@magedali4081 well said, thank you for your feed back. I would like to add that in case of diabetes is considered directly either very high risk or high risk we can go directly to give icosapent ethyl 2 gm bd to achieve level of desirable TG

[@magedali4081]

@@arsenaldream2156 Diabetes of short duration less than 10 years without target organ damage and No risk factors for atherosclerosis is considered a moderate risk

[@magedali4081]

@@arsenaldream2156 Diabetic less than 40 years without established atherosclerosis or estimated 10 years ASCVD RISK score less than 20% No need for lipid lowering agent

[@arsenaldream2156]

@@magedali4081 valid points, however the diabetic patient who's less than 40 years with moderate risk probably no need to initiate him\her on lipid lowering but if he is above 40 with moderate risk should be on statin with moderate dose and follow up

[@arsenaldream2156]

What is the cutt off level of ALT and CK before initiation of statins I had a patient who had ALT 102 and he is Obese and diabetic What would be my options?