Molecular and Clinical Diabetology
Objectives
define and classify diabetes according to the underlying pathophysiological mechanism
know and understand the acute and chronic diabetes complications
understand the mechanisms of action of pharmacological and non-pharmacological therapies (diet and physical activity) and integrate them with the knowledge from the physiological changes to the existing therapies recommendations
know the characteristics of the model of chronic disease (diabetes)
collect clinical history of people with diabetes and evaluate the presence of late complications
discuss alternative therapies
negotiate with the person with diabetes a treatment plan
discuss models of organization of health care in diabetes
understand the importance of an integrated multidisciplinary approach and the different roles of the other professionals in the process of care of people with diabetes
know the current lines of ongoing research and its interrelation with clinical data
General characterization
Code
11134
Credits
3
Responsible teacher
Prof. Doutor João Raposo
Hours
Weekly - Available soon
Total - Available soon
Teaching language
Portuguese
Prerequisites
Bibliography
Textbook of Diabetes, Richard IG Holt , Clive Cockram , Allan Flyvbjerg , Barry J. Goldstein , Wiley-Blackwell, 2010
Diabet Med 2010 Aug, 27 (8): 879-81 First diabetes prevalence study in Portugal: PREVADIAB study. Gardete-Correia L , Boavida JM , Raposo JF , AC Mesquita , Fona C , Carvalho R , Massano-Cardoso S
STANDARDS OF MEDICAL CARE IN DIABETES2018, American Diabetes Association
Micro-site da Direção Geral da Saúde do Programa Nacional para a Diabetes: https://www.dgs.pt/programa-nacional-para-a-diabetes.aspx
Teaching method
Practical classes for case presentations or problem oriented presentations with initial and final discussion will be used.
Observation of individual consultations in adults and pediatric diabetology environment will be a part of the course according to availability and/or individual preferences. All the contents are organized in the resolution of clinical cases that allow placement of diagnostic hypotheses, therapeutic choices and discussing prognosis always making the link between basic science and clinical application and its transposition into Public Health.
Each student will have to follow one person with diabetes, analyzing its clinical situation and promoting compensation and adherence to therapy.
In the remaining time, active methodologies will be used: group work, simulations ("role-play").
The aspects of communication and exchange of experiences among the clinic staff and the research team will be valued.
Evaluation method
The assessment of this course will be carried out continuously and will take into account - continuous assessment of students (25% of total assessment) and a final report writing stage that includes all the presented tasks and works (75% of total assessment).
Subject matter
Classification and diagnosis of diabetes
Diabetes and Public Health
Non-communicable diseases
Incidence and Prevalence of Diabetes in the world and Portugal
Levels of Prevention in Diabetes. Screening
National Program for Diabetes
Organization of Health Care in Diabetes
Molecular mechanisms of diabetes and its integration with clinical diabetes
Diabetes and macro/micro vascular disease
Prevention and Control of Diabetes and its molecular basis:
Nutrition in Diabetes
Physical activity
Pharmacological therapeutic approaches
Therapeutic Education in Diabetes
The person with chronic disease: physician / patient relationship
Education: group vs individual consultations
Pedagogical tools. New technologies and diabetes
Motivational interviewing