Molecular and Clinical Diabetology

Code

11134

Academic unit

Nova Medical School | Faculdade de Ciências Médicas

Department

TRA - Clinical Medicine

Credits

3

Teacher in charge

Prof. Doutor João Raposo

Teaching language

Portuguese

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

 

Prerequisites

 

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

 

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 DIABETES—2016, American Diabetes Association in: http://care.diabetesjournals.org/content/39/Supplement_1

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 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. 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).

Courses

• Integrated Master Degree in Medicine