Scientific Program

Day 1

Keynote Session:

Parag Singhal

Weston Area Health Trust, UK

Title: Affordable healthcare: The holy grail

Biography:

Parag Singhal completed his specialist training in endocrinology 20 years ago and research degree from Newcastle University, UK. He has been a consultant since then and now teaches and lectures on the importance of good clinical medicine along with making the health care affordable. He is a professor at university of South Wales and visiting professor to few other universities. He was awarded honorary fellowship of American college of physicians for his contribution to medicine.

Abstract:

The incidence and prevalence of diabetes mellitus is increasing across the world and poor control is associated with both micro vascular and macro vascular complications, costing health economies a significant proportion of the health budget. It is now well recognized that good glycemic control early in the disease can reduce the complications, leading to better outcomes and reduced cost. However, a large proportion of patients continue to have suboptimal control of diabetes. Being a long term condition, self-care plays an important role where patients need to be trained, educated and empowered to look after their disease. However, there are some real barriers in achieving good control, hypoglycemia being one of the biggest barriers along with lack of adherence to healthy lifestyle and medication. With increasing incidence and prevalence, there is clear need for help from allied health professionals to educate and empower patients to better manage their diabetes.

Hera Eid

American Canadian Board, Lebanon

Title: Sports and diabetes management!

Biography:

Hera Eid is a certified trainer in human development and a motivational speaker to patients with diabetes.

Abstract:

We are living in the 21st century and yet diabetes is unknown, strange and shame to some people. People affected with diabetes face a lot of challenges everyday of their lives, sometimes they go through those difficulties all by themselves. And I being patient with type 1 diabetes for almost 8 years now, my message and passion and life is all about diabetes. I am working on having support groups, expanding the diabetes community, motivating, inspiring, spreading awareness and building up the diabetes community as much as I can, with hope, positivity, union and love. As well, and most importantly become a great example to all people affected with diabetes that we are fighters, heroes and can achieve any goal / dream we aim for. All it needs is dedication, commitment, discipline, will and courage. And for me to be this great example I take challenges and accomplish them especially in diabetes and sports. This year I accomplished two major achievements: 1) On 25/8/2018 I went hiking to reach the highest peak in Lebanon and Near East (the black peak) which is 3,088 m above sea level. 2) On 11/11/2018 I ran the full marathon (42.125 km). It is very essential for us people affected with diabetes to manage our diabetes properly and that is by healthy diet, medications and exercise. So I encourage everyone to follow this lifestyle and exercise as sports is very crucial to live a healthy, long and complications free life.

Oral Session 1:

Oral Presentations

Jeffrey Solheim

Solheim Enterprises, USA

Title: Board to death â€“ Current strategies in spinal motion restriction

Biography:

Jeffrey Solheim is the founder and president of Solheim Enterprises, a company that provides educational and consulting services in emergency department management. He is also the founder and emeritus executive director of Project Helping Hands, an organization that provide humanitarian medical assistance in developing nations. He was the president of the Emergency Nurses Association in 2018.

Abstract:

2 – 5% of severely traumatically injured patients have cervical spinal fractures and 1 – 2% of those will have an unstable cervical fracture. Furthermore, it is estimated that somewhere between 3 and 25% of injury to the spinal cord does not actually happen at the time of the traumatic incident, but rather during medical management of the patient following trauma. To reduce the incidence of these spinal cord injuries, a variety of techniques have been introduced to reduce trauma to the spinal cord during patient management.Some of these techniques include the use of backboards, cervical collars and log-rolling techniques.The use of backboards and cervical collars has been in place since the 1960s and were not necessarily based on research but rather anecdotally introduced. In the past decade, the use of some of these spinal protective techniques has been called into question and current research indicates that not only may they not be useful; some can actually cause the patient further harm. This session will look at current strategies commonly employed to protect the spinal cord after trauma including the use of backboards, cervical collars and log-rolling to determine if they are effective or not. Alternatives to these strategies will be discussed.

Margaret Pearce, Laura C. Adams

University of Utah Health, USA

Title: Enhanced nursing safety and interdisciplinary collaboration: Findings from a non-violent patient de-escalation program

Biography:

Margaret Pearce is the CNO for the University of Utah Health system and has served as VP of patient services/CNO for hospitals and systems across the United States since 1994. Her academic preparations include BSN, MSN, MBA, and PhD degrees.

Laura Adams is a senior Nursing Director for University of Utah Health and has served in senior-level nursing leadership roles for organizations across the United States since 1990. Her academic preparations include ADN, BSN, and MSN degrees.

Abstract:

Background: Patient aggression toward nurses has become more common within inpatient hospitals, posing serious safety risks because this environment is less secure and possesses nurses who are less prepared to address patient aggression. For example, knowledge and coordination gaps in de-escalation practices were present at the university health system of this project among clinical teams, hospital security, and the police.

Purpose: The purpose of this quality improvement initiative was to increase the safety of inpatient clinical encounters by fostering interdisciplinary teamwork and creating a formal program for de-escalating aggressive patients.

Methods: A partnership between nursing, hospital security, and police was to be fostered by having these teams collaborate to design the project, train staff, and participate in de-escalation teams. Best practices for deescalation were surveyed, the program was designed, IRB approval was obtained, and implementation occurred in two pilot areas. Project measures included feedback from pretest and posttest questionnaires.

Outcomes: Baseline survey responses from inpatient nurses indicated a lack of knowledge and resources for patient de-escalation; participant ranking of both knowledge and resources increased after trainings and program implementation. Teamwork and collegiality between nursing staff, hospital security, and police also increased.

Conclusions: With patient aggression on the rise within inpatient hospitals, it is urgent to develop systems for safely managing aggressive patient encounters. Deescalation trainings are an essential component of a comprehensive strategy to manage patient aggression. By sharing project objectives, methods, and outcomes, the hope is to support healthcare givers in worldwide institutions to create like programs.

Jacopo Tagliabue

Paxme Group, Italy

Title: Functional and cognitive performances in a geriatric population in Homer Care

Biography:

Jacopo Tagliabue has graduated in medicine and specialized in geriatrics at the University of Milan, Italy. He is the health director of Paxme Group: Paxme Group is specialized in Home Care and Palliative Home Care in Regione Lombardia, Italy.

Abstract:

During 2018 the Home Care Unit takes care of 882 patients, with need of nurses and physiotherapists. The aim of this study is to evaluate the functional and cognitive performances of our patient’s population.We evaluated the patients using: Barthel Index (BI), Mini Nutritional Assessment (MNA), Norton scale (NS), Clinical Dementia Rating Scale (CDR), pain evaluation with NRS or PAINAD.

Results: Male 398 (45.2%), female 484 (54.8%), main age 80.1, BI 40.9, MNA 6.9, NS 14.1. The main pathology are: skin ulcers 359 patients (40.8%), orthopedic disease 110 patients (12.5%), neurological disease 88 patients (10%), urinary disorders 53 patients (6%), neoplastic disease 45 patients (5.1%), cardiovascular disease 42 patients (4.8%). The male vs female have statistically significant higher BI (44.1 vs 38.3) e NS (14.3 vs 13.8) (t-test p<0.05).278 patients (31.5%) have pressure ulcers, 604 patients have no pressure ulcers. 194 patients (21.8%) have dementia with CDR>2, 688 patients are non-demented with CDR<2. 88 patients with dementia (45.4%) have pressure ulcers with chi-square statistically significant (P<0.05) if compared with non-demented patients (27.6%). Patients with dementia have lower BI (13.5 vs 48.6) and NS (10.7 vs 15.1) non statistically significant. 88 patients with dementia (45.4%) have dysphagia with chi-square statistically significant (P<0.05) if compared with non-demented patients (14.3%). No differences in pain evaluation or nutritional status.

Conclusions:The application of CDR permits to classify patients with dementia, who have a worse functional status with higher presence of pressure ulcers and dysphagia.

Jeff Solheim

Solheim Enterprises, USA

Title: Violence against healthcare workers:Understanding the scope of the problem and possible solutions

Biography:

Abstract:

Recent studies done by the Emergency Nurses Association (ENA) and the American College of Emergency Physicians (ACEP) show that violence against healthcare workers is more prevalent than previously recognized. ENA found that over 50% of emergency department nurses had been assaulted within 7 days of the study (42.5% were verbally assaulted, 12.1% were physically assaulted and 13.4% of those physically assaulted sustained injuries. In a study done by ACEP, 47% of emergency physicians had been assaulted while at work. While violence targeting healthcare workers has been studied and reported on more in the United States then other areas of the world, it is known to be an international problem. Regardless of where the violence occurs however, it is often under-reported and the perpetrators of violence are frequently not held accountable for their actions.This may be due to the fact that law enforcement is reticent to press charges against a patient but is also due to the fact that health care workers often fail to report abuse. They may be afraid of “appearing weak” if they report or their employers may not support the reporting of the abuse. Research carried out by organizations such as ENA and ACEP have raised awareness of this problem resulting in a change in policies and legislation that will help protect healthcare workers. This session will present the research into this growing problem as well as discuss potential solutions for dealing with the issue.

Susan Kitching

University of Sundarland, UK

Title: Are leadership and motivation conjoined twins or just passing partners?

Biography:

Susan Jane Kitching is currently undertaking her Professional Doctorate in Nursing Leadership and Motivation. She has over 35 year’s healthcare experience and has held a variety of roles in different organizations within UK and Saudi Arabia. She is currently a Director of Nursing and Quality. She is involved in mentorship of aspiring future leaders and is a member of an editorial board for a Pediatric Journal.

Abstract:

There are many articles and pieces of work regarding leadership, outcomes and benchmarks but very few look at the key elements that are attached to the leadership style and the results attained. Magnet® focuses upon Transformational leadership as its preferred style linked to attaining results. In their description they hint at motivation but do not demonstrate it. Having been involved with 2 different Organization journeys to attain Magnet® I became aware of a crucial element needed to achieve the accreditation and maintain the required outcomes that of motivation. Motivation comes in many disguises as direct monetary reward through to just verbal recognition however there is no evidence available to highlight if this motivation is linked to the leadership style being used. An international study using 4 different continents all engaged in various stages of Magnet® will be undertaken to identify if conjoined twins exist or if they are just passing partners, Cummings (2009,2011) et all undertook many different reviews of leadership in nursing. Brady et al (2011) discussed the steps of transformational leadership but did not mention motivation only working towards Magnet®. Cummings and Wong et al (2013) highlighted the need for more research in the area of leadership and patient outcomes because of the fragility of data. Motivation is a skill and something done by psychologists and coaches not leaders so now is the time to challenge those beliefs and ensure leadership and motivation are viewed together and not separately.

Raffaele Pilla

St. John of God Hospital â€“Fatebenefratelli, Italy

Title: Therapeutic ketosis and the broad field of applications for the ketogenic diet: Ketone ester applications & clinical updates

Biography:

Raffaele Pilla is the Doctor Europaeus, received his Master’s degree in Pharmacy at G. d’Annunzio University in Chieti-Pescara, Italy in 2005, where he also served internships at the Cell Physiology Laboratory and Molecular Biology Laboratory. He was hired as a postdoctoral scholar in the Department of Pharmacology and Physiology at the University of South Florida in Tampa, on two research grants funded by the Office of Naval Research (US Navy) and Divers’ Alert Network. He has written and lectured widely worldwide. He has been involved in ongoing research at the University of South Florida with the use of ketone esters.

Abstract:

It has been recently shown that nutritional ketosis is effective against seizure disorders and various acute/ chronic neurological disorders. Physiologically, glucose is the primary metabolic fuel for cells. However, many neurodegenerative disorders have been associated with impaired glucose transport/metabolism and with mitochondrial dysfunction, such as Alzheimer’s/ Parkinson’s disease, general seizure disorders, and traumatic brain injury. Ketone bodies and tricarboxylic acid cycle intermediates represent alternative fuels for the brain and can bypass the rate-limiting steps associated with impaired neuronal glucose metabolism. Therefore, therapeutic ketosis can be considered as a metabolic therapy by providing alternative energy substrates. It has been estimated that the brain derives over 60% of its total energy from ketones when glucose availability is limited. In fact, after prolonged periods of fasting or ketogenic diet (KD), the body utilizes energy obtained from free fatty acids (FFAs) released from adipose tissue. Because the brain is unable to derive significant energy from FFAs, hepatic ketogenesis converts FFAs into ketone bodies-hydroxybutyrate (BHB) and acetoacetate (AcAc)-while a percentage of AcAc spontaneously decarboxylates to acetone. Large quantities of ketone bodies accumulate in the blood through this mechanism. This represents a state of normal physiological ketosis and can be therapeutic. Ketone bodies are transported across the blood-brain barrier by monocarboxylic acid transporters to fuel brain function. Starvation or nutritional ketosis is an essential survival mechanism that ensures metabolic flexibility during prolonged fasting or lack of carbohydrate ingestion. Therapeutic ketosis leads to metabolic adaptations that may improve brain metabolism, restore mitochondrial ATP production, decrease reactive oxygen species production, reduce inflammation, and increase neurotrophic factors’ function. It has been shown that KD mimics the effects of fasting and the lack of glucose/ insulin signaling, promoting a metabolic shift towards fatty acid utilization. In this work, the author reports a number of successful case reports treated through metabolic ketosis.

Masahiro Onuma

Trisguide Ltd, Japan

Title: Electronic water can reduce oxidative stress in cancer and diabetes patients for 3 weeks drinking

Biography:

Masahiro Onuma has expertise in oxidative disease prevention to use non-medical product based on GSK’s experience of allopurinol which is the strongest anti-oxidant efficacy in this world. He creates new indication of allopurinol for stomatitis induced by cancer treatment which was approved by the Japanese Cancer treatment committee to propose new mechanism of allopurinol for anti-oxidant. And now, there are so many new research papers of allopurinol in the world.

Abstract:

Oxidative stress means a state there is imbalance between the oxidizing action and the reducing action due to reactive oxygen species (ROS) in a living body, resulting in the oxidizing action becoming dominant. Oxidative stress arises as the balance between production and removal is disrupted through excessive production of ROS and impairment of the antioxidant system. Oxidative stress has been reported to be involved in the onset and progress of various diseases. Characteristics of Type 2 diabetes are insulin secretion failure and insulin resistance, but it seems that oxidative stress is greatly involved in insulin secretion failure. In the insulin secretion-inducing β cells of Langerhans islets in the pancreas, the amount of superoxide dismutase (SOD), which is representative of the ROS elimination system, is small and resistance to oxidative stress is considered to be weak. Regarding cancer, it is well known that chronic inflammatory conditions increase the risk of carcinogenesis. Cells such as neutrophils and macrophages are activated in the inflammation area leading to increase in production of active oxygen and nitric oxide. These free radicals cause DNA mutation and cell proliferation thereby promoting cancer development. When chronic inflammation is present, cancer develops more easily. Electronic water, which was developed to generate electron in water, was consumed for three weeks, after meals, between meals and before sleeping 6 times a day, and according to the test subjects’ possible time periods. The amount of drinking water was 750-1000 mL, and BAP and d-ROMs checks for all cases were carried out at 4:30 pm. The results of cancer patients and diabetes patients were seen as attached. As a result, the d-ROMs value in the degree of oxidative stress has reduced, and the BAP value, which is an indicator of plasma antioxidant capacity, has improved significantly

Gerald C Hsu

EclaireMD Foundation, USA

Title: Methodology of math-physical medicine

Biography:

Gerald C Hsu received an honorable PhD in mathematics and majored in engineering at MIT. He attended different universities over 17 years and studied seven academic disciplines. He has spent 20,000 hours in T2D research. First, he studied six metabolic diseases and food nutrition during 2010-2013,then conducted research during 2014-2018. His approach is “math-physics and quantitative medicine” based on mathematics, physics, engineering modeling, signal processing, computer science, big data analytics, statistics, machine learning, and AI. His main focus is on preventive medicine using prediction tools. He believes that the better the prediction, the more control you have.

Abstract:

Math-physical medicine approach (MPM) utilizes mathematics, physics, engineering models, and computer science in medical research. Initially, the author spent four years of self-studying six chronic diseases and food nutrition to gain in-depth medical domain knowledge. During 2014, he defined metabolism as a nonlinear, dynamic, and organic mathematical system having 10 categories with ~500 elements. He then applied topology concept with partial differential equation and nonlinear algebra to construct a metabolism equation. He further defined and calculated two variables, metabolism index and general health status unit. During the past 8.5 years, he has collected and processed 1.5 million data. Since 2015, he developed prediction models, i.e. equations, for both postprandial plasma glucose (PPG) and fasting plasma glucose (FPG). He identified 19 influential factors for PPG and five factors for FPG. He developed the PPG model using optical physics and signal processing. Furthermore, by using both wave and energy theories, he extended his research into the risk probability of heart attack or stroke. In this risk assessment, he applied structural mechanics concepts, including elasticity, dynamic plastic, and fracture mechanics, to simulate artery rupture and applied fluid dynamics concepts to simulate artery blockage. He further decomposed 12,000 glucose waveforms with 21,000 data and then re-integrated them into three distinctive PPG waveform types which revealed different personality traits and psychological behaviors of type 2 diabetes patients. Furthermore, he also applied fourier transform to conduct frequency domain analyses to discover some hidden characteristics of glucose waves. He then developed an AI Glucometer tool for patients to predict their weight, FPG, PPG, and A1C. It uses various computer science tools, including big data analytics, machine learning, and artificial intelligence to achieve very high accuracy (95% to 99%).

Brittny Dhaniram

North West University, South Africa

Title: Creating a climate of caring and developing a sound theoretical base to improve the nursing practice

Biography:

The types of theories in nursing have being influencing the nursing practice since the beginning of nursing. It is essential to understand these types of theories in nursing to be able to relate it to the everyday nursing practice. Nursing is composed on the bases of many theories. These theories have been research and discovered by many dedicated theorists who have enriched the value of nursing in the world. In doing so, they have also given guidance to the nursing profession. As a professional nurse or manager, it is necessary to fundamentally understand the concept theory as well as the relevance it adds to the nursing profession. By having a good understanding of these concepts, we can make nursing more meaningful for ourselves as well as our peers. Nursing is a career for passionate people who want to care for others. My personal philosophy of nursing is that all people should be cared for with respect and passion regardless of their age, race, sexual orientation, beliefs, culture or religion. No one should be discriminated against and all life should be preserved regardless of the type of person that individual is. The philosophy of nursing should be developed around the rights of the patients while catering the needs of the patients. The philosophy of nursing must be directed at the holistic care of the patient and making their life as comfortable as possible. The philosophy must be focused on specializing the nursing field of nursing practice to make it a prestigious discipline with honour and pride. It should also look at the academic components as it is essential to the nursing profession. Nursing is influenced by developments in society therefore the nursing philosophy must be focused with the concerns of the community. Nursing theories are essential for the existence of nursing as an academic discipline, it is important for the practice of the professional nursing.

Abstract:

Brittny Dhaniram nursing educator/facilitator in North West University Johannesburg area, South Africa and a member of Golden Key International Honour Society is experienced clinical educator with a demonstrated history of working in the nursing education facility. Skilled in Microsoft Excel, customer service, Microsoft Word, computer literacy and strategic planning. Strong human resources professional with a Bachelor’s degree focused in Nursing Education & administration from north west university.

Aastha Kalra

Veterans Affairs Medical Center, USA

Title: The ketogenic diet - Implications in diabetes reversal

Biography:

Aastha Kalra is board certified in Internal Medicine. She completed her residency in Internal Medicine at Hofstra University- North Shore LIJ Health System in New York and thereafter served as chief resident in Internal Medicine for a year. An outstanding physician, Dr. Kalra’s skills extend beyond traditional medicine to include a special interest in obesity. She is founder physician of telemedicine startup, Weight Zero MD which is a virtual clinic leveraging technology focusing on reversal of metabolic syndrome.

Abstract:

A low-carb diet is an eating regimen that confines starches, for example, those found in sugary sustenances, pasta and bread and is high in protein, fat and solid vegetables. There is a wide range of sorts of lowcarb diets, and studies demonstrate that they can cause weight reduction and improve wellbeing. A particular low sugar diet that has gotten a great deal of media consideration of late is “ketogenic diet”. The ketogenic diet (KD) is a very low-carbohydrate (<10% of energy), high-fat (>60% of energy) and adequate-protein diet that without limiting calories induces a metabolic condition called “physiological ketosis” involving increased levels of circulating ketone bodies. Low carbohydrate diets in general have therapeutic value in a range of diseases such as type 2 diabetes, polycystic ovary syndrome, neurodegenerative diseases and are currently being investigated. Moreover, low carbohydrate and KDs recently have become quite popular as a weight-loss diets. The field of “Weight” and “Obesity” is evolving and changing. The World Health Organisation (WHO) and various national authorities have recently made recommendations urging a limitation of the daily consumption of carbohydrates, more specifically that of rapidly digestible starches and sugars.These recommendations play a key role in reducing the risks of obesity, diabetes, and cardiovascular diseases. Low carbohydrate diets work well especially in the case of insulin resistance. However, each patient is different and unique. It is very important to follow with a physician when beginning or while on a ketogenic diet.

John F. Burd

Lysulin Inc., USA

Title: Glucose toxicity: The worldwide problem and the all-natural solution

Biography:

John F Burd is the founder & CEO of Lysulin Inc, developing scientifically proven nutraceutical products to improve the health of people with diabetes. He is also the co-founder of Sabur Technology Inc., developing a new non-invasive continuous glucose monitoring technology. He is the former president and CEO of DexCom, where he directed the company’s work to develop, manufacture and market the first long-term implantable glucose sensor for people with diabetes.

Abstract:

Glucose toxicity leads to the development of Type 2 diabetes in both children and adults, costing our healthcare systems a huge amount to treat diabetes and its complications. Chronic hyperglycemia leads to insulin resistance. Insulin resistance can lead to insulin depletion. When this happen, we may have to resort to injection of insulin in order to try to keep our blood glucose levels in the normal range. Glucose is not a passive bystander in our bloodstream but is a toxic and reactive compound. Glucose reacts with all of the proteins in our body forming glycated proteins. These glycated proteins progress to become what is known as advanced glycation endproducts or ages. These AGEs are known to be the culprits in many disease complications including cardiovasular disease. Protein glycation is also being the cause of insulin resistance. If insulin and the insulin receptors on cells become glycated, this changes their ability to effectively function. There is now an all-natural solution to the glucose toxicity problem. In over 20 years of R&D and clinical studies, nutritional supplements have been proven to combat glucose toxicity.Three important supplements having this ability are the lysine, zinc and vitamin C. Combining these three important supplements into one tablet makes a powerful weapon to combat glucose toxicity and protein glycation.This weapon is Lysulin®.Current therapy for type 2 diabetes and the history of studies proving the effectiveness of nutritional supplements will be presented along with recent data from double blind placebo controlled studies with Lysulin.

Marcos Roberto Tovani Palone

University of Sao Paulo, Brazil

Title: Human papillomavirus vaccination for men: Considerations on South America

Biography:

Marcos Roberto Tovani Palone has completed his MSc from the Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Brazil, and currently he studies PhD in Experimental Pathology from Ribeirao Preto Medical School, University of Sao Paulo, Brazil, under the coordination of Doctor Leandra Náira Zambelli Ramalho. He is a DDS and, moreover, specialist in pediatric dentistry, syndromes and craniofacial anomalies, and health management. His main research interests are pediatric pathology, cleft lip and palate, dentistry and public health. He has published more than 50 papers in reputed journals and has been serving as an editorial board member of 30 journals.

Abstract:

Human papillomavirus (HPV) infection is a major health problem in many parts of the world. In men, this infection can result in the development of cancers of the penis, oropharynx and anus. Surprisingly, in 2017, both Brazil and Argentina started to offer HPV vaccination for boys and/or male adolescents in their national vaccination calendars. These countries were, therefore, the first of South America to offer this vaccination for males as a preventive measure officially recommended by the Ministry of Health. However, so far, there is very few information about this issue in the literature. Currently, I am conducting a research study on the implementation of HPV vaccination for males in these two countries, with a special focus on public health aspects.

Oral Session 2:

Poster Presentation

15:45-16:00

Radia Boufermes

Badjii Mokhtar University, Algeria

Title: Serum CA19-9 level associated with metabolic control in diabetic patients

Biography:

Radia Boufermes has completed her PhD at the age of 45 years from Houari Boumedienne University of Science and Technology (USTHB) in Algiers (Aleria), with the collaboration of National Institute for Agronomic Research (INRA) University of Caen Normandy in France. She is the teacher researcher since 2000 at Badji Mokhtar University of Annaba (Algeria). She has published two research papers in reputed journal.

Abstract:

Carbohydrate antigen Ca19.9 is a tumor marker for some types of pancreatic cancers; this marker may be associated with type 1 and type 2 diabetes. The objective of this study is to investigate the relationship between the CA19.9 marker and the level of HbA1c in diabetes patients in comparison with age and sexmatched control subjects. We evaluated the plasma level of CA19-9 and HbA1C percentages in diabetic patients using respectively by high-performance liquid chromatography and ELIZA methods. Our results showed a significant positive correlation between two parameters. The elevated serum CA19.9 level in diabetic patients may indicate further investigations of glycerin control and pancreatic beta cell function in diabetic patients.