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Nov 2009 Alström conference Leeds A sincere thank you
Nov 2009 Alström conference Leeds  <ul><li>Carl Henry Alström 1959: </li></ul><ul><li>Retinal degeneration </li></ul><ul><...
Nov 2009 Alström conference Leeds <ul><li>Torbay’s role  - Defining the phenotype </li></ul><ul><li>Infantile cardiomyopat...
Nov 2009 Alström conference Leeds <ul><li>Family perspective </li></ul><ul><li>“  If you had only paid more attention to h...
Nov 2009 Alström conference Leeds ? Alström  gene mutations Eye and ear problems Insulin resistance and diabetes Fibrosis ...
Nov 2009 Alström conference Leeds <ul><li>In favour </li></ul><ul><li>Type 2 diabetes </li></ul><ul><li>Liver-insulin resi...
Nov 2009 Alström conference Leeds <ul><li>Why be fit with Alström? </li></ul><ul><li>Good   Wellbeing </li></ul><ul><li>Av...
Nov 2009 Alström conference Leeds <ul><li>The place of medication </li></ul><ul><li>Diabetes  Metformin, Glitazones Incret...
Nov 2009 Alström conference Leeds <ul><li>Transfer to Birmingham </li></ul><ul><li>To monitor the condition with annual re...
Nov 2009 Alström conference Leeds <ul><li>“  If you had only paid more attention to her organs instead of her diet she mig...
Nov 2009 Alström conference Leeds For  Anthony Susannah Mathew Anisa Chloe Emma Tracey
Nov 2009 Alström conference Leeds <ul><li>Early detection and treatment of kidney problems </li></ul><ul><li>Early detecti...
Nov 2009 Alström conference Leeds Alstrom International conference 24thto28th June2010 Georgia USA 75 Alstrom families exp...
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  1. 1. Nov 2009 Alström conference Leeds A sincere thank you
  2. 2. Nov 2009 Alström conference Leeds <ul><li>Carl Henry Alström 1959: </li></ul><ul><li>Retinal degeneration </li></ul><ul><li>Deafness </li></ul><ul><li>Obesity </li></ul><ul><li>Insulin resistance </li></ul><ul><li>Preserved intelligence </li></ul>
  3. 3. Nov 2009 Alström conference Leeds <ul><li>Torbay’s role - Defining the phenotype </li></ul><ul><li>Infantile cardiomyopathy (I R E and GW) </li></ul><ul><li>Adolescent cardiomyopathy </li></ul><ul><li>Hyperlipidaemia </li></ul><ul><li>Smooth muscle dysfunction </li></ul><ul><li>Hepatic fibrosis </li></ul><ul><li>Heterogeneous diabetes </li></ul><ul><li>Renal failure </li></ul><ul><li>Spinal problems </li></ul><ul><li>Hormone deficiencies ( Flintoff ) </li></ul>
  4. 4. Nov 2009 Alström conference Leeds <ul><li>Family perspective </li></ul><ul><li>“ If you had only paid more attention to her organs instead of her diet she might be alive now” </li></ul>
  5. 5. Nov 2009 Alström conference Leeds ? Alström gene mutations Eye and ear problems Insulin resistance and diabetes Fibrosis of major organs
  6. 6. Nov 2009 Alström conference Leeds <ul><li>In favour </li></ul><ul><li>Type 2 diabetes </li></ul><ul><li>Liver-insulin resistance </li></ul><ul><li>Risks for kidney failure </li></ul><ul><li>High Trigs </li></ul><ul><li>Heart failure </li></ul><ul><li>Against </li></ul><ul><li>Minimal atheroma </li></ul><ul><li>Nerves spared </li></ul><ul><li>PKD </li></ul><ul><li>Cardiac,renal and hepatic fibrosis in absence of diabetes </li></ul>
  7. 7. Nov 2009 Alström conference Leeds <ul><li>Why be fit with Alström? </li></ul><ul><li>Good Wellbeing </li></ul><ul><li>Avoid intrusive therapies </li></ul><ul><li>Fitness for surgery </li></ul><ul><li>Maintain mobility </li></ul>
  8. 8. Nov 2009 Alström conference Leeds <ul><li>The place of medication </li></ul><ul><li>Diabetes Metformin, Glitazones Incretins or low dose insulin (heart and kidneys) </li></ul><ul><li>Hyperlipidaemia Niaspan </li></ul><ul><li>Kidney disorder Blood pressure control </li></ul><ul><li>The heart Standard therapies </li></ul>
  9. 9. Nov 2009 Alström conference Leeds <ul><li>Transfer to Birmingham </li></ul><ul><li>To monitor the condition with annual review: </li></ul><ul><li>a) To prevent or slow organ damage. </li></ul><ul><li>b) To prepare for early organ transplantation where necessary. </li></ul><ul><li>c) To research new treatments </li></ul>
  10. 10. Nov 2009 Alström conference Leeds <ul><li>“ If you had only paid more attention to her organs instead of her diet she might be alive now ” </li></ul>
  11. 11. Nov 2009 Alström conference Leeds For Anthony Susannah Mathew Anisa Chloe Emma Tracey
  12. 12. Nov 2009 Alström conference Leeds <ul><li>Early detection and treatment of kidney problems </li></ul><ul><li>Early detection and treatment of liver problems </li></ul><ul><li>Early detection and treatment of heart problems </li></ul><ul><li>Profile and treatment of diabetes in the syndrome </li></ul>
  13. 13. Nov 2009 Alström conference Leeds Alstrom International conference 24thto28th June2010 Georgia USA 75 Alstrom families expected ? Video conference
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