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Dr. Maia Khelashvili

Georgian   Diabetes Center

5, Ljubjiana str.

380059

Tbilisi

Georgia  

Tel: 995 32 527010

Fax: 995 32 940081

diabet@access.sanet.ge

 

 

The GDC is an organization that deals with prevention, diagnoses and treatment of DM and its late complications. Besides, the Center carries out educational activities, and translates and publishes relevant information on the mentioned above pathologies for HCP, GPs and patients.

Unfortunately due to known situation in our region we are not related to creating information and communication technologies, as well as knowledge management or web technologies but of course the Center is equipped with computers, that are widely use. The GDC is very active in scientific and research work, the results are regularly presented at the EASD, IDF, EFES, ASH, European Cardiology and other Meetings and Congresses. If you look through the list of works presented at the World, European and American Congresses you could evaluate the wide spectrum of our interests and abilities.

The aim of the GDC staff is not any achieving good diabetes control, but early revealing and proper management of all diabetes complications in our patients. For this the Center has and is equipped with:

Besides, the Center translates, publishes and implements European Guidelines for physicians, healthcare providers, general practitioners, patients and general public (see the list of publications).

The Center is well-equipped, it performs a wide spectrum of clinical and laboratory tests, and the staff is well-trained and experienced.

The GDC is well-aware that macrovascular complications of DM, are the leading cause of morbidity and mortality in diabetic population; and that in the future the pathologies will become a world pandemic.

It is now recognized that Type 2 DM is not a distinct clinical entity but rather a complex of risk factor for CVD.

As many people with diabetes mellitus, who experience a first coronary event, die prior to getting to hospital, they cannot benefit from secondary prevention strategies. In view of this, together with the increased overall risk associated with diabetes, the management of risk factors in people with diabetes should precede the onset of heart or other vascular diseases and should be pursued as aggressively as it would be in individuals with established vascular disease.

The lack of knowledge and information on Diabetes Mellitus and high level of ignorance in the Society creates a lot of problems. Implementation of up-to-date knowledge and information among healthcare providers, GPs, patients and general public is not less important than timely diagnosis and prevention of the diseases. Based on stated above the Georgian Diabetes Center expresses great interest in the following programs for jointly executed activities: A1; A2; A3; S1; S2.  

It is very important if serious attention is paid to Cardiac Autonomic Neuropathy and endothelial damage, as it is one of the most serious problems in Diabetes Mellitus, resulting in very high level of morbidity and mortality in diabetic patients.

It is of utmost importance for all developing cocentries and newborn states of Eastern Europe .

The GDC and Georgian Diabetes Federation (GDF) are co-operating with leading Cardiologic, Angiologic, Neurologic, Ophthalmologic etc. Centers of Georgia and mainly Tbilisi - the capital of Georgia . So data collection and patient monitoring could be organized on quite a large scale. This is of great importance, as there is very little data on the state of the problem in the most Eastern European countries and, especially, Trans Caucasus region. Our participation in the program will somehow help to collect statistical data for the region.

Besides, there is still little information on DM and its late complications that can be implemented in the public health system of Georgia . The GDC takes active part in translation, publication and implementation of the up-to-date information.

FOLLOWING PROGRAMS ARE DESIGNED TO HELP PEOPLE WITH DIABETES - WE ARE LOOKING FOR SUPPORT AND PARTNERS:

MEMBERSHIP OF THE GDC/GDF (GEORGIAN DIABETES FEDERATION) AND CO-WORKERS IN:

  1. IDF - International Diabetes Federation, full member since 1994;

  2. EASD - European Association for the Study of Diabetes;

  3. DESG of the EASD - Diabetes Education Study Group, members since 1996;

  4. PCD-Europe - Primary Care in Diabetes Group of St.-Vincent Declaration, since 1997;

  5. Neurodiab of the EASD - since 2002;

  6. TFI - Thyroid Federation International, since 2000;

  7. ICDM - International Committee of Diabetes Magazines of  the IDF, since 1997;

  8. European Forum of Prevention of Coronary Heart Disease in Clinical Practice, Regional Group/European Heart House, since 2002;

  9. Working Group on Diabetes and Pregnancy of the EAPM (European Association of Perinatal Medicine).

FOLLOWING PROGRAMS FULFILLED BY THE GDC ARE THE PRACTICAL STEPS TO REDUCE THE BURDEN OF THE CONDITION:

WE CONDUCT:

  1. Diabetes Training for Medical Students; Medical University "Tbilisi". Two training courses :1) Diabetes Mellitus, its prevention, diagnosis & treatment. 2) Diabetes Mellitus and Cardio Vascular Disease;

  2. Continuous Medical Education for GPs, internists and all physicians, interested in prevention and treatment of diabetes and its late complications;

  3. Education Courses for Therapeutic Patients with diabetes and their relatives.

FOLLOWING MATERIALS WERE TRANSLATED AND PUBLISHED IN GEORGIAN FOR PEOPLE WITH DIABETES AND PHYSICIANS:

  1. V. Jorgens, M. Grusser, M. Berger, R. Kurashvili - My Book on DM; A Book for Type 1 Diabetes (1996);

  2. V. Jorgens, M. Grusser, P. Kronsbein, R. Kurashvili - How I Treat My DM; A Book on Type 2 DM (1996);

  3. The DESG "The 5-minute Survival Kit", by J.-Ph. Assal, et. al (1996);

  4. Guidance for Teachers and School Staff. Children with Diabetes; BDA (1997);

  5. Multilingual Guide for "Diabetes Traveling" - in English, Germany , Spanish, Italian, French, Dutch, Russian, Turkish, Georgian languages (1997);

  6. The DESG Patient Education Basics (NN 1-15);

  7. The DESG Teaching Letters (N 1-17), (1998-2002); (NN 18-26 will be out in late spring);

  8. A Desktop Guide to Type 1 Diabetes Mellitus; Guidelines for Diabetes Care (IDF-EU, 2002);

  9. A Desktop Guide to Type 2 Diabetes Mellitus. Guidelines for Diabetes Care (IDF-EU, 2001);

  10. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications (WHO, 2000);

  11. Diabetes and Cardiovascular Disease: Time to Act (the IDF publication, 2002);

  12. Hypertension in Type 2 Diabetes: Knowledge - Based Diabetes - Specific Guidelines (2002);

  13. International Consensus on Diabetic Foot, EASD Study Group - 2000 (to be out in summer);

  14. Diabetic Neuropathy (Practical Recommendations 2001);

  15. What is Type 2 DM? A Booklet for People with Type 2 DM (2002);

  16. How to manage my Type 2 DM? A Booklet for People with Type 2 DM (2002);

  17. Type 2 DM. Recommendation for Diagnoses and Treatment (A Booklet for GPs, 2002);

  18. Recommendation for OHA-prescriptions - How to prescribe Diabeton MR (Practical Recommendations for GPs and outpatient endocrinologists, 2002);

  19. Diabetes and Pregnancy Update and Guidelines (EAPM-2002), (will be out in summer);

  20. A Quarterly magazine for people with diabetes.

Besides, series of TV programs on DM, its late complications prevention, diagnosis and treatment are carried out since 2001.

PARTICIPATION IN THE EUROPEAN AND INTERNATIONAL CONGRESES

FOLLOWING MEMBERS OF THE GDC STAFF WILL PARTICIPATE IN THE PROGRAMME:

Prof. Ramaz Kurashvili [M] – President, GDF, Director, GDC;

Dr. Maia Khelashvili [F] – Head of Cardiology Department of the GDC;

Dr. Liana Tsutskiridze [F] – Endocrinologist the GDC

Ms. Elena Shelestova [F] – CDE, nurse, Managerial Secretary, GDC/GDF

Ms. Mzia Dundua [F] – Vice-director, GDC, Head of Laboratory Department of GDC;

Dr. Givi Kurashvili [M] – Endocrinologist the GDC;

Mr. Zaza Nozadze [M] – Computer & Technical Service

Post-Doctroral Students:

Olga Karchava [F]

Lela Dzneladze [F]

 

Name: Kurashvili Ramaz; Date and place of birth: January 17, 1942, Tbilisi, Georgia; Professional education: Tbilisi State Medical Institute (1959-1972); Post graduate training: Postgraduate training at the Moscow Endocrinology Center, Moscow, 1974-1975; Training at the National Institute of Heart, Blood and Lung, Bethesda, LA, USA, 1976-1977; Training Course at the Academy of Postgraduate Medicine, Moscow, 1982, 1984, 1985, 1986, 1990, 1991, 1992, 1993; Position: Director of the Georgian Diabetes Center, President of the Georgian Diabetes Federation; Professional experience: Experience in DM treatment, study of metabolic and hormonal disorders in DM associated with ischemic heart disease, MI, hypertension, obesity; use of extra corporal methods of DM therapy, diabetes education. Field of Interest: Central/peripheral and Autonomic Nervous System Damage and DM. Have more than 250 published works, carries out regular TV programs on DM. In 2000-2002 was key-speaker at more than 20 symposia, organized in Georgia . Participated in several programs, such as: 1) “A Double-Blind Randomized, Stratified, Placebo-Controlled, Parallel Study of Ranolazine SR at Doses of 750 mg Twice a Day and 1000 mg Twice a Day in Combination with Other Antianginal Medications in Patients with Chronic Stable Angina Pectoris” (The CARISA Trial CVT 3033);  2) “An Open-Label, Long-term, Safety Study of Ranolazine SR for Chronic Stable Angina Pectoris at Doses of 500 mg and 1000 mg Twice a Day Administered in Combination with Background Anti-Anginal Therapy”, (CVT 3034); 3) Survey (European Heart House), etc.

Name: Khelashvili   Maia; Date and place of birth:  24.09. 1961, Tbilisi, Georgia; Professional education: Tbilisi State Medical Institute (1978-1984); Post graduate training:  1990-Post-Graduate training on “In-vitro Methods in Clinical Practice”, Moscow COLIUV (Certificate No 248642);1992 – courses on “Heart Echoscope”, Republican Center of Ultrasound Examinations (Certificate No 106/2); Position: Cardiologist, Georgian Diabetes Center; Member of the Georgian Implementation Group of the 2nd Joint Task Force of European and other Societies on Coronary Prevention (since 2002). Field of Interest: CVD, Hypertension, Cardioneuropathy. Activities: participated in European Forum of Prevention of Coronary Heart Disease in Clinical Practice. Regional Follow-up Meeting Bucharest, Romania, March 23, 2002; participation in the international multi-center clinical studies: 1) “ A Double-Blind Randomized, Stratified, Placebo-Controlled, Parallel Study of Ranolazine SR at Doses of 750 mg Twice a Day and 1000 mg Twice a Day in Combination with Other Antianginal Medications in Patients with Chronic Stable Angina Pectoris” (The CARISA Trial CVT 3033);  2) “An Open-Label, Long-term, Safety Study of Ranolazine SR for Chronic Stable Angina Pectoris at Doses of 500 mg and 1000 mg Twice a Day Administered in Combination with Background Anti-Anginal Therapy”,  (CVT 3034); 3) Survey carried out by the European Heart House.

Name: Tsutskiridze Liana; Date and place of birth: February 5, 1971 , Tbilisi , Georgia ; Professional education: Tbilisi State Medical Institute (1991-1996); Postgraduate training: Steno Postgraduate Course, Moscow , 2002.  Position: Endocrinologist, Georgian Diabetes Center ; Professional experience: Experience in DM and diabetic complications treatment. Field of Interest: Eyes and DM, Obesity. Activities:  participation in programs: 1) Israel-Georgian Twinning Program; 2) "A Double-Blind Randomized, Stratified, Placebo-Controlled, Parallel Study of Ranolazine SR at Doses of 750 mg Twice a Day and 1000 mg Twice a Day in Combination with Other Antianginal Medications in Patients with Chronic Stable Angina Pectoris” (The CARISA Trial CVT 3033);  2) “An Open-Label, Long-term, Safety Study of Ranolazine SR for Chronic Stable Angina Pectoris at Doses of 500 mg and 1000 mg Twice a Day Administered in Combination with Background Anti-Anginal Therapy”, (CVT 3034).

Name: Shelestova Elena; Date and place of birth: May 22, 1954 , Tbilisi , Georgia ; Professional education: Tbilisi medical collage, nurse; Tbilisi State Institute of Foreign Languages, philologist; Post-graduate Training: Steno Postgraduate Training Course, Moscow , April 2002. Speciality: Diabetes Nurse, Certified Diabetes-educator, interpreter; Field of Interest: Diabetes Education, Diet therapy. Professional experience: Experience in diabetes nurse activities. As the member of the IDF Georgian-Israel training program take part in the treatment of women-with diabetes before and post-conception. Experience in training of Type I and Type II diabetic patients (self-blood glucose monitoring, insulin injection techniques, classes in 5-day patient education courses).

Name: Dundua Mzia; Date and place of birth: December 5, 1941 , Tbilisi , Georgia ; Professional education: Tbilisi State University (1978-1984); Position: Vice-director, GDC, Head of Laboratory Department of GDC; Field of Interest: Laboratory assays/control. Activities: participation in programs: Israel-Georgia Twinning Programs. Professional experience: was one of the first who implemented a large number of new analytical methods: RIA, IFA, DELFIA, etc.

Name: Kurashvili Givi; Date and place of birth: June 27, Tbilisi, Georgia; Professional education: Tbilisi, State Medical Institute (1982-1988), Training courses on ECG, Schiller Comp. Switzerland, (1991), Courses on Echocardiography, Republican Ultrasound Center, Tbilisi, Georgia (1992); Courses on Endocrinology, The post- Graduate Medicine Institute, Moscow, Russia, (1995); Courses on “in vitro” Methods in Clinical Practice, Postgraduate Training Institute, Moscow, Russia (1990); Position: Endocrinologist, Dept. of Functional Diagnosis; Field of Interest: Neuropathies; Activities: Participated in three International Trials; Professional experience: Experience in Type I and Type II DM and its late complications prevention and treatment.

Name: Nozadze Zaza; Date and place of birth: February, 14, 1971 , Tbilisi , Georgia ; Professional education: Georgian Technical University (1988-1993); Training courses on Project management and marketing, Koblenz , Germany . Position: Administrative assistance and computer services Field of Interest: CAMS for diagnoses and treatment of DM and its complications; Professional experience: Project management, market research, advertisement, sales;  

 

Publications

[GDC1] "Organization and Education Methods for the Diabetes School "; Manual for Endocrinologists and GPs. N.Asatiani, R.Kurashvili, L.Tsutskiridze, (1997)

[GDC2] V. Jorgens, M. Grusser, M. Berger, R. Kurashvili - My Book on DM; A Book for Type 1 Diabetes (1996);

[GDC3] V. Jorgens, M. Grusser, P. Kronsbein, R. Kurashvili - How I Treat My DM; A Book on Type 2 DM (1996);

[GDC4] What is Type 2 DM? A Booklet for People with Type 2 DM (2002);

[GDC5] How to manage my Type 2 DM? A Booklet for People with Type 2 DM (2002);

[GDC6] Type 2 DM. Recommendation for Diagnoses and Treatment (A Booklet for GPs, 2002);

[GDC7] Recommendation for OHA-prescriptions - How to prescribe Diabeton MR (Practical Recommendations for GPs and outpatient endocrinologists, 2002);

[GDC8] “Healthy Eating” (Dietary Recommendations for People with Diabetes). R. Kurashvili, L.Tsutskiridze, E.Shelestova (2002);

[GDC9] A Quarterly magazine for people with diabetes.

[GDC10] The DESG "The 5-minute Survival Kit", by J.-Ph. Assal, et. al (1996)  (Georgian version implemented);

[GDC11] Guidance for Teachers and School Staff. Children with Diabetes; BDA (1997) (Georgian version implemented);

[GDC12] Multilingual Guide for "Diabetes Traveling" - in English, Germany , Spanish, Italian, French, Dutch, Russian, Turkish, Georgian languages (1997), (implemented);

[GDC13] The DESG Patient Education Basics (NN 1-15) (Georgian version implemented);  

[GDC14] The DESG Teaching Letters (N 1-17), (1998-2002); (NN 18-26 will be out in late spring),  (Georgian version implemented);  

[GDC15] A Desktop Guide to Type 1 Diabetes Mellitus; Guidelines for Diabetes Care (IDF-EU, 2002), (Georgian version implemented);  

[GDC16] A Desktop Guide to Type 2 Diabetes Mellitus. Guidelines for Diabetes Care (IDF-EU, 2001), (Georgian version implemented);

[GDC17] Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications (WHO, 2000), (Georgian version implemented);

[GDC18] Diabetes and Cardiovascular Disease: Time to Act (the IDF publication, 2002), (Georgian version implemented);

[GDC19] Hypertension in Type 2 Diabetes: Knowledge - Based Diabetes - Specific Guidelines (2002), (Georgian version implemented);

[GDC20] International Consensus on Diabetic Foot, EASD Study Group - 2000 (to be out in summer), (Georgian version);

[GDC21] Diabetic Neuropathy (Practical Recommendations 2001) (Georgian version implemented);

[GDC22] Diabetes and Pregnancy Update and Guidelines (EAPM-2002), (will be out in summer), (Georgian version);  

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