Endocrinology and Metabolic syndrome

Track 01: Endocrinology and Diabetes

Endocrinology and diabetes is mainly an outpatient specialty but a number of patients require hospital admission for complex investigations or the management of complications. Patients usually have chronic conditions and management is holistic and long term often in a multidisciplinary team fashion Increasingly, hospital-based specialists manage diabetes patients jointly with generations in primary care and training has been adjusted to reflect this. Endocrinology is a vital branch of medical science that focuses on the endocrine system—an intricate network of glands responsible for producing and regulating hormones. These hormones control essential bodily functions, including metabolism, growth, reproduction, and stress response. When the endocrine system is disrupted, various hormonal imbalances and metabolic disorders can occur. Diabetes is one of the most widespread and significant endocrine disorders, affecting millions globally and posing major health, economic, and social challenges.

The field of endocrinology has seen rapid advancements in diabetes management, including continuous glucose monitoring (CGM), artificial pancreas systems, newer insulin analogs, and emerging cell-based therapies. Researchers are also exploring the role of genetics, gut microbiota, and metabolic signaling pathways in diabetes development. With the rising global prevalence of metabolic syndrome and obesity, endocrinology continues to evolve to meet growing healthcare demands. Ongoing research and clinical innovation aim to improve patient outcomes, prevent complications, and move closer to long-term remission or potential cures for diabetes.

Track 02: Endocrine Disorders and Prevention

Endocrinology is a part of science and medicament managing the endocrine framework, its maladies and its particular discharges known as hormones, development advancement and danger. Metabolic disorder is else called disorder X, insulin obstruction disorder, or dysmetabolic disorder. Metabolic disorder is a medicinal issue brings about development of group of conditions that incorporates, expanded circulatory strain, high glucose, and surplus muscle to fat ratio around the abdomen, and strange cholesterol or triglyceride levels that happen together, increasing your danger of coronary illness, stroke and diabetes. Metabolic disorder is firmly connected to overweight or weight and dormancy and furthermore connected to a condition called insulin opposition. Hereditary variables impact every single segment of the disorder, and the disorder itself. Endocrine disorders occur when the glands of the endocrine system produce too much or too little of specific hormones, disrupting essential body functions such as metabolism, growth, reproduction, and mood regulation. Conditions such as diabetes, thyroid disorders, adrenal dysfunction, and pituitary gland abnormalities are among the most common endocrine issues seen worldwide. These disorders can lead to significant health complications if left undiagnosed or untreated, affecting quality of life and overall well-being. Prevention of endocrine disorders focuses on early detection, lifestyle modifications, and awareness of risk factors. Healthy dietary habits, regular physical activity, weight management, and routine medical screening play a crucial role in reducing the risk of metabolic and hormonal imbalances. Identifying symptoms early—such as fatigue, weight fluctuations, or unusual changes in mood—can help in prompt diagnosis and management. Genetic counseling and preventive monitoring are also beneficial for individuals with a family history of endocrine conditions.

Track 03: Diabetes and Cardiovascular Disease

Diabetes is a main risk factor for cardiovascular disease (CVD). Vascular disorders contain retinopathy and nephropathy, peripheral vascular disease (PVD), stroke, and coronary artery disease (CAD). Diabetes also affect the heart muscle, causing both systolic and diastolic heart failure. The etiology of this overindulgence cardiovascular morbidity and mortality is not completely clear. Evidence suggest that although hyperglycemia, the hallmark of diabetes, contributes to myocardial damage after ischemic events, it is clearly not the only factor, because both pre-diabetes and the presence of the metabolic syndrome, even in normoglycemic patients, raise the risk of most types of CVD. Diabetes significantly increases the risk of developing cardiovascular disease (CVD), making it one of the most serious complications associated with the condition. High blood glucose levels over time can damage blood vessels and the nerves that control the heart, leading to conditions such as coronary artery disease, heart attack, stroke, and peripheral artery disease. People with diabetes are two to four times more likely to develop heart-related problems compared to those without diabetes, highlighting the strong link between glucose control and cardiovascular health.

A major contributor to cardiovascular risk in individuals with diabetes is the combination of high blood sugar with other metabolic abnormalities such as high blood pressure, unhealthy cholesterol levels, obesity, and chronic inflammation. These risk factors accelerate the buildup of plaque in the arteries, a process known as atherosclerosis. When plaque narrows or blocks arteries, blood flow to the heart and brain becomes restricted, increasing the likelihood of life-threatening events like heart attacks and strokes. Lifestyle factors, genetics, and long-term diabetes duration further elevate these risks.

Track 04: Reproductive Endocrinology and Infertility

Reproductive endocrinology is a branch of medicine that classifies and treats infertility in both men and women. It is a sub-specialty of Obstetrics and Gynaecology. The hormonal functioning as it indirectly relate to reproduction. Assessment and treatment of hormonal dysfunctions in females and males outside infertility is done. Reproductive endocrinologists have superior training in obstetrics and gynaecology before they undergo sub-specialty training in Reproductive endocrinology and infertility. Reproductive endocrinology and infertility is a specialized field of medicine that focuses on understanding how hormones regulate reproductive functions in both men and women. Hormones such as estrogen, progesterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), and testosterone play essential roles in ovulation, menstruation, sperm production, and overall reproductive health. When hormonal imbalances occur, they can disrupt these processes and lead to difficulties in conceiving. Infertility affects millions of couples worldwide and may arise from various endocrine-related conditions, including polycystic ovary syndrome (PCOS), thyroid dysfunction, hyperprolactinemia, premature ovarian insufficiency, and male hormonal disorders. In many cases, advanced diagnostic tools such as hormone profiling, ultrasound imaging, semen analysis, and ovarian reserve testing help identify the underlying cause. Understanding these hormonal pathways is essential for developing effective treatment strategies.

Track 05: Genomic and Neuro Endocrinology

Genome technologies are changing all areas of biology, including the study of hormones, brain and behavior. Annotated reference genome assembly are rapidly being shaped for many avian species. Here we temporarily review the basic concepts and tools used in genomics. We then consider how these are notifying the study of avian behavioral neuroendocrinology, focusing in particular on lessons from the study of songbirds.  We discuss the impact of having a complete "parts list" for an creature; the transformational potential of studying large sets of genes at once instead one gene at a time; the growing recognition that environmental and behavioral signals trigger gigantic shifts in gene expression in the brain; and the prospects for using comparative genomics to uncover the genetic roots of behavioral variation. Genomic and neuroendocrinology is an emerging interdisciplinary field that explores how genetic mechanisms regulate the neuroendocrine system and, in turn, how hormones influence gene expression. The neuroendocrine system integrates the brain and hormonal pathways, playing a central role in controlling growth, stress responses, metabolism, reproduction, and behavior. By studying genomic influences, researchers can better understand why individuals vary in hormone production, sensitivity, and endocrine-related disease risk. Advances in genomic technologies—such as whole-genome sequencing, transcriptomics, and epigenetic profiling—have enabled scientists to identify gene variants that affect neuroendocrine function. These genetic variations can influence the development of disorders such as diabetes, thyroid disease, adrenal dysfunction, and reproductive endocrine abnormalities. Epigenetic factors, including DNA methylation and histone modifications, also play a critical role in regulating neuroendocrine responses to environmental factors such as stress, diet, and toxins.

Track 06: Environmental Endocrinology

Environmental endocrinology is the study of how the environmental circumstances experienced by an organism affect the endocrine system, as well as how the endocrine system regulates the interactions of organisms (e.g., behavior) with their environments. The endocrine system comprise all of the tissues and glands in the body that synthesize and release chemical-signaling molecules referred to as hormones. Hormones are made by exact glands, including the pituitary gland, hypothalamus, thyroid gland, adrenal glands, pancreas, parathyroid glands, ovaries, testes, and pineal gland. Environmental Endocrinology explores how external environmental factors influence the endocrine system and hormonal balance in humans and animals. This field examines the impact of pollutants, pesticides, industrial chemicals, heavy metals, and endocrine-disrupting compounds (EDCs) found in air, water, food, and consumer products. These substances can mimic, block, or interfere with hormone functions, potentially leading to disruptions in metabolism, growth, reproduction, immune health, and neurodevelopment. A major concern within environmental endocrinology is the long-term effect of exposure to endocrine-disrupting chemicals such as BPA, phthalates, dioxins, PFAS, and pesticides. Even low-level, chronic exposure can disrupt hormone signaling pathways, affecting fertility, thyroid function, insulin regulation, and developmental processes. Children, pregnant women, and vulnerable populations are especially sensitive to these exposures. Recent studies also suggest possible links between EDC exposure and increased risks of obesity, diabetes, hormone-related cancers, and reproductive disorders.

Track 07: Endocrine Glands and Hormones

The hormonal system (called the endocrine system in medical terminology) has a range of glands that release different hormones. It's the way in which one part of the body (the gland) tells another part of the body (the target cell) to do something main. The endocrine glands manipulate reproduction, metabolism, growth and many other functions. The endocrine system is a complex network of glands that produce and release hormones—chemical messengers responsible for regulating many vital functions throughout the body. Unlike the nervous system, which uses electrical signals, the endocrine system works through hormones released into the bloodstream, allowing them to act on distant organs and tissues. Major endocrine glands include the pituitary, thyroid, parathyroid, adrenal glands, pancreas, ovaries, and testes. Each gland performs a unique role but works in harmony to maintain internal balance, known as homeostasis. Hormones produced by endocrine glands influence nearly every aspect of health, including metabolism, growth and development, reproduction, response to stress, and mood regulation. For example, the thyroid gland controls metabolic rate through thyroid hormones, while the pancreas regulates blood glucose levels through insulin and glucagon. The adrenal glands produce hormones like cortisol and adrenaline, which help the body respond to stress and maintain blood pressure. Even small changes in hormone levels can have significant effects on overall well-being, highlighting the importance of their precise regulation. Disorders of endocrine glands can arise from overproduction (hypersecretion) or underproduction (hyposecretion) of hormones, leading to conditions such as diabetes, hyperthyroidism, hypothyroidism, Cushing’s syndrome, and reproductive hormone imbalances.

Track 08: Complications of Diabetes

Diabetes is a long-term metabolic condition that can affect multiple organs in the body if not properly managed. High and uncontrolled blood sugar levels gradually damage blood vessels, nerves, and essential organs, leading to a range of serious health complications. These complications often develop silently over many years, which is why early detection, regular screenings, and consistent management are key to preventing long-term harm. One of the major complications of diabetes involves the cardiovascular system. People with diabetes are at a significantly higher risk of heart disease, hypertension, and stroke due to damage to blood vessels and increased plaque buildup in arteries. Similarly, the kidneys can be severely affected in a condition known as diabetic nephropathy, which may progress to kidney failure if not treated early. Nerve damage, or diabetic neuropathy, is another common complication, causing numbness, pain, or weakness — especially in the feet — which may lead to serious foot ulcers and infections. Diabetes can also affect vision through diabetic retinopathy, a condition where the small blood vessels in the eyes are damaged, potentially leading to blindness if untreated. Additionally, poor wound healing, increased susceptibility to infections, gum disease, and complications during pregnancy can also arise. With proper glucose control, healthy lifestyle habits, and regular medical care, many of these complications can be delayed, minimized, or entirely prevented.

Track 09: Endocrine Cancer 

Endocrine cancers are a group of malignancies that originate in the hormone-producing glands of the endocrine system, such as the thyroid, adrenal glands, pancreas, and pituitary gland. These cancers are relatively rare compared to other forms of cancer, but their impact on hormonal balance and metabolic functions can be significant. Because endocrine glands regulate essential body processes—including growth, metabolism, stress response, and reproduction—tumors in these glands may lead to both structural and hormonal complications. Early diagnosis is crucial, as some endocrine cancers grow slowly and present subtle symptoms that may initially be attributed to hormonal imbalances rather than malignancy. Thyroid cancer is the most common type of endocrine cancer, with papillary thyroid cancer representing the majority of cases. Other forms include adrenal cortical carcinoma, neuroendocrine tumors (NETs), medullary thyroid carcinoma, and cancers of the parathyroid or pituitary glands. The causes of endocrine cancers can vary and may include genetic syndromes such as MEN1 and MEN2 (Multiple Endocrine Neoplasia), inherited gene mutations, radiation exposure, and chronic hormonal disturbances. Symptoms often differ depending on the gland involved, but may include unexplained weight changes, fatigue, abnormal hormone levels, blood pressure fluctuations, or palpable glandular swelling. Treatment for endocrine cancers typically depends on the type and stage of the disease, as well as whether the tumor is functional (producing excess hormones) or non-functional. Management may involve surgery, radioactive iodine therapy, hormone-targeted therapies, radiotherapy, chemotherapy, or advanced biologic treatments. With improvements in diagnostic imaging, genetic testing, and personalized medicine, many patients with endocrine cancers can achieve excellent outcomes. Continued research is essential to identify early biomarkers, improve molecular-targeted therapies, and develop more effective strategies for managing both the cancer and its hormonal consequences.

Track 10: EDCs (Endocrine Disrupting and Chemicals)

Endocrine disruptors are chemicals that can obstruct with endocrine systems at certain doses. These disruptions can cause tumoroustumors, birth defects, and other developmental disorders. Any system in the body well-ordered by hormones can be derailed by hormone disruptors. Specifically, endocrine disruptors may be associated with the development of learning disabilities, severe attention deficit disorder, perceptive and brain development problems deformations of the body that includes breast cancer, prostate cancer, thyroid and other cancers; sexual development problems for example feminizing of males or masculinizing effects on females, etc. Endocrine-Disrupting Chemicals (EDCs) are substances found in the environment, food, consumer products, and industrial materials that interfere with the normal functioning of the endocrine (hormonal) system. These chemicals can mimic, block, or alter hormone activity, leading to imbalances that affect growth, metabolism, reproduction, and overall health. Because hormones act in tiny amounts, even low-level exposure to EDCs can cause significant biological effects, especially during critical developmental periods such as pregnancy, childhood, and adolescence. EDCs are commonly found in pesticides, plastics (such as BPA and phthalates), cosmetics, flame retardants, household chemicals, industrial waste, and contaminated water. They may disrupt the production, release, transport, metabolism, or elimination of natural hormones. Research has linked EDC exposure to numerous health issues, including infertility, thyroid disorders, early puberty, obesity, diabetes, neurodevelopmental disorders, and certain cancers such as breast and prostate cancer. Wildlife studies also show that EDCs can affect fish, birds, and mammals by altering reproduction and behavior.

Track 11: Obesity and Metabolic Disorders

The metabolic syndrome is a condition categorised by a special constellation of reversible major risk factors for cardiovascular disease and type 2 diabetes. The basic, diagnostic, components are reduced HDL-cholesterol, raised triglycerides, blood pressure and fasting plasma glucose, all of which are related to weight gain, specifically intra-abdominal/ectopic fat accumulation and a large waist circumference.Metabolic syndrome is also promoted by a lack of internal adipose tissue, low skeletal muscle mass and anti-retroviral drugs. Reducing weight by 5–10%, by diet and exercise, with or without, anti-obesity drugs, significantly lowers all metabolic syndrome components, and risk of type 2 diabetes and cardiovascular disease.  Obesity is a state in which a person has excess body fat. Obesity can rise a person's risk of diseases and health problems, including high blood pressure, diabetes and heart disease. It is aintricate problem and a major public health concern, both in the United States and worldwide. Obesity is most usually caused by a combination of excessive food intake, lack of physical activity, and genetic susceptibility.  A rare cases are caused primarily by genes, endocrine disorders, medications, or mental disorder. The view that obese people eat little so far gain weight due to a slow metabolism is not medically supported. Obesity is a chronic and multifactorial condition characterized by excessive accumulation of body fat that negatively impacts health. It arises from a complex interaction of genetic, environmental, behavioral, and metabolic factors. While overeating and physical inactivity contribute significantly, hormonal imbalances, stress, sleep disturbances, endocrine disorders, and genetic predisposition also play major roles. Obesity is closely linked to metabolic dysfunction because fat tissue acts as an active endocrine organ, releasing inflammatory molecules and altering the body’s hormonal balance. As a result, individuals with obesity are at much higher risk of developing diseases such as type 2 diabetes, hypertension, dyslipidemia, and non-alcoholic fatty liver disease (NAFLD).

Track 12: Alternative therapies & Complications

The general consensus on treatment of type 2 diabetes is that life style managing at the forefront of therapy options. In addition to exercise, weight control and medical nutrition therapy, oral glucose lowering drugs, and injections of insulin are the conventional therapy. Alternative therapies have gained increasing popularity as complementary approaches to conventional medical treatment for endocrine and metabolic disorders. These therapies include herbal medicine, acupuncture, yoga, meditation, dietary supplements, and traditional healing systems such as Ayurveda and Traditional Chinese Medicine. Many of these therapies aim to improve hormonal balance, reduce stress, enhance metabolism, and support overall well-being. For example, mind–body practices like meditation and yoga can help lower cortisol levels, improve insulin sensitivity, and reduce inflammation—factors strongly linked to metabolic and endocrine health. When used correctly and under guidance, these methods may help patients manage symptoms more naturally and improve quality of life. However, alternative therapies must be approached with caution, as they may not always be supported by strong clinical evidence. Herbal supplements, for instance, can interact with prescribed medications or alter hormone levels unpredictably. Some remedies may cause liver or kidney strain, allergic reactions, or toxic effects when taken in excess. Additionally, self-prescribing supplements without professional supervision may lead to delayed medical diagnosis or improper management of serious conditions such as diabetes, thyroid disorders, adrenal disease, or reproductive endocrine imbalances. Alternative therapies should never be seen as replacements for proven medical treatments, especially in cases requiring urgent or long-term management.

Track 13: Metabolic syndrome

Metabolic syndrome is the name for a group of risk issues that raises your risk for heart disease and other health problems, such as diabetes and stroke. The term "metabolic" refers to the biochemical processes involved in the body's normal running. Risk factors are qualities, conditions, or habits that increase your chance of developing a disease. Most of the disorders associated with metabolic syndrome don't have obvious cyphers or symptoms. One sign that is visible is a large midriff circumference. And if your blood sugar is high, you might notice the signs and indications of diabetes such as increased thirst and urination, fatigue, and blurred vision. Metabolic syndrome is a cluster of interconnected metabolic abnormalities that significantly increase the risk of cardiovascular disease, type 2 diabetes, and stroke. It is not a single disease but a combination of conditions—abdominal obesity, high blood pressure, elevated fasting glucose, high triglycerides, and low HDL cholesterol. When these risk factors occur together, they create a state of metabolic imbalance that places excessive stress on the body’s organs and endocrine system. The syndrome is closely linked to insulin resistance, where the body’s cells fail to respond effectively to insulin, leading to elevated blood sugar levels over time. The causes of metabolic syndrome are multifactorial, involving genetic predisposition, sedentary lifestyle, unhealthy diet, hormonal imbalances, chronic stress, and aging. Visceral fat—the fat stored around abdominal organs—plays a central role because it releases inflammatory substances and disrupts normal hormonal regulation. This chronic low-grade inflammation contributes to the development of insulin resistance, hypertension, and lipid abnormalities. Environmental factors, including poor sleep patterns, endocrine-disrupting chemicals (EDCs), and socioeconomic conditions, also influence the rising global prevalence of the syndrome.

Track 14: Obesity and Metabolism

With the many recent advances in the biomedical world, huge changes are taking place in our growing knowledge of the physiological aspects of almost all the tissues and organs of the human body. One of the most prevalent topics of discussion is the question of obesity and its effect on the metabolic changes in the human body.Obesity is the most stimulating health problems of the 21st century and one of the most common non-communicable diseases globally. obesity has also become a worldwide dominant. Obesity is a risk factor for the development of insulin resistance, with pancreatic beta cells compensating for insulin confrontation by augmenting insulin secretion. The failure of beta-cells is believed to cause pre-diabetes, a condition that can main to diabetes". Approximately 85% of people with diabetes are type 2, and of these, 90% are corpulent or overweight. obesity are major givers to various other chronic diseases such as coronary artery diseases, myocardial infarction, hypertension, dyslipidemia and a number of other complicated disorders. Obesity is a complex, chronic condition characterized by excessive accumulation of body fat that results from an imbalance between calorie intake and energy expenditure. While it is often associated with lifestyle factors such as overeating and lack of physical activity, obesity is also deeply influenced by genetics, hormonal regulation, metabolic rate, and environmental factors. As fat tissue expands—especially visceral fat around the organs—it begins to function as an active endocrine organ, releasing inflammatory markers and hormones that significantly affect the body's metabolic processes. This altered biochemical environment plays a key role in the development of insulin resistance and other metabolic disorders.

Track 15:  Herbal and Natural therapies in Diabetes

Herbal and natural therapies have gained significant attention in diabetes management due to their potential to support blood glucose regulation with fewer side effects compared to conventional medications. Various plants, such as bitter melon, fenugreek, cinnamon, aloe vera, and berberine-containing herbs, have demonstrated hypoglycemic effects in scientific studies. These natural remedies may enhance insulin sensitivity, reduce glucose absorption, or promote insulin secretion, offering complementary approaches to standard diabetes treatments. In many cultures, herbal medicine has been used for centuries as a traditional approach to managing symptoms of diabetes. Today, modern research is validating many of these practices through clinical trials and pharmacological analysis. Phytochemicals, antioxidants, and bioactive compounds in medicinal plants play a vital role in controlling oxidative stress, inflammation, and metabolic dysfunction—common pathways associated with diabetes development and progression. Integrating these remedies with modern therapeutic strategies can help patients achieve better glycemic control. Despite their benefits, herbal and natural therapies must be approached with caution. Dosage, potential side effects, and interactions with prescribed medications need to be carefully monitored. Some herbs may amplify or reduce the effects of antidiabetic drugs, leading to hypoglycemia or poor glucose control. Therefore, patients should always consult healthcare professionals before incorporating natural therapies into their diabetes care plan. Ongoing research continues to explore the safety, efficacy, and mechanisms of herbal remedies, aiming to integrate them more effectively into evidence-based diabetes management.

Track 16: Growth hormone

Growth hormone (GH) may be a little super molecule that's created by the endocrine gland and secreted into the blood. GH production is controlled by a fancy set of hormones made within the neural structure of the brain and within the internal organ tract and duct gland.The pituitary puts out GH in bursts; levels rise following exercise, trauma, and sleep.Under traditional conditions, additional GH is made at midnight than throughout the day. This physiology is complicated, however at a minimum, it tells US that scattered blood tests to live GH levels as no meaningful since high and low levels alternate throughout the day. peaks throughout pubescence, and declines from time of life onward. Growth hormone (GH)—also known as somatotropin—is a peptide hormone produced by the pituitary gland and plays a critical role in regulating growth, cell repair, and metabolism. It stimulates the growth of bones and muscles, particularly during childhood and adolescence, making it essential for normal physical development. Growth hormone secretion naturally follows a daily rhythm, with the highest levels released during deep sleep. Beyond growth, GH has important metabolic functions. It helps regulate body composition by increasing protein synthesis, promoting fat breakdown, and maintaining healthy blood glucose levels. An imbalance in GH can lead to various medical conditions. Growth hormone deficiency (GHD) may result in stunted growth in children and fatigue, decreased muscle mass, and metabolic issues in adults. Conversely, excess GH can cause acromegaly in adults and gigantism in children, both characterized by abnormal growth of bones and tissues.