Frailty and osteoporosis frequently coexist in older adults with multiple chronic illnesses, creating a cycle of falls, fractures, reduced mobility, and functional decline. In patients with multimorbidity, managing bone health becomes increasingly complex due to polypharmacy, nutritional deficiencies, and competing treatment priorities.

In this session, Dr. Raman will discuss the interplay between frailty, osteoporosis, and chronic disease in aging patients. The session will focus on early identification of high-risk individuals, fracture prevention, sarcopenia, nutrition, medication optimization, and practical management strategies tailored to elderly patients with complex clinical profiles. The goal is to help clinicians adopt a more comprehensive and function-oriented approach to healthy aging and bone health preservation.

Frailty and Osteoporosis in Aging Patients with Multimorbidity

Constipation remains one of the most commonly encountered yet frequently under-addressed clinical problems in everyday practice. This session focuses on the role of lactulose in the management of both acute and chronic constipation, with emphasis on evidence-based decision-making in real-world settings.

Through expert perspectives the discussion will cover practical treatment approaches, appropriate patient selection, dosing strategies, and long-term safety considerations of lactulose. The session aims to help clinicians confidently integrate lactulose into routine practice while optimising outcomes across diverse patient profiles.



Role of Lactulose in Acute & Chronic Constipation

Consultant General Physician and Diabetologist at Apollo Clinic Madipakkam, Private Practice at Kilkattalai, Chennai

Diabetes is increasingly recognised as a condition that can affect not only the vascular system but also brain health and cognitive function. Subtle changes in memory, attention, executive function and processing speed may go unnoticed in routine clinical practice, yet can influence medication adherence, self-management and overall quality of life.

This session will provide a practical approach to identifying, evaluating and managing cognitive dysfunction in people with diabetes. The discussion will explore the relationship between chronic hyperglycaemia, hypoglycaemia, vascular risk factors and cognitive decline, along with how clinicians can recognise early warning signs and distinguish cognitive impairment from depression, delirium and other causes. The session will also focus on practical strategies to optimise diabetes management while accounting for a patient's cognitive function and ability to self-manage.

Dr. Vishalakshi Raman

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Upcoming Sessions

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