SSW GP Link - looking out for all GPs in south west Sydney....
November 15, 2017
In our backyard
SWS has much higher rates of malformations among women with pre-existing diabetes than elsewhere. There is very strong evidence that this is directly related to hyperglycaemia at conception, and complications are reduced by pre-pregnancy counselling and diabetes management optimisation.
NEWONLINE Pregnancy: Pre-conception Care for women with Type 1 & 2 Diabetes
AusCDEP is free to all GPs and Practice Nurses in South Western Sydney. Click here for more details.
A Finnish cohort study followed more than 6000 adult patients over a mean period of 11 years. Binge drinking was defined as ≥5 drinks containing 12 g of ethanol per occasion, and had a marked association with decompensated liver disease (liver disease, liver-related death, or diagnosis of primary liver cancer) after adjustment for age and average daily alcohol use. The hazard ratios for weekly binging and monthly binging were 3.45 and 2.26, respectively. Read more.
The prognostic benefits of beta-blockers in patients with CHF are greater in patients with diabetes than in those without diabetes.ncreasing doses of β-blockers were associated with a significantly decreased mortality in both patients with and without diabetes, but the effect was significantly greater in patients with diabetes. Read more
In women with type 2 diabetes, there is an association between the long-term use of insulin glargine and increased risk of breast cancer. The risk of breast cancer was increased among patients treated with insulin glargine compared with NPH insulin, particularly 5 years after the initiation of treatment (HR, 2.23) and after more than 30 prescriptions (HR, 2.29). Read more.
This is the last issue of Echo for 2017
Have a happy and safe Christmas and New Year.
We will back online from Feb 2018
World Diabetes Day is November 14, 2017. Are you up to date with your diabetes management on this day
Older women who engaged in the greatest amount of moderate to vigorous physical activity, such as brisk walking, were found to have a 65% lower risk of all-cause mortality compared with women who performed the least amount of such exercise
Despite good evidence for the improved care associated with increased use of primary care, primary care continues to be undervalued in the US. It is proposed the use of the primary care spending rate as a marker of high-value care. The situation is not much different in Australia.