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SEPTEMBER 15, 2016

September 2016

Echo Newsletter

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Diabetes, Obesity and Metabolism Translational Research Unit (DOMTRU)
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What is it?

How does assist general practice?

Details coming soon...

 

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Glucometer test strips & PBS - are you confused?
From 1st July 2016, all glucometer strips have been delisted from the PBS. It doesn’t mean patients have to pay full cost for the strips. They are now accessed from the National Diabetes Supply Scheme (NDSS) through participating NDSS community pharmacy which is pretty much most chemists. Now, let’s be clear who gets what:

SSW GP Link

AGM

17th Nov 2016

Diabetic Chronic Kidney DiseaTubuloGlomerularFeedbackse & SGLT2 inhibitors

Do SGLT2 inhibitors damage or protect the kidneys? We know that we can’t use SGLT2 inhibitors if there is significant renal impairment. You would naturally think that these new agents are contraindicated because they may damage the kidneys. Do they?

 

 

SpectrumJulyInterventional Radiology – do your patients need:

  • Angiography
  • Imaging Guided Treatments,
  • Pain Treatments,
  • Venous Access,
  • Urology, BeforeAfter
  • Embolisation,
  • Interventional Oncology,
  • Vascular,
  • Hepatobiliary?

 

COPD - The new stepwise managInhaledInsulinement

Pharmacological interventions typically involve starting treatment with a short-acting reliever (either a short-acting beta-2 receptor agonist [SABA] or a short-acting anticholinergic/muscarinic receptor antagonist [SAMA]) as needed for symptom relief, before adding maintenance therapy with one or more long-acting bronchodilators. 1 Long-acting bronchodilators include beta-2 agonists (LABAs) or anticholinergics/muscarinic antagonists (LAMAs).
 

CADPerfusionScanImaging in Coronary Artery Disease

Assessment of possible CAD through non invasive testing such as myocardial perfusion scan (MPS) and exercise stress testing (EST) can provide useful diagnostic and prognostic information.
Myocardial scanning works by providing both physiological and semi quantitative assessment of perfusion (i.e. the blood flow to the cardiac tissue) and also can provide valuable information for risk factor management.

 

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FootCare
Low cost podiatry UniClinic

ABIAnkle-Brachial Index - Measuring correctly

A very useful tool in primary care but multiple variations in technique are described including the position of the patient during the measurement, the sizes of the arm and leg cuffs, the location of the cuff on the extremity, the method of pulse detection over the brachial artery and at the ankles, whether the arm and ankle pressures were measured bilaterally, which ankle pulses were used and whether a single or replicate measures were obtained.

thyroidMild Hypothyroidism - to treat or not to treat?

Replacement therapy is recommended for those whose TSH is >= 10 mIU/L but controversy remains in cases where TSH is <10 mIU/L. Most of these patients are asymptomatic – hence the term subclinical hypothyroidism (SCH). Some will eventually become overtly hypothyroid and require replacement therapy , some revert back to euthyroid while others linger along for years without becoming overtly hypothyroid. What do we do with these patients?

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Latest Healthpathways
  • Prenatal Genetic Referral
  • Post-discharge services for older adults
  • Dementia support and respite services
  • Authority to prescribe S8 Medicines
  • Acute dystonic reaction
  • Off label prescribing
  • Planning immunisation catch up

stick_figure_eye_exam_pc_400_clr_4797Free Ophthalmologist Eye Checks for Diabetics in South West Sydney

SickDiabetes and Peri-operative Management

Patients with diabetes have longer hospital stay, increased risk of infections and other post-operative complications and post-operative mortality. Increasingly, patients are admitted to hospital on the same day of the operation making pre-operative assessment and monitoring of these patients the responsibility of the GP. Further, patients are now discharged earlier from hospital, once again, calling upon us to manage these patients who may not have returned to their usual eating habits and physical activity.

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