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June 2017

Echo Newsletter

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character_group_joined_puzzle_coversation_800_clr_17761Diabetes Case Conference - enhancing diabetes care in SWS

Case conferencing involves a local diabetes specialist visiting you at your practice and discussing any patients who meet the criteria or who you feel you would like to discuss.  Practice time for case conferencing is well paid for by Medicare and can assist GPs to better manage patients with diabetes . This will result in better care for diabetic patients, enhance the management skills of the GP and improve diabetes management capacity of the practice.

 

GDM’s unfinished business - Can you help?Pregnancies

Controversies continue over screening, management and follow up for women with GDM, with various professional organisations internationally and experts in the field suggesting different strategies or not making specific recommendations at all.

What is NOT controversial is the evidence that even mild increases in maternal blood sugar are associated with adverse pregnancy outcomes – both maternal and foetal and that reducing blood sugar improves outcomes. Whenever you have many different definitions of a disease and many different guidelines for its management internationally, it usually means our data is not complete and more studies are needed.

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Latest healthpathways

 

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Deadly Pesticides - are they killing us too

So, what’s so bad about a bit of pesticide? Pyrethroid may be one of the least toxic pesticides (Kaplan, 2014), but that doesn’t mean it’s not toxic at all. The effects of pyrethroid exposure range from nausea and fatigue, to blurred vision and seizures (Beasley and Temple, 2013).

SpecialisedWomensImagingCentreSpecialised Women Screening

The centres are run by experienced breast radiologists, some of whom have fellowships in breast imaging. We provide a professional service where women are treated sensitively by experienced, empathetic staff dedicated to the health and wellbeing of women

MICAcAppAbdominal pain Imaging

Acute RIF pain is a common clinical presentation to the general practitioner. Diagnosis and management promptly required in order to limit morbidity and mortality. Clinical and laboratory findings are non specific and early recourse to imaging is being used more frequently in order aid diagnosis.  Even after imaging, in approximately one third of patients the cause is not apparent.

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stick_figure_eye_exam_pc_400_clr_4797Free Ophthalmologist

Eye Checks for Diabetics in South West Sydney

FootCare
Low cost podiatry UniClinic

ExerciseIsMedicineWeightLiftingOld and Weak - should it be weak and old?

It is claimed with unquestioned certainty in the fitness industry that a combination of both strength/resistance training and cardio/aerobic training need to be included in any exercise regime in order to obtain optimum results. Fitness instructors and personal trainers are taught from the beginning that cardio increases heart rate, thus, increasing calorie burn – and, of course, that that strength training increases muscles tone hence causing the body to burn more energy during the day.

Real World Data - how reworld_population_africa_europe_magnify_400_clr_7653al are they?

Have you notice that our patients never really behave like patients in clinical trials? In real life (i.e. patients in our practice), we have a mix match of patients with different motivation and different busy schedules. They have a real life to live and tablets are omitted for a number of reasons.

 

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Peri-operative diabetes management

 

 

ConstipationDiarrhoea in Diabetes - it’s not always metformin

Diarrhoea is a common side effect of metformin in patients with diabetes. The exact mechanism is poorly understood. Starting at a lower dose and slowly titrating up may reduce the incidence of this side effect. Changing over to the extended release version may sometimes help. Some patients just can’t tolerate even the smallest dose of metformin extended version or not.
What about patients with diabetes and suffers from frequent diarrhoea but not on metformin? In the absence of any other known causes, we often blame it on autonomic dysfunction. Are we missing other causes? What about pancreatic exocrine insufficiency?

DELIGHT StudyRSDN

The DELIGHT trial is a randomised, double-blinded, placebo controlled, parallel design study to evaluate the efficacy, safety and pharmacodynamics or dapagliflozin and dapagliflozin in combination with saxagliptin in CKD patients with Type 2 diabetes mellitus and albuminuria treated with ACEi or ARB.

 

 

 

The views expressed are views of the authors and do not necessarily represent the views of the board of SSW GP Link

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