Category Archives: Endocrinology

Bits and bobs

Useful bunch of motley learning points from the 15th April BMJ: A double-blind trial reported in NEJM has looked at the effects of treating borderline thyroid results (raised TSH with normal T4) in the elderly. It didn’t show any benefit … Continue reading

Posted in BMJ, Cardiovascular, Credits 2017, Endocrinology, Hypertension, Medication, Paediatrics, Thyroid | Leave a comment

Diabetes presentation

Went to the practice clinical meeting, which was about diabetes this time and mainly focused on new diabetes drugs, as well as going over the NICE guidelines. The meds covered were incretin-based therapies (GLT-1 agonists and DPP-4 inhibitors) which I … Continue reading

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NICE guidance on diabetes – December 2015

Blood pressure management in diabetes If no history of hypertension or renal disease, check annually. If controlled hypertension, check every 4 – 6 months (that’ll be a nice bit of extra work for somebody. Pun not intended.) Remember lifestyle advice. … Continue reading

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Rational prescribing

From our CCG’s review of evidence (Rational Prescribing, Sept 2015): On current evidence (which admittedly is somewhat limited), there is no statistically significant benefit from treating Stage 1 hypertension (160/100 or less) Aiming for an HbA1c level of 7.0% vs. … Continue reading

Posted in Credits 2016, Diabetes, Hypertension, Medication, Nephrology | Leave a comment

Glucocorticoid withdrawal

This comes from an old Prescriber issue I had knocking around; May 2013, vol 24(10). Authors are two consultant endocrinologists (Afroze Abbas and Robert Murray) and one specialist registrar (Amalia Iliopoulou), from the endocrinology department at Leeds. Dr Abbas also … Continue reading

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Things to know about thyroid tests

Patients with unrelated severe illness can have temporarily hypothyroid-looking tests; TFTs should therefore not be checked during acute illness. (This occurs due to a combination of inhibition of the hypothalamic-pituitary axis decreasing TSH secretion; decreased T4 -> T3 conversion; and … Continue reading

Posted in Endocrinology, Lab results, Thyroid, Uncategorized | Leave a comment

Self-testing in Type 2 diabetes

For those not on insulin, it’s not usually necessary. Exceptions include: For gliclazide users: Before driving in first three months of use Before driving long-term if a Type 2 vehicle licence holder Before driving long-term if hypoglycaemia unawareness (rare on … Continue reading

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