Category Archives: Endocrinology

Talking to people about their diabetes

Judith Handley, a health policy geek with Type I diabetes, has written an article for the ‘What your patient is thinking’ section of the BMJ, on alternatives to asking people with diabetes whether they’re well-controlled (to which she always feels … Continue reading

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When not to use HbA1c for maintenance

We’re hopefully all familiar with the list of situations in which HbA1c might give a false reading when used to diagnose diabetes (short version; any situation in which the glucose might have undergone rapid recent change), but it’s also important … Continue reading

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Flozins and COPD inhalers

That’s two separate subjects, not one, whose link here is that they were both the topics of useful papers in this week’s BMJ. The first was on possible adverse effects of flozins (sodium-glucose cotransporter-2 inhibitors). The paper was a very … Continue reading

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Thyrotoxicosis – initial treatment

An article from the BMJ, with some useful tips on starting anti-thyroid drugs if necessary. Causes: Medication-related (see below) Thyroiditis (subacute, de Quervain’s, initial phase Hashimoto’s, postpartum) Grave’s Toxic multinodular goitre Solitary toxic adenoma Very rarely, functional thyroid carcinoma Medication-related … Continue reading

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Second-line drugs in diabetes

I love studies that explore the practical questions we wrestle with in day-to-day work. So, I was pleased to see the BMJ study ‘Sulfonylureas for type 2 diabetes‘ (Douros et al). The presentation of the results in the written journal … Continue reading

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Remission of diabetes?

I’ve often wondered what happens if a diabetic person actually makes significant enough lifestyle changes to bring their blood glucose down into the non-diabetic range; since diabetes is diagnosed based on glucose levels, would this mean that this person had … Continue reading

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Diabetes in pregnancy

Affects approximately 5% of pregnant women, of whom over 80% have gestational diabetes and the rest had pre-existing DM of either type. Screening NICE recommends screening the following high-risk groups: BMI >30 Previous baby 4.5 kg or over Previous gestational … Continue reading

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