The questions answered in this podcast are listed below. They were compiled by GPs and health professionals around Australia.

1. Can you address the issue of what is GLP1's particularly good for in patients with type 2 diabetes?
2. How best to use the GLP1 or the incretins versus the SGLT2 inhibitors.
3. Is SGLT2's the way to go?
4. Let’s say you have started the patient on a GLP1 injectable. The questions and concerns that come up are: what about pancreatitis, GI side effects, what stops the compliance and how you might deal with these?
5. Would you suggest blood tests for the pancreatitis? Or would you also add some sort of imaging to that?
6. Tips on how to reduce the GI adverse effects.
7. What are your comments on GLPs and mental health, use with SSRIs and suicidal ideation.
8. Would it be fair to say that in obese patients with type 2 diabetes who have a strong history of depression, that if we had to make them help them lose weight, the GLP1s may be the way to go versus bariatric surgery, which has a significant mental health consequence.
9. Do you have an idea how much weight can be lost with twincretin?
10. How real is cardiovascular risk with Duromine?
11. Is insulin the best treatment for skinny diabetics?
12. Would you still recommend apart from the C-peptide, antibodies and islet cells, or different types of antibodies?
13. What are the behavioural strategies in helping patients lose weight?
14. What is bowl obstruction associated with GLP1s?

Host: Dr David Lim | Total Time: 31 mins

Guest: Dr Gary Deed, General Practitioner

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In this Healthed lecture, Associate Professor Samantha Hocking will present new and existing evidence for the role of VLEDs in achieving type 2 diabetes remission and, importantly, how they can be practically implemented and managed in the general practice setting.

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In this Healthed lecture, Dr Nick Aroney presents the latest evidence on the current prevalence and incidence of aortic stenosis in Australia, as well as providing tips on how it can be detected early and the importance of timely intervention through appropriate referral.

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In this Healthed lecture, Associate Professor Jeremy Grummet will explain how the recent major changes in routine practice including MRI, transperineal biopsy and active surveillance have mitigated the risks of overtreatment of unharmful types of prostate cancer enormously, and provide the very latest evidence-based thinking on PSA testing to inform your daily practice.

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In this Healthed lecture, Associate Professor Michael Woodward will provide an update on what is now known about this virus in Australia as well as advising what is coming in terms of prevention and treatment of RSV, including vaccines which are hoped will soon become available for those vulnerable to severe RSV infection.

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• Dental referral requires a sleep physician referral and a conversation with the dentist is required to obtain all necessary information
• If a patient is referred to a sleep physician, the GP needs to note and ask if a jaw advancement splint is an appropriate form of treatment
• GPs need to inform the patient that if they are thinking about an alternative, it is the lifestyle change that is hugely important and not to rely on just one method of therapy

Host: Dr David Lim | Total Time: 32 mins

Guest: Dr Dinukshi Daniels, Fellow of Dental Sleep Medicine Program Manager

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• PPI's effect on iron absorption
• Bowel resection's effect on iron absorption
• When to use pill camera to determine cause of gastro bleeds?
• Drug management in patients with gastritis
• Finding the cause of iron deficiency: large bowel conditions, haemorroids, watermelon stomach and portal hypertensive gastropathy

Host: Dr David Lim | Total Time: 30 mins

Guest: Dr Ashley Bloom, Gastroenterologist & Hepatologist

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The views, information or opinions expressed in Healthed podcast episodes are those of the individuals involved and do not necessarily represent those of Viatris. Viatris does its utmost to ensure completeness, relevance and currency of information, but is not responsible for verifying the accuracy of all information shared by guests.

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• Hepatitis A is a water borne disease and everyone travelling to developing nations will be at risk
• Hepatitis A vaccination is safe and highly effective with two doses conferring lifelong immunity
• Hepatitis B is a blood borne disease. Travellers put themselves at high risk because they choose to have tattoos, body piercing, dental or surgical procedures in higher risk countries
• Travellers might be exposed to blood and blood products as a result of illness or injury. If short on time, the rapid course program is helpful but do not forget the fourth jab in a year and one dose confers little protection

Host: Dr David Lim | Total Time: 26 mins

Guest: Prof Nicholas Zwar, General Practitioner

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In this Healthed lecture, Lauren Atkins will explain how pancreatic exocrine insufficiency is often misinterpreted as IBS and treatment is often delayed, but if replacement therapy is given appropriately, it can significantly improve health outcomes for these patients. Pancreatic Enzyme Replacement Therapy (PERT) is highly effective but must be dosed and timed correctly, and this talk will provide all the practical information about how this can be done. 

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In this Healthed lecture, Associate Professor Samantha Hocking will discuss the evidence behind the new injectable, tirzepatide, a dual GIP/GLP-1 receptor agonist - how it can be initiated and used for ongoing diabetes management, as well as its safety and tolerability.

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