Patients on medications that have a low incidence of hypoglycaemia with T2DM do not need finger-prick blood glucose testing. GPs will rely on HbA1C to guide management. However, its use in Sick Days management is still important

When to test for ketones in T2DM? No real indication in T2DM except in insulin deficiency eg. LADA

The widespread use of SGLT2 inhibitors had increased the incidence of ketoacidosis often triggered by an intercurrent illness. Check blood ketone levels or at least urinary ketones for all patients on SGLT2 inhibitors who have an intercurrent illness or report feeling unwell with nausea, abdominal pain

Continuous glucose monitoring (CGM) can give patients a good understanding of what impact various foods and types of exercise have on their blood glucose levels

 

Host: Dr David Lim | Total time: 36 mins

Guest: A/Prof Gary Kilov, Founding Member, The RACGP Diabetes Specific Interest Group; Co-founder, The Primary Care Diabetes Society of Australia

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In this Product Explainer, Dr Ryan De Cruz, specialist dermatologist and head of Bone Marrow Transplant – Dermatology Clinic at The Royal Melbourne Hospital, explains the role of Aklief - trifarotene for acne vulgaris - how it is administered and when it should be used.

Total time: 6 mins

Expert: Dr Ryan De Cruz, Specialist Dermatologist; Fellow of the Australasian College of Dermatologists (FACD), Head of Bone Marrow Transplant, Dermatology Clinic, The Royal Melbourne Hospital, Founder, Southern Dermatology

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At this point in time, we do not have effective disease-modifying agents for Alzheimer's disease

Referral for accurate and early diagnosis is essential rather than waiting for a clinical diagnosis with more advanced disease

Management of behaviour issues should be non-pharmacological if possible

If absolutely necessary, low dose risperidone may help but monitor; try to wean off the agent when possible

Future diagnosis of AD will be based on biomarker identification such as amyloid or Tau PET and CSF analysis

 

Host: Dr David Lim | Total time: 24 mins

Guest: Dr Roger Clarnette, Geriatrician; Medical Director, Clinical Trials Division; Consultant Physician, Department of Community and Geriatric Medicine, Fremantle Hospital and Health Service

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GPs need to know if patients are doing shift work as there are multiple adverse impacts upon their health

Know how to assess and manage this group of workers who, in many ways, sacrifice themselves in social, family and health areas so that the world as we know it will function the way we expect it to

 

Host: Dr David Lim | Total time: 41 mins

Guest: Dr Shantha Rajaratnam, Director of Research Translation (Industry Engagement) & Program Lead for Sleep, The Monash Institute of Gognitive and Clinical Neurosciences; Deputy Head, The Monash School of Psychological Sciences; Chair, The Monash Sleep Network; Past President, Australasian Sleep Association

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Restoring facial function and form to patients who have to undergo cancer surgery or have had previous surgery with outcomes that are unacceptable or incomplete

The virtual surgical planning for new patients begins before the surgery and is comprehensive in its scope planning down to minute detail what is required for a good cosmetic and functional outcome for the patient

The CMF-PARTS clinic at the Chris O'Brien Lifehouse is a world first multidisciplinary collaboration- It is an Australia-wide service and the clinic is accepting referrals now

 

Host: Dr David Lim | Total time: 17 mins

Guest: Dr Joe Dusseldorp, Specialist Plastic Surgeon; Chris O’Brien Lifehouse, North Shore Private, Hunters Hill Private and Concord Hospital

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In this Healthed lecture, A/Prof Avi Lemberg, Paediatric Gastroenterologist; Head, Paediatric Gastroenterology, The Sydney Children’s Hospital, explained that the current evidence demonstrates multiple beneficial effects of HMOs including antimicrobial, immune modulation, prebiotic, neurodevelopment and cognition effects. Recently, manufactured HMOs have been approved as food ingredients with fascinating implications for infant formula. This lecture will explore the potential of HMOs to make infant formula a more beneficial alternative when human breast milk is inadequate or unavailable.

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In this Healthed lecture, A/Prof Ajeet Singh, Psychiatrist; The Geelong Clinic; Executive Chairman & Founder, CNSDose; Honorary Clinical Associate Professor, Deakin Medical School, explained the various factors involved when selecting the therapeutic agents for a given individual. The side effect profile must also be considered and the patient should be involved in the decision making which has been emphasised in the new mood disorders guidelines.

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In this Healthed webcast, Dr Pradeep Jayasuriya, GP based in Perth, and iron metabolism expert, presented the blood test results of an iron-deficient female, considered the various preparations available on the market, and provided guidelines for dosing iron supplements to optimise absorption.

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In this Healthed lecture, A/Prof Liu, Epidemiologist; School of Population Health, UNSW, will outline the key features of pertussis as it appears in adults, when to suspect it, and how to diagnose and treat it. Importantly, she will also address the issue of pertussis prevention for this cohort and the opportunities that exist to reduce the morbidity and mortality from whooping cough by targeting older adults.

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In this Healthed webcast, A/Prof Nicholas Wood, Associate Director, NCIRS, provided an overview of the recommendations on the use of a 3rd dose vaccine,  explained the TGA advice and determination on overseas vaccines, summarised the safety data of adolescents vaccination, described the use of Molnupiravir, and provided guidance on granting medical exemption before considering how living with COVID will look.

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