With the rise in life expectancy and the nation’s fixation with all things sweet, it is no wonder type 2 diabetes is now one of the country’s biggest health worries. The National Health and Morbidity Survey (NHMS) 2015 places the prevalence of type 2 diabetes at 17.5%. With such a high burden of disease, patient care and education can take its toll on the healthcare system. It falls upon the shoulders of healthcare personnel to ensure complications are minimized and targets are met. Here, the role diabetes educators play in the care of people with diabetes can help stem the tide of type 2 diabetes and its impending outcome on the healthcare system.
A 55-year-old man presented with almost one year history of heat intolerance, mild palpitation and significant weight loss. Free T3 and T4 were elevated with normal TSH. Patient had suboptimal response to carbimazole therapy.
Spinal fractures are often the result of underlying osteoporosis. Radha Chitale spoke with Dr. Hee Hwan Tak, medical director and senior consultant at the Pinnacle Spine & Scoliosis Centre at Mount Elizabeth Medical Centre, about managing osteoporotic spinal fractures in primary care.
This case scenario was presented at a grand round in the Department of Medicine, The University of Hong Kong. Unlike traditional grand rounds that directly or indirectly deal with clinical challenges posed by patients, this one was equally about doctors and how they care for their charges. All doctors who tend patients dread being implicated on the receiving end of medico-legal proceedings. This topic is therefore intimately linked to the professionalism of doctors, their standing in the community, and the ethical aspects of how they interact with patients and relatives.
During the recent Malaysian Endocrine and Metabolic Society’s 7th Annual Congress, two teams of endocrinologists gave their take on the motion of ‘A1c target of 7% as expounded by the American Diabetes Association (ADA) and European Association for the Study of Diabetes (EASD) is more pragmatic than the target of 6.5% recommended by the Malaysian CPG for T2DM, AACE and IDF.’
Melasma is a benign pigmentary skin disorder. However, it features prominently on sun-exposed areas, typically the face and arms, and as such affects the quality of life of those with the disorder. Radha Chitale spoke with Dr. Gavin Ong Chun Wei, a dermatologist at The Skin Specialist clinic in Singapore, about how GPs can best diagnose and treat patients with melasma.
Dr. Cheah Yee Lee, a liver transplant and hepatopancreatobiliary surgeon at Gleneagles Hospital, Singapore spoke to Roshini Claire Anthony on how GPs can help with early detection of pancreatic cancer and improve outcomes for patients.
Primary healthcare physicians are likely to be the first to spot a patient afflicted by Cushing’s syndrome and begin the management process. Dr. Vivien Lim, a Specialist Endocrinologist at Gleneagles Medical Centre speaks to Roshini Claire Anthony on the role GPs play in ensuring timely diagnosis and treatment of this condition.
Fertility screening should be more actively recommended to the public as a preventative measure equivalent to general health screenings, rather than only when observable issues arise, reveals a panel of specialists.
Painful diabetic neuropathy (PDN) is one of the many complications of diabetes. At the Diabetes Asia 2015 Conference, renowned speaker Dr Mary Cardosa gave an overview on PDN and the approaches to managing this condition.