Peer Reviewed Feature Articles
Endocrinology and metabolism

Solid organ transplantation and endocrine sequelae. What to be aware of

Lisa M. Raven, Jerry R. Greenfield
Endocrine complications are common after solid organ transplantation and should be monitored for. Treatment decisions are normally made by specialists linked to transplant units. However, as the number of transplant recipients increases and survival outcomes improve, the care of these patients will be shared with GPs.
Endocrinology and metabolism

Medical management of acromegaly: a growth area

Annabelle Warren, Nirupa Sachithanandan
Acromegaly is a rare condition of the pituitary gland with subtle presentations that can go undetected. An elevated insulin-like growth factor 1 level can confirm diagnosis and surgery can offer the best chance of cure. When surgery is unsuccessful or contraindicated, a new generation of PBS-listed medications offer alternative effective treatment options to patients.
Peer Reviewed Regular Series

What’s new in assessing fracture risk?

Nicholas A. Pocock
Too few patients who have sustained a minimal trauma fracture subsequently receive treatment. Secondary prevention programs in hospitals and improved imaging technology can help to reduce the serious impact of osteoporotic fractures.

Sick days, type 2 diabetes and the GP

Gary Deed
A written sick-day management plan for people with type 2 diabetes is important to promote early assessment and proactive self-management of hyperglycaemic and hypoglycaemic emergencies and can help patients avoid life-threatening consequences.

Niche oral agents in type 2 diabetes

Ryan Jalleh, Stephen Stranks
This article provides guidance on use of two ‘niche’ oral therapies for managing type 2 diabetes: alpha-glucosidase inhibitors and thiazolidinediones. Although older classes of medication, they can be considered when formulating a personalised management plan for patients with type 2 diabetes.