November 2024

Advanced preparation is required for patients with diabetes before they travel, ensuring that they are well equipped for their journey in terms of physical equipment and with clear management plans in place.

Patients with pituitary disease may present in primary care with an incidentally detected lesion, symptoms attributed to mass effect or clinical features of hormone hypersecretion or hormonal deficiency. A sound understanding of the different types of presentations is essential to allow early identification and management of these conditions, and to prevent significant clinical implications.

Diabetes is a known risk factor for erectile dysfunction, which is a common and often under-recognised problem that shares many associations with diabetes, including vascular disease, neuropathy and depression. GPs are well placed to discuss erectile dysfunction and its treatment options with men having routine diabetes consultations.