Diabetes and serious mental illness (SMI) account for a considerable proportion of premature mortality. It is important that GPs are aware of the association between diabetes and SMI, particularly in young people, and manage patients appropriately.
Careful assessment and investigation are required to confirm the diagnosis of adult growth hormone deficiency. Growth hormone replacement therapy is indicated for severe cases and improves many of the signs and symptoms of growth hormone deficiency.
Glucagon-like peptide-1 (GLP-1) agonists have been shown to have cardiometabolic and renal benefits, and can be considered after metformin as part of combination therapy in people with type 2 diabetes.
Many people with diabetes use complementary medicines. GPs are in an ideal position to ask about, assess and monitor the use of complementary medicines as part of safe and optimal diabetes care.
Sue Lynn Lau, Christian Girgis, Yvette Mikaheal, Mavis Ng
In cases of acute onset of pain in the mid-back, a thorough history and examination are necessary to establish whether a vertebral fracture has occurred and whether there are any underlying causes.
Divya Namboodiri, Hui Yi Ng, Bernard Champion, Veronica Preda
Autoimmune polyendocrine syndromes involve functional abnormalities in several endocrine and nonendocrine glands. Treatment of multiple deficiencies may be complex.
