🚨New NICE T2Diabetes guidelines🚨
My bedtime reading sorted - huge changes to drug 💊 approach.
Lovely drug summary tables! 🙌
For me - key message, thinking beyond glycaemic control and benefit. True CaReMe holistic approach needed and advocated @NICEComms@UKCPADiabetes
🔔New NICE guidance for #type2diabetes out today!⬇️⬇️
https://t.co/9T9glHXq1E
Key changes - expect to see a LOT more SGLT2is!!
Focus on CV RISK - SGLT2is suggested as a 'dual first line' (with MFN, and essentially off license) if established CV disease/❤ failure OR ⬆️ CV risk
Patients should be advised to hold their biotin for just a day or two before the test - it wears off quickly!
In acute situation do liaise with your local biochemistry lab for advice on whether biotin interference could be present
#MedEd#MedTwitter#FOAMed
DID YOU KNOW that⭐️BIOTIN⭐️supplements can spuriously affect blood tests?
Biotin is a B vitamin found at low dose in many multivitamins, but in higher doses in hair & skin supplements, and more recently as a treatment for conditions such as multiple sclerosis (up to 10,000x RDA!)
The typical picture is of GRAVES' DISEASE - low TSH, high T4, and even a positive TSH-receptor antibody (TRAb). BUT the patient is asymptomatic! Their thyroid function will actually be normal - this is purely artefact.
Other tests can be affected e.g. troponin, other hormones
Calling all #BukuEndo followers! Are you thinking about a career in diabetes/endocrinology? Join us next Monday and Tuesday for some career chat online! Link here ⬇️ #endocrinology#MedStudentTwitter
📢 Are you a medical student or trainee who wants to know more about careers in Endocrinology & Diabetes? Then our live webinars next week are for you! Registration now open ⬇️
Very excited for the @RCPLondon Excellence in patient care awards #EPCA2021 on Wednesday. We are very grateful to have been shortlisted for the Digital Award.
Will let you know how we get on!
@BukuRenal@BukuEndo@BukuHaematology
https://t.co/SvFo2RX4Lz
Do you know what advice to give to patients when starting thyroxine? We have a section about this on the app. Think about food, meds and what to do if you miss a dose
Very excited to announce that a new specialty has now joined #BukuMedicine - Hepatology (aka Liver medicine). This joins @BukuHaematology@BukuRenal and @BukuEndo. Thanks to our excellent hepatology contributors, Dr Laura Jopson and Dr Steve Masson for creating the content 👏