Diabetes & Obesity

30th June 2025, A/Prof Chee L Khoo There are many reasons why some of our patients go vegetarian. A primarily plant-based diet with less meat is supposed to lower the morbidity of chronic diseases, including cardiovascular diseases, type 2 diabetes, and certain cancers [1]. Some patients may choose to reduce their food-related ecological footprint. A […]

27th May 2025, A/Prof Chee L Khoo We know about type 1 to type 3 diabetes mellitus. I didn’t know that there was a type 4 and now they tell us there is a type 5. For someone who has a special interest in things diabetes, this is definitely news to me. Actually, on further […]

27th April 2025, A/Prof Chee L Khoo We recently looked at the LDL-C levels needed to stabilise plaque progression and the LDL-C levels needed to cause plaque regression. Plaque stabilisation and regression leads to reduction in cardiovascular events. Dyslipidaemia (especially LDL-C) is also associated with cognitive impairment and dementia and reducing those numbers with statin […]

13th April 2025, A/Prof Chee L Khoo Continuous glucose monitoring (CGM) was first shown to be beneficial in the management of patients with type 1 diabetes. Later on, patients with type 2 diabetes on insulin also found CGM beneficial in more ways than one. Of course, patients with T2D not on insulin also found CGM […]

23rd March 2025, A/Prof Chee L Khoo I thought I read somewhere many years ago that we don’t have to advocate the traditional 72-hour carbohydrate (carb) loading prior to an oral glucose tolerance test (OGTT). I have not heard that issue being brought up of late. Well, does it increase or decrease the glucose levels […]

24th February 2025, A/Prof Chee L Khoo This is one of the most common questions asked at glucagon-like peptide 1 receptor agonist (GLP1-RA) CPD meetings. “What about the risk of thyroid cancer, doc?” As usual, the evidence is rather conflicting. The worry about the thyroid cancer risk with GLP1-RA is actually not without justification. The […]

A/Prof Chee L Khoo, 26th January 2025 Obesity was first recognised as a disease by WHO in 1948, and more recently also by several medical societies and countries (1–9). The current WHO International Classification of Disease labels obesity as “a chronic complex disease”. But obesity is a highly heterogenous condition and many people with excess […]

8th January 2025, A/Prof Chee L Khoo Obstructive sleep apnoea (OSA) often (but not always) lead to daytime sleepiness and suboptimal daytime performance (including driving performance). It can also have a major effect on the quality of life (QOL) of the patient and the family. OSA is associated with a number important metabolic and cardiovascular […]

23rd December 2024, A/Prof Chee L Khoo The reference values for serum magnesium (Mg2+) have been proposed to be somewhere between ~0.6 and ~1.2 mmol/L in healthy humans. That is a pretty wide range. Have you noticed that every second person discharged from hospital is recommended to take some Mg2+ supplement. Serum Mg2+ is often […]

23rd December 2024, A/Prof Chee L Khoo Is this one of those “adverse events” related to the GLP1 agonist your patient saw on google one day? I can see you roll your eyes and I thought that way too initially. But upon further research, it seems to be a real thing as there was a […]

29th November 2024, A/Prof Chee L Khoo We have written a bit on the paradigm change in our diagnosis and management of GDM over the last couple of years. We have looked at the TOBOGM study at length about early GDM (eGDM). This is GDM diagnosed before 24-week gestation. The TOBOGM study demonstrated that it […]