14th August 2022, Dr Chee L Khoo
We all know that regular physical activities is associated with lower ill-health and mortality and better quality of life. International guidelines suggest adults perform from 150 to 300 minutes per week (min/wk) of moderate-intensity aerobic physical activity, 75 to 150 min/wk of vigorous-intensity aerobic physical activity, or an equivalent combination of both intensities (1).…
13th August 2022, NIA Diagnostic Imaging
In a 2020 study, 1 in 20 Australians have diabetes mellitus (excludes gestational diabetes), and the primary complications associated with this disease are foot ulcerations and claudication (Australian Institute of Health and Welfare, 2022). Diabetic foot ulcerations can develop due to a number of factors including poor glycaemic control, poor foot care, dry skin, calluses, and foot deformities (Oliver & Mutluoglu, 2022).…
12th August 2022, Dr Chee L Khoo
We used to think of the islets of Langerhans as tenants in the exocrine pancreas boarding house. Like two separate cell types living under the same roof – one endocrine and the other exocrine. Both cell types happen to be involved in the business of nutrient digestion but they perform totally separate functions. Patients with diabetes are more likely to get pancreatic cancers and pancreatic exocrine insufficiency.…
8th August 2022
It’s that time of the year again. It’s Diabetes Tech & Talk 2022. it is that time of the year where we get to interact and intermingle with colleagues – GPs, endocrinologists, diabetes educators and researchers.
We are exploring Innovation and Integration in Diabetes Clinical Care, Self-management and Prevention this year. We are extremely privileged that this year’s key note speaker is Professor Dianna Magliano.…
30th July 2022, Spectrum Medical Imaging
Up to 31%-69% of COVID-19 survivors will experience long COVID symptoms after initial recovery from SARS-CoV-2 infection [1, 2]. While the initial symptoms of long COVID symptoms include fatigue (29%), muscle pain, palpitations, cognitive impairment (28%), dyspnea (21%), anxiety (27%), chest pain, and arthralgia (18%) [3], in patients experiencing long covid symptoms, fatigue is most prevalent (51%), followed by dyspnoea (35%), arthralgia (25%) and concentration difficulties (25%).…
30th July 2022, Dr Chee L Khoo
I recently came across a trial comparing arthroscopic partial meniscectomy (APM) with physiotherapy (PT) in the management of medial meniscal tears in older patients. Older patients here mean patients that are older than 45 years who are supposed to have degenerated menisci. Now, meniscal tears (usually medial but sometimes can be lateral meniscal tear) in younger patients often require surgical intervention but in older patients, surgery is not necessarily better than conservative physiotherapy.…
29th July 2022, Dr Chee L Khoo
12 months ago, at GPVoice, we announced the arrival of drug LY3298176, which now has a name, tirzepatide, as the first in its class of “twincretins” in the management of type 2 diabetes. We briefly explored the 4 Phase 3 trials looking at the efficacy and safety of trizepatide in comparison with placebo, semaglutide, insulin degludec and insulin glargine.…
13th July 2022, Dr Chee L Khoo
In the last issue of GPVoice, we looked at the up-to-date guidelines in the management of dyslipidaemia in primary and secondary prevention. We looked at how complex those guidelines are. We also touched on the fact not all the evidence behind the guidelines is Level A evidence. The PCSK9 inhibitors, in particular, are a relatively new class of lipid lowering agents and the data is still coming in.…
13th July 2022, Dr Chee L Khoo
Have you noticed we don’t hear about congestive cardiac failure (CCF) anymore? Its’ just plain heart failure (HF) now. It makes sense because not all heart failures are congestive in nature. Of course, you are aware of the new terms – heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF).…
13th July 2022, NIA Diagnostic Imaging
Last month we explored the many treatment options in the pipeline for the treatment of non-alcoholic fatty liver disease (NAFLD). We have to first diagnose NAFLD. The gold standard for diagnosis of NAFLD involves a thorough clinical history with pathological correlations. This is then confirmed through the detection of steatosis on liver biopsy and the exclusion of all other causes, including alcohol consumption.…
30th June 2022, Spectrum Medical Imaging
We are used to quality radiology services from Spectrum Medical Imaging. First, we had expanded services in Liverpool with Spectrum Medical Imaging opening further rooms at Sydney Southwest Private Hospital.
Spectrum is now open at
402-410 Chapel Road Bankstown
Spectrum Bankstown offers full service radiology including CT, Ultrasound, Cardiac CT, interventional radiology and OPG.
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26th June 2022, Dr Chee L Khoo
I was recently tasked with preparing a lecture on the current guidelines for lipid management in patients with diabetes. I thought it was quite straight forward. We have known for some years now that the targets are tighter than patients without diabetes. Thus, it can’t be that hard. As I looked into national and international guidelines, they started to get more and more complicated.…