Type 3c Diabetes – diabetes of exocrine pancreas

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.…

Diabetes Tech & Talk 2022

8th August 2022

Tech & Talk 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.…

Post Covid-19 pneumonitis

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%).…

Medial meniscal tears – surgery or physio or both?

30th July 2022, Dr Chee L Khoo

medial meniscal tear

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.…

SURMOUNT-1: Tirzepatide for obesity management

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.…

PCSK9 inhibitors in dyslipidaemia – where is the evidence?

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.…

Universal definition of HF – it’s here

13th July 2022, Dr Chee L Khoo

Definition of HF

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).…

Fibroscan for NAFLD

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.…

Spectrum Bankstown Now Open

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.

T2D Lipid Management – are you up-to-date


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.…

Time to get together as GPs

26th June 2022, Dr Chee L Khoo

Tell me, what time did you get home last night? When did you last work a Saturday or a Sunday? When did you last truly spend time with the whole family? I bet you still fly economy class when you last went overseas. I am not telling you anything you don’t already know. Our rebates have not gone up for > 20 years.…

Fenofibrate and retinopathy – when should we use it?

13th June 2022, Dr Chee L Khoo


Fenofibrate is a commonly-used lipid lowering agent. In particular, it is recommended for patients with high triglycerides. Two previous studies have demonstrated that fenofibrate reduces the progression of diabetic retinopathy (DR) in patients who already have DR. Despite the benefits of fenofibrate, we don’t see recommendations for its use featured prominently in guidelines.…