The online home for the primary care professionals managing patients with cardiovascular disease, diabetes and related diseases.

Editorial

Sunday, 07 July 2013
Very high cholesterol levels (total cholesterol >7.5 mmol/L) should prompt clinicians to think of familial hypercholesterolaemia. A family history of premature heart disease should further raise suspicion. This dominantly inherited genetic abnormality deserves as much attention as the oncogenes such as BRAC 1 and 2. HEART UK - The Cholesterol Charity - has provided editorial support and review of this sponsored FH series.This article was made possible by an unrestricted educational grant by Sanofi, who had no control over content.
Category: Editorial
Sunday, 07 July 2013
The prison population in the UK tends to have several risk factors for the development of chronic liver disease. Prison provides a stable environment, which often enables thorough health assessment, monitoring and stabilisation of substance misuse, management of chronic disease and mental health issues, and treatment for viral hepatitis to be performed.
Category: Editorial
Sunday, 07 July 2013
Since the publication of the National Institute for Health and Clinical Excellence (NICE) clinical guidance (CG 127) on the management of hypertension in adults two years ago, new evidence has been published which is relevant to - and potentially has an impact on - the guideline recommendations. This evidence is presented and reviewed in the following article.
Category: Editorial
Sunday, 07 July 2013
Familial hypercholesterolaemia (FH) is under-diagnosed and under-treated, despite clear evidence-based guidelines for identification and management, and the availability of low-cost, generic, high-intensity statin treatment. Genetic cascade testing is the key to early diagnosis, which can help ensure that this treatment is no longer 'too little, too late'. HEART UK - The Cholesterol Charity - has provided editorial support and review of this sponsored FH series.This article was made possible by an unrestricted educational grant by Sanofi, who had no control over content.
Category: Editorial
Sunday, 07 July 2013
In this paper, we summarise previously reported findings from the MY-WAIST study, which aimed to evaluate a primary care strategy for identifying people with undiagnosed type 2 diabetes or at increased risk of developing this condition. Recruitment was unexpectedly low, but the qualitative data collected, including interviews with healthcare providers, helped to highlight some of the reasons for poor uptake of the appointments offered. Perceived barriers to recruitment included heavy workloads and competing demands in primary care. Lower uptake in people from harder-to-reach groups was identified in our quantitative findings and was also suggested by healthcare providers' perceptions about the characteristics of patients who attended.
Category: Editorial
Sunday, 07 July 2013
Successful management of individuals with diabetes, or any other single component of the metabolic syndrome, requires treatment of all the related physiological systems as a whole. This treatment must be underpinned by the management of obesity, and drugs should be preferred that address the entire portfolio of the metabolic syndrome.
Category: Editorial
Sunday, 07 July 2013
This study shows that people living in London have better treatment rates with lipid lowering drugs than the general population. This observation may be explained in part by the fact that London is a highly mobile population, so new patient checks are more common.
Category: Editorial
Sunday, 07 July 2013
"I like to think of medicine in our day as an ever-broadening and deepening river, fed by the limpid streams of pure science- Christian A. Herter (1865-1910), US neurologist, New York.
Category: Editorial

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