Primary Care Guidelines
Juan Fernando Florido Santana
A podcast intended for healthcare professionals wanting to keep up to date relevant information about clinical practice guidelines
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Top 10 Primary Care Guidelines Episodes
Goodpods has curated a list of the 10 best Primary Care Guidelines episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Primary Care Guidelines for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Primary Care Guidelines episode by adding your comments to the episode page.
Podcast - The Kidney Chronicles: Bridging the Renal Gap with NICE - Part 1
Primary Care Guidelines
01/22/25 • 9 min
The video version of this podcast can be found here:
· https://youtu.be/iJKpE3H_Lbk
This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.
NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I go through the guideline on CKD, NG203, by the National Institute for Health and Care Excellence (NICE), last updated in November 2021, focusing on what is relevant to Primary Care only.
Given how extensive the guidance is, in this episode I will just focus on diagnosis, and classification of CKD.
In the next two episodes, I will cover investigations, monitoring, referral recommendation and CKD management in Primary care.
I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.
Disclaimer:
The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions.
In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
- Music provided by Audio Library Plus
- Watch: https://youtu.be/aBGk6aJM3IU
- Free Download / Stream: https://alplus.io/halfway-through
There is a podcast version of this and other videos that you can access here:
Primary Care guidelines podcast:
· Redcircle: https://redcircle.com/shows/primary-care-guidelines
· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK
· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148
There is a YouTube version of this and other videos that you can access here:
- The Practical GP YouTube Channel:
https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk
The Full NICE guideline chronic kidney disease: assessment and management [NG203] can be found here:
· https://www.nice.org.uk/guidance/ng203
The links to other relevant guidance covered in this episode can be found here:
The link to the non-visible haematuria video is:
· https://youtu.be/SaizjWg7Fng?si=McvEYQO9O3chElkj
Transcript
If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.
Hello and welcome, I am Fernando, a GP in the UK. Today, we are doing a review of the NICE guideline on CKD, or NG203, focusing what is relevant to Primary Care only.
Given how extensive the guidance is, in this episode I will just focus on diagnosis, and classification of CKD.
In the next two episodes, I...
1 Listener
Reviving intimacy: managing Erectile Dysfunction in Primary Care
Primary Care Guidelines
10/11/23 • 13 min
This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE" as well as other institutions such as the British Association of the Urological Surgeons, as well as the American and European Urology Associations. Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by any of them.
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this video I will go through clinical guidance and advice on erectile dysfunction provided by the following institutions:
· BAUS- British Association of Urological Surgeons
· AUA- American Urology Association
· EAU- European Association of Urology
· NICE- National Institute for Health and Care Excellence
I will summarise the guidance from a Primary Care perspective only.
I am not giving medical advice; this podcast is intended for health care professionals; it is only my interpretation of the guidelines and you must use your clinical judgement.
There is a YouTube version of this and other videos that you can access here:
- The Practical GP YouTube Channel:
https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk
The guidelines can be found here:
· BAUS: https://www.baus.org.uk/patients/conditions/3/erectile_dysfunction_impotence
· NICE : https://cks.nice.org.uk/topics/erectile-dysfunction/
· EAU: https://www.europeanurology.com/article/S0302-2838(21)01813-3/fulltext
The shortened Sexual Health Inventory for Men (SHIM/IIEF-5) can be found here:
· https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/SHIM.pdf
Thumbnail photo:
· Image by Drazen Zigic on Freepik
· a href="https://www.freepik.com/free-photo/young-man-having-headache-holding-his-head-pain-home_26343730.htm#query=upset%20men&position=1&from_view=search&track=ais"Image by Drazen Zigic/a on Freepik
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
- Music provided by Audio Library Plus
- Watch: https://youtu.be/aBGk6aJM3IU
- Free Download / Stream: https://alplus.io/halfway-through
Transcript
Hello and welcome, I am Fernando, a GP in the UK. Today, we will go through clinical guidance and advice on erectile dysfunction. For this I have looked at guidance by the:
· BAUS- British Association of Urological Surgeons
· AUA- American Urology Association
· EAU- European Association of Urology
· NICE- National Institute for Health and Care Excellence
· As well as other local NHS Hospital Trusts protocols available in the London area.
I will summarise the guidance from a Primary Care perspective only.
So let’s jump into it.
Erectile dysfunction is seen in 50 - 55% of men between 40 and 70 years old. It is often associated with obesity, high blood pressure, high cholesterol and diabetes and most treatable causes can be identified by a clinical history, physical examination and routine blood tests.
And we will start by...
NICE News- February 2023
Primary Care Guidelines
03/07/23 • 6 min
My name is Fernando Florido and I am a GP in the United Kingdom. With this episode I continue with the series on the monthly “NICE News” bulletin, which includes new guidance published in that month as well as any updates, also in that particular month, to already published guidelines. However, I will only address guidance which is relevant to Primary Care.
In today’s episode, I go through the NICE Guidance and advice published in February 2023.
There is a YouTube version of this and other episodes that you can access here:
NICEGP YouTube channel:
The Full NICE News bulleting for February 2023 can be found at:
· https://www.nice.org.uk/guidance/published?from=2023-02-01&to=2023-02-28
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
Music provided by Audio Library Plus
Watch: https://youtu.be/aBGk6aJM3IU
Free Download / Stream: https://alplus.io/halfway-through
Transcript
Hello everyone and welcome. My name is Fernando Florido and I am a GP in the United Kingdom.
With today’s episode I am continuing with the series on the monthly “NICE News” bulletin, which includes any new guidance published in that month as well as any updates, also in that particular month, to already published guidelines, also updated in that month. However, I will only address guidance which is relevant to Primary Care. In today’s episode, I go through the NICE Guidance and advice published in February 2023.
Remember that there is also a Youtube version of these episodes so have a look in the episode description.
The first guideline update that we are looking at refers to Urinary tract infections in adults
And the new quality statements are:
Statement 1 Women aged under 65 years are diagnosed with a urinary tract infection (UTI) if they have 2 or more key urinary symptoms and no other excluding causes or warning signs.
This means that according to the updated quality standard on urinary tract infections (UTI) in adults, healthcare professionals should diagnose women under 65 with a UTI if they have 2 or more key urinary symptoms. Therefore, women who present with 2 or more key symptoms should not require a dipstick test. Professionals should however exclude any other causes of urinary symptoms and consider warning signs of other conditions such as sepsis and cancer when diagnosing a UTI. We also need to ensure that vaginal and urethral causes of urinary symptoms are excluded by asking about vaginal discharge and irritation, and other possible urethral causes of urinary symptoms.
Statement 2 Adult patients with indwelling urinary catheters do not have dipstick testing to diagnose UTIs. Therefore, instead, we need to assess signs and symptoms to diagnose a UTI and use urine culture and sensitivity testing to support the diagnosis.
Statement 3 Men and non-pregnant women are not prescribed antibiotics to treat asymptomatic bacteriuria. Instead, we need to assess symptoms to determine if a urine sample should be sent for culture and if antibiotics should be prescribed when a ur...
Navigating ADHD with NICE: A Practical Guide for Primary Care
Primary Care Guidelines
08/15/23 • 14 min
My name is Fernando Florido and I am a GP in the United Kingdom. In today’s episode I go through the NICE guidelines “Attention deficit hyperactivity disorder: diagnosis and management” or NICE guideline NG87, Published in March 2018 and last updated in September 2019.
I am not giving medical advice; this video is intended for health care professionals; it is only my interpretation of the guidelines and you must use your clinical judgement.
There is a YouTube version of this and other videos that you can access here:
· The NICE GP YouTube Channel: NICE GP - YouTube
The full NICE guidance can be found here:
· NICE Guideline NG87: https://www.nice.org.uk/guidance/ng87
· ADHD NICE CKS: https://cks.nice.org.uk/topics/attention-deficit-hyperactivity-disorder/
You can download my summaries here:
· Summary of NICE guideline NG87: https://1drv.ms/b/s!AiVFJ_Uoigq0mAekn-9SQlZAl5kD?e=WYqHT7
· Additional Clinical ADHD information: https://1drv.ms/b/s!AiVFJ_Uoigq0mAhXL3J6CRjq5QoD?e=P8cL7K
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
Music provided by Audio Library Plus
Watch: https://youtu.be/aBGk6aJM3IU
Free Download / Stream: https://alplus.io/halfway-through
Transcript
Hello everyone and welcome. My name is Fernando Florido and I am a GP in the United Kingdom.
In today’s episode I go through the NICE guidelines on ADHD from a primary care perspective. Make sure that you stay for the whole episode because at the end, I am going to give you additional information on the condition including possible causes, pathophysiology, prognosis and the biochemical reasons why pharmacological treatment is so beneficial in ADHD.
By the way, I am not giving medical advice; this is for health care professionals and it is only my interpretation of the guidelines so you must use your own clinical judgement.
If you want to download a copy of my summaries of the NICE guidelines or the additional clinical information, the links are in the episode description.
Remember that there is also a Youtube version of these episodes so have a look in the episode description.
Right, so let’s get straight into it.
The guideline covers the recognition, diagnosis and management of ADHD both in children and adults. It is aimed at doctors who specialise in ADHD but I have summarised it focusing on what we need to know in Primary care.
We should be aware that there is an increased prevalence of ADHD in people:
· with any mental health condition or conduct disorder
· with epilepsy or neurodevelopmental disorders
· with a FH of ADHD
· who are born preterm or have an acquired brain injury
· who are looked-after or are known to the Justice System
But we also need to remember that ADHD is under-recognised in females.
If a child has symptoms suggestive of ADHD, NICE says that we should refer to secondary care if the symptoms are severe or persist after a period of watchful waiting of up to 10 weeks with group-based ADHD-focused support. This support can be offered without waiting for a formal diagnosis.
In adults suspected of ADHD we should refer them if they have a childhood diagnosis of ADHD or without a childhood diagnosis if the symptoms are moderate or severe and cannot be explained by other psychiatric diagnoses
But a diagnosis of ADHD:
· Should be made by a specialist.
· Should not be made solely based on a rating scale.
· In children, we should assess their parents' or carers' mental health.
We should offer information about the importance of structure in daily activities and how ADHD could affect their life including relationships and driving because the diagnosis must be declared to the DVLA if it affects safe driving.
And we should involve, with consent, other healthcare professionals and educational centres so that reasonable adjustments and
NICE News - May 2023
Primary Care Guidelines
05/28/23 • 3 min
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. Welcome to the latest instalment in our monthly series, "NICE News," where we discuss new and updated guidelines published by the National Institute for Health and Care Excellence (NICE), specifically as it relates to primary care.
In this episode, I'll be focusing on the NICE guidance and advice published in May 2023. We'll be reviewing the latest recommendations that are relevant to primary care practitioners, with the goal of keeping you informed and up-to-date on the latest developments. This month we are focusing on cardiovascular risk assessment and digital technologies for anxiety and depression
By way of disclaimer, I am not giving medical advice; this episode is intended for health care professionals, it is only my interpretation of the guidelines and you must use your clinical judgement.
There is a YouTube version of this and other videos that you can access here:
- The NICE GP YouTube Channel: NICE GP - YouTube
The Full NICE News bulletin for May 2023 can be found at:
· https://www.nice.org.uk/guidance/published?from=2023-05-01&to=2023-05-31
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
- Music provided by Audio Library Plus
- Watch: https://youtu.be/aBGk6aJM3IU
Free Download / Stream: https://alplus.io/halfway-through
Transcript
Hello and welcome to another episode of NICE News. My name is Fernando Florido, a GP in the United Kingdom. Today, we'll be discussing the NICE Guidance and advice published in May 2023, specifically for Primary Care.
This month we are focusing on cardiovascular risk assessment and digital technologies for anxiety and depression
Before we begin, I want to remind you that this episode is not medical advice. It is only my interpretation, and you must use your clinical judgement.
Finally, I'd like to remind you that there is a YouTube version of this episode which can be found in the episode description.
Now, with that said, let’s get straight into it.
The first clinical area refers to cardiovascular risk assessment and lipid modification where new/updated recommendations have been made.
And the first one is to offer those 25 to 84 years of age a CVD risk assessment using the QRISK3 tool. This is because evidence suggested that the additional fields included in QRISK3 (such as severe mental illness, regular corticosteroid use and atypical antipsychotic use) enabled the tool to perform better than QRISK2 at predicting CVD events.
If the 10‐year risk of CVD is 10% or more, we will check for secondary causes, give lifestyle advice and consider atorvastatin 20 mg for primary prevention and atorvastatin 80 mg for secondary prevention. If a statin is given, we will check lipids and LFTs at 3 months.
NICE also reinforces their advice against aspirin in primary prevention.
The definition of high intensity statins was also updated to remove simvastatin 80 mg which is rarely used because of the risk of myopathy.
Finally, evidence showed that statins are cost effective for people with 10‐year CVD risk less than 10% so we can use our clinical judgement to give a statin even if the QRISK3 score is less than 10%.
The second clinical area refers to digitally enabled therapies for anxiety and depression. The following can be used as treatment options:
· Beating the Blues for anxiety and depression and
· Space, also for Anxiety or Depression
· iCT‐either PTSD or SAD for post-traumatic stress disorder or social anxiety disorder
· Deprexis for depression
They have risk management systems in place, so it has been concluded that using these digital therapies could increase access to treatment and support, while ensuring patient safety.
And finally NICE also reviewed newer point-of-care tests for UTIs that give faster and more accurate results, sometimes showing which antibiotics the infection will respond to.
The tests are still in the early stages and it is difficult to assess the risks a...
Latest from NICE on AF: see it on Chat GPT patients!
Primary Care Guidelines
05/20/23 • 24 min
My name is Fernando Florido and I am a GP in the United Kingdom. In today’s episode I look at the NICE guidelines: “Atrial fibrillation: diagnosis and management” (NG196), as well as the Clinical Knowledge Summaries (CKS) on diagnosis of AF and management of AF, both last updated in March 2023. I have summarised the guidance from a Primary Care perspective.
By way of disclaimer, I am not giving medical advice; this video is intended for health care professionals, it is only my interpretation of the guidelines and you must use your clinical judgement.
There is a YouTube version of this and other videos that you can access here:
- The NICE GP YouTube Channel: NICE GP - YouTube
The full NICE Guideline on “Atrial fibrillation: diagnosis and management” [NG196] can be found here:
· Overview | Atrial fibrillation: diagnosis and management | Guidance | NICE
Also
The Clinical Knowledge Summary on “When should I suspect atrial fibrillation and how do I confirm the diagnosis? (Last revised in March 2023) can be found here:
· Diagnosis of atrial fibrillation | Diagnosis | Atrial fibrillation | CKS | NICE
Also
The Clinical Knowledge Summary on “Management of AF” (Last revised in March 2023) can be found here:
· Scenario: Management of AF | Management | Atrial fibrillation | CKS | NICE
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
- Music provided by Audio Library Plus
- Watch: https://youtu.be/aBGk6aJM3IU
- Free Download / Stream: https://alplus.io/halfway-through
Transcript
Hello everyone and welcome. I am Fernando Florido, a GP in the United Kingdom.
Some of you have asked me to do more cardiovascular topics so, today, we'll be looking at the NICE guidelines on atrial fibrillation, also known as AF, specifically from a primary care perspective. Proper management of AF is very important, which is why I'm enthusiastic about sharing the most recent evidence-based recommendations from NICE, which were updated as recently as March 2023. However, please note that I'm here to provide information and interpretation of the guidelines, not medical advice. Always use your clinical judgement when treating your patients.
If you prefer a video format, there’s also a YouTube version of these episodes. The link is in the episode description.
By the way, please make sure to stay for the entire episode, as I'll be sharing fictitious clinical cases created by chat GPT that will illustrate how the guideline is applied in real-life situations.
By the way, I will be sharing fictitious clinical cases created by chat GPT in the next video, that will illustrate how the guideline is applied in real-life situations. I have not included them in this video to avoid making it too long. However, the next video will not take long so subscribe in order not to miss it!
Remember that my summary is a very simplified version of the guideline. I have put links to the full guidance in the episode description.
So, with that said, let's dive in!"
Let’s start by saying that we are going to address three clinical areas today: the diagnosis, management and annual review of a patient with AF.
One of the first steps in detecting AF is performing a manual pulse palpation. We should do this if a patient presents with symptoms such as breathlessness, palpitations, syncope or dizziness, chest discomfort, or a history of stroke or TIA.
If an irregular pulse is detected, the next step is to perform an ECG, which will help confirm the presence of AF. However, in cases where paroxysmal AF is suspected but is undetected by an ECG, it may be necessary to offer additional testing with ambulatory ECG monitors, event recorders, or other ECG technologies for an appropriate period of time to capture episodes of AF.
Assessing stroke and bleeding risks is crucial in managing AF. To assess stroke risk, we should use the CHA2DS2-VASc stroke risk score. Evaluating bleeding risk is equally important and we should use t...
Abnormal LFTs: A Real Patient’s Journey Through NAFLD
Primary Care Guidelines
08/24/23 • 13 min
My name is Fernando Florido and I am a GP in the United Kingdom. In today’s episode I go through a real-life case of a patient with abnormal Liver Function Tests and non- alcoholic fatty liver disease or NAFLD. I will describe a recommended approach to diagnose and manage them according to guidelines.
I am not giving medical advice; this podcast is intended for health care professionals; it is only my interpretation of the guidelines and you must use your clinical judgement.
There is a YouTube version of this and other videos that you can access here:
· The NICE GP YouTube Channel: NICE GP - YouTube
The links to the websites that can calculate these scores are in the episode description:
· The NAFLD Fibrosis Score (NFS) is available at https://www.thecalculator.co/health/NAFLD-Fibrosis-Score-Calculator-969.html
· The Fibrosis 4 (FIB-4) Score available at https://www.mdcalc.com/calc/2200/fibrosis-4-fib-4-index-liver-fibrosis
You can download a summary of the episode here:
· Summary of NAFLD patient case: https://1drv.ms/b/s!AiVFJ_Uoigq0mBYIbok6DSu5vTnY?e=2W11Jd
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
Music provided by Audio Library Plus
Watch: https://youtu.be/aBGk6aJM3IU
Free Download / Stream: https://alplus.io/halfway-through
Transcript
Hello everyone and welcome. My name is Fernando and I am a GP in the United Kingdom.
In today’s episode I go through a real-life case of a patient with abnormal Liver Function Tests and non- alcoholic fatty liver disease or NAFLD, describing the recommended approach for its diagnosis and management according to guidelines.
By the way, I am not giving medical advice; this is for health care professionals and it is only my interpretation of the various guidelines consulted so you must use your own clinical judgement.
If you want to download a summary of the episode, the link is in the episode description.
Remember that there is also a YouTube version of these episodes so have a look in the episode description.
Right, so let’s get straight into it.
Our patient is a 55-year-old man of Hispanic family background who consults you following a routine blood test done one week earlier. This was a repeat blood test because 4 months previously he had been found to have a mildly raised alanine aminotransferase or ALT of 75 (NR 0-55).
The results of all his blood tests were normal with the exception of the ALT which was still high at 65.
His PMH includes:
· Prediabetes
· Hyperlipidaemia and
· Overweight with a BMI of 27.8
His only medication is atorvastatin 20 mg daily for hyperlipidaemia.
He denies alcohol excess. In fact, he is teetotal and does not drink alcohol at all. He has otherwise no symptoms.
In the previous consultation he had been told that raised liver transaminase were not uncommon during the prescribing of statins but that statins need not be stopped for raised liver transaminase levels as long as they are less than 3 times the upper limit of normal.
However, as a result of that consultation, the patient decided to stop the statin of his own accord so he has not been taking it for the last 3 months.
So, in summary, we have a patient with a background of overweight, prediabetes and dyslipidaemia with a slightly elevated ALT for 3 months without an obvious cause.
What should we do?
When we face this situation, we should consider all the possible causes and investigate them fully. But we must primarily consider the most common reason for abnormal liver blood tests in the UK, which is non-alcoholic fatty liver disease, or NAFLD.
This condition happens when excess fat builds up in the liver. But for the diagnosis to be made, we must also exclude other secondary causes.
Let’s quickly remind ourselves that NAFLD has a spectrum that goes from simple hepatic steatosis, meaning that there's fat in the liver, but it's not causing any significant inflammation or damage, to som...
EASD ADA consensus guidelines on type 2 diabetes
Primary Care Guidelines
09/10/22 • 18 min
Episode: EASD ADA consensus guidelines on the overall approach in glucose lowering medication in type 2 diabetes
This podcast is intended for healthcare professionals. My name is Fernando Florido and I am a GP in the United Kingdom. In this episode I go through the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) consensus guidelines on the overall approach in glucose lowering medication in type 2 diabetes. I will firstly give you a list of the changes to the previous consensus recommendations followed by a description of the consensus recommendations flowchart on the subject. The original article was published on 19 December 2019 with a subsequent correction published on 15 May 2020.
There is a YouTube version of this episode in the NICE GP YouTube Channel that you can access here:
· https://www.youtube.com/channel/UClrwFDI15W5uH3uRGuzoovw
This episode also appears in the
Primary Care guidelines podcast:
· Redcircle: https://redcircle.com/shows/primary-care-guidelines
· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK
· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148
Diabetes in Primary Care podcast:
· Redcircle: https://redcircle.com/shows/diabetes-in-primary-care
· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK
· Apple podcasts: https://podcasts.apple.com/us/podcast/diabetes-in-primary-care/id1562910252
The ADA-EASD consensus guidelines can be found here:
· Website:
o https://link.springer.com/article/10.1007/s00125-019-05039-w
· Or download here:
o https://1drv.ms/b/s!AiVFJ_Uoigq0lW-4rilnP_mruV41?e=FjPLGo
The Summary of the changes to the previous consensus recommendations can be
· Viewed on website above:
o https://link.springer.com/article/10.1007/s00125-019-05039-w
· Or downloaded here:
o https://1drv.ms/b/s!AiVFJ_Uoigq0lW72FZuzZZiv8bPr?e=7Fib8M
The Visual summary “glucose lowering medication in type 2 diabetes- overall approach” can be found here:
· Website:
· Or download here:
o https://1drv.ms/u/s!AiVFJ_Uoigq0lXCNFscGYei60BiV?e=3n0Ern
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
Music provided by Audio Library Plus
Watch: https://youtu.be/aBGk6aJM3IU
Free Download / Stream: https://alplus.io/halfway-through
Transcript:
This podcast is intended for healthcare professionals. Thank you for listening and welcome to a new episode, bringing you medical information and clinical guidance from a primary care perspective. My name is Fernando Florido and I am a GP in the United Kingdom.
In today’s episode I am going to go through the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) consensus guidelines on the overall approach in glucose lowering medication in type 2 diabetes.
I will firstly give you a list of the changes to the previous recommendations followed by a description of the consensus recommenda...
Podcast - Practical GP Discussions: Enhancing GP learning with AI
Primary Care Guidelines
01/27/25 • 8 min
The video version of this episode can be found here:
· https://youtu.be/qvrWEoYnznw
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I introduce a new approach to video creation using AI, focusing on what is relevant to Primary Care only.
I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.
Disclaimer:
The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions.
In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]
- Music provided by Audio Library Plus
- Watch: https://youtu.be/aBGk6aJM3IU
- Free Download / Stream: https://alplus.io/halfway-through
There is a YouTube version of this and other videos that you can access here:
- The Practical GP YouTube Channel:
NICE News- October 2023
Primary Care Guidelines
10/27/23 • 6 min
This podcast makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE.
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this video I will go through new and updated guidelines published in October 2023 by the National Institute for Health and Care Excellence (NICE), focusing on those that are relevant to Primary Care only.
I am not giving medical advice; this video is intended for health care professionals, it is only my interpretation of the guidelines and you must use your clinical judgement.
There is a YouTube version of this and other videos that you can access here:
- The Practical GP YouTube Channel:
https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk
The Full NICE News bulleting for October 2023 can be found here:
The links to the update guidance covered can be found here:
Rimegepant for treating migraine:
· https://www.nice.org.uk/guidance/ta919
Thyroid disease: assessment and management
· https://www.nice.org.uk/guidance/ng145
Tirzepatide for treating type 2 diabetes
· https://www.nice.org.uk/guidance/ta924
Suspected cancer: recognition and referral
· https://www.nice.org.uk/guidance/ng12
Suspected neurological conditions: recognition and referral
· https://www.nice.org.uk/guidance/ng127
Hearing loss in adults: assessment and management
· https://www.nice.org.uk/guidance/ng98
Daridorexant for treating long-term insomnia
· https://www.nice.org.uk/guidance/ta922
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- Transcript
Hello and welcome, I am Fernando, a GP in the UK. Today, we are looking at the NICE updates published in October 2023, focusing on what is relevant in Primary Care only. We will be covering: migraines, thyroid function tests, diabetes, suspected cancer and insomnia.
So let’s jump into it.
The first clinical area is an update on a new migraine medication, rimegepant.
And NICE says that Rimegepant is recommended, only if:
· at least 2 triptans have been tried before but were ineffective or
· if triptans cannot be used, and Paracetamol and NSAIDs are not effective.
What is Rimegepant?
Well, gepants are a new class of drugs that have been developed specifically for the treatment of migraines. Rimegepant is a calcitonin gene-related peptide receptor antagonist so it works by blocking this CGRP receptor. And although the mechanism of action is not fully understood, we know that this receptor is involved in the development of migraines. Gepants can be used as an acute treatment and, although rimegepant has a licence for migraine prophylaxis, NICE does not recommend it for this indication.
Unlike triptans, gepants do not cause vasoconstriction so they do not have the same cardiovascular contraindications and cautions as triptans. Rimegepant is an oral lyophilisate that should be placed on the tongue or under the tongue and it will disintegrate in the mouth and can therefore be taken without liquid.
The next update refers to thyroid disease and it says that when o...
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