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Diabetes facts

■ Lifestyle interventions can prevent or delay diabetes in half the people who have IGT. ■ Begin risk assessment at age 40, or age 18 in Aboriginal and Torres Strait Islanders. ■ AUSDRISK may overestimate risk in those under 25 years of age and underestimate risk in Aboriginal and Torres Strait Islanders. ■ The risk of developing type 2 diabetes increases by 10-20 times in people with IFG or IGT. ■ 41% of type 2 diabetes patients and 76% of type 2 diabetes patients who are not using insulin never check their BGLs. ■ Only strategies that increase an individual’s skills while providing a supportive environment can produce sustainable lifestyle changes.

Fasting Plasma Glucose Interpretation.

Interpretation of fasting plasma glucose 1.FPG • diabetes unlikely • retest after three years 2.FPG ≥ 7mmol/L • diabetes likely • repeat FPG unless diagnosis unequivocal 3.FPG 5.5-6.9mmol/L • diabetes possible • perform oral GTT • retest annually

DOCTOR LOCUM JOBS AUSTRALIA

LOCUM OPPORTUNITIES AVAILABLE AUSTRALIA WIDE (added 23-Sep-2009) For GPs and specialists. Excellent Rates. Registration required. Contact: Skilled Medical Consultants Ph: 1300 900 100. Email: enquiries@skilledmedical.com

MEDICAL INSURANCE

WHAT IS THE IMPORTANCE OF MEDICAL INSURANCE? WHAT IS INDEMNITY INSURANCE? WHAT IS THE BASIC COVER AND WHEN IS THE EFFECTIVE DATE.? WHETHER IT IS IN FORCE RETROSPECTIVELY? WHAT IS THE COVER YOU CAN GET?

SKIN CARE ADVISE FOR PATIENTS WITH LYMPHOEDEMA.

1. Keep the skin supple using a non-perfumed moisturising cream such as sorbolene. 2. Avoid drying out your skin and consider using a soap-free alternative. 3. Clean any scratches, grazes or cuts immediately using an antiseptic solution, use an antibacterial cream and cover the area with a clean, dry plaster. 4.Use an electric razor for shaving instead of a wet razor. 5.Avoid tattoos and body piercing. 6. Consider ways to protect the skin, such as wearing gloves while washing dishes, gardening or handling pets.

How to treat elbow dislocation.

1.In complex elbow dislocation, the most common fractures are to the radial head followed by fracture of the coronoid process of the ulna. 2.The force needed to cause dislocation in an adult is more likely to cause a supracondylar fracture of the distal humerus in a child – however, the elbow is the most frequently dislocated joint in children. 3.Spontaneous reduction of a dislocated elbow is common in children – look for an avulsed medial epicondyle. 4. Post-reduction radiographs should be taken in at least two planes to confirm that the joint is well reduced.

SHOULDER DISLOCATION IMPORTANT POINTS

Before any attempted investigations or reduction procedures, always document the neurological and vascular status of the arm.