Hypogonadism in males

Today's session covered hypogonadism in males with highlights including:

• Kallman's syndrome
• Testosterone replacement and its controversies
• Erectile dysfunction in diabetes

Hypogonadism and testosterone replacement from PeninsulaEndocrine

Hypogonadism and testosterone replacement part 2 from PeninsulaEndocrine

Erectile dysfunction in diabetes from PeninsulaEndocrine

The Diabetic Foot

The diabetic foot from PeninsulaEndocrine

The role of the podiatrist from PeninsulaEndocrine

Important trials in Type 1 and Type 2 diabetes

Macrovascular Disease in Diabetes

Macrovascular disease in diabetes from PeninsulaEndocrine

Identifying and Managing Hyperglycaemia in Acute Coronary Syndromes

Identifying and Managing Hyperglycaemia in Acute Coronary Syndromes from PeninsulaEndocrine

Obesity - a growing problem!

This was a really interesting session, leading to healthy debate on the solution to the obesity crisis. As ever, debate led to polarised views about the role of the endocrinologist, the role of government, the role of society and the role of surgery in the management of obesity.

Here is Tom's balanced look at things:

Obesity

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Torbay Mid-Foot Amputation Audit

The Torbay Foot team, have audited their mid-foot amputations in the two years to 2007. These are their results.

Mid Foot Amputations Torbay 2009

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Diabetic nephropathy

Angus' comprehensive look at the pathology, risk factors and treatable variables for diabetic nephropathy.

Diabetic Nephropathy

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Exeter Guidelines for Management of Painful Diabetic Peripheral Neuropathy

This flow-chart is that used at the RD&E for the management of painful diabetic peripheral neuropathy

Management of Painful diabetic neuropathy - Exeter guidelines

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Management of Painful Diabetic Neuropathy

Angus' presentation, which talks about all neuropathy associated with Diabetes Mellitus with a focus on the treatment options available for painful diabetic neuropathy.

Diabetic Neuropathy

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Aspirin for Primary Prevention of Cardiovascular Events in Diabetes: Still an Open Question

This JAMA editorial highlights the uncertainty in the use of aspirin in primary prevention for people with diabetes.

Hopefully the Ascend Trial will help to answer this question.

Below, the Exeter Drugs update (Co-authored by KMM) expands on this issue taking a look at the recently published evidence in the POPADAD and JPAD trials:

Exeter Drugs Update

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The DVLA diabetes and driving guidelines.

These are the DVLA guidelines for driving.

The guidelines are downloadable from here

Diabetes and Driving

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Hypoglycaemia and Funny Turns

A short presentation looking at the various definitions of hypoglycaemia
(clinical, biochemical and symptomatic).

It goes through what to give acutely and the options for treating disabling
hypos.

Hypoglycaemia and funny turns

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Erectile Dysfunction

Dr Tom Fox presented on Erectile Dysfunction. This presentation systematically goes through the Aetiology and Treatments available for Erectile Dysfunction

Erectile Dysfunction

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