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പതിറ്റാണ്ടുകളായി പ്രമേഹമുള്ളവരിൽ രക്തത്തിലെ പഞ്ചസാരയുടെ അളവ് നിയന്ത്രിക്കുന്നതിനായി അടിസ്ഥാനപരമായി നൽകിവരുന്ന ഒരു മികച്ച മരുന്നാണ് Metformin. പ്രമേഹ നിയന്ത്രണത്തിന് പുറമേ ഒട്ടേറെ ഗുണഗണങ്ങൾ ഈ മരുന്നിനുള്ളതായി അടുത്തകാലത്തായി വന്ന പല പഠനങ്ങളും സൂചിപ്പിക്കുന്നുണ്ട്. എന്നാൽ എല്ലാ മരുന്നുകളെ കുറിച്ചുമുള്ളതുപോലെ മെറ്റ്ഫോമിനും ധാരാളം സൈഡ് എഫക്റ്റ്സ് (side effects) ഉണ്ടാകും എന്നുള്ള തെറ്റിദ്ധാരണ ഇന്ന് നിലനിൽക്കുന്നുണ്ട്. ഇതിൽ ഏറ്റവും സാധാരണയായി കേട്ടു വരാറുള്ളത് മെറ്റ്ഫോമിൽ കിഡ്നിയെ ബാധിക്കുമെന്നുള്ളതാണ്. ഇതേക്കുറിച്ച് വിശദമായി ചർച്ച ചെയ്യുകയാണ് ഈ വീഡിയോയിലൂടെ. Metformin-ൻ്റെ ശരീരത്തിലെ പ്രവർത്തനരീതിയെക്കുറിച്ചും അതിൻറെ നിരവധിയായ ഗുണങ്ങളെ കുറിച്ചും അതോടൊപ്പം എപ്പോഴാണ് Metformin- ൻ്റെ അളവ് ക്രമീകരിക്കേണ്ടത് എന്നതിനെക്കുറിച്ചും ഈ വീഡിയോയിലൂടെ മനസ്സിലാക്കാം. വളരെയധികം സവിശേഷതകൾ ഉള്ള ഈ മരുന്നിനെ കുറിച്ചുള്ള മിഥ്യാധാരണകൾ മാറ്റുവാനും ധൈര്യസമേതം മെറ്റ്ഫോമിൽ തുടർന്ന് ഉപയോഗിക്കുവാനും ഏവർക്കും ഈ വീഡിയോ സഹായകരമാകട്ടെ എന്ന് ആശംസിക്കുന്നു. #metformin #benefits #sideeffects #longevity #diabetes #diabetesawareness #healthyliving #esskayswellnesscentre #DRNISHADSK

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In this episode of "Between Two White Coats," Dr. Plaster and Nurse Practitioner Amber discuss the hot topic of the prescription drug Semaglutide and how it can support people navigating type 2 diabetes and obesity. Semaglutide helps to release insulin only when necessary, making it an excellent medication for type 2 diabetics who are trying to lose weight without the risk of hypoglycemia. This drug also helps reduce food cravings and hunger, making it easier for people navigating obesity to lose weight. Semaglutide has the potential to support a 15-20% weight loss, making it a valuable tool in managing diabetes and obesity. Please contact your medical provider to discuss how to navigate your weight loss journey, including evaluating if you are a candidate for Semaglutide.

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The video version of this podcast can be found here: https://youtu.be/W0LL-1BwV3w?si=OT-GNCXaHoA7dcbs 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 a National Patient Safety Alert released on 3.1.2024 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in 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. 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 PDF document related to the safety alert on GLP- RA shortage can be found here: · https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAttachment.aspx?Attachment_id=104161 The safety alert on GLP- RA shortage can be found here: · https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103245 The Central Alerting System Homepage can be found here: · https://www.cas.mhra.gov.uk/Home.aspx Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] • Music provided by Audio Library Plus • Watch: https://youtu.be/aBGk6aJM3IU (https://www.youtube.com/watch?t=0s&v=aBGk6aJM3IU) • Free Download / Stream: https://alplus.io/halfway-through (https://www.youtube.com/redirect?event=video_description&q=https%3A%2F%2Falplus.io%2Fhalfway-through&redir_token=QUFFLUhqbVNpZlBNM0lCeDIxQzRkU29qUnJGQy15WEtTQXxBQ3Jtc0tuUUFSMkZwSEVuaHdUTWlYV21fZmpjWS1WRXI3R0hZU056MkpmRFpKdXdGYm1La3BlazhUemZ5SkVMTFdaWWRvSG9Ucy1neWpudTJ0MUIxNnl2NmhvR0lmdzduWXEwUUg0alduYkRNdjlWWTNsMnhzaw&v=aBGk6aJM3IU) 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. In this episode I will go through a National Patient Safety Alert released on 3.1.2023 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in Primary Care only. If you want to access the safety alert website or the associated PDF document, the link is in the episode description. Right, let’s jump into it. You are probably aware that the supply of GLP-1 receptor agonists continues to be limited, with supplies not expected to return to normal until at least the end of 2024. The supply issues have been caused by an increase in demand for these products for licensed and off-label indications. The situation at the moment is that exenatide as Byetta® will be discontinued in March 2024. In addition, liraglutide as Victoza® continues to be out of stock and further stock is not expected until end of 2024. The supply of other agents such as injectable semaglutide as Ozempic® and Dulaglutide as Trulicity® may be unreliable and the shortages may cause significant issues. So, what is the solution? Well, oral semaglutide has come to the rescue. Semaglutide as Rybelsus® tablets are now available in sufficient quantities to support initiation of GLP-1 RA for type 2 diabetes in line with NICE guidance. So let’s remind ourselves of what NICE recommends for type 2 diabetes. NICE says that if triple therapy with metformin and 2 other oral drugs is not effective, not tolerated or contraindicated, we can consider triple therapy by switching one drug for a GLP‑1 receptor agonist if: · The BMI is 35 or higher and there are psychological or medical problems associated with obesity. We will adjust the BMI to 32.5 for people from Black, Asian and other minority ethnic groups or · For lower BMIs if: o insulin would have occupational implications or o weight loss would benefit other significant comorbidities. NICE also says that we should only ...

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