Aust Fam Physician
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The prevalence of type 2 diabetes mellitus (T2DM) in adolescents is increasing, particularly among those in lower socioeconomic areas, and of Aboriginal and Torres Strait Islander, Pacific Islander and Asian ethnicities. ⋯ Screening was feasible and acceptable in this setting. The findings suggest a need for extended screening in the future.
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People who consume alcohol and other drugs are at particularly high risk of harm from smoking, yet tobacco use is commonly neglected in this patient group. ⋯ People who are dependent on alcohol and other drugs are far more likely to die from a smoking-related illness than from their other drugs. Most are motivated to quit smoking; however, their quit rates are lower than in the general population. Substance users who also smoke can usually be treated with similar behavioural and pharmacological treatments as others who smoke, but generally require more intensive and longer treatment. Quitting smoking at the same time as undergoing other drug treatment does not undermine drug treatment outcomes and may improve them. Smoking cessation should be integrated into the routine care of patients who consume alcohol and other drugs.
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Many older people are participating in high-intensity activities and sports. Clinicians need to be aware of the physiology of ageing relative to the demands of higher intensity sport. Patient expectations, comorbidities and medication use are important aspects to consider when advising the ageing athlete appropriately. ⋯ Appreciating the importance of physical activity as a major public health intervention is essential for all clinicians. Ensuring that the ageing athlete is able to participate safely and optimally in higher intensity physical activity is an increasing expectation.