Patrick Holmes
@drpatrickholmes
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Diabetes Advocate | AE @DiabeticMed | Med ed @goggledocs | Advisor @MHRAgovuk ๐๏ธ #BeKind
Joined February 2009
๐Life expectancy โคต๏ธ by 3-4y for each decade diagnosis of #type2diabetes before 70y ๐driven by โคด๏ธ CV โ ๏ธ ๐ important to manage all, but the #T2Day cohort especially need our attention @ShivaniM_KC
@kamleshkhunti @Dralbalawi1989
https://t.co/WjonzXKeBl
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#GLP1's & erectile function: friend or foe? ๐ฌ New Biomolecules review: mostly friendโ๏ธ โ
Improve endothelial function โ
Boost testosterone via weight loss โ
REWIND: dulaglutide cut ED risk (HR 0.92) Responses vary - ask at follow-up. ๐ https://t.co/JHuRu3OrYE
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๐ช๐พMind the Muscle: Incretin Therapies for Weight Loss๐ช๐พ ๐ฅThe hottest of topics with incretin therapies๐ฅ Here's my last @Medscape perspective piece from @ObesitySociety @ObesityWeek congress in Atlanta - link in comments ๐๐พ
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Some personal reflections on the recent @gmcuk workforce report- along with @bmj_latest investigation regards the 'gig economy' being run by #NHS Trusts. The system has no idea what to do next- apart from warm words and a lot of hand wringing- especially with the situation
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Insight delivered. Expertise shared. The first sessions of #CVRMUK2025 tackled emerging evidence in cardio-renal medicine. Key takeaways already echo across disciplines: integration matters. Looking forward to exploring how these insights translate to everyday clinical decisions.
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#GLP1 is forcing Big Food to finally reform. Not through regulation, but โคต๏ธ๐ฐ 12% of US adults on GLP-1s = โคต๏ธ8.6% in household food spending. ๐นUltra-processed foods hit hardest ๐ธ $12bn potential loss for junk food. Nestlรฉ, General Mills, even Greggs scrambling to
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A pleasure as ever to speak to GP colleagues and primary care Thank you @pcdosociety for the invite Acknowledgement on behalf of @NHSEngland of the amazing work all do- and the key to improving #Diabetes outcomes Twas fun ๐ฅฐ @kamleshkhunti @scelee1
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๐จ NEW GUIDANCE for CGM use and class 2 drivers ๐ โก๏ธCGM now safe to use if class 2 drivers ONLY IF approved for non adjunctive use!! โ
Do use our CGM comparison chart to check which ones will be safe to use here: ๐ https://t.co/7xrp7qMQL4
@BreakthroughT1D @DiabetesUK @DSNforumUK @ABCDiab @DVLAgovuk @theGBDOC @GbdocTChost Importnat news for group2 drivers - please read the updated guidance for driving if you have diabetes.. https://t.co/hBqWZHGgmu
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The Yale Obesity Symposium A one-day 7 CME event November 21 2025 NEW developments in Obesity Treatment Speakers including: Lee Kaplan MD PhD Ania Jastreboff MD PhD John Morton MD Register NOW! https://t.co/XHUngidT2V
@Yale @YaleMed @YaleSurgery Obesity GLP-1ra
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โ๏ธA trial we have kept an eye on announces primary outcome met โ๏ธ FINE-ONE Finerenone in T1DM potentially provides an opportunity to address renal risk (maybe more) in this population with unmet need https://t.co/1Hb6fsg5Dh
@AmarPut @drpatrickholmes @kamleshkhunti
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As promised? Communication out to all outstanding 9/42 ICS re implementation of NG 28 @NICEComms (published March 2022) via @NHSEngland One of the last few things to hopefully close down before end March 2026 @kamleshkhunti @scelee1 @docwas @DiabetesUK
"You only push technology in #T1Diabetes" No, I speak more about it as traditionally #T1D has been the 'poorer cousin' in #NHS policy land. So- here is some data around #T2Diabetes and #CGM access in line with @NICEComms NG 28 Maps are good for transparency. Caveat: Maybe an
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๐ SGLT2 inhibitors & phimosis risk in men with T2D ๐ Danish cohort study (2016โ2021) comparing SGLT2i vs GLP-1RA initiators ๐ 1-year phimosis risk: 0.9% vs 0.5% โ RR 1.88 (95% CI 1.43โ2.47) ๐ 8-year risk: 4.8% vs 3.6% โ RR 1.36 (95% CI 1.14โ1.61) โ ๏ธ Risk remains
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Some basics to remember!!! And it may help save a life Check for #T1Diabetes at the slightest suspicion Please cascade to colleagues and keep at improving awareness Thank you (Poster via @DiabetesUK) #gbdoc ๐
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Next week- we have @diabetespc in Olympia, London Looking forward to talking about progress made in #T1Diabetes; Access to #Technology; #T2D update re CGM - and of course-what comes next If there- come and say hello! And ask what you want ๐ (Nearly) a decade in @NHSEngland
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๐กThe first step in healthcare is self-care ๐ฅMy latest @Medscape Medical Mentor podcast is live! ๐จImproving cardiometabolic health in #T2D, focusing on the importance of 24-hour physical behaviours for people living with #T2D or the 5 ๐ฆ's On @Spotify & @ApplePodcasts
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10% of individuals use GLP-1ra Glucagon-Like Peptide-1 Agonists after Undergoing Bariatric Surgery in the US #Diabetes #obesity #bariatricsurgery @JAMA Surgery @JAMA Network
jamanetwork.com
This cohort study characterizes the use of and factors associated with glucagon-like peptide-1 receptor agonist initiation among US adults undergoing bariatric surgery.
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๐ Meta-analysis of 10 GLP-1RA RCTs ยท โ MACE by 14% ยท โ HF hospitalisation + kidney outcomes ๐ Glycaemic control, not weight loss, associated with CV benefits of GLP-1RAs https://t.co/lEINyKUKUJ
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Really proud of @nicmiln launching her book Oxford Handbook of Diabetes Nursing A must read!
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@SABOURETCardio @pabeda1 @ADA_DiabetesPro โ๏ธand the resultsโ๏ธ ๐นnon-inferiority of Tirzepatide to Dulaglutide ๐ธSuperiority thresholds NOT met ๐นGreat all cause mortality separation
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