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Kevin Fernando Profile
Kevin Fernando

@drkevinfernando

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GP Partner North Berwick Health Centre, GPwSI Diabetes/CVRM & Medical Education, Content Advisor @Medscape Global & UK, Honorary Clinical Reader @dundeeuni

Haddington, Scotland
Joined October 2014
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@drkevinfernando
Kevin Fernando
8 months
#SGLT2is are therapeutic titans; however no drug is without harm Here are my #SGLT2i resources to help ensure benefits outweigh harms 🎯Patient-facing videos: 🎯 @GinP_Medscape Primary Care Hacks:
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Kevin Fernando
4 years
2020 wasn't a year to get everything we all wanted, it was a year to appreciate everything we all had. Mainly embarrassing parents.
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Kevin Fernando
4 years
15 years married today! My wife has always told me our marriage is like a pack of cards - it started off all hearts and diamonds but now she just wants a club and a spade...
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Kevin Fernando
4 years
The primary care management of T2D is increasingly complex; here are my updated @GPnotebook Diabetes Shortcuts / clinical aide-memoires to help us help people living with T2D in primary care PDF versions available at
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Kevin Fernando
10 months
NAFLD is now MASLD: metabolic dysfunction-associated steatotic liver disease It's the liver's manifestation of the metabolic syndrome My latest @GinP_Medscape @Medscape Primary Care Hack guides the Dx & Mx of MASLD & MASH in primary care PDF download:
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Kevin Fernando
3 years
Finally, I have updated my @GPnotebook diabetes & renal shortcut to reflect new licenses/indications! Given complexity of the situation I have split original tool into 2 to reflect glycaemic & extra-glycaemic indicationd All feedback welcome! PDF download
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Kevin Fernando
4 years
As promised-my updated “What next after metformin?” & "Diagnosis & classification of diabetes for Primary Care" @GPnotebook Shortcuts / clinical aide-memoires to reflect the rapidly evolving evidence base. PDF versions available here: All feedback welcome!
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Kevin Fernando
4 years
I've updated my @GPnotebook Shortcut on prescribing in T2DM & CKD! It now includes new cana renal indications, incoming oral sema, insulin/GLP1 combinations & other updates PDF download at All feedback & comments welcome!
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Kevin Fernando
1 year
"Treat the person, not the number" Here's my latest @GinP_Medscape Primary Care Hack covering subclinical hypothyroidism (SCH) in primary care Also, some tips on hypothyroidism, SCH & pregnancy as well as management of primary hypothyroidism PDF
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Kevin Fernando
3 years
I've updated my @GPnotebook SGLT2 inhibitors extra-glycaemic indications shortcut to reflect recent changes in SPCs. PDF download All feedback welcome as usual!
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Kevin Fernando
11 months
Go easy on me but I am now on @YouTube & @tiktok_uk with patient-facing videos! The first videos cover all aspects of #SGLT2is I have independently funded & created them Feel free to share with your colleagues & patients
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Kevin Fernando
3 years
16 years! How it started and how it’s going…I asked Catherine if I was always the only one for her…she gazed emphatically me and said yes…all the others were nines and tens…🤷🏾‍♂️
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Kevin Fernando
5 years
I have updated my diabetes renal prescribing tool in light of recent changes to drug SmPCs. Updated version below and also pdf download at Please let me know if any further amendments required
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Kevin Fernando
1 year
Our most ambitious @GinP_Medscape Primary Care hack so far! A CVRM checklist for T2D! Co-authored with pioneering CVRM GP @EimearDarcy we hope it is helpful as an aide memoire & a teaching tool PDF: Modern CVRM care is an art so all feedback welcome!
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Kevin Fernando
6 years
Receiving my Fellowship of the Royal College of General Practitioners at the culmination of the RCGP annual conference in Glasgow yesterday!
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Kevin Fernando
7 months
I’m happy to share that I’m starting a new position as Honorary Clinical Reader at @dundeeuni School of Medicine
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Kevin Fernando
3 years
Festive greetings from the Fernando's! May the best of your past be the worst of your future xxxxxx
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Kevin Fernando
4 years
I've updated my @GPnotebook renal Shortcut to reflect new dapa HFrEF license This will cause debate as SmPC is a wee bit vague & doesn't follow the evidence IMHO but I feel this approach maintains a positive risk:benefit ratio Let me know what you think! PDF download link below
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Kevin Fernando
2 years
Really chuffed to be starting a new role as Content Advisor for @WebMD @Medscape Global & UK! Among many new projects I’ll be launching a global podcast with KOLs from a range of clinical specialties to help translate latest guidelines & evidence into everyday clinical practice
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@drkevinfernando
Kevin Fernando
5 years
I've also just updated my "What next after metformin?" @GPnEducation Shortcut to include recent @MHRAgovuk drug safety alerts & other relevant trial data. PDF download at All feedback and comments welcome!
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Kevin Fernando
2 years
I've updated my @GLNS_Medscape Primary Care Hacks "What next after metformin?" & "Managing hyperglycaemia T2D & CKD" These complement my "Extraglycaemic uses of SGLT2i's" hack Full PDF downloads here:
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Kevin Fernando
10 months
With the imminent launch of #tirzepatide in the UK, I have updated my @GinP_Medscape @Medscape Primary Care Hack on managing hyperglycaemia in #T2D & #CKD PDF This complements my #hack on the extraglycaemic use of #SGLTi 's PDF
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@drkevinfernando
Kevin Fernando
5 years
14 years married today - Catherine has always said our marriage is like a pack of cards. It started off all hearts and diamonds but now she just wants a club and a spade...
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Kevin Fernando
1 year
This is my 12 year old daughter Maria’s heartfelt English essay “Being Brown” which made us all cry. If you have some time please have a read for some insights into the ongoing challenges facing children of mixed race or ethnic origin
@iyasubags
Iyasu Medical Bags
1 year
A personal post from me Catherine, IYASU’s founder! My wonderful daughter Maria Fernando wrote a moving personal essay for a school assignment about what it is like being a person of colour and I wanted to share this beautifully written piece with you!
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Kevin Fernando
2 years
I'm looking forward to tomorrow's @ADA_DiabetesPro @EASDnews consensus report 2022 update. We're now using SGLT2i's in a much wider range of clinical scenarios in both people living with & without T2D I've updated my SGLT2i prescribing tool to reflect recent UK license changes
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@drkevinfernando
Kevin Fernando
6 years
I'm chuffed to announce I have achieved FRCGP & FAcadMEd for my work in diabetes&medical education Bob Proctor said "A mentor is someone who sees more talent & ability within you,than you see in yourself,and helps bring it out of you" Thanks to all my mentors-you know who you are
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Kevin Fernando
1 year
Reposted for #WorldHypertensionDay The first step in healthcare is self-care We must educate before we medicate Lifestyle changes & their impact on managing hypertension PDF download
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Kevin Fernando
3 years
I did it! My first (and likely only...) half marathon in 1hr 51min 55s! Dedicated to all my patients who have gently been jibing me over the years to practice what I preach!
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Kevin Fernando
2 years
Here's the latest update for my @GinP_Medscape Primary Care Hack on extraglycaemic indications for SGLT2 inhibitors reflecting recent changes to the use of dapagliflozin in chronic heart failure PDF download here: All feedback welcome
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Kevin Fernando
4 years
Useful info for public on testing for COVID-19 False-negatives test can occur for both tests so if you have COVID-19 symptoms then assume you have COVID-19 even if test negative Very important for keyworkers who risk spreading COVID-19 if falsely reassured by a negative test
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Kevin Fernando
5 months
Our latest IDSC consensus paper has been published! We've updated our #SGLT2i decision tool to reflect current practice It's also now available in interactive pdf format & printable wall poster PDFs:
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Kevin Fernando
6 years
2018 NHS Scotland polypharmacy guidance has just been published with new sick day rule cards with space to jot down other meds ie SGLT2i to be temporarily stopped during acute dehydrating illness Stop the DAMN drugs during acute illness D-diuretics A-ACEI/ARB M-metformin N-NSAIDs
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Kevin Fernando
2 years
I've had a number of questions about my key takeaways from the recently updated & excellent @ADA_DiabetesPro @EASDnews Consensus Report I've also been experimenting with @canva and here's the result! I'd be interested to hear any other key takeaways from other HCPs
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@drkevinfernando
Kevin Fernando
6 years
Trying to inspire the next generation of GPs! #TeamGP
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Kevin Fernando
7 years
Due to popular demand after my session at @RCGPAC I attach my updated 2017 "What Next After Metformin" guide - I hope you find it helpful!
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Kevin Fernando
5 years
Social media buddies thanks for all your support throughout 2019. It’s been a busy old year and your feedback, retweets and encouragement have been much appreciated! I’m logging off social media until mid-January to recharge and enjoy some family time. See you next year! x
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Kevin Fernando
5 months
I've updated my @GinP_Medscape @Medscape Primary Care #Hack on iron studies to reflect @bmj_latest paper encouraging sustainable & effective iron prescribing PDF 🎯Prescribe iron in a single daily dose or alternate day dosing to optimise iron absorption
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Kevin Fernando
1 year
Here's my latest @pcdsociety Diabetes Distilled piece exploring changes in prediabetes status & the risk of death Prediabetes appears to be more than just dysglycaemia...
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Kevin Fernando
4 months
Thanks for all the lovely feedback for my #T2D & lifestyle patient-facing videos! I've also been working with @Kidney_Research and have produced a patient-facing video on the importance of the #uACR test. I hope you find it helpful.
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Kevin Fernando
3 years
Updated @NICEComms CKD: managing proteinuria published today suggesting we consider SGLT2 inhibitors in people living with T2D and UACR 3-30mg/mmol in addition to those with UACR ≥30mg/mmol on top of optimised RAAS inhibition What do my renal buddies think of this?!
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Kevin Fernando
4 years
I've had a few requests to share my renal prescribing in T2DM @GPnotebook Shortcut after my Diabetes DIstilled session at the national @pcdsociety conference so here it is. PDF download at @ClareHambling
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Kevin Fernando
3 years
Morning - here's my latest @pcdsociety Diabetes Distilled piece summarising a very holistic & pragmatic consensus statement on diabetes & frailty authored by some of my esteemed colleagues and also @AmarPut 😉
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Kevin Fernando
5 years
The diagnosis of diabetes in primary care is increasingly challenging Even the distinction between T1D & T2D can be blurred & often the safest approach is presume T1D until proven otherwise This Shortcut provides pointers to aid diagnosis of some of the commoner forms of diabetes
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Kevin Fernando
4 years
Our latest Improving Diabetes Steering Committee open-access paper has been published "SGLT2i's: Slowing of CKD Progression in T2D" See below for a peer-reviewed summary slide and also the latest version of our SGLT2 inhibitor prescribing tool
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Kevin Fernando
1 year
Thanks for my birthday wishes yesterday! Thanks to my wife Catherine for another fantastic cake inspired by my understated (!) blue tartan suit! You'll be delighted (horrified?!) to know that as a birthday present to myself, I have 3 new tartan suits arriving later this month!
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Kevin Fernando
1 year
The first step in healthcare is self-care. We must educate before we medicate Here's my latest @GinP_Medscape Primary Care Hack on lifestyle changes & impact on⬇️BP Hopefully helpful as a discussion aid when managing people living with hypertension PDF
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Kevin Fernando
9 months
🎯My last @GinP_Medscape @Medscape @MedscapeEndo Primary Care #Hack for 2023! 🔍Interpreting hypercalcaemia & hypocalcaemia in primary care PDF download: Thanks to @EimearDarcy @drfrasergibb & @AmarPut for feedback on drafts
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Kevin Fernando
1 year
5y f/u data from DiRECT! 23% of participants who were in remission from T2D at 2 years remained in remission at 5 years Those who were still in remission had an average weight loss of 8.9kg at 5 years Full results @DiabetesUK PC 26 April
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@drkevinfernando
Kevin Fernando
5 months
🔥Let me help you navigate the post-metformin melange! I have overhauled my @GinP_Medscape @Medscape Primary Care #Hack 🎯Part 1: metformin, SUs, pioglitazone & gliptins 🎯Part 2: SGLTi's, GLP-1 RAs & tirzepatide PDF downloads:
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Kevin Fernando
7 months
We made it! Thanks for all your support & donations - much appreciated! 5895m, -12 degrees celsius & very windy for our summit ascent however a fantastic experience Now enjoying a few beers in Moshi before flying home 2moro & duty doctor on Monday back at North Berwick 🤦🏾‍♂️
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Kevin Fernando
6 years
Delighted to be appointed Educational Director for @GPnEducation - a new series of primary care update courses bringing to life the well-loved @GPnotebook resource Below is our 1st "Shortcut" tool: prescribing for those with diabetes & CKD. PDF download at
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Kevin Fernando
7 years
Navigate through the post-metformin melange with my updated 2017 "What Next After Metformin?" Keep It Simple Summary for @GPHotTopics !
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Kevin Fernando
6 months
Our latest @GinP_Medscape @Medscape Primary Care Hacks are live! Paired hacks on the Identification of #CKD in PC & #CKD Interventions in PC Co-authored with @EimearDarcy @deepikamano & Will Hinchliffe - legends PDFs: All feedback is welcome!
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Kevin Fernando
1 year
Updated @NICEComms CVD risk/guidance published today QRISK3 & QRISK-Lifetime recommended & updated patient decision aid about statins... But still using non-HDL targets, which is out of kilter with other lipid guidance
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Kevin Fernando
1 year
New set of tartan suits have arrived - thanks @slanjkilts ! To all attending diabetes/CVRM conferences this year - be afraid...be very afraid!
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Kevin Fernando
1 year
Thanks for feedback for my @GinP_Medscape Primary Care Hack covering SCH in primary care Here are all my abnormal blood test #Hacks to date: iron studies, sodium & SCH More coming soon - LFTs, calcium & high platelet counts and risk of malignancy PDFs:
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@drkevinfernando
Kevin Fernando
1 year
Conference season is here so no better time to launch our latest @GinP_Medscape Primary Care Hack on identifying people at high risk of T2D or #prediabetes ! I have co-authored this with the inimitable @EimearDarcy We hope you find it helpful! PDF:
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Kevin Fernando
5 years
Me and my girls 😍
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@drkevinfernando
Kevin Fernando
5 years
We're back from our family Antipidoean adventure & ready for 2020! Eventful flight back from NZ as my wife and I had to assess an elderly gentleman with chest pain and SBP of 70 & thready pulse resulting in the plane diverting to Turkey...One for our 2020 appraisal...
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Kevin Fernando
4 years
There has been significant recent concern about the use ACEi/ARB and risk of COVID19. This is unfounded and there is a very helpful statement from @escardio regarding this Of course remember sick day guidance to temporarily stop ACEi/ARB but not longterm
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Kevin Fernando
2 years
Thanks all who attended last night for our @GoggleDocs diabetes charity fundraiser! It was great craic & your energy enthusiasm & support was much appreciated! Same again next year?!
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@drkevinfernando
Kevin Fernando
2 years
Our latest IDSC paper is published @Diabetes_Ther "The place & value of SGLT2is in the evolving treatment paradigm for T2D: a narrative review" Includes updated SGLT2i prescribing tool & vignettes covering prescribing considerations Open access paper:
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@drkevinfernando
Kevin Fernando
1 year
Here are my latest @GinP_Medscape Primary Care Hacks covering the investigation of hyponatraemia and hypernatraemia in primary care PDF downloads: I hope you find them helpful. All feedback is welcome!
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Kevin Fernando
2 years
After some helpful feedback from a pharmacist colleague, I have updated my @GLNS_Medscape DOAC Primary Care Hack to include additional info on the use of adjusted or actual body weight in CrCl calculations. PDF download here: Any further feedback welcome
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Kevin Fernando
6 years
Thanks, everyone for your constructive feedback, support and encouragement for my various medical education and diabetes endeavours during 2018. Look forward to working with many of you again during 2019. May the best of your past be the worst of your future.
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Kevin Fernando
1 year
Apologies! Here's an amended version of CVRM checklist correcting a typo I've also updated my "Lifestyle Changes & Hypertension" Hack to add a reference highlighted by @drsarahjdavies regarding the SBP-lowering effect of exercise - similar to drugs! PDF
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Kevin Fernando
1 year
I've updated my @GinP_Medscape @Medscape @MedscapeEndo Primary Care Hack on the extraglycaemic indications of SGLT2 inhibitors to reflect recent changes to licensed indications for empagliflozin & CKD I hope you find it helpful PDF download:
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Kevin Fernando
7 months
I've updated my @GinP_Medscape @Medscape Primary Care Hack on DOAC dosing & renal impairment to reflect a recent @MHRAgovuk DSU I've also signposted some helpful @NHSGGC resources to facilitate safe prescribing of DOACs in primary care PDF download:
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Kevin Fernando
5 years
There are no perfect parents, and there are no perfect children, but there are plenty of perfect moments along the way 😉
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@drkevinfernando
Kevin Fernando
5 years
Of course, we need to educate before we medicate & the 1st step of healthcare is self-care but if we are prescribing here is my updated What Next After Metformin @GPnEducation Shortcut for the generalist. PDF download at All constructive feedback welcome!
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Kevin Fernando
10 months
I've updated my @GinP_Medscape @Medscape Primary Care Hack Diagnosis & Classification of Diabetes in Primary Care Due to obesity epidemic often safest strategy is presume T1D until proven otherwise Here are some diagnostic tips & pitfalls to avoid PDF
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Kevin Fernando
3 years
For those of you who missed it last week here are my updated @GPnotebook prescribing tools for prescribing in T2D & renal impairment and also extra-glycaemic indications of SGLT2 inhibitors PDF download at All feedback welcome! @nephondemand
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Kevin Fernando
2 years
My latest @GLNS_Medscape Primary Care Hack is live: "The Diagnosis & Classification of Diabetes in Primary Care" Not all diabetes is T2D - here are some diagnostic pointers & pitfalls to avoid for different types of diabetes Full version/pdf download:
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Kevin Fernando
5 months
En route to @DiabetesUK @DiabetesUKProf professional conference! Look forward to catching up with my diabetes buddies over the next few days!
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Kevin Fernando
2 years
Lovely to see many friends @diabetespc ! Lots of chat re @EASDnews @ADA_DiabetesPro consensus & updated @NICEComms NG28 This latest @GLNS_Medscape Primary Care Hack summarises key messages from these practice-changing pieces of guidance Full version/pdf:
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Kevin Fernando
7 years
Early Christmas plans in the Fernando household apparently not well received by my son...
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@drkevinfernando
Kevin Fernando
6 years
The end of an era for me: Today was my last @GPHotTopics course.I leave NB Medical at the end of June Thanks to all the GPs, nurses & pharmacists I have met over the last 5 yrs for your kind feedback & encouragement (except those who said I look like Carlton from Fresh Prince..!)
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Kevin Fernando
5 years
Lifestyle modification is pivotal to the management of hypertension Effective lifestyle change can lower BP similar to a single drug This GPnotebook Shortcut outlines systolic BP reductions with a range of interventions to help facilitate change in those living with high BP
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@drkevinfernando
Kevin Fernando
3 years
GLP1RA usage in T2D in Primary Care for the UK & Beyond: A Narrative Review authored by myself @drpatrickholmes @PNewlandJones @_DipeshPatel & Steve Bain. Open access article including a benefit/risk tool to aid the prescribing of GLP1RAs in primary care
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@drkevinfernando
Kevin Fernando
6 years
A new once-weekly GLP1RA (semaglutide) enters the post-metformin melange this month Individualising therapies after metformin is increasingly challenging - many factors to consider e.g. renal function Here's my #GPnShortcut for dosing of diabetes therapies in renal impairment
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Kevin Fernando
5 months
💡The first step of healthcare is self-care. 💡We must educate before we medicate. Here's my updated @GinP_Medscape @Medscape Primary Care #Hack on "Lifestyle Changes for Managing Hypertension" PDF download: @BIHSoc_Events @BloodPress_UK
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Kevin Fernando
6 years
Now, this is a story all about how My life got flipped-turned upside down...
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@drkevinfernando
Kevin Fernando
4 years
Delighted to announce a new collaboration with my fellow geeks @dr_amritlamba @drpatrickholmes @AmarPut aka @GoggleDocs ! We'll be having medically robust yet irreverent chats on a variety of cardiorenal metabolic topics Join us on YouTube & subscribe here
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Kevin Fernando
4 years
The @ADA_DiabetesPro agenda can sometimes be a wee bit overwhelming especially for newcomers. Here are my 3 picks for each day for which I'll attempt to distil key take-home messages (home-schooling permitting...) for those who are interested
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@drkevinfernando
Kevin Fernando
4 years
My first @GPnotebook Podcast for 2021 is live! 25 minutes on the diagnosis & management of vertigo in primary care with an accompanying Shortcut / clinical aide-memoire for use in primary care All feedback welcome!
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Kevin Fernando
1 year
Here's my latest @pcdsociety Diabetes Distilled piece I discuss an additional clinically meaningful benefit of SGLT2i's: ⬇ use of anti-gout medication Is this contributing to their cardiorenal benefits & are they future anti-gout treatments?
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Kevin Fernando
6 years
Thanks for your lovely comments and likes about my Fellowship - much appreciated! A couple of nice pics from the day below...
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Kevin Fernando
4 years
My future troublemakers...
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Kevin Fernando
7 years
My latest @GPHotTopics diabetes KISS offers some pragmatic pointers on identifying the correct type of diabetes I hope you find it helpful!
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Kevin Fernando
3 years
🔥Hot off the #ESCCongress here's my @pcdsociety Diabetes Distilled piece on EMPEROR-Preserved "The EMPEROR really does have new clothes" All feedback and discussion welcome
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@drkevinfernando
Kevin Fernando
2 years
Here's my latest @GLNS_Medscape Primary Care Hack covering top tips and pitfalls to avoid when requesting and interpreting iron studies in primary care PDF download here: I hope you find it helpful.
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@drkevinfernando
Kevin Fernando
4 years
Very useful @bmj_latest "Rational Testing" article on distinguishing between type 1 & type 2 diabetes - very relevant to all in primary care where increasingly the safest strategy is to presume type 1 diabetes until proven otherwise...
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@drkevinfernando
Kevin Fernando
3 years
Long awaited @GoggleDocs London trip!
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@drkevinfernando
Kevin Fernando
6 years
And as if by magic here is my updated @GPnEducation renal shortcut inc the change to dapagliflozin & also inc semaglutide in preparation for January. PDF download at @drpatrickholmes @AmarPut @parthaskar @DSNforumUK @HPILLminster @Novomix30 @kamleshkhunti
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@drkevinfernando
Kevin Fernando
5 years
Thanks for a great couple of days at DPC 2019 Great education & top banter! Look forward to catching up again at national PCDS conference Birmingham next week As it is the season of diabetes conferences find attached again my diabetes GPnotebook shortcuts for your delectation!
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@drkevinfernando
Kevin Fernando
7 months
We’re at Barafu (base) camp 4673m! Summit ascent tonight departing midnight to Uhuru peak 5895m before rapid descent to Millennium camp 3790m Wish us luck! @Kidney_Research
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@drkevinfernando
Kevin Fernando
6 years
DOACs are increasingly prescribed in primary care However they are not "fire and forget" drugs & need careful dosing in renal impairment according to creatinine clearance & not eGFR This #GPnShortcut provides guidance on safe dosing of the 4 currently available DOACs in NVAF
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@drkevinfernando
Kevin Fernando
5 years
Useful reminder from the MHRA last week about using CrCl rather than eGFR for DOACs, nephrotoxic drugs, those >75y, BMI <18 or >40 or drugs with narrow therapeutic index eg digoxin & sotalol Here's my @GPnEducation Shortcut on DOAC dosing in renal impairment again to help
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@drkevinfernando
Kevin Fernando
2 years
My latest @GLNS_Medscape Primary Care Hack is live: DOAC dosing for stroke prevention in people with NVAF & renal impairment I've included some prescribing & monitoring tips as well as pitfalls to avoid within the footnotes PDF download:
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@drkevinfernando
Kevin Fernando
4 years
My latest @GPnEducation Podcast is live. I am grateful to @parthaskar for 10 minutes of his time to discuss the recent data published by @NHSEngland on type 1 & type 2 diabetes & COVID-19 related mortality and the implications for us as HCPs and our patients living with diabetes
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