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The March 2018 issue of GM is out now, and all the articles from the print journal are also available to read online. View the complete list here.

The Scottish Medicines Consortium (SMC) has published advice accepting medicines for breast cancer and Hodgkin's lymphoma.

NHS Employers has welcomed the government's changes to GP contracts for 2018/19.

In updated guidance, NICE has said that a hysteroscopy should be available as a first line diagnostic test for women with heavy menstrual bleeding.

New recommendations to help healthcare professionals recognise and assess levels of pain in older people were published in the scientific journal Age and Ageing.

We present a case of refractory hyperkalaemia on a background of chronic kidney disease that was treated with various agents. Despite our efforts his potassium level failed to decrease, which prompted us to investigate further and resulted in a diagnosis of Renal Tubular Acidosis Type 4.

The 12th GM conference: Tackling the ticking time bomb of elderly healthcare, took place at the Royal Society of Medicine, London. This report includes presentations from the conference.

A new version of the EHRA Practical Guide on the use of non-vitamin K antagonist oral anticoagulants (NOACs) in patients with atrial fibrillation is published in European Heart Journal.

Studies have found an association between insufficient sleep and the development of insulin resistance, one of the factors that cause type 2 diabetes. 

People who develop type 2 diabetes before the age of 40 are at increased risk of dying young, with those from South Asian backgrounds most likely to be diagnosed early, new research has revealed.

People with depression and pre-diabetes are nearly three times more at risk of developing dementia in later life, compared to those with neither condition, a landmark longitudinal study has revealed.

Diabetes UK has published new nutrition guidelines to help people with diabetes and those at risk of type 2 diabetes to better manage their diet.

The biggest risk factor for developing dementia is age. Dementia affects both men and women, with women more likely to develop Alzheimer's disease and men more likely to develop vascular dementia. Most of these cases affect people over the age of 65 years with only 5% of cases reported below this age.

Serving an ageing population is one of the biggest challenges faced by the NHS. Falls are a common presentation in this cohort where the cause is often multi-factorial and reversible. We as clinicians need to dig deeper in our histories, observe more closely in our examinations and broaden our differentials to ensure we don't slip up.

The stress of open-heart surgery significantly reduces patients' vitamin D levels, but aggressive supplementation with vitamin D3, just before and after surgery, can completely eliminate the observed drop in vitamin D, researchers have found.