Kevin Fernando (@drkevinfernando) 's Twitter Profile
Kevin Fernando

@drkevinfernando

Portfolio GP, GPwER Diabetes/CVRM & Medical Education, Content Advisor @Medscape Global & UK, Honorary Clinical Reader @dundeeuni

ID: 2825583713

linkhttp://www.linkedin.com/in/drkfernando calendar_today12-10-2014 18:08:32

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Kevin Fernando (@drkevinfernando) 's Twitter Profile Photo

🚦Latest Guidelines in Practice from Medscape Medscape Primary Care #hack is live 🔥Paired #hacks covering the diagnosis & management of #HFrEF & #HFpEF in primary care 💡co-authored with legends Patricia Campbell & Eimear Darcy PDF download link in comments 👇🏾

🚦Latest <a href="/GinP_Medscape/">Guidelines in Practice from Medscape</a> <a href="/Medscape/">Medscape</a> Primary Care #hack is live

🔥Paired #hacks covering the diagnosis &amp; management of #HFrEF &amp; #HFpEF in primary care

💡co-authored with legends Patricia Campbell &amp; <a href="/EimearDarcy/">Eimear Darcy</a> 

PDF download link in comments 👇🏾
Kevin Fernando (@drkevinfernando) 's Twitter Profile Photo

🔥A key message from both #HFrEF & #HFpEF Guidelines in Practice from Medscape Primary Care #hacks 🎯 While awaiting specialist assessment for suspected #HF, consider management of congestion with diuresis (e.g. furosemide 40–80 mg or double existing dose) & initiation of an #SGLT2i 👇🏾 PDF link

🔥A key message from both #HFrEF &amp; #HFpEF <a href="/GinP_Medscape/">Guidelines in Practice from Medscape</a> Primary Care #hacks 

🎯 While awaiting specialist assessment for suspected #HF, consider management of congestion with diuresis (e.g. furosemide 40–80 mg or double existing dose) &amp; initiation of an #SGLT2i

👇🏾 PDF link
Eimear Darcy (@eimeardarcy) 's Twitter Profile Photo

With❤️Heart Failure Awareness week❤️in full swing,we hope our new Medscape Primary Care #Hack on the diagnosis& management of #HF in Primary Care helps protect ❤️’s in our communities! Kevin Fernando outlines a pertinent practice changing take home #hack message 👇#SGLT2i

GoggleDocs (@goggledocs) 's Twitter Profile Photo

🚨 Tirzepatide: Real-world Rx beyond #T2D? 🔹 10K+ 🇺🇸 adults used tirzepatide without ⚪️#T2D 🔸 77% 👩, avg BMI 35.8 — >50% had ≥2 obesity-related complications 🔹 At 6 months: – 55% adherence – 91% still on ≤10mg – Slow dose ⤴️ vs trials 👉 Underlines gap between trial

🚨 Tirzepatide: Real-world Rx beyond #T2D?

🔹 10K+ 🇺🇸 adults used tirzepatide without ⚪️#T2D

🔸 77% 👩, avg BMI 35.8 — &gt;50% had ≥2 obesity-related complications

🔹 At 6 months:
– 55% adherence
– 91% still on ≤10mg
– Slow dose ⤴️ vs trials

👉 Underlines gap between trial
GoggleDocs (@goggledocs) 's Twitter Profile Photo

📢 TyG-BMI: a new vital sign in #MASLD? 🔹 NHANES study (n=8,753): TyG-BMI ⤴️ = ⤴️ all-cause ☠️ & 💔☠️ 🔸 U-shaped risk curve—both high & low TyG-BMI = ⤴️ risk 🔹 TyG-BMI outperformed HOMA-IR for mortality prediction 🔸 HbA1c mediated most of the effect 👉 For MASLD, insulin

📢 TyG-BMI: a new vital sign in #MASLD?

🔹 NHANES study (n=8,753): TyG-BMI ⤴️ = ⤴️ all-cause ☠️ &amp; 💔☠️

🔸 U-shaped risk curve—both high &amp; low TyG-BMI = ⤴️ risk

🔹 TyG-BMI outperformed HOMA-IR for mortality prediction

🔸 HbA1c mediated most of the effect

👉 For MASLD, insulin
Alfonso Valle (@vallealfonso) 's Twitter Profile Photo

Clinical staging to guide management of metabolic disorders and their sequelae: #EAS What is Systemic Metabolic Disorder? It’s not just #obesity. It’s a multi-organ metabolic disease driven by adiposity, insulin resistance, inflammation & lipotoxicity. #MetabolicHealth

Clinical staging to guide management
of metabolic disorders and their sequelae:
#EAS

What is Systemic Metabolic Disorder?
It’s not just #obesity. It’s a multi-organ metabolic disease driven by adiposity, insulin resistance, inflammation &amp; lipotoxicity.

#MetabolicHealth
GoggleDocs (@goggledocs) 's Twitter Profile Photo

📢 Tirzepatide vs Semaglutide: the heavyweight match lands hard 🔹 72w RCT in obesity (no T2D): – Tirzepatide ⤵️ –20.2% – Semaglutide ⤵️ –13.7% 🔸 Waist ⤵️ –18.4cm vs –13.0cm 🔹 More likely to hit ⩾25% loss: 32% vs 16% 🔸 GI AEs common, but discontinuation <10% 👉 Dual

📢 Tirzepatide vs Semaglutide: the heavyweight match lands hard

🔹 72w RCT in obesity (no T2D):
– Tirzepatide ⤵️ –20.2%
– Semaglutide ⤵️ –13.7%

🔸 Waist ⤵️ –18.4cm vs –13.0cm

🔹 More likely to hit ⩾25% loss: 32% vs 16%

🔸 GI AEs common, but discontinuation &lt;10%

👉 Dual
Cardio-renal-metabolic UK (@cvrmuk) 's Twitter Profile Photo

Join Kevin Fernando and Patrick Holmes for a multi-disciplinary approach to the future of CVRM care. We have a fabulous agenda planned for primary and secondary clinicians that will help you stay on top of the evolving CVRM landscape: cvrmukautumnconference2025.co.uk

Join <a href="/drkevinfernando/">Kevin Fernando</a> and <a href="/drpatrickholmes/">Patrick Holmes</a> for a multi-disciplinary approach to the future of CVRM care. 
We have a fabulous agenda planned for primary and secondary clinicians that will help you stay on top of the evolving CVRM landscape: cvrmukautumnconference2025.co.uk
Sarah Birkhoelzer @sarah.theheartdoc (@birkhoelzers) 's Twitter Profile Photo

Join us in spreading vital awareness this Hypertension Awareness Month! 🌍🎙️ Tune in to my podcast with Prof. Ian Wilkinson President of the British and Irish Hypertension Society Let's equip our patients with knowledge. Share this episode with your patients Find BEATWISE the podcast on all

Kevin Fernando (@drkevinfernando) 's Twitter Profile Photo

💡BHIVA rapid guidance on statins for primary prevention of CVD in people living with HIV 🎯Key Clinical Takeaway CV risk calculators underestimate risk in #PLWH; offer atorvastatin 20mg to all #PLWH aged ≥40y irrespective of lipid profile or estimated CV risk

💡<a href="/BritishHIVAssoc/">BHIVA</a> rapid guidance on statins for primary prevention of CVD in people living with HIV

🎯Key Clinical Takeaway

CV risk calculators underestimate risk in #PLWH; offer atorvastatin 20mg to all #PLWH aged ≥40y irrespective of lipid profile or estimated CV risk