Patrick Holmes (@drpatrickholmes) 's Twitter Profile
Patrick Holmes

@drpatrickholmes

Diabetes Advocate | AE @DiabeticMed | Med ed @goggledocs | Advisor @MHRAgovuk ๐Ÿ•Š๏ธ #BeKind

ID: 20064354

calendar_today04-02-2009 16:08:04

10,10K Tweet

3,3K Followers

404 Following

Prof Kamlesh Khunti (@kamleshkhunti) 's Twitter Profile Photo

๐Ÿ“Š Meta-analysis of 10 GLP-1RA RCTs ยท โ†“ MACE by 14% ยท โ†“ HF hospitalisation + kidney outcomes ๐Ÿ‘‰ Glycaemic control, not weight loss, associated with CV benefits of GLP-1RAs pubmed.ncbi.nlm.nih.gov/40926380/

๐Ÿ“Š Meta-analysis of 10 GLP-1RA RCTs 

ยท โ†“ MACE by 14% 
ยท โ†“ HF hospitalisation + kidney outcomes

๐Ÿ‘‰ Glycaemic control, not weight loss, associated with CV benefits of GLP-1RAs

pubmed.ncbi.nlm.nih.gov/40926380/
Neil Floch MD (@neilflochmd) 's Twitter Profile Photo

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/journals/jamasโ€ฆ

Kevin Fernando (@drkevinfernando) 's Twitter Profile Photo

๐Ÿ’กThe first step in healthcare is self-care ๐Ÿ”ฅMy latest Medscape Medical Mentor podcast is live! ๐ŸšจImproving cardiometabolic health in #T2D, focusing on the importance of 24-hour physical behaviours for people living with #T2D or the 5 ๐—ฆ's On Spotify & Apple Podcasts

๐Ÿ’กThe first step in healthcare is self-care

๐Ÿ”ฅMy latest <a href="/Medscape/">Medscape</a> Medical Mentor podcast is live!

๐ŸšจImproving cardiometabolic health in #T2D, focusing on the importance of 24-hour physical behaviours for people living with #T2D or the 5 ๐—ฆ's

On <a href="/Spotify/">Spotify</a> &amp; <a href="/ApplePodcasts/">Apple Podcasts</a>
Partha S Kar ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ๐ŸŽฅ (@parthaskar) 's Twitter Profile Photo

Next week- we have Diabetes Professional Care 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 ๐Ÿ™‚ (Nearly) a decade in NHS England

Next week- we have <a href="/diabetespc/">Diabetes Professional Care</a> 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 ๐Ÿ™‚

(Nearly) a decade in <a href="/NHSEngland/">NHS England</a>
Neil Floch MD (@neilflochmd) 's Twitter Profile Photo

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! cme.edu Yale University Yale School of Medicine Yale Surgery Obesity GLP-1ra

Partha S Kar ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ๐ŸŽฅ (@parthaskar) 's Twitter Profile Photo

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 Diabetes UK) #gbdoc ๐Ÿ’™

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 <a href="/DiabetesUK/">Diabetes UK</a>)

#gbdoc ๐Ÿ’™
Prof Kamlesh Khunti (@kamleshkhunti) 's Twitter Profile Photo

๐Ÿ’Š SGLT2 inhibitors & phimosis risk in men with T2D ๐Ÿ“ Danish cohort study (2016โ€“2021) comparing SGLT2i vs GLP-1RA initiators ๐Ÿ“Š 1-year phimosis risk: 0.9% vs 0.5% โ†’ RR 1.88 (95% CI 1.43โ€“2.47) ๐Ÿ“Š 8-year risk: 4.8% vs 3.6% โ†’ RR 1.36 (95% CI 1.14โ€“1.61) โš ๏ธ Risk remains

๐Ÿ’Š SGLT2 inhibitors &amp; phimosis risk in men with T2D

๐Ÿ“ Danish cohort study (2016โ€“2021) comparing SGLT2i vs GLP-1RA initiators

๐Ÿ“Š 1-year phimosis risk: 0.9% vs 0.5% โ†’ RR 1.88 (95% CI 1.43โ€“2.47)

๐Ÿ“Š 8-year risk: 4.8% vs 3.6% โ†’ RR 1.36 (95% CI 1.14โ€“1.61)

โš ๏ธ Risk remains
DSNforumUK (@dsnforumuk) 's Twitter Profile Photo

๐Ÿšจ NEW GUIDANCE for CGM use and class 2 drivers ๐Ÿš— โžก๏ธCGM now safe to use if class 2 drivers ONLY IF approved for non adjunctive use!! โœ… Do use our CGM comparison chart to check which ones will be safe to use here: ๐Ÿ”— diabetesspecialistnurseforumuk.co.uk/new-cgm-comparโ€ฆ

๐Ÿšจ NEW GUIDANCE for CGM use and class 2 drivers ๐Ÿš— 

โžก๏ธCGM now safe to use if class 2 drivers ONLY IF approved for non adjunctive use!! โœ… 

Do use our CGM comparison chart to check which ones will be safe to use here:

๐Ÿ”— diabetesspecialistnurseforumuk.co.uk/new-cgm-comparโ€ฆ
GoggleDocs (@goggledocs) 's Twitter Profile Photo

โ—๏ธA 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 bayer.com/en/us/news-stoโ€ฆ Dr Amar Puttanna ๐ŸŽธ Patrick Holmes Prof Kamlesh Khunti

โ—๏ธA 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

bayer.com/en/us/news-stoโ€ฆ

<a href="/AmarPut/">Dr Amar Puttanna ๐ŸŽธ</a> <a href="/drpatrickholmes/">Patrick Holmes</a> <a href="/kamleshkhunti/">Prof Kamlesh Khunti</a>
Partha S Kar ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ๐ŸŽฅ (@parthaskar) 's Twitter Profile Photo

A pleasure as ever to speak to GP colleagues and primary care Thank you PCDO Society for the invite Acknowledgement on behalf of NHS England of the amazing work all do- and the key to improving #Diabetes outcomes Twas fun ๐Ÿฅฐ Prof Kamlesh Khunti samuel seidu

A pleasure as ever to speak to GP colleagues and primary care 

Thank you <a href="/pcdosociety/">PCDO Society</a> for the invite 

Acknowledgement on behalf of <a href="/NHSEngland/">NHS England</a> of the amazing work all do- and the key to improving #Diabetes outcomes 

Twas fun ๐Ÿฅฐ 

<a href="/kamleshkhunti/">Prof Kamlesh Khunti</a> <a href="/scelee1/">samuel seidu</a>
GoggleDocs (@goggledocs) 's Twitter Profile Photo

#GLP1 is forcing Big Food to finally reform. Not through regulation, but โคต๏ธ๐Ÿ’ฐ 12% of US adults on GLP-1s = โคต๏ธ8.6% in household food spending. ๐Ÿ”นUltra-processed foods hit hardest ๐Ÿ”ธ $12bn potential loss for junk food. Nestlรฉ, General Mills, even Greggs scrambling to

#GLP1 is forcing Big Food to finally reform. 

Not through regulation, but โคต๏ธ๐Ÿ’ฐ

12% of US adults on GLP-1s = โคต๏ธ8.6%  in household food spending. 
๐Ÿ”นUltra-processed foods hit hardest
๐Ÿ”ธ $12bn potential loss for junk food.

Nestlรฉ, General Mills, even Greggs scrambling to
Cardio-renal-metabolic UK (@cvrmuk) 's Twitter Profile Photo

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.

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.
Partha S Kar ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ๐ŸŽฅ (@parthaskar) 's Twitter Profile Photo

Some personal reflections on the recent GMC workforce report- along with The BMJ 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

Some personal reflections on the recent <a href="/gmcuk/">GMC</a> workforce report- along with <a href="/bmj_latest/">The BMJ</a> 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
Kevin Fernando (@drkevinfernando) 's Twitter Profile Photo

๐Ÿ’ช๐ŸพMind the Muscle: Incretin Therapies for Weight Loss๐Ÿ’ช๐Ÿพ ๐Ÿ”ฅThe hottest of topics with incretin therapies๐Ÿ”ฅ Here's my last Medscape perspective piece from The Obesity Society ObesityWeekยฎ congress in Atlanta - link in comments ๐Ÿ‘‡๐Ÿพ

๐Ÿ’ช๐ŸพMind the Muscle: Incretin Therapies for Weight Loss๐Ÿ’ช๐Ÿพ

๐Ÿ”ฅThe hottest of topics with incretin therapies๐Ÿ”ฅ

Here's my last <a href="/Medscape/">Medscape</a>  perspective piece from <a href="/ObesitySociety/">The Obesity Society</a> <a href="/ObesityWeek/">ObesityWeekยฎ</a>   congress in Atlanta - link in comments ๐Ÿ‘‡๐Ÿพ
GoggleDocs (@goggledocs) 's Twitter Profile Photo

#GLP1's & erectile function: friend or foe? ๐Ÿ”ฌ New Biomolecules review: mostly friendโ—๏ธ โœ… Improve endothelial function โœ… Boost testosterone via weight loss โœ… REWIND: dulaglutide cut ED risk (HR 0.92) Responses vary - ask at follow-up. ๐Ÿ”—mdpi.com/2218-273X/15/9โ€ฆ

#GLP1's &amp; erectile function: friend or foe? ๐Ÿ”ฌ

New Biomolecules review: mostly friendโ—๏ธ

โœ… Improve endothelial function
โœ… Boost testosterone via weight loss
โœ… REWIND: dulaglutide cut ED risk (HR 0.92)

Responses vary - ask at follow-up.

๐Ÿ”—mdpi.com/2218-273X/15/9โ€ฆ