{"title":"Patient-led treatment with GP support.","authors":"Bente Prytz Mjølstad","doi":"10.4045/tidsskr.25.0263","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0263","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen Hewitt, Dag Hofsø, Elisabeth Qvigstad, Tore Julsrud Berg, Monica Chahal-Kummen, Jon Kristinsson, Tom Mala
{"title":"Post-bariatric hypoglycaemia.","authors":"Stephen Hewitt, Dag Hofsø, Elisabeth Qvigstad, Tore Julsrud Berg, Monica Chahal-Kummen, Jon Kristinsson, Tom Mala","doi":"10.4045/tidsskr.24.0396","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0396","url":null,"abstract":"<p><p>Awareness of post-bariatric hypoglycaemia has increased in recent years. The condition appears to be more prevalent than previously estimated, when mild to moderate cases are taken into account. Most patients respond well to dietary adjustments, while a small proportion may require assistance or experience seizures or syncope. Hypoglycaemia is associated with both weight-dependent and weight-independent mechanisms. Key factors include improved insulin sensitivity and increased secretion of incretin hormones such as glucagon-like peptide 1 (GLP-1). The primary goal of treatment is to minimise the postprandial fluctuations in blood glucose and insulin levels. Although certain medications may help to alleviate symptoms, they are rarely used. This clinical overview aims to raise awareness of hypoglycaemia following bariatric surgery and to highlight key considerations for healthcare professionals who encounter these patients.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sverre E Kjeldsen, Bjørn Gjelsvik, Tor Ole Klemsdal
{"title":"Hypertensjonsbehandling i lys av nye internasjonale retningslinjer.","authors":"Sverre E Kjeldsen, Bjørn Gjelsvik, Tor Ole Klemsdal","doi":"10.4045/tidsskr.25.0169","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0169","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychiatry's clarification of expectations.","authors":"Anders Malkomsen, Carl Tollef Solberg","doi":"10.4045/tidsskr.25.0182","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0182","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Audun Brendbekken, Andrea Melberg, Gunnar Douzgos Houge
{"title":"Kostnadseffektivitet må avgjøre behandling.","authors":"Audun Brendbekken, Andrea Melberg, Gunnar Douzgos Houge","doi":"10.4045/tidsskr.25.0175","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0175","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rettelse: Herpes simplex-myelitt hos immunkompetent voksen pasient.","authors":"Rebecca Jonsson, David Hatfield, Ola Dahlen","doi":"10.4045/tidsskr.25.0310","DOIUrl":"10.4045/tidsskr.25.0310","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Larmen fra tarmen.","authors":"Jørgen Valeur, Erlend Hem","doi":"10.4045/tidsskr.25.0069","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0069","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Virus' plass på livets tre.","authors":"Andreas Christensen","doi":"10.4045/tidsskr.25.0084","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0084","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Herpes simplex-myelitt hos immunkompetent voksen pasient.","authors":"Rebecca Jonsson, David Hatfield, Ola Dahlen","doi":"10.4045/tidsskr.24.0427","DOIUrl":"10.4045/tidsskr.24.0427","url":null,"abstract":"<p><strong>Background: </strong>Herpes simplex-1 virus myelitis is a rare cause of myelitis in immunocompetent adults.</p><p><strong>Case presentation: </strong>A healthy man in his sixties presented with acute chest pain, dyspnoea and cardiac arrest. Pre-hospital cardiopulmonary resuscitation was performed, and he underwent thrombolysis. Intrahospital he was diagnosed with bilateral pulmonary embolism. Twelve days after hospitalisation he developed acute paralysis of the lower extremities. MR findings were suggestive of myelitis, and herpes simplex-1 virus was identified in the spinal fluid. He was diagnosed with herpes simplex myelitis and treated with intravenous acyclovir for 28 days and methylprednisolone for five days, without resolution of symptoms.</p><p><strong>Interpretation: </strong>We found no causal relationship between pulmonary embolism and herpes simplex myelitis. Our hypothesis is that the severe stress caused by the initial pulmonary embolism and cardiac arrest triggered reactivation of herpes simplex-1 virus.</p>","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"WHOs økonomiske gap kan true global helsesikkerhet.","authors":"Sine Grude","doi":"10.4045/tidsskr.25.0131","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0131","url":null,"abstract":"","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 7","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}