TyG Index vs HOMA-IR for Predicting Type 2 Diabetes in Young and Middle-Aged Adults: A Large Cohort Study

Early identification of individuals at high risk for type 2 diabetes is a priority in primary care, especially among young and middle-aged adults, where subtle metabolic changes often go unrecognized despite long-term consequences. The homeostatic model assessment of insulin resistance (HOMA-IR) is widely used but has limited practicality in routine care. The triglyceride–glucose (TyG) index…

Burnout Among Slovenian General Practitioners: Emerging Patterns and Pathways to Prevention

Burnout is a major threat to primary care sustainability across Europe, and Slovenia faces similar challenges. Slovenian studies demonstrate consistently high burnout levels among family medicine trainees and practicing GPs. A national study of trainees reported high emotional exhaustion in 45.9%, high depersonalisation in 43.1%, and low personal accomplishment in 45.9% . Among 316 Slovenian…

Age-Related Discrepancies in Hypertension Management: Insights from a Rural UK Primary Care Practice

Adequate blood pressure (BP) management is essential to reduce cardiovascular risk in patients with hypertension. Guidelines recommend individualised BP targets, particularly for older adults, to balance the benefits of control with the dangers of overtreatment. Despite these recommendations, real-world data suggest variation in achievement of target BP across age groups and care settings.1

Evidence-Based Approaches to Adult Constipation in Primary Care

Constipation is a frequent complaint in Primary Care and a significant cause of discomfort among adults. It may present as an acute or chronic condition and often results from a combination of physiological, behavioural, and lifestyle factors. For Family Medicine physicians, identifying common causes, recognizing alarm signs, and understanding therapeutic options is essential for effective…

Participation of general practitioners in multidisciplinary teams caring for patients with prostate cancer

Multidisciplinary teams (MDTs) are considered the standard of care in oncology, yet their structure and function vary widely across countries. In Bulgaria, MDTs often operate informally, and the extent to which GPs are recognised as meaningful contributors remains unclear. Given GPs’ continuous, long-term relationships with patients and their role in addressing psychosocial determinants of health,…

A POCUS Finding can Change Everything

A 58-year-old woman with no relevant medical history presented to the clinic consulting with abdominal distension and pain for several months. Laboratory tests and an abdominal X-ray were performed with not abnormal findings. She is advised lifestyle modifications, including gluten and lactose restriction, however, did not improve. Patient later developed a low-grade fever, vomiting, and…

Supporting Mothers Returning to Clinical Practice: A Practice-Based Reflection on NHS-Wide Experiences and Their Implications for General Practice

Returning to clinical practice after maternity leave is a major professional transition for many doctors. Through informal professional conversations across multiple NHS specialties—including General Practice, hospital medicine and community-based roles—recurring challenges have emerged relating to confidence, workload, identity, and workplace culture. Understanding how these NHS-wide themes manifest uniquely in General Practice is increasingly important for…