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Albert O. Latumbo, MD

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Albert O. Latumbo, MD

Internal Medicine & Occupational Health Physician

04/03/2026

𝗛𝗜𝗩 𝗶𝗻 𝘁𝗵𝗲 𝗣𝗵𝗶𝗹𝗶𝗽𝗽𝗶𝗻𝗲𝘀

𝗢𝗖𝗧-𝗗𝗘𝗖 𝟮𝟬𝟮𝟱
We’re back, back, back again! ✨

Officially kicking off 2026 by reflecting on our progress in the last quarter of 2025. Thank you to everyone for your continued hard work and dedication and let’s keep the momentum going as we move forward this year!

➡️ Want the whole report? Click here:
https://bit.ly/2025Q4HASP

➡️ For everything else, this is the DOH HIV/STI Report Archive:
https://doh.gov.ph/health-statistics/hiv-sti/

Layout by: Ethan Ancheta

23/02/2026

New 2026 NICE Update on Initial Drug Therapy in Type 2 Diabetes Detailed Thread

1️⃣ Big Shift in Philosophy

This is no longer just about lowering HbA1c.

The new guidance prioritises:
• Cardiovascular protection
• Renal protection
• Individualised treatment
• Early combination therapy

Glucose control is important but outcomes matter more.

2️⃣ First-Line Therapy (No Major Comorbidities)

For most adults:

✅ Modified-release metformin
PLUS
✅ An SGLT-2 inhibitor

If metformin cannot be used → start SGLT-2 inhibitor alone.

➡️ This is a major shift from traditional “metformin first, add later.”

3️⃣ Why SGLT-2 So Early?

Because evidence now strongly supports:

• Reduction in heart failure hospitalization
• Slowing CKD progression
• Cardiovascular mortality benefit
• Weight reduction
• Low hypoglycaemia risk

This class is now foundational therapy.

4️⃣ If the Patient Has Heart Failure

Start immediately:

✅ Metformin
✅ SGLT-2 inhibitor

If metformin contraindicated → SGLT-2 alone.

HF benefit drives this decision independent of HbA1c.

5️⃣ If Atherosclerotic CVD Is Present

Initial therapy can include:

✅ Metformin
✅ SGLT-2 inhibitor
✅ Subcutaneous semaglutide (GLP-1 RA)

If Yes 👉🏻 GLP-1 RA can now be started upfront in ASCVD.

This reflects strong CV outcome trial data.

6️⃣ Early-Onset Type 2 Diabetes

(Younger patients, aggressive phenotype)

Start:

✅ Metformin
✅ SGLT-2 inhibitor

Consider adding:
• GLP-1 receptor agonist
• Tirzepatide

This group often needs earlier intensification.

7️⃣ Obesity + Type 2 Diabetes

Initial therapy:

✅ Metformin
✅ SGLT-2 inhibitor

Weight-neutral or weight-reducing strategies are preferred.

Avoid agents that promote weight gain unless necessary.

8️⃣ Chronic Kidney Disease (CKD)

Treatment depends on eGFR:

🔹 eGFR >30 → Metformin + SGLT-2

🔹 eGFR 20–30 → Dapagliflozin or Empagliflozin + DPP-4 inhibitor

🔹 eGFR

22/02/2026

Hindi lahat ng pananakit ng dibdib ay simpleng pagod lang. 🤔

Ang Coronary Artery Disease (CAD) ay isa sa pangunahing sanhi ng atake sa puso, ilan sa mga risk factors ay:
▶️ altapresyon
▶️ diabetes
▶️ mataas na kolesterol
▶️ paninigarilyo

Maaaring makontrol ang mga ito sa pamamagitan ng maagang pagsusuri at tamang pangangalaga sa katawan. Huwag maghintay ng emergency bago kumilos. Kumonsulta sa inyong doktor para sa tamang gabay at pangangalaga sa puso. 🩺

🌐 https://pcp.org.ph/
✉️ [email protected]
📞 +63 (917) 866-4866

18/02/2025

The most common symptom of is high From World Health Organization:

fever (40°C/104°F) with two or more of the following symptoms:

🔴Headache
🔴Pain behind the eyes
🔴Nausea, vomiting
🔴Swollen glands
🔴Joint and muscle pains
🔴Rash

Protect yourself and your family from dengue:

✅Use mosquito repellent
✅Wear light-coloured, long-sleeved clothes
✅Use screens on windows and doors
✅Sleep under a mosquito net
✅Use household insecticide, aerosols, mosquito coils
✅Remove objects from inside and around your house that collect water where mosquitoes can breed
✅Drain, wash and scrub water storage containers every week and cover when not in use

07/01/2025

Keep Safe Everyone....

28/10/2024

Keep safe everyone!

21/08/2024

Paano makakaiwas sa Hepatitis B....

20/08/2024

Monkeypox... Stay safe everyone!

02/04/2024

Pertussis....

27/09/2022

Katanungan at kasagutan sa Metformin…

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