CPD

• Be alert to the risk factors that predispose pregnant women and infants to vitamin D deficiency and subsequent nutritional rickets.
• Nutritional rickets is an entirely preventable disease; it can be avoided by ensuring adequate vitamin D and calcium intake.
• Deficient intake of vitamin D is less than 30nmol/day.
• Deficient calcium intake is less than 300mg/day.
• Provide vitamin D supplementation for:
  • All infants from birth to 12 months (400 IU, 10µg).
  • All pregnant women (600 IU, 15µg).
  • All risk groups, for life.

Keeping LDL-C levels lower throughout life can help substantially reduce CVD risk.¹ GPs play an essential role in identifying patients at risk of CVD and managing their treatment.² This includes prescribing lipid-lowering medicines for people at high risk of CVD.³ Although for most patients, elevated lipids can be assessed and managed effectively by GPs, there are some groups of patients who may benefit from referral to a specialist.⁴ These include patients whose total cholesterol is more than 7.5mmol/L, patients who fail to show an effective response to second-line treatment and those with familial hypercholesterolaemia.⁴