Abuse of androgenic steroids with resulting low testosterone levels is occurring more frequently. Its evaluation requires a complete history and clinical examination of the patient, and initial management involves cessation of exogenous androgens and counselling, with appropriate follow up.

Most improvements in survival in people with type 1 diabetes are likely due to effective and careful attention to glycaemic control and management of cardiovascular risk factors and body weight.

Many people with obesity will not achieve sustained weight loss using lifestyle interventions alone. Effective treatment options for obesity are available, and promising new therapies are under investigation in clinical trials.