Health
Portugal Limits Prescriptions for Popular Diabetes and Weight Loss Drugs Amid Misuse Concerns
The Portuguese government has moved to curb the misuse of certain high-demand diabetes and weight loss drugs, as well as glucose monitoring devices, by restricting which doctors can prescribe them.
Effective Friday, only specialists in endocrinology and nutrition, internal medicine, paediatrics, and general and family medicine will be authorised to prescribe glucagon-like peptide-1 (GLP-1) receptor agonists — including Ozempic, Wegovy, and Mounjaro — and glucose sensors. These injectable medications, used to treat type 2 diabetes and obesity, have gained worldwide popularity for their weight loss effects, creating shortages and driving demand beyond approved medical use.
Ozempic, produced by Danish pharmaceutical firm Novo Nordisk, is officially authorised in Portugal solely for treating type 2 diabetes. However, its appetite-suppressing effects have made it a sought-after weight loss aid, leading to market shortages. Wegovy, also from Novo Nordisk, and Eli Lilly’s Mounjaro are approved for both diabetes and obesity treatment. According to official data, Portuguese consumers spent approximately €21 million on these drugs in the first four months of 2025 alone.
Glucose sensors, designed to help diabetics monitor blood sugar levels, have also been in short supply. Reports indicate they have been prescribed by non-specialist doctors and are being used by dieters, athletes, social media influencers, and even for monitoring animals.
The Ministry of Health, which announced the regulation in April, cited “recent reports of improper access to and use of these technologies, which have jeopardised their availability to those who actually need them.” It said the measure is intended to “regulate and correct these distortions, promoting effective and adequate access to these essential health tools.”
João Raposo, president of the Portuguese Society of Diabetology (SPD), welcomed the move but expressed doubt over its effectiveness, suggesting that prescriptions outside the approved specialties may already be limited. While not opposed to the drugs being used for obesity treatment, Raposo warned of “anomalous prescriptions and a lack of monitoring” among non-diabetic users.
“Health cannot be subject to the laws of the market,” he stressed, noting the temptation such drugs pose for those “desperately looking for solutions.”
GLP-1 medicines are reimbursed by the Portuguese state at 90 per cent, while glucose sensors can be subsidised up to 85 per cent. However, shortages have also fuelled a black market, raising concerns about counterfeit products.
The government hopes the new prescribing rules will ensure that supplies remain available for patients who medically require them — but experts caution that enforcement and oversight will be key to its success.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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