Dominate inpatient diabetes! In this part 1 of 2, we discuss how to handle oral hypoglycemics, how to choose an initial insulin regimen, the use of correction scale insulin monotherapy, how to titrate insulin, how to use NPH for steroid-induced hyperglycemia (check out this Twitter thread on safe dosing), and how to reconcile diabetes meds at discharge!
Stay tuned for part 2 (drops Wed April 27th) covering diabetic ketoacidosis (DKA), euglycemic DKA, how to handle insulin pumps in the hospital, continuous glucose monitors, and how to transition patients off an insulin drip!
Our guest is Dr. Dave Lieb (@dclieb), an internist, endocrinologist and the endocrinology program director from Eastern Virginia Medical School.
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Show Segments
Intro #1, disclaimer, guest bioGuest one-liner, Picks of the Week*Inpatient diabetes - a bird’s eye view and the goal(s) of therapyManagement of outpatient diabetes medicationsInpatient insulin - options and dosingCorrectional insulin (“sliding scale”)A word on the “Diabetic Diet”Steroids and hyperglycemiaDischarge pearls for the patient with diabetesOutro #1
Credits
Producer: Adam Barelski MD, Cyrus Askin MDWriter: Adam Barelski MDShow Notes: Cyrus Askin MDInfographic: Edison JyangCover Art: Kate Grant MBChb, MRCGPHosts: Matthew Watto MD, FACP; Adam Barelski MDTechnical Production: Pod PasteShowrunner: Matthew Watto MD, FACPContent Editor: Emi Okamoto MD Guest & Content Reviewer: David Lieb MD, FACE, FACPSponsor: Bambee
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CME Partner: VCU Health CE
The Curbsiders partner with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.