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The Curbsiders Internal Medicine Podcast - #330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!
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#330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!

04/25/22 • 80 min

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The Curbsiders Internal Medicine Podcast
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. Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!
Show Segments

  • Intro #1, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Inpatient diabetes - a bird’s eye view and the goal(s) of therapy
  • Management of outpatient diabetes medications
  • Inpatient insulin - options and dosing
  • Correctional insulin (“sliding scale”)
  • A word on the “Diabetic Diet”
  • Steroids and hyperglycemia
  • Discharge pearls for the patient with diabetes
  • Outro #1
Credits

  • Producer: Adam Barelski MD, Cyrus Askin MD
  • Writer: Adam Barelski MD
  • Show Notes: Cyrus Askin MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Adam Barelski MD
  • Technical Production: Pod Paste
  • Showrunner: Matthew Watto MD, FACP
  • Content Editor: Emi Okamoto MD
  • Guest & Content Reviewer: David Lieb MD, FACE, FACP
Sponsor: Bambee Visit bambee.com/curb for a free HR audit of your business.
Sponsor: Grammarly Visit grammarly.com/curb for 20% off when you sign up
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.
plus icon
bookmark
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. Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!
Show Segments

  • Intro #1, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Inpatient diabetes - a bird’s eye view and the goal(s) of therapy
  • Management of outpatient diabetes medications
  • Inpatient insulin - options and dosing
  • Correctional insulin (“sliding scale”)
  • A word on the “Diabetic Diet”
  • Steroids and hyperglycemia
  • Discharge pearls for the patient with diabetes
  • Outro #1
Credits

  • Producer: Adam Barelski MD, Cyrus Askin MD
  • Writer: Adam Barelski MD
  • Show Notes: Cyrus Askin MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Adam Barelski MD
  • Technical Production: Pod Paste
  • Showrunner: Matthew Watto MD, FACP
  • Content Editor: Emi Okamoto MD
  • Guest & Content Reviewer: David Lieb MD, FACE, FACP
Sponsor: Bambee Visit bambee.com/curb for a free HR audit of your business.
Sponsor: Grammarly Visit grammarly.com/curb for 20% off when you sign up
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.

Previous Episode

undefined - #329 Curing Hepatitis C: A Primary Care Primer

#329 Curing Hepatitis C: A Primary Care Primer

DeLiver on the promise of elimination with Dr. Christian Ramers
Let’s deLiver on the promise of hepatitis C elimination! Dr. Christian Ramers @cramersmd brings hepatitis C diagnosis, care, and cure into the primary care clinic with a simplified algorithm for workup and treatment.
Claim free CME for this episode at curbsiders.vcuhealth.org!

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!
Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Who should we screen?
  • Patient Workup
  • Preparing for treatment
  • Treating hepatitis C
  • Opportunities for integration of care
  • Outro
Credits

  • Producer, writer, co-host: Emi Okamoto MD, FACP
  • Show Notes, infographic, cover art: Lyan Chang
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Reviewer: Leah Witt, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Christian Ramers MD, MPH, FIDSA
Sponsor: BetterHelp Visit betterhelp.com/curb for 10% of your first month. Sponsor: MedMastery Visit www.medmastery.com/curbsiders for a 15% lifetime discount!
Sponsor: Birch MatressesVisit birchliving.com/curb to claim your $200 off any Birch Mattress plus two free pillows
Sponsor: IndeedVisit Indeed.com/internalmedicine and get a $75 credit to sponsor your first job CME Partner: VCU Health CE
The Curbsiders are partnering 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. Update Description

Next Episode

undefined - #331 Inpatient Diabetes Part 2: DKA, insulin drips, insulin pumps, and CGMs

#331 Inpatient Diabetes Part 2: DKA, insulin drips, insulin pumps, and CGMs

More inpatient diabetes! In this part 2 of 2, we cover 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. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments

  • Intro
  • DKA and HHS - introduction and therapy overview
  • Insulin drips, closing the gap and transitioning to a subcutaneous regimen
  • Euglycemic DKA
  • Pumps and glucose monitors
  • Final take home points
  • Outro
Credits

  • Producer: Adam Barelski MD, Cyrus Askin MD
  • Writer: Adam Barelski MD
  • Show Notes: Cyrus Askin MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Adam Barelski MD
  • Technical Production: Pod Paste
  • Showrunner: Matthew Watto MD, FACP
  • Content Editor: Emi Okamoto MD
  • Guest & Content Reviewer: David Lieb MD, FACE, FACP
CME Partner: VCU Health CE

The Curbsiders are partnering 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. Sponsor: Bambee

Visit bambee.com/curb for a free HR audit of your business. Sponsor: Grammarly

Visit grammarly.com/curb for 20% off when you sign up

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