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The Curbsiders Internal Medicine Podcast

REBOOT #25 Master Hyperglycemia and DKA

Master the management of hyperglycemia, DKA, and learn to avoid common pitfalls. This episode is packed with clinical pearls from repeat guest, Endocrinologist, Dr. Jeffrey Colburn. Get the original show notes here!
Prior diabetes episodes: #330 & #331 Inpatient Diabetes with Dr. Dave Lieb#309 USPSTF Quick Update: Prediabetes & Type 2 Diabetes Screening#296 Diabetes FAQ with Dr. Jeff Colburn#243 Diabetes Triple Distilled#168 Diabetes Update with Jeff Colburn MD#96: Diabetes: A1C targets & ACP guidelines controversy#51: Diabetes treatment in 2017: New meds, insulin, and cardiac risk reduction
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Show Segments

  • Intro
  • Rapid fire questions
  • Definitions and classification of diabetes
  • DKA in type 2 diabetes?
  • Pathophysiology of DKA
  • Severe hyperglycemia mislabeled as DKA
  • Which type 2 diabetics get DKA?
  • The cardinal issue is dehydration
  • Starvation ketosis vs DKA vs other
  • How to handle severe hyperglycemia in outpatients
  • Sick day management in type 1 diabetes
  • Initial testing for diagnosis of DKA
  • Subcutaneous or IV insulin for DKA
  • Initial evaluation and management in ER
  • Fluids and electrolyte management
  • SGLT2 inhibitors and euglycemic DKA

Credits

  • Writer, Producer: Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Stuart Brigham MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Jeffrey Colburn MD, FACP, FACE

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The Curbsiders Internal Medicine Podcast
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