4.8 • 1K Ratings
🗓️ 2 June 2025
⏱️ 39 minutes
🧾️ Download transcript
🔹What are clinically relevant limitations of an A1c vs. a CGM (1:40)
🔹What do the different parts of the ambulatory glucose profile tell you? (09:59)
🔹What are common pitfalls, medications, lifestyle patterns that are important to ask your patient about when seeing them for a visit to manage blood sugar? (15:19)
🔹 How can you titrate insulin based on when you see the hypoglycemia on the ambulatory glucose profile (20:00)
🔹 When there is too much hyperglycemia, how do you titrate insulin when adding on GLP-1 agonists? (26:30)
📌 Sponsor: NEJM Fellowship Program, click here to learn more and/or apply!
Tags: CoreIM, IMCore, Endocrinology, Primary Care, Medical Education, Physician Assistant, Nurse Practitioner, Medical Student, diabetes management, insulin titration
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0:00.0 | I am so excited to have any J.M's editorial fellowship program as a sponsor for this podcast. |
0:06.7 | Here from Dr. Sarah Gorey, a current fellow on her experiences. |
0:11.2 | I think what is really nice coming out of a clinical job where in some way it can be quite a narrow |
0:16.2 | focused viewpoint and to come to a role like this where you're looking at the whole of medicine. Like I'm |
0:23.3 | looking at studies in medicine, rheumatoid arthritis or toxicology problem, things that I don't see |
0:28.8 | on a routine basis as I'm a geriatrician and I'm really focused on stroke or geriatric or cardiovascular |
0:34.0 | health. There's certain things that you see a lot of fall. But I'm doing like, |
0:37.9 | what else do I need to know about this? Or surgery or you have such a wide range. And then it's learning |
0:43.8 | that you can apply the same principles to a lot of different things and that you kind of begin |
0:48.7 | to see your own ability to apply things that you know already from one area in medicine to other |
0:54.0 | areas of medicine. |
0:54.8 | And it's given me great confidence from that point of view. |
0:57.1 | And this is a one year full-time paid editorial fellowship. |
1:01.0 | Check out the show notes for the link and learn more about the program and the application. |
1:04.6 | And with that, let's get into the episode. |
1:06.8 | Diabetes is a specialty where you're really walking with your patient. |
1:11.1 | You only see them once every three to six months. |
1:14.3 | They're out in the real world managing their diabetes 24-7. |
1:18.0 | And so if you don't include them in the medical decision-making that affects them, |
1:21.9 | you're going to be at a real loss. |
1:23.7 | That's Dr. Kristen Flint, an endocrinologist at MGHH. |
1:27.3 | Welcome to the Core I Am Five Pearls podcast, bringing you high yield to evidence-based pearls. |
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