#330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 25 April 2022

⏱️ 80 minutes

🔗️ Recording | iTunes | RSS

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Summary

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.

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

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CME Partner: VCU Health CE
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Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only, and the topics discussed should not be used solely to die, don't treat cure or prevent any diseases or conditions.
0:10.5	For the more of the views and statements expressed on the podcast are solely those of those, and should not be interpreted to reflect official policy or position of any entity in the side run possibly, cash like more hospital and affiliate outreach programs.
0:17.0	If indeed there are any, in fact there are none.
0:19.0	We are responsible if you serve up you should always do your own homework and let's know where we're off.
0:32.0	Paul yet another evening spent podcasting.
0:35.0	I wouldn't have it any other way, Matt.
0:38.0	Well, hopefully you had a good day at work.
0:41.0	I think we're going to have a great night tonight and we have a great show for the audience.
0:45.0	How was your day, Paul?
0:47.0	I do not like this new format.
0:50.0	It was fine. Thanks for asking. How was yours, Matt?
0:52.0	I know you're like small talk, Paul. I know you keep it really close to the chest.
0:57.0	So I'm just trying to, I'm trying to get the audience a little peek into how your day goes.
1:02.0	He's still wearing a shirt and tie. It's like 10 o'clock at night audience.
1:05.0	That's what I sleep in.
1:06.0	Yeah.
1:09.0	So on tonight's show, this is part one of a two part episode on inpatient diabetes management with a fantastic guest, Dr. Dave Leib.
1:17.0	And Paul, before we introduce our guest host for this one, can you remind people what is it that we do on the curbsiders?
1:25.0	Sure. Happy to as always, Matt.
1:27.0	A reminder that we are the internal medicine podcast.
1:30.0	We use expert interviews to bring you clinical pearls and practice changing knowledge.
1:33.0	I should also mention we are joined by a hospitalist, WizKid, Adam Browski.
	...

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