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The Curbsiders Internal Medicine Podcast

#483: Diabetic Dilemmas in Older Adults, Pregnancy and Corticosteroid Use with Jeff Colburn, MD

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 19 May 2025

⏱️ 79 minutes

🧾️ Download transcript

Summary

This episode doesn't sugarcoat the truth about tricky diabetes management!

Wrangle wild blood sugars among older adults, pregnant individuals, and those taking corticosteroids! Join our Kashlak resident endocrinologist Dr. Jeff Colburn, as we dive into diabetic dilemmas. We will help you dodge dangerous lows and navigate tricky treatment traps in these special populations. Get the un-sugar-coated truth on managing complex diabetes cases! 

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

  • Intro
  • Diabetes in Older Adults (Geriatrics)
    • General Approach
    • Risks of Hypoglycemia
    • 4Ms Framework
    • Insulin Management
    • Oral Medications
  • Diabetes in Pregnancy
    • Preconception Counseling
    • Eye Health Monitoring
    • Insulin Therapy During Pregnancy
    • Postpartum Care
  • Steroid-Induced Hyperglycemia
    • General Approach
    • Postprandial Insulin Adjustment
    • NPH Insulin Usage
    • Initiating Insulin
    • Role of GLP-1RA and SGLT2-inhibitors
  • Take-home Points
  • Outro

Credits

  • Producer, Writer, and Show Notes: Isabel Valdez, PA-C
  • Infographic and Cover Art: Zoya Surani, BA, MS
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Leah Witt, MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Jeff Colburn, MD

Disclosures

Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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Transcript

Click on a timestamp to play from that location

0:00.0

Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com

0:05.6

slash curbsiders.

0:06.8

If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes,

0:12.0

and a whole bunch of other cool stuff at patreon.com slash curbsiders.

0:18.2

You know, Paul, I heard the police arrested the world tongue twister champion.

0:26.5

Oh, God, I'm going to ask me more.

0:29.5

I bet they're going to give him a really tough sentence.

0:33.9

All right, that's okay.

0:37.1

My delivery sucks. I got to work on work on this no don't blame the delivery

0:41.5

the curbsiders podcast is for entertainment education and information purposes only and

0:49.1

topics discussed should not be used solely a diagnose treat cure or prevent any diseases or

0:51.9

conditions for the more of the views and statements expressed on this podcast are stillly those of those

0:54.3

and should not be interpreted to reflect official policy or position of any entity, aside from possibly,

0:57.2

cash like moral hospital and affiliate outreach programs.

0:58.8

If indeed, there are any.

0:59.8

In fact, there are none.

1:00.6

Pretty much, we are responsible if you screw up.

1:01.8

You should always do your own homework and let us know when we're wrong. Welcome back to the curbsiders. I'm Dr. Matthew Frank Wado here with my great friend and pun

1:16.2

hater, Dr. Paul Nelson Williams. Paul? Yeah, hi Matt. Yeah, I don't know. I tried a Demerara

1:24.5

sugar pun on a previous episode and it did not go over well, so I've given up on puns for the short term.

1:29.2

Yeah.

1:29.7

Most of the candy puns when I looked them up, too, were mint puns, which I used like three on one episode, so I burned through all those.

...

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