Type 1 Diabetes - this episode is definitely a sweet one! Join us for a conversation with our guest Dr. Hussein Abdullatif (UAB), covering the diagnosis, workup, and management of Type 1 Diabetes Mellitus. We discuss the initial lab work-up, approach to treatment, atypical presentation, and how it’s okay to eat donuts around the time of an insulin shot!

NOTE: The show notes and CME for this episode will not be available until Wednesday September 2, 2020 at https://thecribsiders.com/ and cribsiders.vcuhealth.org respectively.

Credits

• Written and Produced by: Shannon Snellgrove
• Infographic: Shannon Snellgrove
• Cover Art: Christopher Chiu MD (Cribsiders); Shannon Snellgrove (Curbsiders)
• Hosts: Justin Berk MD and Christopher Chiu MD
• Editor:Justin Berk MD; Clair Morgan of nodderly.com
• Guest(s): Hussein Abdullatif MD

*Sponsors*

POCUS Fellowship at University of Pennsylvania

A novel, collaborative, POCUS fellowship training is available at the University of Pennsylvania for IM and FM graduates! In 2016 we leveraged the robust EM ultrasound fellowship training infrastructure with UPenn’s progressive Department of Medicine to create the 1st multi-specialty clinical ultrasound fellowship. Our graduating fellows have made us proud by accepting leadership positions, and if you want to be on the cutting edge, you should join our team.

Interview season is in full swing and we’re actively accepting applications. Please go to pennultrasound.org or contact [email protected] for information. You can apply for fellowship using the eusfellowships.com portal.

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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

• Diagnosis of T1DM 6:50
• Presentation of T1DM 10:10
• Explaining T1DM to a parent 12:00
• Genetic Predisposition to Diabetes 15:20
• T1DM Antibodies 17:10
• Initial work-up for concomitant autoimmune disease 21:10
• Atypical Presentation of T1DM 22:44
• Treatment of T1DM 29:10
• Dietary Modifications in T1DM 33:10
• Checking blood sugars 39:50
• Honeymoon Period 42:25
• Hypoglycemia 44:00
• Sports, Sickness, Alcohol and Glucose levels 48:25
• Periop glucose management 51:10
• Long-term complications of T1DM 53:50
• Closed Loop System and Future Treatments 56:10

Goal

Listeners will feel confident in the presentation, diagnostic workup, and management of Type 1 Diabetes.

Learning objectives

After listening to this episode listeners will…

1. Identify the signs and symptoms of type 1 diabetes
2. Practice appropriate work-up in the diagnosis of type 1 diabetes
3. Manage type 1 diabetes with evidence-based therapies
4. Identify the appropriate insulin analogues in daily diabetes management using basal/bolus concepts
5. Educate patients and have meaningful discussions about effective self-management of type 1 diabetes (including diet and lifestyle changes)

Disclosures

Dr Abdul-Latif reports no relevant financial disclosures. The Cribsiders report no relevant financial disclosures.

Citation Abdullatif H, Snellgrove S, Chiu C, Berk J. “Type 1 Diabetes”. The Cribsiders Pediatrics Podcast. https:/www.thecribsiders.com/ September 2, 2020 (link goes live on 9/2/2020)