All right, welcome. My name is Devine. This is episode 482 of the Devine Intervention

Podcast. Into this podcast I'm going to be talking about insulin. So I're going to call this the clutch insulin

podcast. We're going to call this the clutch insulin podcast. I'm going to see this

right of the bat. This podcast is probably one of the highest yield

podcasts I've ever made. This stuff is pretty high-yield. And there's a lot to go through but I'll just say that this is something that you

will see tested in some way or some derivative on step one, on step two, and on step three.

And I'm going to try to make lots of integrations and try to break open some things that may confuse people as we go along.

So obviously we know that insulin, if they give you a question about like a young child and this child has been having

polydipsia and polyurea for the last few days and then the child is somnolent, is short of breath, has skin tintin, has drug mucous membranes.

And then they give you the child's blood glucose and it's like 700.

And the child's bicarb is like 10 and the child's pH is like 7.23 or something like that.

And that child is clearly in D. K. A and this child is presenting with type 1 diabetes.

So how do we treat type 1 diabetes?

Obviously we're going to treat that with insulin.

Remember insulin is not usually what you start with in type 2 diabetes.

When a person has type 2 diabetes you start with many of the other drugs, the oral stuff

with forming, the sulfony of ureas, the phyazolidine dions, the SGLT2 inhibitors, the ending fluzin, you know, all those drugs.

But if all that is no longer obtaining good control, many times people have type

to diabetes, terminally they're going to have to switch to insulin.

So what's the whole deal with insulin? Well, the thing is, again, there are just many critical things to know about insulin for the exam.

First thing is that it's a hormone, right? And we all know that insulin is a peptide hormone. It's not a steroid hormone, it's a peptide hormone. That's

actually very important. Now where do we make insulin from? Well insulin is made from the beta cells in the islet of longer hands.

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