PA Boards 19: Insulin Dosing
Medgeeks with Andrew Reid
Medgeeks
4.8 • 996 Ratings
🗓️ 6 February 2014
⏱️ 20 minutes
🧾️ Download transcript
Summary
Let's talk about when to start insulin, but most importantly how to dose insulin. Hopefully things will make a lot more sense on how to get your patients started on insulin.
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Transcript
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| 0:00.0 | Hello Hello and welcome to episode 19 of the Physician Assistant Boards |
| 0:06.3 | dot-com podcast and today I want to take some time I actually had a request if we could do a talk on insulin therapy and how to go about |
| 0:17.7 | dosing insulin. I know this was kind of a complicated or tricky subject even after I graduated. |
| 0:24.3 | I personally didn't spend a lot of time in class learning about insulin |
| 0:29.1 | and how to go about dosing. So I thought that would be a good topic to go ahead and share with you guys. |
| 0:35.8 | So before we get started, I just want to let you guys know if the sound quality is different |
| 0:40.9 | or if this sounds a little bit different than what we're used to, it's because my laptop died. |
| 0:48.0 | So in the middle of working on this podcast, my laptop completely died on me. So I had to borrow a Mac and it's a good excuse to buy a Mac now, |
| 0:58.0 | but I don't know how to use this so I'm on garage band and I don't know how to tweak the settings as of yet. |
| 1:04.0 | So if it sounds a little bit different, that's the reason. |
| 1:07.8 | All right guys, so let's get started with insulin therapy. |
| 1:12.3 | So there's a couple of things that we need to go over first, right? So there's two types of diabetes. Well, there's actually three types. So there's type one diabetes, which is an autoimmune destruction of the beta cells and this is where the body doesn't make any insulin whatsoever |
| 1:29.0 | There's type 2 diabetes where the body makes insulin but we're not using it the way it needs to be used right so there's insulin insensitivity |
| 1:39.2 | now it used to be that type 1 happened in adolescents and type 2 happened in adults. |
| 1:47.0 | The lines have blurred a lot. |
| 1:49.5 | Now there's type 1 can actually happen as an adult and a good majority of type 1 |
| 1:56.7 | diabetics are actually diagnosed over the age of 20 over the age of 30 and can even be diagnosed in the age of 40 or 50. Now there's also |
| 2:07.6 | something else that's called latent autoimmune diabetes and adults, LADA. |
| 2:15.0 | And what this is is you have auto-immune antibodies |
| 2:20.0 | that are directed towards the pancreatic beta cells, but the destruction is slow. |
| 2:26.9 | You have this autoimmune destruction beginning from the beginning, |
| 2:32.0 | but it doesn't manifest completely into actually the patient requiring |
... |
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