REBOOT #25 Master Hyperglycemia and DKA

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 4 July 2022

⏱️ 50 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Master the management of hyperglycemia, DKA, and learn to avoid common pitfalls. This episode is packed with clinical pearls from repeat guest, Endocrinologist, Dr. Jeffrey Colburn. Get the original show notes here!

Prior diabetes episodes:

#330 & #331 Inpatient Diabetes with Dr. Dave Lieb

#309 USPSTF Quick Update: Prediabetes & Type 2 Diabetes Screening

#296 Diabetes FAQ with Dr. Jeff Colburn

#243 Diabetes Triple Distilled

#168 Diabetes Update with Jeff Colburn MD

#96: Diabetes: A1C targets & ACP guidelines controversy

#51: Diabetes treatment in 2017: New meds, insulin, and cardiac risk reduction

Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org!

Show Segments

Intro
Rapid fire questions
Definitions and classification of diabetes
DKA in type 2 diabetes?
Pathophysiology of DKA
Severe hyperglycemia mislabeled as DKA
Which type 2 diabetics get DKA?
The cardinal issue is dehydration
Starvation ketosis vs DKA vs other
How to handle severe hyperglycemia in outpatients
Sick day management in type 1 diabetes
Initial testing for diagnosis of DKA
Subcutaneous or IV insulin for DKA
Initial evaluation and management in ER
Fluids and electrolyte management
SGLT2 inhibitors and euglycemic DKA

Credits

Writer, Producer: Matthew Watto MD, FACP
Show Notes: Matthew Watto MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Stuart Brigham MD
Showrunner: Matthew Watto MD, FACP
Technical Production: PodPaste
Guest: Jeffrey Colburn MD, FACP, FACE

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Transcript

Click on a timestamp to play from that location

0:00.0	Hey, curbsiders.
0:02.2	You are about to hear a curbsiders classic episode.
0:06.2	Actually probably our first episode we ever did on diabetes called Master hyperglycemia
0:10.9	and DKA.
0:12.3	This pairs very nicely with a recent episode we did, two recent episodes we did with Dr.
0:17.4	Dave Leib on inpatient hyperglycemia.
0:21.4	But we go a lot more in depth into the pathophysiology in this episode, how to recognize DKA.
0:27.5	Dr. Colburn does some great teaching on this.
0:30.0	So I'll link to Dr. Leib's episode and all the other diabetes episodes we've done in
0:35.0	the show description.
0:36.4	We wanted to post this episode to help out all these new interns starting in July because
0:41.5	they're going to be seeing a lot of diabetes in the hospital.
0:44.3	So new interns, welcome to a great career in internal medicine.
0:47.3	You have chosen well and please enjoy this curbsiders classic.
1:04.3	Welcome back to the curbsiders.
1:05.8	Hey Matt.
1:06.8	Hi.
1:07.8	This is the internal medicine podcast that uses expert interviews to bring you clinical
1:14.1	pearls and practice changing knowledge.
1:16.2	What do we need it?
1:17.2	I'm Dr. Matthew Wato here with cohosts, Dr. Paul Williams and Dr. Stuart Brigham.
1:22.3	Hey Matt, how you doing?
	...

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