REBOOT #433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
4.8 • 3.3K Ratings
🗓️ 9 December 2024
⏱️ 76 minutes
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Summary
Step up your diabetes game! Learn the ins and outs of continuous glucose monitors (CGM) including key features, what and how to order, interpreting CGM data (time in range, time above range, etc.), and how to make adjustments to a patient’s insulin regimen, aka “insulin pattern matching”. We discuss common scenarios including overnight hypoglycemia, exercise-induced hypoglycemia, post-prandial hyperglycemia, what to do when the patient runs high all the time, and how to incorporate GLP1 agonists and SGLT2 inhibitors into a patient's regimen. Returning guest and Paul’s favorite frenemy, Dr. Jeff Colburn (VCU Health) returns!
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Transcript
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| 0:00.0 | Hey everybody. We're taking a brief winter break and you're about to hear a classic curbsiders |
| 0:05.6 | episode. Maybe you missed it the first time around. If so, you're in for a real treat. But if you heard it |
| 0:10.7 | already, then it's time for that space learning to really enforce what you heard that first time |
| 0:15.2 | around. We'll be back later this month with two brand new episodes. But if you can't wait for that, |
| 0:20.3 | then head over |
| 0:21.2 | to patreon.com slash curbsiders, where we have over 40 plus bonus episodes waiting for you, |
| 0:28.4 | and you can get all our regular episodes ad-free, and right now you get 15% off an annual membership, |
| 0:34.7 | or you can even gift a membership to that special someone in your life |
| 0:38.6 | because you know they love curbsiders. We all do. So without further ado, let's get on to the episode. |
| 0:47.7 | Paul, I'm going to start off by saying, I hate this pun. |
| 0:52.7 | Great. I'm sure I'll love it. |
| 0:54.8 | What did Mary Poppins sing to the child with diabetes? |
| 1:01.1 | A spoonful of insulin makes the sugar go down. |
| 1:04.0 | Yeah, pretty much. |
| 1:05.2 | It is pretty much, yeah. |
| 1:07.0 | Terrible. |
| 1:08.8 | Surprise audience. |
| 1:10.5 | We need some more insulin puns, sugar puns. |
| 1:14.0 | There's nothing good. |
| 1:15.1 | There's nothing to pick from. |
| 1:16.0 | Would it surprise you to hear, there's not a whole lot of glucomerateur puns out there |
| 1:18.5 | because I looked into slim thickens. |
... |
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