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İçerik Audioboom and The Curbsiders Internal Medicine Podcast tarafından sağlanmıştır. Bölümler, grafikler ve podcast açıklamaları dahil tüm podcast içeriği doğrudan Audioboom and The Curbsiders Internal Medicine Podcast veya podcast platform ortağı tarafından yüklenir ve sağlanır. Birinin telif hakkıyla korunan çalışmanızı izniniz olmadan kullandığını düşünüyorsanız burada https://tr.player.fm/legal özetlenen süreci takip edebilirsiniz.
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#433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns

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Manage episode 409933604 series 2894647
İçerik Audioboom and The Curbsiders Internal Medicine Podcast tarafından sağlanmıştır. Bölümler, grafikler ve podcast açıklamaları dahil tüm podcast içeriği doğrudan Audioboom and The Curbsiders Internal Medicine Podcast veya podcast platform ortağı tarafından yüklenir ve sağlanır. Birinin telif hakkıyla korunan çalışmanızı izniniz olmadan kullandığını düşünüyorsanız burada https://tr.player.fm/legal özetlenen süreci takip edebilirsiniz.
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!
Claim CME for this episode at curbsiders.vcuhealth.org!
Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

  • 00:00 Introduction and Diabetes Puns
  • 01:00 Introduction of Guest and Topic
  • 09:12 Qualifications and Eligibility for CGMs
  • 11:32 Types of CGMs and Sensor Placement
  • 24:47 Interpreting CGM Data and Alarms
  • 34:30 Troubleshooting Patterns and Adjustments
  • 35:23 Understanding Hypoglycemia and Counter Regulatory Hormone Responses
  • 36:15 The Rule of 15 and Addressing Hypoglycemia
  • 37:10 Reducing Basal Insulin to Address Nocturnal Hypoglycemia
  • 38:29 Addressing Postprandial Highs with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
  • 39:51 Managing Exercise-Induced Hypoglycemia
  • 41:43 Preventing Exercise-Induced Hypoglycemia with Snacks
  • 43:42 Managing Nocturnal Hypoglycemia with Sulfonylureas
  • 45:31 Addressing Postprandial Hyperglycemia with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
  • 46:54 Adjusting Basal Insulin to Address Morning Hyperglycemia
  • 51:18 Troubleshooting High Blood Sugars with Basal Insulin and Mealtime Insulin
  • 56:49 Managing High Blood Sugars with Basal Insulin and Mealtime Insulin
  • 57:44 Addressing Adherence and Medication Barriers
  • 59:39 Using Continuous Glucose Monitors (CGMs) for Diabetes Management
  • 01:02:30 Using Sulfonylureas and Basal Insulin Combination as a Stopgap
  • 01:05:49 Considering Patient Adherence and Barriers to Treatment

Credits

  • Writer and Producer: Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Cover Art and Infographic: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Reviewer: Emi Okamoto MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Jeff Colburn MD

Sponsor:
Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor:
Panacea Financial

Download the 2024 Residents & Fellows Survey Report for free at panaceafinancial.com/report.
  continue reading

494 bölüm

Artwork
iconPaylaş
 
Manage episode 409933604 series 2894647
İçerik Audioboom and The Curbsiders Internal Medicine Podcast tarafından sağlanmıştır. Bölümler, grafikler ve podcast açıklamaları dahil tüm podcast içeriği doğrudan Audioboom and The Curbsiders Internal Medicine Podcast veya podcast platform ortağı tarafından yüklenir ve sağlanır. Birinin telif hakkıyla korunan çalışmanızı izniniz olmadan kullandığını düşünüyorsanız burada https://tr.player.fm/legal özetlenen süreci takip edebilirsiniz.
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!
Claim CME for this episode at curbsiders.vcuhealth.org!
Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

  • 00:00 Introduction and Diabetes Puns
  • 01:00 Introduction of Guest and Topic
  • 09:12 Qualifications and Eligibility for CGMs
  • 11:32 Types of CGMs and Sensor Placement
  • 24:47 Interpreting CGM Data and Alarms
  • 34:30 Troubleshooting Patterns and Adjustments
  • 35:23 Understanding Hypoglycemia and Counter Regulatory Hormone Responses
  • 36:15 The Rule of 15 and Addressing Hypoglycemia
  • 37:10 Reducing Basal Insulin to Address Nocturnal Hypoglycemia
  • 38:29 Addressing Postprandial Highs with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
  • 39:51 Managing Exercise-Induced Hypoglycemia
  • 41:43 Preventing Exercise-Induced Hypoglycemia with Snacks
  • 43:42 Managing Nocturnal Hypoglycemia with Sulfonylureas
  • 45:31 Addressing Postprandial Hyperglycemia with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
  • 46:54 Adjusting Basal Insulin to Address Morning Hyperglycemia
  • 51:18 Troubleshooting High Blood Sugars with Basal Insulin and Mealtime Insulin
  • 56:49 Managing High Blood Sugars with Basal Insulin and Mealtime Insulin
  • 57:44 Addressing Adherence and Medication Barriers
  • 59:39 Using Continuous Glucose Monitors (CGMs) for Diabetes Management
  • 01:02:30 Using Sulfonylureas and Basal Insulin Combination as a Stopgap
  • 01:05:49 Considering Patient Adherence and Barriers to Treatment

Credits

  • Writer and Producer: Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Cover Art and Infographic: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Reviewer: Emi Okamoto MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Jeff Colburn MD

Sponsor:
Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor:
Panacea Financial

Download the 2024 Residents & Fellows Survey Report for free at panaceafinancial.com/report.
  continue reading

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