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.
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Goal: Listeners will be able to confidently evaluate, and manage the patient with severe hyperglycemia and/or DKA.
By the end of this podcast listeners will:
Dr. Colburn is a member of AACE and helped develop the AACE Algorithm for Type 2 Diabetes.
02:06 Rapid fire questions
07:30 Definitions and classification of diabetes
10:12 DKA in type 2 diabetes?
11:16 Pathophysiology of DKA
13:00 Severe hyperglycemia mislabeled as DKA
14:22 Which type 2 diabetics get DKA?
15:40 The cardinal issue is dehydration
17:11 Starvation ketosis vs DKA vs other
18:33 How to handle severe hyperglycemia in outpatients
22:18 Sick day management in type 1 diabetes
27:48 Initial testing for diagnosis of DKA
31:00 Subcutaneous or IV insulin for DKA
33:35 Initial evaluation and management in ER
36:50 Fluids and electrolyte management
40:12 SGLT2 inhibitors and euglycemic DKA
Links from the show:
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This was very helpful even though I am primarily an outpatient provider dealing with Type 2 diabetics. I love the way Matthew "confesses" his past mistakes. I do this with my students also and feel it is one of the best ways to teach. I think it unbelievable when he states that he is the "stupid one of the group". I think there are many physicians listening to the podcast that would love to be as "stupid" as him (me included). It takes confidence to admit when you did something less than perfect. I admire your modesty.