#330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!

This episode of The Curbsiders features Dr. Dave Lieb discussing inpatient diabetes management. The hosts, Dr. Watto and Dr. Barelski, guide the conversation, covering topics such as selecting insulin regimens, managing oral hypoglycemic agents, and addressing steroid-induced hyperglycemia. Dr. Lieb emphasizes proactive planning for discharge, patient education, and tailoring management to individual patient needs and circumstances. The discussion includes practical advice on insulin types, dosing strategies, target glucose ranges, and transitioning patients back to their outpatient medication plans.

Outlines

Part 1: Introduction, Personal Insights

Part 2: Clinical Approach, Goals, and Insulin Basics

Part 3: Dosing, Titration, and Special Cases

Part 4: Discharge, Takeaways, and Conclusion

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The Curbsiders Internal Medicine Podcast

Part 1: Introduction, Personal Insights

Introduction to Inpatient Diabetes Management

Personal Insights and Professional Development

Part 2: Clinical Approach, Goals, and Insulin Basics

General Approach to Inpatient Diabetes Management

Goals of Inpatient Diabetes Management and Outpatient Medications

Clarification on Medications and Introduction to Insulin Types

Insulin Types and Target Ranges

Part 3: Dosing, Titration, and Special Cases

Target Ranges and Insulin Dosing

Correction Scales and Sliding Scale Insulin

Insulin Titration and Patient Communication

Hypoglycemia Management and Dietary Considerations

Steroid-Induced Hyperglycemia

Part 4: Discharge, Takeaways, and Conclusion

Transitioning Patients Home

Medication Review and Key Takeaways

Episode Conclusion and Credits

#330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!

The Curbsiders Internal Medicine Podcast

Part 1: Introduction, Personal Insights

00:04Introduction to Inpatient Diabetes Management

Introduction to Inpatient Diabetes Management

04:06Personal Insights and Professional Development

Personal Insights and Professional Development

Part 2: Clinical Approach, Goals, and Insulin Basics

07:14General Approach to Inpatient Diabetes Management

General Approach to Inpatient Diabetes Management

13:40Goals of Inpatient Diabetes Management and Outpatient Medications

Goals of Inpatient Diabetes Management and Outpatient Medications

17:46Clarification on Medications and Introduction to Insulin Types

Clarification on Medications and Introduction to Insulin Types

24:22Insulin Types and Target Ranges

Insulin Types and Target Ranges

Part 3: Dosing, Titration, and Special Cases

32:14Target Ranges and Insulin Dosing

Target Ranges and Insulin Dosing

39:46Correction Scales and Sliding Scale Insulin

Correction Scales and Sliding Scale Insulin

47:50Insulin Titration and Patient Communication

Insulin Titration and Patient Communication

53:01Hypoglycemia Management and Dietary Considerations

Hypoglycemia Management and Dietary Considerations

1:01:28Steroid-Induced Hyperglycemia

Steroid-Induced Hyperglycemia

Part 4: Discharge, Takeaways, and Conclusion

1:07:56Transitioning Patients Home

Transitioning Patients Home

1:16:19Medication Review and Key Takeaways

Medication Review and Key Takeaways

1:18:13Episode Conclusion and Credits

Episode Conclusion and Credits