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endocrinology dm2 acei arb based comparison differential disorders dosing egfr estimation evaluation infarction kdigo ketones ketosis medications metformin muscle myonecrosis
Management of Diabetes Mellitus in Patients With CKD 1. Monitor for changes in BP, serum creatinine, &
Management of Diabetes ... patients with Type 1 diabetes ... or Type 2 diabetes ... #Diabetes #CKD # ... #Insulin #metformin
Estimating the Total Daily Dose (TDD) of Insulin: Weight-Based Dosing TDD in units of insulin = N
(stage IV or V CKD ... including most type 1 diabetics ... including most 2 diabetics ... Weight #Based #pharmacology ... endocrinology #diabetes
Diabetes Medications Summary Table Insulin Lifestyle modifications Metformin Sulfonylureas GLP-1 receptor agonists - ↓ major adverse CV events TZDs DPP-4 inhibitors SGLT2 inhibitors -
Diabetes Medications ... Summary Table ... Insulin Lifestyle ... Improved outcomes in CKD ... EricsMedicalLectures/featured #diabetes
Diabetic Myonecrosis (Diabetic Muscle Infarction) • Spontaneous ischemic necrosis of skeletal muscle (anterior thigh or calf)
Diabetic Myonecrosis ... (Diabetic Muscle ... • Suspect in diabetic ... Common pattern: ↑CK ... #management #diabetes
Sulfonylureas - Pharmacology Summary Mechanisms of Action: Binds to the ATP-sensitive potassium channel in pancreatic beta cells,
Sulfonylureas - Pharmacology ... Summary Mechanisms ... cells, triggering insulin ... contraindicated in CKD ... diabetes #endocrinology
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
produce endogenous insulin ... ketoacidosis (AKA ... • Diabetic ketoacidosis ... #differential #diagnosis ... #management #endocrinology
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Summary 10 percent ... sedimentation rate, insulin ... leukocytosis, psychiatric ... carbohydrate metabolism (insulin ... apparent type 2 diabetes
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
patients with psychiatric ... - Co-morbid diabetes ... Differential Diagnosis ... : Diabetes Insipidus ... #management #nephrology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Insulin dependent ... ASA class If ... Diabetes regimen ... medical and surgical management ... stratification #diagnosis
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