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Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS) Absolute Insulin deficit: - Type I DM:
HHS) Absolute Insulin ... Type I DM: No insulin ... stresses that ↑ insulin ... food binges, etc Hyperglycemia ... pathophysiology #comparison
Insulin Degludec (Tresiba) vs Insulin Glargine (Lantus, Basaglar, or Toujeo) Insulin degludec (Tresiba) is an ultra-long acting
Insulin Degludec ... (Tresiba) vs Insulin ... Insulin glargine ... incidence of severe hypoglycemia ... Degludec #Glargine #Comparison
Hypoglycemia - Evaluation Algorithm Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
- Is there an insulin-like ... → Non-insulin/lGF-mediated ... Insulin - Is it ... insulin? ... → Exogenous Insulin
Hypoglycemia Workup and Differential Diagnosis Workup: • Sulfonylurea Labs • Anti-lnsulin Ab - Insulin Autoimmune Syndrome •
Hypoglycemia Workup ... Ab - Insulin Autoimmune ... demand causes hypoglycemia ... fast to trigger hypoglycemic ... Medicine @SCVMCMed #Hypoglycemia
Hypoglycemia Differential Diagnosis and Management Algorithm Features of hypoglycemia: • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger,
Hypoglycemia Differential ... Features of hypoglycemia ... labs during a hypoglycemic ... episode: • Insulin ... • Glucose • Insulin
Differential Diagnosis of Hypoglycemia Evaluation of Hypoglycemia Patients with known diabetes who are not systemically ill and can
Differential Diagnosis of Hypoglycemia ... Evaluation of Hypoglycemia ... Other studies: insulin ... C-peptide, pro-insulin ... cortisol, B-OH, insulin
Insulin Comparison Chart Insulin Types - Onset (hours) - Peak Glycemic Effect (hours) - Duration (hours) •
Insulin Comparison ... Chart Insulin ... • Combination Insulins ... Lispro, NPH + Insulin ... #Comparison #Table
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect When patients FBG's are elevated each morning
Diabetes Morning Hyperglycemia ... growth hormones and insulin ... causes a natural hyperglycemia ... adjust and release insulin ... their evening insulin
Insulin Dosing Basics - Initiating Insulin for T2DM and Converting Insulin Products Insulin dosing can be
Insulin Dosing Basics ... - Initiating Insulin ... and Converting Insulin ... Products Insulin ... experience unexplained hypoglycemia
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm Lifestyle Modifications (Diet and Exercise) -> Start
-> Start Oral Hypoglycemic ... Second Oral Hypoglycemic ... -> Start Basal Insulin ... after starting insulin ... Start PostPrandial Insulin
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