131 results
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
-> Start Oral Hypoglycemic ... Second Oral Hypoglycemic ... -> Start Basal Insulin ... Recurrent severe hypoglycemia ... Rubella) • Medications
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Algorithm Fasting Hypoglycemia ... : • Excess Insulin ... • Medications ... Anorexia Nervosa #Hypoglycemia
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect 

When patients FBG's are elevated each morning
attempts at adjusting medication ... patients experience hypoglycemia ... response to the hypoglycemia ... or decrease the medication ... prevent the night hypoglycemia
Beta-Blocker Overdose/toxicity:

•	Bradycardia & hypotension (most common).
•	Myocardial depression & cardiogenic shock (severe overdoses). 
•	Ventricular dysrhythmias (Common with
change, seizure, hypoglycemia ... involving lipophilic medications ... Sotalol #carvedilol #hypoglycemia ... #glucagon #insulin
Drug-Induced Seizures - OTIS-CAMPBELL

O - Organophosphate, oral hypoglycemics, opioid
T - TCA, theophylline
I - Isoniazid, Insulin
S -
Organophosphate, oral hypoglycemics ... I - Isoniazid, Insulin ... Induced #Seizures #Medication
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
-> Stimulates Insulin ... will stimulate insulin ... minimal chance of hypoglycemia ... different than other medications ... very tolerable medication
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Interpreting Hypoglycemia ... patient must be hypoglycemic ... Oral Hypoglycemic ... → Oral Hypoglycemic
GLP-1 Agonists

Adlyxin (Lixisenatide) Daily
Bydureon (Exenatide ER) Weekly 
Ozempic (Semaglutide) Weekly 
Trulicity (Dulaglutide) Weekly 
Victoza (Liraglutide) Daily
commonly used medications ... mistaken these medications ... for insulin. ... a low risk of hypoglycemia
Hypoglycemia Differential Diagnosis and Management Algorithm

Features of hypoglycemia:
 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger,
Hypoglycemia Differential ... Features of hypoglycemia ... Coma Suspected Hypoglycemia ... labs during a hypoglycemic ... MatthewHoMD #Hypoglycemia
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 ... Diagnosis #EM #IM #Hypoglycemia ... Malignancy #Exogenous #Hypoglycemic