Podcasts about Diabetic ketoacidosis

Dr Julie Richardson talking about Diabetic Ketoacidosis. This talk is part of the Paediatric Emergencies 2024 event. To get your CME certificate for watching the video please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2024/ #PaediatricEmergencies #PaediatricEmergencies2024 #DKA

In this episode, Dr. Sergio Zanotti discuss the management of critically ill patients undergoing hyperglycemic emergencies. He is joined by Dr. George Willis, a practicing emergency medicine physician. Dr. Willis is an Associate Professor and Associate Program Director for Emergency Medicine at the University of Texas Health Science Center in San Antonio, where he also serves as Vice Chair of Faculty Affairs. A recognized clinical educator, he holds a particular interest in endocrine emergencies, vascular emergencies, procedural education, and medical education. Additional resources: Hyperglycemic Crises in Adults with Diabetes: A Consensus Report. GE Umpierez, et al. Diabetes Care 2024: https://diabetesjournals.org/care/article/47/8/1257/156808/Hyperglycemic-Crises-in-Adults-With-Diabetes-A Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis. WH Self, et al. JAMA 2020: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7670314/ Evaluation and Management of the Critically Ill Adult with Diabetic Ketoacidosis. B Long, GC Willis, S Lentz, et al. J Emerg Med 2020: https://pubmed.ncbi.nlm.nih.gov/32763063/ The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis) Impacts on ED operational Metrics. Acad Emerg Med 2023: https://pubmed.ncbi.nlm.nih.gov/36775281/ Books mentioned in this episode: Kintsugi: Finding Strength in Imperfection. By Celine Santini: https://bit.ly/3NCdAYB

In this episode: Diabetic Ketoacidosis (DKA) is a severe and potentially life-threatening complication of diabetes, yet it is more common than people think, especially upon diagnosis of diabetes. In this episode of the Taking Control of Your Diabetes podcast, hosts Dr. Jeremy Pettus and Dr. Steve Edelman, both endocrinologists living with type 1 diabetes, provide an in-depth exploration of DKA. They discuss the science behind ketones, why the body produces them, and how they can become dangerous in people living with diabetes. The doctors share personal experiences with DKA and offer valuable insights on recognizing early symptoms, the importance of regular ketone testing, and effective at-home treatment strategies. They also delve into the latest advancements in ketone monitoring technology and discuss certain diabetes medications that may increase DKA risk.Key Topics: What are ketones and what purpose do they serve in the body?Ketogenic diet vs diabetes: what's the difference?DKA risk mitigation and the best ways to go about itDo high glucose levels equate to having DKA?How common is DKA among diabetics and who is at risk?What are early signs and symptoms of DKA?When should you check your ketones?How to measure the important ketone that identifies someone in DKA?What are the different types of ketone meters out there?What are the different levels of ketones and what do they mean?What are some ways you can treat yourself at home?What are the cornerstones of DKA prevention and relief? ★ Support this podcast ★

This past winter, Dr. Rich Griffey, healthcare quality leader from Washington University School of Medicine and Emergency Medicine, came to present grand rounds on a new way to care for patients with mild to moderate DKA, which they call the SQuID protocol. This talk serves to inspire us to look even at some of our well established conditions and see what we could do differently, as well as appreciate the value that healthcare quality improvement integrated with research methods and implementation science thinking can do when they all come together for the improvement of patient care. Come be inspired with us! CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com   WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs   Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs  

DKA patients vary from patients with mild ketosis and dehydration all the way to collapsed, severely unwell patients in shock, with marked acidosis and needing intensive nursing care. However these patients present, one thing remains true - there is a LOT of nursing care we can provide.  But to do that, we need to understand how DKA works and what care our patients need - and that's exactly what we're diving into in this episode of the Medical Nursing Podcast! ---

In this heartwarming episode of We Are T1D, Mike and Jack sit down with Maria, a familiar voice from the community who always engages with the podcast's wins and struggles. Maria, a healthcare assistant and a Type 1 diabetic, shares her story of diagnosis, which includes a surprising revelation of fruity breath leading to a DKA diagnosis, and the steep learning curve of managing insulin injections. As they delve into the intricacies of shift work with T1D, Maria reflects on the challenges and strategies she employs to keep her blood sugars in check amidst the unpredictable routine. The conversation takes a humorous turn with tales of injection mishaps, including the perils of biting off needle caps and more! Listeners are invited to join the banter as the trio discusses the pros and cons of different CGM sensors, the struggle to keep them adhered during sweaty gym sessions, and the surprising shortage of alcohol swabs that once accompanied the sensors. Maria also shares her approach to carb counting (or the lack thereof), the importance of considering future activities when dosing insulin, and the therapeutic effect of a well-timed hypo snack. The episode culminates with Maria's sage advice for those newly diagnosed with T1D, emphasizing the strength of the online community and the wealth of resources available. Follow The Podcast https://www.instagram.com/wearet1d Follow Mike https://www.instagram.com/t1d_mike Follow Jack https://www.instagram.com/t1d_jack Connect with Maria https://www.instagram.com/t1d_maria_greenwood Join the conversation at https://wearet1d.com Don't forget to Subscribe/Follow, Rate, and Review to be part of our vibrant T1D family. Share your stories, laugh along with ours, and let's navigate the ups and downs of T1D together. Stay strong, stay informed, and keep sharing those hypo stories with a side of ketchup (weighed or not)!

In this episode, Stephanie and Suzanne discuss DKA pathophysiology, causes, signs and symptoms, diagnosis, and management.  The critical care management aspects outlined include:1.  Replace fluids2. Supply insulin3. Replace potassium4. Supply glucose

No décimo episódio dessa segunda temporada, vamos dar continuidade ao nosso mês da endocrinologia, discutindo uma complicação aguda e grave do diabetes melitus: a cetoacidose diabética (CAD). Para isso, trazemos uma convidada especial: a Dra Aiany Sabriny, MR2 de endocrinologia do Hospital Agamenon Magalhães. ⁠⁠⁠⁠⁠Lojinha da Amazon (Livros e Materiais recomendados)⁠⁠⁠⁠⁠ Sigam e acompanhem a gente, nas redes: Insta: @medicinarretada Tiktok: @medicinarretada Youtube: @medarretada Site: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://medicinarretada.com.br/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ E-mail: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠suporte@medicinarretada.com.br⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Um "xêro" e até a próxima!

In this episode of Sweet on Leadership, Tim Sweet interviews Greta Ehlers, a passionate advocate for diabetes awareness and innovation. Greta shares her journey of living with type one diabetes since the age of nine and how it led her to become a prominent voice on social media. The episode explores the intersection of personal experiences, advocacy, and leadership in the context of diabetes. Tim highlights Greta's role in creating a supportive community, breaking taboos around topics like mental health and sex, and her current work in diabetes technology innovation.Greta opens up about her 20-year journey living with type one diabetes and her role as a leader in the diabetes tech space. Tim Sweet skillfully navigates the conversation, exploring Greta's early experiences, her advocacy on social media, and her current position at the Diabetes Center Berne. Greta's unique perspective on leadership challenges traditional notions, emphasizing that leaders come in various forms. Together, Tim and Greta cover essential topics like the impact of technology on diabetes management, the importance of mental health discussions, and Greta's commitment to making life easier for people with diabetes. The conversation is both informative and empowering, shedding light on the complexities of living with a chronic condition while showcasing Greta's resilience and leadership in the field.About Greta EhlersGreta is a dynamic MedTech professional, devoted patient advocate, and an inspiring speaker, driven by a mission to ignite innovation in the field of diabetes technology. With a rich background in marketing and a personal journey as someone living with type 1 diabetes, Greta brings a unique blend of professional acumen and personal empathy to her work.Her career is marked by a relentless pursuit of scouting and nurturing start-ups specializing in diabetes technology. Greta's vision is to revolutionize the landscape of diabetes management, making it more manageable and less intrusive for those affected. Her hands-on experience with type 1 diabetes fuels her passion for finding and supporting innovations that promise to simplify life for diabetes patients.Beyond her role in MedTech, Greta is a powerful voice in the diabetes community. As a speaker, she shares her insights and experiences to educate, inspire, and drive change. Her advocacy work is not just about raising awareness but also about creating tangible improvements in the lives of those living with diabetes.Greta's approach is characterized by her creative marketing strategies that are as empathetic as they are effective. She understands the nuances of the healthcare industry and leverages this knowledge to bring groundbreaking diabetes management solutions to the forefront.Her commitment to making a difference in the world of diabetes care is not just a professional choice, but a personal one. She stands as a beacon of hope and a source of inspiration, not only for those battling diabetes but also for the broader MedTech community.In her journey, Greta continues to push the boundaries, fostering an environment of innovation and excellence in diabetes care. She is a true champion in the fight against diabetes, committed to lighting the path for the next generation of innovators in this critical field Resources discussed in this episode:Gallup: www.gallup.com--Contact Tim Sweet | Team Work Excellence: WebsiteLinkedIn: Tim SweetInstagramLinkedin: Team Work ExcellenceContact Greta Ehlers | Diabetes Center Berne: Website: www.dcberne.comInstagram: @gretastypeoneTwitter: @gretastypeoneLinkedin:Greta EhlersDiabetes Center Berne--Transcript:Greta 00:01There was this really distinct image of a leader in my head. And I know other people who I would definitely describe as a leader. But in my head, I was just too young, not too much of an expert, too little experienced, and all of that. And then I think talking to you also helped me see that leadership comes in different shapes and forms, right? There's not one definition of what a leader is at all. Tim 00:28I'd like to ask you some questions. Do you consider yourself the kind of person that gets things done? Are you able to take a vision and transform that into action? Are you able to align others towards that vision and get them moving to create something truly remarkable? If any of these describe you, then you my friend, are a leader, and this show is all about and all for you. Welcome to the Sweet on Leadership podcast, episode 22.  Tim 01:02Welcome back, everybody. My name is Tim Sweet. Thank you for joining us again, for Sweet on Leadership. Today, I am joined by an absolute rain sunshine, which I keep saying, this is Greta Ehlers. Greta, thank you so much for joining us on the show today. Greta 01:18Thank you so much for having me, Tim, I'm really excited to be here. Tim 01:21Greta, I want you to tell everybody where you are in life. So, maybe just for the first few moments here, tell us a little bit about yourself. Greta 01:31Absolutely. So, I'm 20 years old. I graduated from university two years ago and I think right now I'm enjoying my first two years of full-time work. And I've been living with type one diabetes for 20 years, which is quite important, plays a big role in my life. We'll talk more about that later. And I'm very passionate about innovation, about innovative technology, especially diabetes technology. And outside of work, I love traveling, I love exploring, I love classical music, and talking to interesting and inspiring people all over the world like you, actually. So, I'm really excited to be here. Tim 02:15And I'm really excited to have you here. And I'm really honored that you'd spend the time with me. I think it's important to note that a 20 years of age, we might be tempted to equate the time that you've had so far and you're relatively new, or starting your career with someone who may not yet have a great deal of experience to offer our audience. And I want to hit that right on the head. Because the thing is, is that age is just one of those things that really is not a good measure of what a person's life experience is. And I think talking to you and learning more about you, I'd like you to take everybody who's listening today back into where your journey started. Because that was not, you know, just yesterday, you've been involved in something passionately for a number of years. And so take us back to that story about type one diabetes and getting involved in that. And really establishing yourself as an advocate in that space. Greta 03:09Absolutely. So, I think in order to go back to where it all started, you have to go back around 20 years, and that's when I got my diagnosis. And my diagnosis, obviously, or living with type one diabetes isn't me or all of me, but it plays a really big part in my life. And it's also definitely part of where I am now and why I'm here. So, I was nine years old. I was on summer holiday with my best friend, we went to the Baltic Sea. And for a number of weeks, I've been feeling really thirsty, you know, I've been physically unwell. And the only thing I remember from that holiday is not the beaches or the fun we had. It's mostly how thirsty I was, all the time. The amounts of times I woke up during the night being so thirsty, I had to go to the kitchen and have some water. I came back from holiday, my parents picked me up and they took me to a doctor because I wasn't well. And they took some blood tests and told me and my parents that I was only nine. So, I didn't really understand what was happening. But they told me, you have type one diabetes will rush you to the hospital, and then you will learn how to adapt and kind of make all the adjustments you need in order to kind of live with that chronic condition. Tim 04:38That's a very shocking and sudden introduction to having to adult really quickly at the age of nine. And suddenly and almost overnight. Greta 04:43Yes, absolutely. And it was just you know, a big word. I mean, all I heard back then being nine years old is you'll have to inject yourself several times a day for the rest of your life. And I think that's what I remember. And I think that's where my whole journey started. Tim 05:04When you think back on that time, you were dealing with it personally. But very soon the journey became more public. Can you tell us a little bit about that? Greta 05:12Yes. So, growing up, you know, they had these camps for kids with type one diabetes. And now looking back, it's obviously a great thing. But back then I was like, No, I don't want to hang out with other sick kids, I'm not going to do that. And that was fine. My parents were like, Okay, we're not going to force you to. But obviously, 10 years later, or 15 years later, I realized that I literally don't know anyone else who's living with the same thing, and has to manage all these challenges, which I have to manage every day. And, of course, you regularly check in with your doctor. But that's also not the same as you know, talking to someone who is kind of your age and lives with the same thing. And that's when I turned to social media, actually, I think I was 20. And I created an Instagram page. And my first intention, and my only intention back then was to get to know other people with type one diabetes and exchange and talk about it. Tim 06:14And did it serve that purpose? Initially?  Greta 06:21Yes, absolutely. I think the diabetes community is very unique, very supportive, very, like relatively small, but people are just very supportive of one another. And I very quickly felt like, oh, there's loads of people I can turn to, there's loads of people who go through the same thing. And kind of this whole new level of mutual understanding, I guess, which I never felt like I had before. Tim 06:46So, you're facing the situation. And in doing that, you felt the need to or wanted to process it, you wanted to be part of something that camp wasn't for you. But you found social media, and you found your people. And you suddenly were surrounded by these people that could see the world, or at least see it through your eyes, or at least approach a greater degree of empathy. But you didn't stop there. Right? You didn't stop there. So, then what began to happen as you found your people, and you began to use Instagram? Greta 07:22So, I think the beginning like the first year or something, I was just like, you know, I was kind of sharing pictures of my food and my blood sugar levels being like, Oh, I discovered this and that. And then, after some time, it must be like, four years ago, maybe I think, I realized two things. First of all, there are certain topics, which really impact my life, which are not spoken about enough. And the second topic was, there's lots of false information on social media. And basically, what I did, I created this platform to tackle both of these problems. So, what I did was researching papers, scientific journals, I was studying at university back then. So, I had access to all of these, you know, research papers. And I started speaking up about topics, which I felt when talked about enough, and that might be diabetes and mental health. I mean, now it is a bigger discussion about mental health in general, but five years back, it wasn't necessarily. Or diabetes and sex, how does a chronic condition like that may impact your sex life? And all of these topics, which I feel are quite a big part of people's lives, but they're hardly spoken about. And I found out things, which I never knew, none of my doctors had ever talked to me about it. And I started sharing these facts and research statistics over social media to help other people find this information and maybe answer some questions they had. Tim 09:05The view that I'm having here, of you getting really deep into it. What was the response that people started to show? Greta 09:13For me, it was absolutely overwhelming. Because I remember I started posting these research stats on these letter boards, maybe you have seen them, where you can stick on these letters. Because I was like, Okay, we need science-based information. But also it needs to be kind of easy to understand because not everybody can be bothered to read journals. So, I wanted to kind of share it in a simple, aesthetic way. And I remember when I shared the first of these boards, so many people shared it. I think, today, it's been a while since I've checked, but it got over 3,000 reshares and my account back then wasn't big or maybe had like 2,000 followers or something. The response was great, immediate–Tim 09:58And overwhelming. Wow, that's great. When we look at your journey, you had identified a need that people obviously felt, and you provided a solution, right, you provided a source. So, if I look at this, as we were talking and we were setting up for this interview, what's really interesting to me is that you saw this as being a social media influencer, you saw this as being a public figure in that space. But you didn't see this in other ways. You didn't see this necessarily in terms of leading this group. Can you tell me a little bit about that? And how that has changed for you? Greta 10:35Yeah, so I think for me, it was just back then something that I needed. And so I shared it with the world. And then I very quickly got the positive response. So, it made it very clear for me that other people also have that need. And then the logical consequence for me was okay, I'll make more of these. But I would never have seen myself as in somewhat leading people, you know, Tim 11:04After you had gone through this and moved through university and whatnot, can you tell us a little bit about then where life took you? You now have established yourself as a voice in the diabetic community, and people are responding and you're getting followers, you're seen as a source. How did that look for other parts of your life? What did that look like, as you went to finish school and find your first job, those kinds of things? Greta 11:29Even though in the beginning of these years, when I was very social on Instagram, and I got invited to speak at conferences, even before I dived into my whole professional career, it's never been my goal to end up somewhere in the med-tech space, where I am now. But after I graduated, I got a job offer for where I'm now actually from Switzerland, by someone who I knew over social media. That's why I'm saying kind of all of these things brought me here. Because Maura and my colleague who kind of reached out to me back then, we've been known each other for years over social media, she also has type one diabetes. And she asked me shortly before I graduated, whether, yeah, I could imagine moving to Switzerland, I was studying in Sweden. And she was like, there is this really cool technology center, driving diabetes innovation, and I think you would be the perfect fit. Do you want to move to Switzerland? And my first response was, hell no. I wanted to see the world you know, I've just studied and learned in a very small Swedish town, two years of COVID. My plan was to, I don't know, go travel, see the world apply for a job somewhere in Tokyo or whatever, see where life takes me. But then this opportunity suddenly just, I don't know, flew to me somewhat. And then I was like, actually, yes, this is exactly what I want to do, like make life easier for people with diabetes, just like myself. Tim 13:02Let's go a little bit into that organization that you're part of now and what your role is currently. Greta 13:06So, we are a privately funded nonprofit organization. And our high-level mission is, or vision is to make life easier for people with diabetes. That sounds very abstract, but it is ultimately really just that. And we do that by conducting research on the one hand and translating this research into real solutions on the market, which people with diabetes can use. And that is mostly startup support. So, I'm working in business development. I scout startups with innovative ideas on how to make life better for people with diabetes, and I help them get their solutions off the ground. Tim 13:54Probably a great time to say, if people wanted to find that particular organization, where would they look? Greta 14:00We're caught Diabetes Center Berne, you can find us on LinkedIn, you can reach out to me on LinkedIn, and I'm happy to conveniently enough, I'm also in the business development team. So, feel free to reach out to me or Google us, Diabetes Center Berne, and you'll find us. And we have a big innovation challenge a bit like Britain's Got Talent, but for diabetes startups. Tim 14:22Awesome. So, we'll put all of that in the show notes. And where can people find you on Instagram? We're only midway through the conversation here. But I want to make sure that we stop and let people know that they can take a look while they're listening here. So, where can people find you on Instagram? Greta 14:38It's gretastypeone on Instagram, all letters, no numbers. And it's been a while since I've been active, life is busy, but all the content is still there. Feel free to check that out. Tim 14:52Right, as a resource, it could be great for yourself or somebody that you know, dear listener, so make sure that you check that out, and again, we'll put the link in the notes. Okay, so here we are, we've got you out, and you are working and you're working in an area that obviously realizes the importance of your perspective and your experience and your passion as they've scouted you. Give us a quick snapshot of what is life like right now. Greta 15:22Right now I am five days away from a three-month trip. You know, I am based in Berlin, and people, even if they're not from Berlin, keep telling me, how do you even manage Berlin winter, it's so sad. Everybody's so grumpy. You honestly, you should just go somewhere else. This year often thinking yes, actually, why not? So, I'll be on the road traveling to Southeast Asia and to India. And very lucky to still work, we have a very flexible working environment. So, I'll take some time off. But I'll work some from a nice Airbnb somewhere in Indonesia, I hope. I'm very happy where I am, I love my job. I'm very lucky to kind of be motivated to go to work every Monday and really feeling like I can make a difference. You know, I don't feel like this tiny number in a big organization. I do feel like, in this area where work and my job, I can make an impact. And I can drive innovation. And this impact is somewhat visible for people out there. Tim 16:29Let's talk about that impact for a minute. If we think about the fact that you can pick up and travel, is that experience any different now, as it would have been, you know, when you were nine years old? Is traveling with type one diabetes, has that changed in the last several years? Greta 16:48Yes, I think that's why these technologies advancing are so amazing to me because I know how much easier everyday life is because back then 20 years ago, I had this blood sugar meter where I had to prick my finger several times a day, and I had, you know, glass vials and syringes. And now I have a small sensor on my arm and an insulin pump, which looks like a fancy MP3 player. And it does make it easier. And then of course makes traveling easier. And not just traveling but everyday life. Every single day. So, that's what I mean by saying this impact is very real to me. Tim 17:29And that's the technological impact. What with the mindset of a person with type one diabetes, would that have changed over the last several years? Or is there a mindset or a maturity that people have to go through when they're first diagnosed in order to feel free and able and, and all of that? Is there a mindset shift that people have either gone through on mass or that you see individuals as having to tackle? Greta 17:59Type one diabetes is so individual, I think everybody is going through their own struggles and feelings. Everybody's having their own, needs to take their own amount of time to kind of, you know, get used to that and accept the diagnosis, of course. One thing I would like to say is, sometimes what I hear working in this very tech-advanced field is that a lot of people think with all the tech we have now it's basically not something I have to think about ever because now I have the tech and it's basically doing the job for me. And funnily enough, that's not something which has changed at all. So, I don't think that maybe slightly, the amount of time I spent thinking about it has changed a bit. But it's still very much there, even though the actual handling of it has gotten easier. But you might talk to another person with diabetes, and they might give you a completely different answer. I think, for me, it has become easier, but it's still very much there. Tim 19:02I mean, I'm a high-maintenance person. Years ago, I was diagnosed with a nonceliac wheat allergy. That diagnosis happened to, this was way before gluten-free and everything was a fad. I was having health issues, and I couldn't drink a cup of coffee without, you know, jittering. And then I was quite sick all the time and the rest of it. And I happened to find a doctor who was also an endocrinologist. And he took me through a range of tests. And it resulted in me having to drastically change the way that I eat. Now, I'm an old schooler when it comes to eating wheat-free. And although I was working at a bread company at the time, which didn't make me a very popular person, but it became one of those health-based obsessions in a sense. It was not something that I was doing, you know, out of fad or popularity or anything like that. It was something that I had to be aware of. I knew what the consequences are if I slipped up, and it continues to be something that I am conscious of, and it is active, it's not something that I can push to the background completely. Would that be similar to the experience that you have? Although I'm sure you're for those of you that don't know, I mean, maybe tell us a little bit about, if you've were to let it off your mind. What's the result for a person with diabetes, some people probably still do not understand what happens if it goes out of control? Greta 20:33A lot of people think that type one diabetes is you have to watch what you eat, and then maybe you lose a bit of weight, and then everything's gonna be okay. But it's an autoimmune disease, we're still not really sure what causes it. And basically, for a healthy person, your pancreas produces insulin, and mine doesn't. And that's why I have all the injections or the insulin pump, which will give me the insulin I need. And if I wouldn't, then there's something called DKA, Diabetic Ketoacidosis. Very complicated word. But basically, you fall into some sort of coma at some point, and then you'll die. So, it's something you want to, you know, kind of, keep in range. Tim 21:19So, damage to organs, damage to all sorts of things can happen. Damage to the brain.Greta 21:24Yes. It is very serious, like, it's one of these, people like to call–Tim 21:26It's not a lightweight diagnosis. Greta 21:28Yeah, I think it's one of these. I've heard that sometimes, it's what people refer to as a bit of an invisible illness. Because I mean, you can't really see unless they maybe have like, my insulin pump in my hand or something. But it's still very much invisible. And I think that's sometimes why people think it's not too serious. I bet that's what a lot of different conditions as well. But. Tim 21:54So, we see you moving through life, you've got this great job, you're about to embark on this travel adventure, you're enabled to travel in those ways. I did ask you two questions at once there. So, that's my bad, but that in terms of it being the ever-present, you know, friend, or whatever you want to call it, that obsession. Is that similar to your experience, but it's not something that's ever far from mind? It's just not necessarily. Greta 22:20Yes. Yeah, exactly. I think that pretty much nails it. Tim 22:23Yeah. I was thinking of it almost like a person when you have that little friend joining you the whole time. How do you feel about it now? What role as a character in your life does diabetes play now? Greta 22:38It's an interesting kind of thought sometimes. Because, for me, obviously, the reason why I work in diabetes tech is probably because I got diagnosed back then. And I've talked to some different people. And I know people who say, Oh, I'm actually somewhat kind of grateful that I got this diagnosis because otherwise, I would not be where I am today. And whilst I think that it is, that is completely true, also, for me, I wouldn't be where I am today if I wouldn't live with diabetes. I'm 100% convinced I would have found another passion. So, I am, of course, I'm grateful where I am now. I love my job. I love making impacts, working with all these great people. But I'm also convinced I could have found all of that somewhere else. Tim 23:26Would have found all of that. Greta 23:28Yeah. Tim 23:29If I may, let's shift gears on the conversation here a little bit because you're starting to traipse into my world, something I would coin is natural leadership. Right? We've got a lot of decent research out there right now that say that people are either wired to be leaders or not. Gallup estimates it at around 10% of the population. I personally think it's much lower. Because even if you have the personality, neuro structure, whatever you want to call it, to be interested and gravitate towards leading, and you will find a thing to lead. If it's not diabetes, it's something else. Not everyone has the chance. Some people have socioeconomic conditions, or they're a certain part of the world or they live within certain traditions, or they have certain life situations and trauma that have kept them from the leadership sphere. And so even if 10% of people have the possibility, I tend to think it's closer to about six 6% of people will actually express themselves as leaders. And the definition which listeners here will have heard me say before is of that 6%, 80% of them will be damaged in the process. They will suffer somehow in their life, or make trade-offs for the good of others and for the good of a cause. But they will not stop. And that really is a mark of a leader in my mind, is well some will emerge unscathed. Others will have to make sacrifices in order to uphold their values and the cause that they're head of. And so when you and I were talking about this off camera, this is a show for leaders. This is a show, I feature people that I am inspired by and see their role in the world as being at the forefront of something, having insight that they can share with others. But you had a very interesting reaction to that, didn't you? So, can you talk a little bit about that? I think that that's one of the most interesting parts of your and mine getting to know each other. Greta 25:36Yes, no, I do remember when we had a chat, and I was asked to be a guest on this podcast. I had two thoughts. And the first one was, I felt so honored. I also thought, like, why am I invited on the leadership podcast, a podcast on leadership? Because I would have not described myself as a leader. Tim 25:58May I describe you as the leader for a moment? Greta 26:00Please, yes, go ahead. Tim 26:01Now, let's talk about the story that you've told us so far. What I want people to be thinking in the back of their minds, as they're listening to this, is that many of the attributes that Greta you've demonstrated, so well, through your journey, are things that certain people have to back up and go in actually pursue intentionally, they don't land on them as naturally. So, let me take you through some of what I was thinking. You were faced with the situation, the situation of being diagnosed at a young age with type one diabetes. And very quickly, you found your people, you found a group of people that had similar interests or were facing similar challenges. But you didn't stop there, you opened yourself up, and you shared, and you let people in. And you made your individual journey, what you've said is really unique. But you made it accessible to people so they could see you going through it. And that's a mark of a leader. And then you took topics that people had fear about, or were not talking about, or that weren't at the forefront of professional like the doctor's minds. And you made them safe to talk about, and that's the mark of a leader. And then you took it upon yourself to guide and find the truth and do the research, and declutter and denoise life for others. And that's the mark of a leader. And then you built a platform, and a collision space where people could come together and ask awkward questions, and get information that they may not find elsewhere and find others, find those people that you'd found earlier. And those creating of collision spaces, I mean, that is the mark of a really impressive leader. And then I'm getting a little repetitive here, but bear with me. And then you spoke up and you stood for something. And you know what there's that statement that says, if you don't stand for something, you'll fall for anything. And I think that's okay, that's a fine statement. But there's another notion, and that is if you stand up, and you stand up, and people know what you stand for, they will stand with you. And if they can see themselves in that, then they find standing up for themselves easier, because you're there as that sort of ladder to being self-representative and advocating for yourself. And you broke that silence and was able to speak up on topics of mental health and sex and how it influences youth and probably maturing through all of this, and what it meant to find yourself. And if that's not leading, I really don't know what it is. So, just from my part, when we talk about all of those attributes, the fact that you created something you were taking assertive control over a really nebulous situation, and making it real and giving people stability. And that is leading a movement, and I am so impressed. And again, just have to give you such credit for doing that. And do it so consistently and continue to do it. So, anyway, that's a little bit of a, I don't want that to be too aggressive or too much like a lecture. Greta 29:22Thank you so much. It means a lot because I think when I yeah, when we had that chat about like me coming onto this podcast, it really kind of forced me to reflect. So, it was actually really good because I was like, I don't think I'm a leader. I just, you know, identify this change that I needed. And I did it and then I think it was talking to my girlfriend over Sunday brunch and she was like, yeah, exactly. Exactly. Yeah, it took me some time to realize that actually, that might be leadership too. You know. Tim 29:55I hope you embrace that. I mean, you already are but you're having an amazing life and you're helping others, I'm sure, find theirs. And that's just something that's very inspiring, and what might life be like for you? If you really lean into this notion of being a leader? Would it change your approach at all? Would it embolden you in any way? Greta 30:17I think it makes leadership more accessible, somehow. Growing up and stuff, there was this really distinct image of a leader in my head. And I know other people who I would definitely describe as a leader, but in my head, I was just too young, not too much of an expert, too little experience, and all of that. And then I think talking to you also helped seeing that leadership comes in different shapes and forms, right? There's not one definition of what a leader is at all. Tim 30:52In fact, it can be awfully debilitating, and toxic, and exclusionary, if we try to define leaders as being something that people have to be and have a very narrow definition on top of all of that. Leadership is such a, it's such a personal expression. And, you know, the first responsibility I think of every leader is to be really fluent in themselves, and how they think, and, and where their own, you know, tensions and biases and whatnot are, so that they can flow with that, is most certainly not one size fits all. You may be pondering the label. But as I say, the action has been proven, you've got a resume that I think many people would envy, understanding that it was not the easiest way to get there. And that you were probably thrust into that more than others have been. But boy, did you ever take up the charge? So, good on you for picking up the flag and running with it. So, Greta, let me ask you, as we sort of wrap up here, let me ask you a couple of questions. If people want to find you, we talked about that, can just give them another place to find you personally. Greta 32:13I think that the best one to reach out to is LinkedIn. So, if you look for my name on LinkedIn or the link, if you put it somewhere. Tim 32:20We'll absolutely do that. What is the thing you're most excited about right now, besides the travel that you've got on the go? Greta 32:26I think personal growth. I feel like next year kind of has a lot in store for me been talking to loads of interesting people. I feel like this year, I've really, I'm on a good way of finding out what I want to dive into, like my professional life. And I'm very lucky to be surrounded by so many great people also professionally, who are so willing to help me get there. I'm very excited to learn and grow. And I think that's what next year has in store for me. And it makes me very excited. Tim 33:00I don't want to put any pressure on you. But if you begin to post both your travels and some of this on your Instagram, I am eager to follow along. Don't make it become all-encompassing or ruin your trip. But boy, I think any of us who are listening today would sure be interested to see what happens next. Greta, if you had one wish for our listeners today, what would it be? Greta 33:24It's not as much as a wish as something I really learned in the past like two weeks. And it is that leadership can be finding something you really believe in and driving it forward. And if it is something you believe in, and you drive it forward, then others will follow. And I think that's the whole kind of thing that I learned that I made a change that I needed and others followed. And I've never kind of lost that. And that's what makes the whole thing so unique. Tim 34:01Absolutely. And that you're so stalwart in it. And so consistent. It's been a real pleasure to talk to you today. I hope people take from your story, everything that I'm taking from it because it is absolutely inspiring. And absolutely just a real honor to have you here. Greta 34:17Thank you so much. It's been so great chatting to you. Tim 34:20Let's make a plan that when you're back from your trip, and as life moves on, we do this again. Greta 34:27Absolutely. I would love that. I hope by that time next year. I'm kinda you know, have new things to talk about. Tim 34:36Greta it's been absolutely my pleasure. We'll talk to you soon. Greta 34:38Talk soon Tim, thank you. Tim 34:45Thank you so much for listening to Sweet on Leadership. If you found today's podcast valuable, consider visiting our website and signing up for the companion newsletter. You can find the link in the show notes. If like us you think it's important to bring new ideas and skills into the practice of leadership. Please give us a positive rating and review on Apple podcasts. This helps us spread the word to other committed leaders. And you can spread the word to by sharing this with your friends, teams, and colleagues. Thanks again for listening. And be sure to tune in in two weeks' time for another episode of Sweet on Leadership. In the meantime, I'm your host, Tim Sweet, encouraging you to keep on leading.

Send us a Text Message.In this episode, Dr. Sugerman discusses Diabetic Ketoacidosis (DKA) in pets and shares a real-life case of a dog named Ranger. He explains the role of insulin in managing blood glucose levels, the significance of ketone bodies, and the process of diagnosing and treating DKA. Dr. Sugerman also discusses the prognosis and aftercare for pets with DKA. Tune in for an informative and educational episode on DKA in pets.In this episode you will learn:What diabetic ketoacidosis (DKA) is and how it affects the bodyA real life case seen by Dr. Sugerman and understand his thought processes during the diagnosing phaseHow we treat DKA patients and the importance of hospitalizationPotential prognosis for DKA patients and what their post-hospitalization future may holdSupport the Show.Connect with me here: https://www.vetsplanationpodcast.com/ https://www.facebook.com/vetsplanation/ https://www.twitter.com/vetsplanations/ https://www.instagram.com/vetsplanation/ https://www.tiktok.com/@vetsplanation/ https://youtube.com/@Vetsplanationpodcast https://www.youtube.com/playlist?list=PLVbvK_wcgytuVECLYsfmc2qV3rCQ9enJK Voluntary donations and Vetsplanation subscription: https://www.paypal.com/donate/?hosted_button_id=DNZL7TUE28SYE https://www.buzzsprout.com/1961906/subscribe

Diabetic ketoacidosis (also known as DKA) is a dangerous medical complication of untreated T1D. In this MVP episode, we discuss what causes it, the risk factors for going into DKA, symptoms to watch out for, how to treat it, recovery, and prevention in the future. We also briefly touch on the difference between diabetic ketoacidosis and nutritional ketosis.This episode was originally aired on July 27th, 2021.Join the Half-Dead Pancreas Club! What to do next... Leave a review on Apple Podcasts Join the Half-Dead Pancreas Club Follow the Pod on Instagram Follow Colleen on Instagram Follow Jessie on Instagram Follow us on TikTok

Children and adults with Type 1 Diabetes Mellitus (T1DM) are at high risk of the acute and chronic complications. The acute complications are Hypoglycemia (low sugar attack) and Diabetic ketoacidosis (DKA). Diabetic ketoacidosis (DKA) is a life-threatening problem that usually affects people with T1DM. It occurs when the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel as ketones, which causes the blood to become acidic. Diabetic Ketoacidosis begins with mild ketosis in a person with T1DM due to their high blood glucose, dehydration, infection or same precipitating cause. It should be checked in urine ( by keto-Diastix ) if fasting glucose is more than 250mg/dl or Postmeal / Random Glucose is> 350 mg/dl or during any episode of vomiting, fever abdominal pain, drowsiness or any sick day symptoms. (Recorded on July 14 2023 at Akashvani Nagpur) Hypoglycemia means when the blood glucose falls to below 70mg/dl, which requires to be corrected by oral glucose or Sweets or any available food. Mild and moderated hypoglycemia can be managed at home, but severe hypoglycemia presents with unconsciousness, abnormal behaviour, seizures or rarely paralysis which needs hospitalization. To prevent hypoglycemia, much effort must be invested in education regarding risk factors, warning signs, and treatment of hypoglycemia at an early stage. Also Diabetic Identity Card (DIC) plays an important role. Every diabetic should have DIC which will help them in emergency conditions to get the immediate treatment.

Complication are major cause of morbidity and mortality in people with diabetes. Type 1 Diabetes Mellitus are at high risk of a acute and chronic complications. The acute complications are Hypoglycemia (low sugar) and Diabetic ketoacidosis (DKA). Hypoglycemia means when the blood glucose falls to below 70mg/dl, which requires to be corrected by oral glucose or Sweets or any available food. Mild and moderated hypoglycaemia can be managed at home, but severe hypoglycemia presents with unconsciousness, abnormal behavior, seizures or rarely paralysis, such cases need Hospitalization. Diabetic Ketoacidosis begins with mild ketosis due to high blood glucose, dehydration, infection etc. It should be checked in urine ( by keto-Diastix ) if fasting glucose is more than 250mg/dl or Postmeal / Random Glucose is > 350 mg/dl or during episode of vomiting, fever abdominal pain or any sick Day. Early correction of Blood glucose by insulin correction of dehydration and antibiotic for infection may prevent hospitalization, which is otherwise mandatory during severe DKA. Chronic complication may appears after many years of duration and can be related to Eyes (Diabetic Retinopathy), Kidney (Diabetic Nephropathy), Nerves (Diabetes Neuropathy), Sexual Dysfunction, Heart (CVD), Brain (Stroke) etc. All these complication are preventable by control of glucose, lipids, blood pressure & healthy lifestyle. Therefore health care providers should counsel and educate people with type 1 diabetes to help them live stress free life with diabetes. Recorded on 23rd June 2023 with Radhika Patrikar, at Akashwani Nagpur.

In this episode I have tried to simplify some stuff about diabetic ketoacidosis for the residents and the first time consultants. Its a huge topic and just one episode does not do justice to it. But you do not have to follow what I say. Please do your own research too. You can go through the following the references - 1.   Canadian Diabetes Association Clinical Practice Guidelines Expert Committee; Goguen J, Gilbert J. Hyperglycemic emergencies in adults. Can J Diabetes. 2013 Apr;37 Suppl 1:S72-6. doi: 10.1016/j.jcjd.2013.01.023. Epub 2013 Mar 26. PMID: 24070967. 2. Self WH, Evans CS, Jenkins CA, et al. Pragmatic Critical Care Research Group. Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials. JAMA Netw Open. 2020 Nov 2;3(11):e2024596. doi: 10.1001/jamanetworkopen.2020.24596. PMID: 33196806; PMCID: PMC7670314. 3. https://emcrit.org/ibcc/hypokalemia/#top 4. https://emcrit.org/ibcc/dka/#definition_&_severity_of_DKA 5. Tran TTT, Pease A, Wood AJ, et al. Review of evidence for adult diabetic ketoacidosis management protocols. Front Endocrinol (Lausanne). 2017;8:106. doi:10.3389/fendo.2017.00106 6. Fort P, Waters SM, Lifshitz F. Low-dose insulin infusion in the treatment of diabetic ketoacidosis: bolus versus no bolus. J Pediatr 1980;96:36e40. 7. Butkiewicz EK, Leibson CL, O'Brien PC, et al. Insulin therapy for diabetic ketoacidosis. Bolus insulin injection versus continuous insulin infusion. Diabetes Care 1995;18:1187e90.

You may have heard rumors that ketones are dangerous, but that's completely untrue. Find out why.

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Dr. Mark Mannenbach, emeritus pediatric emergency medicine faculty of Mayo Clinic and former chairperson of the division of pediatric emergency medicine sits down with Alex and Venk to talk about pediatric diabetic ketoacidosis. We review tips and tricks from a lifetime of caring for sick kids, discuss our Mayo Clinic practice guideline, cerebral edema diagnosis and management, compare the care of pediatric DKA with that of adult DKA and more - Check out this ultra-sweet chapter! CONTACTS Twitter - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Wolfsdorf JI, Allgrove J, Craig M, et al. Hyperglycemic crises in pediatric patients with diabetes; a consensus statement from the International Society for Pediatric and Adolescent Diabetes. Pediatr Diabetes. 2014;15(S20):154-179. Neu A, Hofer SE, Karges B, et al. Ketoacidosis at diabetes onset is still frequent in children and adolescents. Diabetes Care. 2009;32:1647-1648. doi: 10.2337/dc09-0553. Epub 2009 Jun 23. PMID: 19549730. Kuppermann N, Ghetti S, Schunk JE, et al. Clinical trial of fluid infusion rates for pediatric diabetic ketoacidosis. N Engl J Med. 2018;378:2275-2287 Long B. Lentz S, Koyfman A, Gottlieb M. Euglycemic diabetic ketoacidosis: etiologies, evaluation and management. Am J Emerg Med. 2021 Jun;44:157-160 Glaser N, Barnett P, McCaslin I. Risk factors for cerebral edema in children with diabetic ketoacidosis: The Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics. N Engl J Med. 2001;344:264-269. Soto-Rivera CL, Asaro LA, Agus MSD, DeCourcey DD. Suspected cerebral edema in diabetic ketoacidosis: Is there still a role for head CT in treatment decisions? Pediatr Crit Care Med. 2017 Mar;18(3):207-212 Wilkinson K, Sanghamitra S, Nair P, Sanchez J, Ambati S. Utility of head CT scan in treatment decisions for suspected cerebral edema in children with DKA. J Pediatr Endocrinol Metab. 2022 Sep 29;35(10):1257-1263

Show notes at pharmacyjoe.com/episode817. In this episode, I'll discuss how to predict failure of insulin transition in critically ill patients with diabetic ketoacidosis. The post 817: How to Predict Failure of Insulin Transition in Critically Ill Patients with Diabetic Ketoacidosis appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode817. In this episode, I ll discuss how to predict failure of insulin transition in critically ill patients with diabetic ketoacidosis. The post 817: How to Predict Failure of Insulin Transition in Critically Ill Patients with Diabetic Ketoacidosis appeared first on Pharmacy Joe.

Diabetic Ketoacidosis and Medicine in the Media Special Guest: Janice Tsui, PharmD, BCCCP, MS 05:00 – DKA guidelines and consensus statements 13:05 – IV fluids 19:45 – Insulin 27:40 – Treatment goals and transition 31:20 – Hypoglycemia prevention 35:00 – Electrolytes and acidosis 41:05 – Euglycemic DKA 43:40 – Role of Pharmacist and ultimate take-aways 48:47 – Medicine in the Media featuring Jimmy Leonard, PharmD, DABAT Reference List: https://pharmacytodose.files.wordpress.com/2023/05/diabetic-ketoacidosis-references-1.pdf PharmacyToDose.Com  @PharmacyToDose  PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Ian Lake  Dr. Ian Lake is a GP in the UK. Having Type 1 Diabetes himself, he adopted a ketogenic lifestyle 7 years ago, which he feels positively transformed his daily diabetes control to near non-diabetes levels. He runs a website dedicated to providing information about ketogenic lifestyles in Type 1 diabetes and this month is launching a comprehensive course for healthcare professionals. He self-experiments on ketogenic diets in type 1 diabetes and in 2019 he completed a 5-week solo and unsupported run covering over 700 miles on just 9% carbohydrate. In 2020 he took it to a whole new level by organising the zerofive100 project, a 100-mile team run over five days fully fasted with zero calories. Ian's Top Tips These top tips are aimed at Type 1 Diabetics If you have injected insulin and your blood sugar isn't coming down - do some physical activity. There are certain times of day when glucose control is harder (not food related) try skipping a meal. If you are keen to try the ketogenic diet for managing Type 1, read about it on Ian's website and ask your clinician to support you. Resources Mentioned Dr Bernstein's Diabetes Solution: A Complete Guide To Achieving Normal Blood Sugars - Dr Richard Bernstein Keto Live Dr Ian Lake's research paper Nutritional ketosis is well-tolerated, even in type 1 diabetes: the ZeroFive100 Project; a proof-of-concept study https://journals.lww.com/co-endocrinology/Fulltext/2021/10000/Nutritional_ketosis_is_well_tolerated,_even_in.6.aspx Navigating an annual review The Society of Metabolic Health Practitioners Quotes by Ian Lake “I always thought I could outrun it” “I have absolutely nothing to lose.” “It's downhill all the way from here.” “The realisation that you can manage your type 1 diabetes very, very well indeed with something simple like a diet has sustained me through the past 7 years.” “People who are on a keto diet have 6 times fewer hypos.” “Getting it wrong on a high insulin regimen is much more serious than getting it wrong on a low insulin regimen which is keto.” “93% of people go into a clinic and the general advice is for high carb diets.” “19% of doctors said they don't recommend a keto diet because it is unsustainable or bland, where's the science in that?” “You can eat anything but whether you should be eating anything or everything is a different matter.” “60% of people have done this alone with any help from any clinician at all.” “Diabetic Ketoacidosis can happen in any person with diabetes if you get ill enough but as a result of the diet itself.” Connect with Ian Lake on social media Twitter: https://twitter.com/idlake Facebook Page: https://www.facebook.com/type1ketocom Instagram: https://www.instagram.com/type1keto_ LinkedIn: https://www.linkedin.com/in/ian-lake-2bb869166/ Website Details: https://type1keto.com The Fabulously Keto Diet & Lifestyle Journal: A 12-week journal to support new habits – Jackie Fletcher If you have enjoyed listening to this episode - Leave us a review By leaving us a review on your favourite podcast platform, you help us to be found by others. Support us on Patreon Help Jackie and Louise make more episodes by supporting them on Patreon:https://www.patreon.com/FabulouslyKeto Connect with us on social media https://www.facebook.com/FabulouslyKeto https://www.instagram.com/FabulouslyKeto1 https://twitter.com/FabulouslyKeto Facebook Group: https://www.facebook.com/groups/FabulouslyKeto Music by Bob Collum Recommend a guest We would love to know if you have a favourite guest you would like us to interview. Let us know who you would like to hear of if you have a particular topic you would like us to cover. https://fabulouslyketo.com/recommend-a-guest We sometimes get a small commission on some of the links, this goes towards the costs of producing the podcast.

Today's Episode Dr. Nisa Fraser reviews the case of a A 3-year-old female who presents to the emergency department with a 1-day history of nausea, vomiting, and progressive abdominal pain. Today's Host Dr. Nisa Fraser is a 3rd year pediatric resident at LAC+USC Medical Center.  About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Listen as Dr. London Smith (.com) and his producer Cameron discuss Diabetic Ketoacidosis with special guest Catherine Grenadine, Mother of Two (Rose Marie). Not so boring! https://www.patreon.com/join/jockdocpodcast Hosts: London Smith, Cameron Clark. Guest: Rose Marie. Produced by: Dylan Walker Created by: London Smith

On today's episode we got the pleasure of speaking with Ashlei whose son, Colton was diagnosed with type 1 diabetes when he was 11.  Colton is 17 now.  Something special that they do is go get donuts every year on his diaversary (diagnosis day).We loved recording with Ashlei!  She is the definition of a momma bear who is here to protect her children at all costs.  She tells us about Colton and his diagnosis and she also shares about his alert dog, Runner.  Ashlei shares some very interesting stories about Runner and how amazing he is at alerting Colton.  These alert dogs are astounding, and I love listening to their stories.   Colton was Talki Foundation's person of the year in 2021.  This episode will conclude our recordings with the Talki Foundation.   We have loved spotlighting them through November since November is Diabetes Awareness month.   A big thank you to the Talki Foundation for sharing their stories with the world through our platform. We hope you guys take the time to listen and learn.  These are incredible stories of amazing people who don't let a diagnosis stop them from living.  Thank you for listening.  Make sure to like and subscribe to our podcast.  Thank you for sharing with your family and friends.   We love you guys!!! 

Dominique is Talki Foundation's person of the year, and we got the privilege to record with her and to share her story with all of you. Dominique tells her story about getting diagnosed with type 1 diabetes in 2016 due to a DKA (diabetic ketoacidosis) episode.  Dominique  didn't let that slow her down for too long.  She quickly figured out how to live with this diagnosis, and how to care for herself correctly so she could continue doing the things that she loves.   Dominique is a soccer player, coach, and also plays football for the WNFC Atlanta Phoenix.  Sports has been a huge part of her life.  It is inspiring to listen to her talk about continuing to do what she loves and not letting her diagnosis keep her down. Dominique also tells us about her alert dog Bowie and how he had been so accurate at alerting her when her levels are off.  We loved recording this episode with Dominique.  She is an inspiration and an amazing woman.   I'll end this with a quote from her mother.

Charlie - Founder of Talki Foundation, comes on the podcast to raise awareness for Diabetes.  Charlie is one of the most passionate people I have met.  He found his calling in life and strives to share his knowledge with others.  He teaches us about diabetic alert dogs and how smart and consistent they are for the diabetic community. www.talkifoundation.org will be live worldwide by December 1st, 2022.  Make sure to support this foundation and check out their website! November is Diabetes Awareness month and we are grateful that we get to do our part in raising awareness.   Our next two episodes are about other diabetics also, and they are amazing stories that are uplifting and inspiring.   Make sure to check those out as well when they are live. Thanks for being here.  Make sure to save and subscribe to our podcast.  It helps us to reach more people!  Also we would love it if you shared your favorite episode on social media.  That helps too! XOXO Whit + Kels

Diabetic Ketoacidosis – hyperglycemia, ketosis, and anion gap metabolic acidosis Don't forget about euglycemic DKA (especially in setting of SGLT2 inhibitor) or mimics such as alcoholic ketoacidosis Treatment of the ketoacidosis Insulin (usually a drip or bolus + drip) – only once K>3.5 Volume Resuscitation (NS initially, change to LR) Bicarb drip (poor evidence, only […]

Should we provide our DKA patients with sodium bicarbonate (bicarb) pushes or drips to improve their pH? Let's look at the data. Show Notes: https://eddyjoemd.com/bicarb-dka/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/eddyjoemd/support

In this episode, Will, Nathan, Blake, and Stephen all discuss DKA with specific regard to pediatrics. This includes a little pathophysiology as always but is very detailing management. Including what labs and management are important and some pearls to watch for along the way. As always this is based upon current evidence-based medicine and standard of care. 

Hey MedTalkers Click the following link - paperlike.com/medtalks to discover the amazing screen protector for your iPad screens. Enter the code 'medtalks' at the checkout and shield that screen! In the episode, Dr Sahil Nichani covers everything you need to know about Diabetic ketoacidosis . Enjoy and as always, give us your feedback and share with anyone who may find it useful Cheers! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

In this podcast,Dr. Greg Giese, an internal medicine physician with Ridgeview talks about diabetic ketoacidosis (DKA). More specifically Dr. Giese will discuss the pathophysiology, initial assessment findings and diagnosis of DKA, along with addressing the differences between diabetic ketoacidosis (DKA) and hypersmolar hyperglycemic state (HHS), and treatment options for DKA patients. Enjoy the podcast! Objectives:   Upon completion of this podcast, participants should be able to: Define diabetic ketoacidosis. State the differences between diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). Summarize how to diagnose and treat diabetic ketoacidosis. CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  DISCLOSURE ANNOUNCEMENT  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES: *See the attachment for additional show information.  DKA: Deficit of insulin- Typical scenario     - Insulin deficienty + counterregulatory hormones     - Catabolic state     - Gluconeogensis     - Glycogenolysis     - Elevated blood sugar causes concomitant osmotic       diuresis DKA: 3 Parts- Ketones (ketonemia) - Hyperglycemia (lack of insulin) - Acidosis (Anion gap Metabolic Acidosis) Presentation- Critically ill individual on set in 24-48 hours - Kussmaul respirations - Other causes (infections, UTI, pneumonia, skin    infections, MI, drugs,) - Altered mental status - HHS: Hyperosmolar hyperglycemic state Work-up- Basics CBC with differential; metabolic panel, serum ketones, blood gas, urine analysis, plasma osmolality - Evaluation: Elevated WBC;  elevated anion gap;  electrolyte abnormalities;  Chest x-ray Results- Potassium (hold insulin if K was 3.4 or below) - Hyponatremia - Bicarb - Anion gap - Normal to elevated calcium - BUN greater than creatinine ration - Elevated creatinine - Elevated WBC due to catecholamines and stress response - Hgb/platelets - Urine Treatment- Fluids - Potassium - Insulin Transition to baseline- Discontinue insulin when anion gap metabolic acidosis closed and able to take oral nutrition- Bridge, start subcutaneous long acting insulin, stop insulin drip 1-2 hours later. Thanks for listening.

Key points: -DKA presents with hyperglycemia, ketosis, and anion gap metabolic acidosis, which if severe can cause cerebral edema and CNS dysfunction -Initial management includes fluid resuscitation and IV insulin -Learn about the 2 bag system for DKA -There is a rule to correct for hyponatremia in hyperglycemia -Learn about how to manage potassium, bicarbonate, and phosphorus in DKA Supplemental information: Pediatrics in Review 2019 DKA: https://publications.aap.org/pediatricsinreview/article-abstract/40/8/412/35321/Diabetic-Ketoacidosis?redirectedFrom=fulltext

DKA is so complicated... especially when the patient presents with a normal blood glucose! This case really sets the stage for explaining all of the dangerous aspects of DKA and the multifactorial approach to treating it. Christian and Sarah discuss the pathophysiology... down to the cellular level... of what's happening when patients go into DKA, some of the tests used to diagnose DKA like ABGs, and the delicate balance of fluid status and electrolytes that must be maintained when correcting this metabolic acidosis.

In this episode, Rachel discusses the differences between ketosis and diabetic ketoacidosis and dispels the myth surrounding the confusion that keto might dangerous. Rachel Gregory is a Board-Certified Nutritionist, Strength and Conditioning Specialist, Podcaster, and founder of MetFlex Life. She is also the author of the international best-selling book, "21-Day Ketogenic Diet Weight Loss Challenge." Rachel received her Master's Degree in Nutrition & Exercise Physiology from James Madison University and Bachelor's Degree in Sports Medicine from the University of Miami. Rachel completed the first-ever human clinical trial looking at the effects of the Ketogenic Diet in non-elite CrossFit athletes, which is published in the International Journal of Sports and Exercise Medicine. Currently, in her day-to-day coaching business, Rachel guides her clients to becoming the best, most confident version of themselves. She has a passion for educating those dedicated to optimizing their physical and mental well-being while improving long-term health and fitness goals. Her most popular course, Keto for Women, has helped women all across the world learn how to ditch the restrictive, all-or-nothing mindset associated with keto and instead thrive through the power of metabolic flexibility. You can connect and learn more about Rachel's work by visiting her website www.metflexlife.com  Social Links: Youtube: @rachelgregory Instagram: @rachelgregory.cns TikTok: @rachelgregory.cns Facebook: @metflexlife  Primary Programs: The Flex Fam Keto For Women Muscle Science For Women

Welcome back to our series. Join us today as we sit down with Dr. Satyavolu, Dr. Sunny, Dr. Gutman, and Dr. Okpokpo to discuss Diabetic Ketoacidosis.

It has been said that more people suffer harm from our management of diabetic ketoacidosis than those that do from the disease itself. So how do we avoid these pitfalls in the emergency department? Adan Atriham is an emergency physician from Houston, Texas See omnystudio.com/listener for privacy information.

Today we'll be covering Diabetic Ketoacidosis (DKA), going along with this month's theme, Endocrinology. If you haven't listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.   Follow the podcast on social media: Facebook- @portablepeds (www.facebook.com/portablepeds) Twitter- @portablepeds (www.twitter.com/portablepeds)   We'd love to hear from you via email at portablepeds@gmail.com!   Also, feel free to visit our website, www.portablepeds.com, for more content.   Today's Case:   A 12 year old male presents to the ED for abdominal pain and vomiting, starting today. He also reports feeling increasingly thirsty after getting better from his recent URI. On exam, patient is noted to have rapid, deep breathing, and his serum labs show a pH of 7.0, blood glucose 700, and BUN 50. Bicarbonate was given due to an undetectable serum CO2 value. Additionally, this patient's corrected serum sodium failed to improve with initial therapies in the ICU. Which of the following are NOT associated with increased risk for cerebral edema in this patient?   Initial serum glucose Azotemia Decreased partial pressure of arterial CO2 Treatment with bicarbonate Lack of increase in serum sodium during therapy   We would like to give an enormous thank you to Zack Goldmann for designing this podcast's logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.   The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.   Intro/Outro- Hotshot by Scott Holmes   Disclaimer: This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.   The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.   Thanks for listening! As always, please Rate and Review this podcast on Apple Podcasts, Facebook, or your favorite podcasting platform. Also, Subscribe to get all the latest episodes, and Share this episode with someone you think would enjoy it! Hope to see you real soon!

EMS A to Z: Diabetic Ketoacidosis Show Notes: From your hosts, Dr. Josh Gaither, Dr. Amber Rice, and Dr. Rachel Munn What is DKA? Diabetic ketoacidosis is a metabolic state in which either a lack of insulin (Type 1 Diabetes) or resistance to insulin (Type 2 Diabetes) prevents the body from using glucose for energy. When that happens, the body must use alternate energy sources, such as fatty acids. This type of metabolism produces acidic ketones. When you put all of this together, you get elevated blood sugar, elevated ketones, and an acidic blood pH.    Who is at risk for DKA? DKA is more common in Type I diabetes, in which patients do not produce enough of their own insulin. It can also occur in Type II diabetes. In Type II diabetes, patients typically still make insulin, but their tissues are resistant to it. Another process that can occur in Type II diabetes is something called HHS – hyperosmolar hyperglycemic state. HHS has even higher blood glucose levels than DKA, raises the blood osmolality, and can result in severe dehydration. It doesn't have the ketone production or acidosis typical of DKA.    What are some common causes of DKA? Insulin noncompliance / underdosing Infection MI   How do we identify DKA in the prehospital setting? Typical symptoms may include nausea, vomiting, abdominal pain, possibly symptoms of a precipitating infection. If DKA is severe, altered mental status or respiratory compromise may occur. Our assessment may reveal a patient with tachycardia, hypotension, and increased respiratory rate. You may notice signs of dehydration with dry mucous membranes, or kussmaul breathing, which is a deep, rapid respiratory pattern. Obviously elevated glucose can clue you in as well, however there are cases of what's known as “euglycemic DKA” when the patient is in DKA with a relatively normal BGL. This can happen if a patient is in a starvation type state, have an insulin pump, recent administration of insulin, or be taking a certain class of diabetic medications (the SGLT2 inhibitors). You can recognize them as they end in “flozin”.    How do we treat DKA in the prehospital setting? IV fluids are the first place we start. These patients are often quite dehydrated, so volume resuscitation is the first step. In addition, there are some significant electrolyte abnormalities – namely hypokalemia – that can occur in DKA and we want to make sure that we know the patient's acid base status and potassium levels before we initiate the other mainstay therapy in the hospital, which is obviously insulin.   What are some specific considerations in pediatric patients? DKA can be the first presentation of diabetes in a pediatric patient. Diabetes can present in children, typically between ages 4-7, however some can present later, in the 10-14 range. We are seeing pediatric patients, more adolescents, developing type II diabetes, however it's less likely that these kids will present in DKA. A pediatric patient with DKA may have altered mental status, nausea, vomiting, appear dehydrated and lethargic. A blood glucose should be checked in these kids. Initiating IV fluid resuscitation is also appropriate, starting with a 10mL/kg fluid bolus.  

*** Rx Bricks Season Pass https://go.usmle-rx.com/brick-season-pass/ *** Diabetic ketoacidosis (DKA) is one of the most dreaded acute complications of diabetes mellitus. It is a medical emergency. When patients with DKA arrive at the emergency department, they are clearly ill, with vomiting, diarrhea, disordered breathing, and mental status changes—even unconsciousness. Up to 2% of patients with DKA may die from the disorder. This means physicians must understand the multistep and complex treatment. Let's look at what is involved. After listening to this Audio Brick, you should be able to: Define diabetic ketoacidosis (DKA) and present an overview of the risk factors for DKA. Describe the pathophysiology of DKA. Describe the presenting signs and symptoms of DKA, and explain how they relate to the pathophysiology. Discuss common laboratory findings at presentation and during treatment of DKA. Outline management strategies for DKA. You can also check out the original brick from our Endocrine collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology. *** If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/ from our Musculoskeletal, Skin, and Connective Tissue collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

In this episode, we review the high-yield topic of Diabetic Ketoacidosis (DKA) from the Endocrine section.

I had the pleasure of sitting down with Professor Pete Alexander to discuss all things stress-related. Stress can affect us in more ways than we realize, and today we talk about some of the biggest culprits, ourselves, and our thinking. We discuss stress related to not just work but caregiving, relationships, and more. He also offers us some tips on how to help ourselves.Here are some Tips from Professor PeteKnow Your Stress Triggers: https://petealexander.com/stress-relief-tool-learn-your-stress-triggers/Don't Try To Control The Uncontrollable: https://petealexander.com/stress-relief-tool-dont-try-to-control-the-uncontrollable/Mental and Emotional Release: https://petealexander.com/stress-relief-tool-mental-and-emotional-release/Ask the Pendulum: https://petealexander.com/stress-relief-tool-ask-the-pendulum/******During Professor Pete's career, he had the privilege to work in various positions, including Sales, Marketing, College Professor, and Small Business Owner. Each role had one thing in common - high stress - to the point they diagnosed him with stress-related diabetes and ended up in the hospital with a severe case of diabetic ketoacidosis, a few hours away from being comatose. It was a reality check for him. When you don't have your health, not much else matters. He knew it was time to walk away even though he had a great job, secure income, and wonderful benefits. Interestingly, his coworkers and peers were very supportive, and most of them told him they admired his decision to put his health first before his career because they were contemplating the same thing. He realized then that it wasn't just him. Now, he has dedicated his professional career to helping other hard-driving leaders avoid his mistakes and immensely benefit from the wonderful tools and techniques He has learned and experienced first-hand. Besides a regular video blog series, he launched a book on Amazon, an international bestseller.https://www.linkedin.com/in/petealexander/https://www.amazon.com/dp/B07RTZJM76https://petealexander.com/blog-stress-relief-activities-for-adults/--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app--- Send in a voice message: https://anchor.fm/d-m-needom/messageSupport this podcast: https://anchor.fm/d-m-needom/supportSupport the show

In this BuzzBite, Andrew shares his framework for thinking about the management of DKA, which you can imagine as a 3x3 grid. 

In this episode, we review the high-yield topic of Diabetic Ketoacidosis (DKA) from the Endocrine. --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

This episode covers diabetic ketoacidosis!

Welcome to the emDOCs.net podcast with Brit Long, MD (@long_brit) and Manpreet Singh, MD (@MprizzleER)! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDocs cast with Brit Long, MD (@long_brit)  we cover two topics: Decompensated Hypothyroidism and Euglycemic Diabetic Ketoacidosis To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

This episode covers diabetic ketoacidosis in children.Written notes can be found at https://zerotofinals.com/paediatrics/endocrinology/dka/ or in the endocrinology section in the Zero to Finals paediatrics.The audio in the episode was expertly edited by Harry Watchman.

Listen now to learn from pediatric intensivist Chris Watson and emergency physician Dan McCollum as they discuss the fundamentals and notable recent publications on the diagnosis and management of DKA in pediatric patients with host Zac Hodges.

Do you suffer from diabetes mellitus?  If so, you may want to listen up!  This is Judy Gaman and this is your Stay Young Medical Minute.  Diabetic ketoacidosis can happen when the body does not make or receive enough insulin, causing the body to break down fat, not sugar, for energy.  This fat is turned into acids called ketones by the liver.  Ketones spill over into urine when they build in the bloodstream.  When this happens, it begins to turn the blood acidic—making it a medical emergency.  Symptoms of diabetic ketoacidosis include nausea, vomiting, abdominal pain, rabid breathing, fruity smell to breath, weakness, and confusion.  Diabetic ketoacidosis is more likely to happen to people with type 1 diabetes, but it can occur in people with type 2 diabetes.  Risk factors for people with type 2 diabetes include age, race, and obesity.  This Stay Young Medical Minute is brought to you by Executive Medicine of Texas, a leader in preventative and proactive medicine. Learn why patients from around the globe trust Executive Medicine of Texas to their health. Visit EMTexas.com that's EMTexas.com. https://www.medicalnewstoday.com/articles/325136.php Thank you for listening to the Staying Young Medical Minute! With all the mixed messages on health, you need information that you can use and that you can trust. Listen in as the experts discuss all topics health related. It's time to STAY YOUNG and stay healthy! Each week we tackle a topic and often with leading scientists, best-selling authors, and even your favorite celebrities! As a listener of our show, your input is important to us. Please take a moment to fill out this quick survey so we can serve you better - https://survey.libsyn.com/stayingyoung2 For more information on The Staying Young Show, please visit our website at www.StayYoungAmerica.com, and subscribe to the show in iTunes, Stitcher, or your favorite podcast app. You can also reach out to our host, Judy Gaman on www.judygaman.com for book purchasing, and speaking opportunities in your area!

In this episode I cover type 1 diabetes and diabetic ketoacidosis.If you want to follow along with written notes on hyperthyroidism go to zerotofinals.com/hyperthyroidism or find the endocrinology section in the Zero to Finals medicine book.This episode covers the pathophysiology, presentation, causes, investigations, complications and management of type 1 diabetes. We also discuss the pathophysiology, diagnosis and management of diabetic ketoacidosis. 

The blood sugar is NOT the emergency- Acidosis, Hypokalemia, and Dehydration are!!! Signs and Symptoms Vomiting Abdominal pain Polydipsia Polyuria Step 1: Test for DIABETIC-KETO-ACIDOSIS Diabetes Blood sugar Typically notably elevated (>250 mg/dL) Can be normal in certain circumstances Ketones Easiest test is a urinalysis Serum ketones also can be obtained Acidosis Blood gas (arterial […]