Podcasts about Diabetic ketoacidosis

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Best podcasts about Diabetic ketoacidosis

Latest podcast episodes about Diabetic ketoacidosis

PedsCrit
Diabetic Ketoacidosis with Dr. Nicole Glaser

PedsCrit

Play Episode Listen Later Oct 27, 2025 48:27


Dr. Nicole Glaser is the Chief of Pediatric Endocrinology and a professor of Pediatrics at UC Davis Children's Hospital. She is recognized as an international expert in pediatric diabetic ketoacidosis (DKA), an important complication of diabetes in children. She has led many of the key multi-center studies that guide DKA management. She has also been involved in the development of several national and international guidelines for DKA management in children that guide current practice worldwide.Learning Objectives:By the end of this podcast, listeners should be able to:Describe best practices for triaging patients with DKAExplain the pathophysiology of acute cerebral edema in DKADescribe the evidence and physiologic basis for fluid selection and rate in DKA Describe the evidence supporting insulin infusion rates in pediatric DKA List best practices for lab monitoring in DKA, and how to define when a patient is ready for transition to subcutaneous insulin References: Abramo TJ, Szlam S, Hargrave H, Harris ZL, Williams A, Meredith M, Hedrick M, Hu Z, Nick T, Gonzalez CV. Bihemispheric Cerebral Oximetry Monitoring's Functionality in Suspected Cerebral Edema Diabetic Ketoacidosis With Therapeutic 3% Hyperosmolar Therapy in a Pediatric Emergency Department. Pediatr Emerg Care. 2022 Feb 1;38(2):e511-e518. doi: 10.1097/PEC.0000000000001774. PMID: 30964851.Kuppermann N, Ghetti S, Schunk J, et al. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. N Engl J Med. 2018;378:2275-2287.Glaser N, Barnett P, McCaslin I, et al. Risk factors for cerebral edema in children with diabetic ketoacidosis. N Engl J Med. 2001;344:264-269.Bergmann KR, Abuzzahab MJ, Perepelista V, Udeogu J, Qiu L, Lammers S, Nickel A, Watson D, Kharbanda A. Improving Emergency Department Care for Children With Medium- and High-Risk Diabetic Ketoacidosis. Pediatrics. 2025 Oct 1;156(4):e2024068959. doi: 10.1542/peds.2024-068959. PMID: 40907982.UC-Davis-Health-Magazine-Fall-2019.pdfQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Child Life On Call: Parents of children with an illness or medical condition share their stories with a child life specialist
From Early Diagnosis to the Power of Community and Humor in Type 1 Diabetes (276)- Stacey's Story

Child Life On Call: Parents of children with an illness or medical condition share their stories with a child life specialist

Play Episode Listen Later Oct 22, 2025 35:44


When Stacey's toddler was diagnosed with Type 1 diabetes, her family's world turned upside down. In this episode, she shares the early warning signs, the struggle of those first two weeks of injections, and how humor and community turned fear into resilience. Parents will gain hope, advocacy tips, and coping strategies for managing a chronic illness diagnosis.  What You'll Hear How Stacey recognized the 4 Ts of diabetes: Thirsty, Tired, Thinner, Toilet The reality of hospitalization, finger sticks, and injections with a toddler Coping strategies: medical play, humor, and routines that work The power of community and rejecting “perfect parenting” Building advocacy through Diabetes Connections and The World's Worst Diabetes Mom About Stacey Stacey Simms is an award-winning broadcaster, speaker, and author of The World's Worst Diabetes Mom. Since 2015, she has hosted Diabetes Connections, offering real stories and resources for the Type 1 community.

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
1068: Which Is Better to Treat Diabetic Ketoacidosis - A One or Two Bag Method?

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later Oct 9, 2025 3:36


Show notes at pharmacyjoe.com/episode1068. In this episode, I'll discuss using one vs two bag protocols for the treatment of diabetic ketoacidosis. The post 1068: Which Is Better to Treat Diabetic Ketoacidosis - A One or Two Bag Method? appeared first on Pharmacy Joe.

Hello Diabetes
Acute Risks and Long-Term Challenges in Diabetes

Hello Diabetes

Play Episode Listen Later Oct 3, 2025 27:52


At the beginning of the program, Dr. Sunil Gupta explained that the complications of diabetes are of two types: acute complications, such as hypoglycemia (low blood sugar) and diabetic ketoacidosis especially in Type 1DM, both of which can cause sudden and immediate danger. Chronic complications develop slowly over time and affect the eyes, kidneys, heart, brain, and nerves. Hypoglycemia occurs when blood sugar falls below 70 mg/dl, and the main causes could be drug-induced, like insulin or sulfonylurea group of drugs, skipping of the meal, excessive exercise, vomiting or diarrhea, and due to use of drugs like painkillers (analgesics) or a few antibiotics along with glucose-lowering drugs. However, the risk of hypoglycemia has become lower with the use of newer medications compared to older ones. In response to audience questions, it was emphasized that the decision to stop or reduce medication should always be made under the supervision of a doctor. People with prediabetes (HbA1c 5.7–6.4%) can often avoid developing diabetes altogether through timely lifestyle changes. If diabetes runs in the family, the risk of children developing it at an early age is significantly higher. The importance of an annual health check-up covering the eyes, heart, kidneys, and feet was stressed, described as the “greatest gift” a person with diabetes can give themselves is of “Good Health.” When anemia coexists with diabetes, fatigue and complications tend to worsen, making it essential to identify the underlying cause and provide treatment. In cases of leg pain or neuropathy, vitamin deficiencies, blood vessel health, and side effects of a few medicines like statin should all be carefully evaluated. Expert- Dr Sunil Gupta Anchor- Mrs. Kalyani Gokhale  Podcast: 27/06/2025 Recorded at: Akashwani Nagpur Episode: 78

Paediatric Emergencies
Diabetic Ketoacidosis - Paediatric Emergencies 2024

Paediatric Emergencies

Play Episode Listen Later Nov 15, 2024 21:50


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

Critical Matters
Hyperglycemic Emergencies

Critical Matters

Play Episode Listen Later Oct 22, 2024 108:42


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

Taking Control Of Your Diabetes - The Podcast!
Diabetic Ketoacidosis (DKA)

Taking Control Of Your Diabetes - The Podcast!

Play Episode Listen Later Aug 28, 2024 22:12


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 ★

Always On EM - Mayo Clinic Emergency Medicine
Grand Rounds - Dr. Rich Griffey - Subcutaneous Insulin in Diabetic Ketoacidosis (SQUID Protocol)

Always On EM - Mayo Clinic Emergency Medicine

Play Episode Listen Later Aug 14, 2024 53:30


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  

Medical Nursing Podcast | CPD for Veterinary Nurses
29 | The 6 things you need to know to understand diabetic ketoacidosis

Medical Nursing Podcast | CPD for Veterinary Nurses

Play Episode Listen Later Jun 28, 2024 25:59


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! ---

We Are T1D : Type 1 Diabetes
53: From Ketoacidosis to Community: Maria's Story (@t1d_mariagreenwood)

We Are T1D : Type 1 Diabetes

Play Episode Listen Later Apr 6, 2024 46:26


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)!

The Critical Care Obstetrics Podcast
Diabetic Ketoacidosis: Do you have a management plan and protocol?

The Critical Care Obstetrics Podcast

Play Episode Listen Later Feb 19, 2024 43:46


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

Clube Arretado | Medicina Arretada
Ep. 2-10: Complicações agudas do DM - Cetoacidose diabética

Clube Arretado | Medicina Arretada

Play Episode Listen Later Feb 5, 2024 42:17


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!

Vetsplanation: Pet Health Simplified
Explaining Diabetic Ketoacidosis (DKA)

Vetsplanation: Pet Health Simplified

Play Episode Play 49 sec Highlight Listen Later Dec 5, 2023 30:19 Transcription Available


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

This is Type 1: Real-Life Type 1 Diabetes
MVP: Diabetic Ketoacidosis (DKA)

This is Type 1: Real-Life Type 1 Diabetes

Play Episode Listen Later Nov 28, 2023 25:14


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

Hello Diabetes
Type 1 Diabetes Mellitus

Hello Diabetes

Play Episode Listen Later Sep 27, 2023 28:42


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.

Hello Diabetes
Type 1 Diabetes Mellitus and its Complications

Hello Diabetes

Play Episode Listen Later Aug 11, 2023 29:08


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.

THE DESI EM PROJECT
DESI EM PROJECT - EPISODE 32 - THE ONE WITH "DIABETIC KETOACIDOSIS"

THE DESI EM PROJECT

Play Episode Listen Later Jul 25, 2023 20:14


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.

Dr. Berg’s Healthy Keto and Intermittent Fasting Podcast
Are Ketones Poisons or Therapeutic Fuel? – Diabetic Ketoacidosis vs. Nutritional Ketosis – Dr. Berg

Dr. Berg’s Healthy Keto and Intermittent Fasting Podcast

Play Episode Listen Later Jul 15, 2023 3:20


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

Nutrition Nerd
Diabetic Ketoacidosis

Nutrition Nerd

Play Episode Listen Later Jun 6, 2023 2:11


Download the Volley.FM app for more short daily shows!

Always On EM - Mayo Clinic Emergency Medicine
Chapter 19 - Sugar, we're goin down swinging! - Pediatric diabetic ketoacidosis

Always On EM - Mayo Clinic Emergency Medicine

Play Episode Listen Later Jun 1, 2023 84:26


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

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
817: How to Predict Failure of Insulin Transition in Critically Ill Patients with Diabetic Ketoacidosis

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later May 15, 2023 2:12


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.

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
817: How to Predict Failure of Insulin Transition in Critically Ill Patients with Diabetic Ketoacidosis

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

Play Episode Listen Later May 15, 2023 2:12


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.

Pharmacy to Dose: The Critical Care Podcast

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

Fabulously Keto
124: Ian Lake – Educating Doctors and Clinicians About Type 1 Diabetes

Fabulously Keto

Play Episode Listen Later Jan 26, 2023 60:30


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.

Beyond the Pearls: Cases for Med School, Residency and Beyond (An InsideTheBoards 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

Jock Doc Podcast
183. Diabetic Ketoacidosis/Catherine Grenadine (feat. Rose Marie)

Jock Doc Podcast

Play Episode Listen Later Dec 12, 2022 39:14


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

Making Lemonade with Whit + Kels
Ashlei's Story - Son with Diabetes + Alert Dog

Making Lemonade with Whit + Kels

Play Episode Listen Later Nov 30, 2022 34:26


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!!! 

Making Lemonade with Whit + Kels
Dominique's Story - Type 1 Diabetes

Making Lemonade with Whit + Kels

Play Episode Listen Later Nov 23, 2022 49:07


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.

Making Lemonade with Whit + Kels
Charlie's Story - Talki Foundation + Diabetes + Alert Dog

Making Lemonade with Whit + Kels

Play Episode Listen Later Nov 16, 2022 51:37


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

EM Clerkship
DKA (Deep Dive R4 MW)

EM Clerkship

Play Episode Listen Later Nov 15, 2022 24:57


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 […]

Saving Lives: Critical Care w/eddyjoemd
Bicarb in Diabetic Ketoacidosis (DKA): Should You Change Your Practice?

Saving Lives: Critical Care w/eddyjoemd

Play Episode Listen Later Jul 2, 2022 9:00


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

Blue Crew Medicine
Pediatric Diabetic Ketoacidosis (DKA)

Blue Crew Medicine

Play Episode Listen Later Jun 17, 2022 38:57


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. 

MedTalks
S9 E2: Endocrinology - Diabetic Ketoacidosis

MedTalks

Play Episode Listen Later Jun 3, 2022 22:08


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

Ridgeview Podcast: CME Series
The Agony of the Sweet: Diabetic Ketoacidosis (DKA) with Dr. Greg Geise

Ridgeview Podcast: CME Series

Play Episode Listen Later Apr 8, 2022 68:25


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.

Pediagogy
DKA

Pediagogy

Play Episode Listen Later Apr 6, 2022 13:48


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

Rapid Response RN
It's Not About the Glucose... Talking Through Diabetic Ketoacidosis With Guest Christian Guzman Critical Care APRN

Rapid Response RN

Play Episode Listen Later Mar 23, 2022 64:38


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.

MiniFlex
How do you Know if You're in Diabetic Ketoacidosis?

MiniFlex

Play Episode Listen Later Mar 14, 2022 1:59


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

I Think, Therefore I.M.
EP 54: Boards Review - DKA

I Think, Therefore I.M.

Play Episode Listen Later Mar 7, 2022 14:50


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.

Osler Podcasts
Diabetic ketoacidosis

Osler Podcasts

Play Episode Listen Later Jan 9, 2022 37:26


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.

Portable Peds
Endocrinology- Diabetic Ketoacidosis (DKA)

Portable Peds

Play Episode Listen Later Oct 6, 2021 5:03


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
EMS A to Z: Diabetic Ketoacidosis

EMS A to Z

Play Episode Listen Later Aug 24, 2021 11:03


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.  

The Rx Bricks Podcast
Diabetic Ketoacidosis

The Rx Bricks Podcast

Play Episode Listen Later Jun 29, 2021 22:31


*** 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.

The Medbullets Step 2 & 3 Podcast
Endocrine | Diabetic Ketoacidosis (DKA)

The Medbullets Step 2 & 3 Podcast

Play Episode Listen Later Jun 24, 2021 21:35


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

Better To... Podcast with D. M. Needom
Freeing Your Life From Stress - Professor Pete Alexander

Better To... Podcast with D. M. Needom

Play Episode Listen Later Jun 16, 2021 60:24


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

Knowledge Drip: An Internal Medicine Podcast
Diabetic ketoacidosis management (BuzzBite)

Knowledge Drip: An Internal Medicine Podcast

Play Episode Listen Later Jun 13, 2021 8:18


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

The Medbullets Step 1 Podcast
Endocrine | Diabetic Ketoacidosis (DKA)

The Medbullets Step 1 Podcast

Play Episode Listen Later May 31, 2021 17:30


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

emDOCs.net Emergency Medicine (EM) Podcast
Episode 19: Decompensated Hypothyroidism and Euglycemic Diabetic Ketoacidosis

emDOCs.net Emergency Medicine (EM) Podcast

Play Episode Listen Later Jan 5, 2021 13:36 Transcription Available


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

The Zero to Finals Medical Revision Podcast
Diabetic Ketoacidosis in Children

The Zero to Finals Medical Revision Podcast

Play Episode Listen Later Jul 10, 2020 10:08


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.

The MCG Pediatric Podcast
Diabetic Ketoacidosis (DKA)

The MCG Pediatric Podcast

Play Episode Listen Later Mar 15, 2020 22:52


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.

The Staying Young Show 2.0 - Entertaining | Educational | Health & Wellness

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!