The Curbsiders Internal Medicine Podcast19 Mai 2025

#483: Diabetic Dilemmas in Older Adults, Pregnancy and Corticosteroid Use with Jeff Colburn, MD

This episode doesn't sugarcoat the truth about tricky diabetes management!

Wrangle wild blood sugars among older adults, pregnant individuals, and those taking corticosteroids! Join our Kashlak resident endocrinologist Dr. Jeff Colburn, as we dive into diabetic dilemmas. We will help you dodge dangerous lows and navigate tricky treatment traps in these special populations. Get the un-sugar-coated truth on managing complex diabetes cases!

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

Intro
Diabetes in Older Adults (Geriatrics)
- General Approach
- Risks of Hypoglycemia
- 4Ms Framework
- Insulin Management
- Oral Medications
Diabetes in Pregnancy
- Preconception Counseling
- Eye Health Monitoring
- Insulin Therapy During Pregnancy
- Postpartum Care
Steroid-Induced Hyperglycemia
- General Approach
- Postprandial Insulin Adjustment
- NPH Insulin Usage
- Initiating Insulin
- Role of GLP-1RA and SGLT2-inhibitors
Take-home Points
Outro

Credits

Producer, Writer, and Show Notes: Isabel Valdez, PA-C
Infographic and Cover Art: Zoya Surani, BA, MS
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Jeff Colburn, MD

Disclosures

Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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