(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)
Просмотров: 29890 Paul Bolin, M.D.
This video “Diabetes Mellitus and Type 2 Diabetes: Diagnosis & Management” is part of the Lecturio course “Family Medicine” ► WATCH the complete course on http://lectur.io/melllitus ► LEARN ABOUT: - Diabetes mellitus - Hyperlipidemia and Obesity - Screening for T2DM - Type 2 diabetes - Routine evaluation of patients with T2DM - Taking care of diabetes - Treatment of T2DM - Lifestyle - Pearl regarding home glucose testing - When to start insulin - Insulin treatment in T2DM ► THE PROF: Your tutor is Dr. Charles Vega, who has over 20 years of experience in patient care and has led hundreds of didactics on clinical issues. He was also proud to receive a rare medical teaching fellowship that gave him highly valuable insight on curriculum design and learner engagement. ► LECTURIO is your single-point resource for medical school: Study for your classes, USMLE Step 1, USMLE Step 2, MCAT or MBBS with video lectures by world-class professors, recall & USMLE-style questions and textbook articles. Create your free account now: http://lectur.io/melllitus ► INSTALL our free Lecturio app iTunes Store: https://app.adjust.com/z21zrf Play Store: https://app.adjust.com/b01fak ► READ TEXTBOOK ARTICLES related to this video: Types of Diabetes: Type 1, Type 2 and Type 3 and Gestational Diabetes http://lectur.io/diabetestypesarticle Diabetes Mellitus — Types, Complications and Treatment http://lectur.io/mellitusarticle ► SUBSCRIBE to our YouTube channel: http://lectur.io/subscribe ► WATCH MORE ON YOUTUBE: http://lectur.io/playlists ► LET’S CONNECT: • Facebook: https://www.facebook.com/lecturio.medical.education.videos • Instagram: https://www.instagram.com/lecturio_medical_videos • Twitter: https://twitter.com/LecturioMed
Просмотров: 8103 Lecturio Medical Education
Learn more at: http://www.AnimatedDiabetesPatient.com The goal of Type 2 Diabetes treatment is to safely keep blood glucose within the normal range. When diet and exercise fail to provide patient benefits, medical management of diabetes is warranted. Various medications for controlling blood sugar are briefly explained. A self-management plan should be part of every patient's strategy with regular doctor visits.
Просмотров: 68893 Animated Diabetes Patient
This is a review of the updated guidelines for diabetes in 2013. The majority of the information presented here is interpreted from the 2013 standards of medical care in diabetes guidelines from the American Diabetes Association. This Channel is NOT affiliated with, endorsed, or sponsored by the American Diabetes Association (ADA). The standards outlined by the ADA can be found at http://care.diabetesjournals.org/content/36/Supplement_1/S11.full . Please do keep in mind that medical information provided by this video must be considered as an educational service only. This video is not designed to substitute the advice of a qualified health care professional. Do not disregard or avoid professional medical advice or delay seeking it because of materials made available through this video. The information contained in this video is not intended to be used as the basis for making any medical decision and must not be relied upon for medical advice. You are solely responsible for the use you choose to make of the information provided in the video.
Просмотров: 49858 SAMisDOC
Markers of Glycemic Control
Просмотров: 1888 MOHSingapore
Try free board-style questions and flashcards - https://goo.gl/3oGOEi. Subscribe - https://goo.gl/w5aaaV. More videos - https://goo.gl/UhOKiM. Support us on Patreon - https://goo.gl/ZGHEk4. Reddit - https://goo.gl/cXVpAA This video is brought to you by Osmosis. Along with providing open-access videos, Osmosis offers a comprehensive e-learning platform that connects med students with thousands of flashcards and quiz questions, depending on each student's needs. Ever wish information would just diffuse into your brain? Well, Osmosis helps make that possible—don't just study it, Osmose It! https://www.osmosis.org/ We also have free practice questions for the USMLE and NCLEX-RN exams here: https://goo.gl/3oGOEi Also, we're social: Facebook - https://www.facebook.com/OsmoseIt/ Twitter - https://twitter.com/osmoseit Instagram - @osmosismed Got feedback? We'd love to hear it! http://goo.gl/forms/T6de48NVzR Our supporters: Sumant Nanduri Omar Berrios Alex Wright Suzanne Peek Prayag Tapiavala Arfan Azam Mingli Féng
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MGMC Physician Grand Rounds, 3/29/17 William Sivitz, MD, Endocrinology & Metabolism University of Iowa Hospitals & Clinics
Просмотров: 5972 Mary Greeley Medical Center
A summary of the inpatient management of diabetes. Topics include the sliding scale, basal bolus regimens, adjusting insulin when NPO, adjusting insulin for persistent hyperglycemia, and the consistent carb diet. Information here is provided for educational purposes only, and is not intended to substitute for the opinion of an experienced and licensed health care professional. This work is made available under the terms of the Creative Commons, Attribution-NonCommerical-NoDerivs 3.0 Unported License. It may be reproduced and distributed provided that accurate attribution remains, the work is not altered in any way, and it is not used for commercial purposes. For details, please refer to: creativecommons.org/licenses/by-nc-nd/3.0/deed.en_US.
Просмотров: 47956 Strong Medicine
Diabetes mellitus pathophysiology and nursing nclex lecture review on diabetes type 1 and diabetes type 2. Diabetes mellitus is where a patient has insufficient amounts of insulin to use the blood glucose in the body. Therefore, the patient will experience extreme hyperglycemica. In this lecture, I highlight the key players in diabetes mellitus, causes, different types of diabetes (type 1, type 2, and gestational), complications, and nursing assessment of the diabetic patient. Diabetes Mellitus Quiz: http://www.registerednursern.com/diabetes-mellitus-nclex-quiz/ Part 2 Video on Pharm & Nsg. Management: https://www.youtube.com/watch?v=bK82X1KrCgg Lecture Notes for this video: http://www.registerednursern.com/diabetes-mellitus-lecture-nclex-review-notes/ Subscribe: http://www.youtube.com/subscription_center?add_user=registerednursern Nursing School Supplies: http://www.registerednursern.com/the-ultimate-list-of-nursing-medical-supplies-and-items-a-new-nurse-student-nurse-needs-to-buy/ Nursing Job Search: http://www.registerednursern.com/nursing-career-help/ Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/RegisteredNurseRN/videos Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list=PLQrdx7rRsKfWtwCDmLHyX2UeHofCIcgo0 "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list=PLQrdx7rRsKfWJSZ9pL8L3Q1dzdlxUzeKv "Nursing Skills Videos": https://www.youtube.com/playlist?list=PLQrdx7rRsKfUhd_qQYEbp0Eab3uUKhgKb "Nursing School Study Tips": https://www.youtube.com/playlist?list=PLQrdx7rRsKfWBO40qeDmmaMwMHJEWc9Ms "Nursing School Tips & Questions": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVQok-t1X5ZMGgQr3IMBY9M "Teaching Tutorials": https://www.youtube.com/playlist?list=PLQrdx7rRsKfUkW_DpJekN_Y0lFkVNFyVF "Types of Nursing Specialties": https://www.youtube.com/playlist?list=PLQrdx7rRsKfW8dRD72gUFa5W7XdfoxArp "Healthcare Salary Information": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVN0vmEP59Tx2bIaB_3Qhdh "New Nurse Tips": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVTqH6LIoAD2zROuzX9GXZy "Nursing Career Help": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVXjptWyvj2sx1k1587B_pj "EKG Teaching Tutorials": https://www.youtube.com/playlist?list=PLQrdx7rRsKfU-A9UTclI0tOYrNJ1N5SNt "Personality Types": https://www.youtube.com/playlist?list=PLQrdx7rRsKfU0qHnOjj2jf4Hw8aJaxbtm "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list=PLQrdx7rRsKfUYdl0TZQ0Tc2-hLlXlHNXq "Diabetes Health Managment": https://www.youtube.com/playlist?list=PLQrdx7rRsKfXtEx17D7zC1efmWIX-iIs9
Просмотров: 328832 RegisteredNurseRN
Heart and Stroke Clinical Update 2015 Concurrent Workshop F1-02 Managing Diabetes In 2015 – What to Add, When and Why Presented by: Maria Wolfs, MD, MHSc, FRCPC (see below) Hilton Toronto, December 2015 Learning Objectives 1. Identify patient factors that impact the addition of non-insulin pharmacotherapy in Type 2 Diabetes 2. Discuss the glycemic and cardiovascular end-point evidence among non-insulin pharmacotherapies in Type 2 Diabetes 3. Apply evidence based diabetes management to individual patient care Session Description Patients with diabetes have a 2-3 fold increased risk of cardiovascular (CV) events and death. In general, improved glycemic control, especially when achieved early in the course of the disease, is associated with a decreased risk of CV events, specifically myocardial infarction. The choice of anti-hyperglycemic agent depends on several patient factors including degree of hyperglycemia, underlying renal function, drug coverage, risk of hypoglycemia and weight gain. Over the last few years, several new glucose lowering agents have been approved for use in patients with diabetes. Because the FDA requires that new glucose lower agents be evaluated for CV outcomes, several CV end -point trials have been published over the last two years with more ongoing trials scheduled to be reported over the next few years. Glucagon-like peptide receptor agonists (GLP-1RA) are subcutaneously-delivered agents that enhance glucose-dependent insulin secretion, suppress glucagon secretion and effect appetite and gastric emptying. A CV end-point trial with Lixisenatide showed a neutral effect on CV outcomes. DPP4-inhibitors prolong the action of endogenous GLP-1. CV outcome trials of saxagliptin, alogliptin and sitagliptin also demonstrated neutral effects on CV outcomes, although these agents may be associated with an increased risk of heart failure and pancreatitis. SGLT-2 inhibitors block the reabsorption of glucose in the kidney, increase glucose excretion, and lower blood glucose levels. A CV outcome trial with empagliflozin showed a decrease in CV events, most notably a decrease in CV death and heart failure hospitalizations. This workshop will work through patient cases illustrating the individual factors that impact the choice of antihyperglycemic agent while summarizing the reported CV end-point studies of the various agents Maria Wolfs, MD, MHSc, FRCPC Assistant Professor, University of Toronto Staff Endocrinologist, St. Michael's Hospital, Toronto The following information was provided by speakers at the Clinical Update 2015. The information is intended for use by healthcare professionals for reference and education only and is not intended to be a substitute for a physician's advice, diagnosis or treatment. You should consult your physician for personal health matters.
Просмотров: 12960 Heart and Stroke
This video and more updated versions of similar images/videos are available for instant download licensing here https://www.alilamedicalmedia.com/-/galleries/images-videos-by-medical-specialties/endocrinology ©Alila Medical Media. All rights reserved. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Diabetes refers to a group of conditions characterized by a high level of blood glucose, commonly referred to as blood sugar. Too much sugar in the blood can cause serious, sometimes life-threatening health problems. There are two types of chronic diabetic conditions: type 1 diabetes and type 2 diabetes. Pregnant women may acquire a transient form of the disease called “gestational diabetes” which usually resolves after the birth of baby. Pre-diabetes is when the blood sugar level is at the borderline: higher than normal, but lower than in diabetics. Prediabetes may or may not progress to diabetes. During food digestion, carbohydrates - or carb - break down into glucose which is carried by the bloodstream to various organs of the body. Here, it is either consumed as an energy source - in muscles for example - or is stored for later use in the liver. Insulin is a hormone produced by beta cells of the pancreas and is necessary for glucose intake by target cells. In other words, when insulin is deficient, muscle or liver cells are unable to use or store glucose, and as a result, glucose accumulates in the blood. In healthy people, beta cells of the pancreas produce insulin; insulin binds to its receptor on target cells and induces glucose intake. In type 1 diabetes, beta cells of the pancreas are destroyed by the immune system by mistake. The reason why this happens is unclear, but genetic factors are believed to play a major role. Insulin production is reduced; less insulin binds to its receptor on target cells; less glucose is taken into the cells, more glucose stays in the blood. Type 1 is characterized by early onset, symptoms commonly start suddenly and before the age of 20. Type 1 diabetes is normally managed with insulin injection. Type 1 diabetics are therefore “insulin dependent”. In type 2 diabetes, the pancreas produces enough insulin but something goes wrong either with receptor binding or insulin signaling inside the target cells. The cells are not responsive to insulin and therefore cannot import glucose; glucose stays in the blood. In other words, type 2 diabetics are “insulin resistant”. Here again, genetic factors predispose susceptibility to the disease, but it is believed that lifestyle plays a very important role in type 2. Typically, obesity, inactive lifestyle, and unhealthy diet are associated with higher risk of type 2 diabetes. Type 2 is characterized by adult onset; symptoms usually appear gradually and start after the age of 30. Type 2 diabetes accounts for about 80 to 90% of all diabetics. Management focuses on weight loss and includes a low-carb diet.
Просмотров: 539951 Alila Medical Media
Non Insulin anti diabetic drugs
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In this video I review perioperative glycemia managment strategies of insulin requiring patients with diabetes.
Просмотров: 3531 Terry Shaneyfelt
Просмотров: 11839 S Manikandan
Adult endocrinologist and Interior Health Diabetes Medical Lead, Dr. Richard Phillips, provides a highlights overview of the 2018 Diabetes Canada® Clinical Practice Guidelines and best practices on the topic of Diabetes and Pregnancy. Acknowledgements to Diabetes Canada® for slides provided. Diabetes Canada® Guidelines can be found at: guidelines.diabetes.ca
Просмотров: 32 Interior Health
In this clip, Dhiren Patel, PharmD, discusses the recent ADA 2018 guidelines for diabetes and what the new recommendations mean for treating diabetes patients with cardiovascular disease.
Просмотров: 3828 Pharmacy Times TV
NEW DIABETES GUIDELINE -70% OF THE DIABETES PATIENTS WILL AUTOMATICALLY GET CONVERTED INTO NON-DIABETIC New ACP guidelines is a big blow to the profit minded hospitals, as they are going to loose more than 70% of their diabetes patients, whom they have to declare as non-diabetes if they implement the new guideline. Understandably there is a huge protest by the corporate doctors against the new guideline. ******************************************************************** Dr. Biswaroop Around the Internet: Facebook: https://www.facebook.com/DrBiswaroopRoyChowdhury/ Website: https://biswaroop.com Twitter: https://twitter.com/biswarooproy Shop: https://biswaroop.com/shop/ Get in Touch: https://biswaroop.com/contact-us/ ********************************************************************
Просмотров: 348479 Dr. Biswaroop Roy Chowdhury
What’s new in the Revised Diabetes Mellitus CPG?
Просмотров: 1022 MOHSingapore
Diabetes Mellitus - Diagnosis, Risk Factors, Screening Guidelines and integration, for the USMLE STEP exams as well as for your clinical practice. Good luck! ~BE curious! Keep asking WHY! ENJOY your studies! You got this!~ ********************************************************************************************* Follow us on Instagram and Facebook for daily high-yield USMLE material and latest medical news: https://www.instagram.com/dr.niya_the.usmle.channel https://www.facebook.com/theusmlechannel ********************************************************************************************* About The USMLE Channel - We are Niya and Raj, and we are here to share with you our passion for Medicine! We have successfully passed all USMLE STEPs and we know what YOU NEED to know, in order to SCORE phenomenally HIGH and enjoy RESIDENCY in the UNITED STATES. We are creating medical content videos for all STEPs - yes ALL of them-1, 2 and 3! Our videos are finely tuned, to provide you with the complete understanding of the most updated material, that will help you pick the right answers on the tests and in your future clinical practice. Because what you are studying here, trust us, you will be needing during your residency training! In our videos, we will be using our very own PERSONALLY CRAFTED MIND MAPS, that will make all that large content seem small and make concepts stick. We'll also be integrating quite a lot, which in our years of teaching experience has proven to give the best results. We have walked your journey, and if when starting it, we knew what we know now, life would have been so much easier. And that’s the idea behind the birth of this channel, to be here for you and give you the knowledge that will help you succeed. Enjoy our videos! Stay updated! Love what you are learning! Because in the end - IT IS ALL WORTH IT! ********************************************************************* DISCLAIMER: The Video Content has been made available for informational and educational purposes only. The Video Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health professionals and educators for clarification or continued education on any materials expressed herein prior to patient treatment and skills implementation. Attributions: Music -https://www.bensound.com Photo by Aaditya Arora from Pexels
Просмотров: 151 THE USMLE CHANNEL.
Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Matthew McPheeters. Watch the next lesson: https://www.khanacademy.org/test-prep/nclex-rn/rn-endocrine-system-diseases/rn-diabetes/v/treating-type-i-diabetes?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn Missed the previous lesson? https://www.khanacademy.org/test-prep/nclex-rn/rn-endocrine-system-diseases/rn-diabetes/v/pathophysiology-type-ii-diabetes?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/by-nc-sa/3.0/us/). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academy’s NCLEX-RN channel: https://www.youtube.com/channel/UCDx5cTeADCvKWgF9x_Qjz3g?sub_confirmation=1 Subscribe to Khan Academy: https://www.youtube.com/subscription_center?add_user=khanacademy
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American College of Physicians issue new global norms for diabetics. But Indian doctors has questioned these guidelines. Watch to know more. About Zee Business -------------------------- Zee Business is one of the leading and fastest growing Hindi business news channels in India. Live coverage of Indian markets - Sensex & Nifty -------------------------------------------------------------- You can also visit us at: https://goo.gl/sXWpTF Like us on Facebook: https://goo.gl/OMJgrn Follow us on Twitter: https://goo.gl/OjOzpB Subscribe to our other network channels: Zee News: https://goo.gl/XBvkjZ
Просмотров: 6906 ZeeBusiness
Type 2 diabetes, formerly called adult-onset diabetes, is the most common type of the disease, affecting 95 percent of people with diabetes. Type 2 diabetes affects people at any age, even during childhood. However, this type of diabetes develops most often in middle-aged and older people, and those who are overweight and inactive. Speakers: Kathleen Kenny, MD Clinical Assistant Professor, Medicine – General Medicine Disciplines, Stanford University School of Medicine Jessica Shipley, MS, RD
Просмотров: 10216 Stanford Health Care
Where do I get my information from: http://armandoh.org/dig HIT THE LIKE BUTTON! Facebook: https://www.facebook.com/ArmandoHasudungan Support me: http://www.patreon.com/armando Instagram: http://instagram.com/armandohasudungan Twitter: https://twitter.com/Armando71021105 SPECIAL THANKS: Patreon members
Просмотров: 179006 Armando Hasudungan
Adult endocrinologist and Interior Health Diabetes Medical Lead, Dr. Richard Phillips, provides a highlights overview of the 2018 Diabetes Canada® Clinical Practice Guidelines and best practices on the topic of Diabetes in Older People. Acknowledgements to Diabetes Canada® for slides provided. Diabetes Canada® Guidelines can be found at: guidelines.diabetes.ca
Просмотров: 23 Interior Health
Dr. Matthew Freeby, MD is an Assistant Clinical Professor of Medicine at UCLA and serves as Associate Director of the Diabetes Clinical Programs Division of Endocrinology, Diabetes and Hypertension. The UCLA Primary Care Update 2015 held April 17-18 in Las Vegas, NV, featured a series of thought-provoking presentations on a wide array of primary care topics, coupled with updates on recent advances in a variety of specialty and sub-specialty areas.
Просмотров: 12990 UCLA Health
(Visit: http://www.uctv.tv/) Over 25 million Americans have diabetes. Lisa Kroon, Professor of Clinical Pharmacy at UCSF, covers the medicines used to treat Type 2 diabetes, dual therapies and insulin. Recorded on 07/17/2014. Series: "UCSF Osher Center for Integrative Medicine presents Mini Medical School for the Public" [11/2014] [Health and Medicine] [Show ID: 28509]
Просмотров: 161410 University of California Television (UCTV)
View the entire Coding Clinic series here https://www.libmaneducation.com/selected-topics-from-coding-clinics-video-series To help coders and organizations, Libman Education offers a series of videos providing in-depth discussion of selected coding advice and clarifications from recent issues of Coding Clinic for ICD-10-CM and ICD-10-PCS. Coding Clinic, published by AHA Central Office, is the official publication endorsed by CMS for coding guidelines and advice. Coding Clinic provides specific information and guidelines that are helpful for determining proper coding. About the speaker: Barry Libman, MS, RHIA, CDIP, CCS, CCS-P, CIC, is founder and president of Barry Libman Inc. and Libman Education. Barry Libman is nationally recognized for his in-depth knowledge of coding and reimbursement issues.
Просмотров: 5929 Libman Education
To see the written guide alongside the video head over to our website https://geekymedics.com/diabetic-foot-examination-osce-guide/ Download the app here 👾 https://geekymedics.com/geeky-medics-app/ This video aims to give you an idea of what's required in the Diabetic Foot Examination OSCE. Check out the Geeky Medics quiz platform, with over 700 free medical MCQs: https://geekyquiz.com Join the Geeky Medics community: Facebook http://www.facebook.com/geekymedics Instagram https://instagram.com/geekymedics Twitter at http://www.twitter.com/geekymedics Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. Do NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Some people find this video useful for ASMR purposes. Check out our Geeky Medics merchandise on our store here https://teespring.com/en-GB/stores/geeky-medics-store
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Part two of a three-part series presented by Stanford Health Library. Type 2 diabetes, formerly called adult-onset diabetes, is the most common type of the disease, affecting 95 percent of people with diabetes. Type 2 diabetes affects people at any age, even during childhood. However, this type of diabetes develops most often in middle-aged and older people, and those who are overweight and inactive. Speakers: Baldeep Singh, MD Clinical Assistant Professor, Medicine – General Medicine Disciplines, Stanford University School of Medicine and Kathleen Wasoski, DPT, OCS
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my whats app no-94391 23823
Просмотров: 5080 Dr.Santosh Kumar Padhy
Support us on Patreon: https://www.patreon.com/speedpharmacology Follow us on Facebook: https://www.facebook.com/SpeedPharmacology/ Get Speed Pharmacology Merch Here: https://teespring.com/stores/speed-pharmacology **************************************************************************************************** Topics covered include: basic pathophysiology of diabetes mellitus type 1 & type 2, hyperglycemia, hypoglycemia, insulin production, pancreatic beta & alpha cells, glycogen, glucagon, glucose function. Mechanism of action of antidiabetic drugs; rapid, short, intermediate, long -acting insulin analogs, synthetic amylin, incretin mimetics, DPP-4 inhibitors, sulfonylureas, glinides, biguanides, thiazolidinediones, sodium-glucose cotransporter-2 inhibitors, and alpha-glucosidase inhibitors. Drugs mentioned include insulins Lispro, Aspart, Glulisine, Regular, NPH (isophane), Detemir, Glargine, Degludec; Pramlintide; Exenatide, Liraglutide; Alogliptin, Linagliptin, Saxagliptin, Sitagliptin; Glimepiride, Glyburide, Glipizide; Nateglinide, Repaglinide; Metformin; Pioglitazone, Rosiglitazone; Canagliflozin, Dapagliflozin; Acarbose, Miglitol.
Просмотров: 182147 Speed Pharmacology
Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: firstname.lastname@example.org Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. My name is Michael Agus, I'm a pediatric intensive care doctor and a pediatric endocrinologist at Boston Children's Hospital. I'm the Director of the Medicine Critical Care Program here Children's and an assistant professor at Harvard Medical School. Hyperglycemia. Why does one get hyperglycemic in DKA? Why does the blood sugar go up at all? Well it's really the same reason you get hyper- anything-emic in any clinical situation. It's some mismatch of increased-ins and decreased-outs. So what are the increased-ins of glucose into the blood stream? Well one major one is the one that patients are doing at home. What are they drinking at home? In general they're drinking Pedialyte or juice or some dextrose containing fluid and they don't realize that they are driving their blood sugar higher and higher. The other actor that's adding glucose to the bloodstream is the liver. The liver believes the blood sugar is extremely low because it can't get any glucose interstitially because of the insulin deficiency and so it turns on gluconeogenesis at full throttle. And of course that's also what produces the ketoacidosis: the lipolysis freeing up those circulating keytones and free fatty acids as well. Now where should the glucose be going? Well if insulin were present there would be normal cellular uptake. But with a decrease insulin production increased insulin resistance there is a functional severe insulin deficiency and so there is dramatically decreased cellular uptake. Now these three factors will give you blood sugars in the mid to high 100s. What really pushes you over the edge is when you begin to decrease perfusion to the kidneys. We know that the renal threshold ia about 180, and if your blood sugar is anything over 180 and you are adequately hydrated eventually the kidney will dump all that glucose. It may get dehydrated in the process and you'll need to replete those fluids. But the glucose should come down. In the setting where you begin to hypoperfuse the kidneys, that's when the glucose really shoots up, and that's when the glucose will hit 800, 1,000, 1,200 milligram per deciliter range. One important caveat to the construct I've mentioned here is the middle aged or adolescent patient who happens to be at home rehydrating with water. That's the one patient where the glucose may not be as elevated, the glucose may be only in the 400 range, 500. They may have quite significant diabetic ketoacidosis, however, they are not as dehydrated and the usual patient with DKA. These are rare patient but it's a patient where you really want to think twice when the blood sugar is not that high to ask yourself the question, maybe the kidneys are a little bit better perfused than I'm used to and maybe they don't need the amount of fluid that I'm about to to give. But for most patients they come to the emergency department, they have a blood sugar in say the 1,000 range and they will get their normal saline bolus, usually ten milliliters per kilogram over the first hour. And that will almost invariably, significantly drop their blood sugar because we saw on the prior slide we're now re-perfusing the kidneys. The kidneys are now able to dump glucose. And as such, the glucose will begin to plummet. After a few hours the trajectory of that glucose concentration will change. And now you're looking at the effect of insulin. Insulin will significantly decreases the glucose concentration but it won't do so at the rate that reperfusion will. We know that if we don't do something about the glucose decrease as a insulin infuses, is it will go all the way down to zero. But we maintain a target range about 150 to 250 and in many hands, the appropriate range is really 200 to 300 milligrams per deciliter. And we achieve that range by adding dextrose to our IV fluids. Now one has to understand that the range here is chosen really to make sure that the glucose doesn't go severely low.
Просмотров: 19503 OPENPediatrics
A recent shift in best practices has led to new guidelines for managing diabetes in the inpatient setting. These guidelines highlight the need for improved glycemic monitoring and proper insulin protocols, and has lead endocrinologist to recommend more moderate blood sugar targets for critically ill patients. Jodie Reider, MD, clinical endocrinologist at the UPMC Center for Diabetes & Endocrinology, discusses the significance of these new guidelines, and how they can help improve outcomes for hospitalized patients.
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Diagnosis and Screening of Diabetes Mellitus
Просмотров: 799 MOHSingapore
Gestational Diabetes Mellitus Screening Guidelines for the USMLE STEP exams as well as for your clinical practice. Good luck with your studies! ~BE curious! Keep asking WHY! ENJOY your studies! You got this!~ ********************************************************************************************* Follow us on Instagram and Facebook for daily high-yield USMLE material and latest medical news: https://www.instagram.com/dr.niya_the... https://www.facebook.com/theusmlechannel ********************************************************************************************* About The USMLE Channel - We are Niya and Raj, and we are here to share with you our passion for Medicine! We have successfully passed all USMLE STEPs and we know what YOU NEED to know, in order to SCORE phenomenally HIGH and enjoy RESIDENCY in the UNITED STATES. We are creating medical content videos for all STEPs - yes ALL of them-1, 2 and 3! Our videos are finely tuned, to provide you with the complete understanding of the most updated material, that will help you pick the right answers on the tests and in your future clinical practice. Because what you are studying here, trust us, you will be needing during your residency training! In our videos, we will be using our very own PERSONALLY CRAFTED MIND MAPS, that will make all that large content seem small and make concepts stick. We'll also be integrating quite a lot, which in our years of teaching experience has proven to give the best results. We have walked your journey, and if when starting it, we knew what we know now, life would have been so much easier. And that’s the idea behind the birth of this channel, to be here for you and give you the knowledge that will help you succeed. Enjoy our videos! Stay updated! Love what you are learning! Because in the end - IT IS ALL WORTH IT! ********************************************************************* DISCLAIMER: The Video Content has been made available for informational and educational purposes only. The Video Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health professionals and educators for clarification or continued education on any materials expressed herein prior to patient treatment and skills implementation. Attributions: Music -https://www.bensound.com Photo by Aaditya Arora from Pexels
Просмотров: 144 THE USMLE CHANNEL.
The American Diabetes Association and American College of Clinical Endocrinology's 2016 diabetes guidelines are out and Lifestyle education and coaching comes out on top. Also learn why they recommend everyone 45 and older should be tested for diabetes. There are lots more educational, "How To" video blogs at my Solutions For Diabetes website. Website & Blog: http://www.solutionsfordiabetes.com Share this video: http://solutionsfordiabetes.com/blog/ada-aace-2016-diabetes-guidelines-strongly-support-lifestyle-education-coaching/ Facebook:https://www.facebook.com/solutionsfordiabetesandweightloss Twitter: https://twitter.com/DrDutson1
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Noon Conference Thurs, June 15, 2017 Topic: Diabetes: Guidelines & Medications Speaker: Stephanie Lopez, MD, PGY-1 Family Medicine Resident UCR School of Medicine Family Medicine Residency Program, Palm Springs, CA
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Adult endocrinologist and Interior Health Diabetes Medical Lead, Dr. Richard Phillips, provides a highlights overview of the 2018 Diabetes Canada® Clinical Practice Guidelines and best practices on the topic of Diabetes in Pregnancy. Acknowledgements to Diabetes Canada® for slides provided. Diabetes Canada® Guidelines can be found at: guidelines.diabetes.ca
Просмотров: 10 Interior Health
Presentation by Dr. Hans Diehl at the "Real Truth About Health" 2015 Conference. (1:25 hrs) Hans Diehl, DrHSc, MPH, FACN, program founder and Clinical Professor of Preventative Medicine at Loma Linda University, uses his years of experience in the area of lifestyle medicine and charismatic presentation style to guide participants through the fascinating research surrounding dietary and lifestyle choices and our health. Hans teaches an affordable, lifestyle enrichment program designed to reduce disease risk factors through the adoption of better health habits and appropriate lifestyle modifications. The goal is to lower blood cholesterol, hypertension, and blood sugar levels and reduce excess weight. This is done by improving dietary choices, enhancing daily exercise, increasing support systems and decreasing stress, thus aiding in preventing and reversing disease. Han’s recommendations are based on the fact that 75% or more of our Western diseases are “lifestyle-related,” according to the U.S. Surgeon General. These diseases are connected to our processed diet; lack of exercise; overuse of cigarettes, alcohol, and caffeine; increased levels of stress; and the quality of our support systems. These diseases include: Heart Disease Stroke Hypertension Diabetes Overweight Certain adult cancers Diverticular disease Constipation Heartburn Arthritis Impotence Depression/Anxiety Fatigue As a National Institutes of Health supported research fellow in cardiovascular epidemiology at Loma Linda University, Dr. Diehl evaluated the impact of the Pritikin Longevity Center where he directed the research and health education departments. As a post-doctoral scholar at the School of Public Health of the University of California at Los Angeles, he contributed to the establishment of the UCLA Center for Health Enhancement. He holds a doctorate in Health Science with emphasis on Lifestyle Medicine, and a master’s degree in Public Health Nutrition from Loma Linda University. He serves as a consultant to the Complete Health Improvement Project (CHIP) now owned by the Lifestyle Medicine Institute, LLC, headquartered in Loma Linda, CA . He is a Clinical professor of Preventive Medicine at Loma Linda University, School of Medicine. Dr. Diehl is much in demand as a stimulating speaker. His message is that people don’t have to die of Western killer diseases. His Complete Health Improvement Project (CHIP) has been conducted in several countries affecting entire cities, either “live” or via a sophisticated video set with trained CHIP facilitators. More than 60,000 graduates have learned how they can turn disease processes around. His research has been published in more than 30 articles, mostly published in peer reviewed journals and medical textbooks showing that most people with essential hypertension, type 2 diabetes, elevated cholesterol, and with heart disease can reverse these diseases and often become drug-free within weeks by simplifying their customary lethal American diet. In addition, overweight people learn how to eat more and lose weight on a permanent basis. He was chosen by a national health magazine as “one of America’s 20 super-heroes in the health movement. These scientists, through research, education, advocacy and public relations, have brought intelligent, well-reasoned new voices into the discussion of health care.” (Vegetarian. Times) His books Health Power and Dynamic Living (co-authored with Dr. Aileen Ludington) have sold over 2 million copies and have been translated into 19 languages. He and his wife, Dr. Lily live in Loma Linda, California.
Просмотров: 2105 Hans Diehl
Adult endocrinologist and Interior Health Diabetes Medical Lead, Dr. Richard Phillips, provides a highlights overview of the 2018 Diabetes Canada® Clinical Practice Guidelines and best practices on the topic of Screening, Prevention and Management in Primary Care. Acknowledgements to Diabetes Canada® for slides provided. Diabetes Canada® Guidelines can be found at: guidelines.diabetes.ca
Просмотров: 20 Interior Health