The Curbsiders Internal Medicine Podcast

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

Mon, 19 May 2025

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!

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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.

Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save30%on all online courses and live webcasts with promocodeCURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

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UNLOCKED #43 Exclusive! HFrEF (TFTC audio)

Wed, 14 May 2025

Join us at patreon.com/curbsiders today and save 20% on NEW Annual Memberships with promo code: UNLOCKED.

*This offer expires at 3am EST on May 15, 2025.

Matt and Paul recap top pearls from a recent episode on heart failure with reduced ejection fraction (HFrEF) and the importance of understanding the underlying causes of heart failure with Dr. Michelle Kittleson (video version). They also answer listener questions and share their picks of the week.

Chapters:

00:00 Introduction and Humor

01:41 Understanding Heart Failure

04:50 Guideline-Directed Medical Therapy

09:57 Practical Approaches to Treatment

13:58 The Importance of Medication Adherence

16:22 Dietary Considerations in Heart Failure

18:24 ED Follow-Ups and Patient Management

20:38 SGLT2 Inhibitors and Infections

25:58 Patient Counseling and Preventative Care

26:33 Picks of the Week

REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1

Mon, 12 May 2025

We’re taking a break this week, but we’ll be back next week with a brand-new episode.

Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.

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

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Show Segments

00:00 Introduction

03:22 Case Presentation: Newly Diagnosed Heart Failure

07:26 Using Physical Exam Findings to Guide Diuresis

11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure

15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients

22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy

28:02 Consideration of Other Medications

40:02 Referral to Advanced Heart Failure Specialist

49:11 Optimizing Therapy and Follow-Up

55:33 Conclusion and Book Recommendation

Credits

Writer and Producer: Deborah Gorth MD, PhD

Infographic and Cover Art: Zoya Surani

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Michelle Kittleson MD, PhD

Sponsor: Mint Mobile

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Sponsor: American College of Physicians

Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code CORECS will receive a MKSAP gift pack with their subscription.

Sponsor: Panacea Legal

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#482 Recap from SHM #Converge25

Mon, 05 May 2025

Highlights and Pearls from SHM’s Annual Meeting

We recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more.

Note: There is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.

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Show Segments

Intro

Care of the Patient Experiencing Homelessness

Updates in GI

Delirium

Adaptive Leadership

Transgender Health

Capacity Assessment

Heart Failure

Care of the Transplanted Kidney

Precipitated Withdrawal

IV contrast

Alcohol Withdrawal

MRSA Nares Swabs

Bugs, Bite, and Fever

Perioperative Medicine

Parkinson’s Disease

Stroke

Outro

Credits

Producer, Writer, Show Notes: Meredith Trubitt MD, Monee Amin MD, Caroline Coleman MD

Cover Art: Caroline Coleman, MD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Rahul Ganatra, MD MPH

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Michelle Brooks MD, Avital O’Glasser MD, Rahul Ganatra MD MPH

Disclosures

The Curbsiders report no relevant financial disclosures.

Sponsor: Freed

Visit www.getfreed.ai and sse code: CURB50 to get $50 off your first month when you subscribe!

Sponsor: Locumstory

Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com.

Sponsor: Grammarly

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Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

#481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs

Mon, 28 Apr 2025

Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and individualizing management of prediabetes with lifestyle changes and medications.

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

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Show Segments

Intro

Case from Kashlak

Why screen for prediabetes and diabetes?

Who to screen for prediabetes and diabetes

How to screen for prediabetes and diabetes

Role of the physical exam

Explaining a diagnosis of prediabetes to patients

Atypical types of prediabetes

Management of prediabetes: lifestyle changes

Management of prediabetes: medications

Outro

Credits

Producer, Writer, and Show Notes: Malini Gandhi MD

Infographic and Cover Art: Zoya Surani

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Sai Achi MD,MBA,FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Scott Isaacs MD

Disclosures

Dr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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Enjoy worldwide shipping to over two hundred countries. Head over to Bombas.com/curb and use code curb for twenty percent off your first purchase.

Sponsor: Continuing Education Company

Visit www.CMEmeeting.org/curbsiders. Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30.