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

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

Author: The Curbsiders Internal Medicine Podcast May 19, 2025 Duration: 1:14:45
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!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

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: 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. 

Sponsor:
Freed

Visit Freed.ai and Usecode: CURB50 to get $50 off your first month when you subscribe. 

Sponsor:
Quince

Go to Quince.com/curb for free shipping on your order and 365 day returns.

Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
Podcast Episodes
#528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein [not-audio_url] [/not-audio_url]

Duration: 1:18:55
Become the Medetomi-Dean of AdmissionsStep up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency in the drug supply…
#527 Oncology Potpourri for the Hospitalist [not-audio_url] [/not-audio_url]

Duration: 59:38
Malignant Bowel Obstruction, VTE and Goals of CareMaster malignant bowel obstruction, cancer-associated thrombosis, and goals-of-care conversations in hospitalized patients with advanced cancer. Learn practical approache…
#525: Multi-Cancer Early Detection Testing [not-audio_url] [/not-audio_url]

Duration: 48:58
Cut through the hype of Multi-Cancer Early Detection (MCED) tests and learn how to counsel patients on the real-world utility, false-positive risks, and the "stage shift" debate of these emerging blood assays. We are joi…
#524 SHM Converge 2026–Recap [not-audio_url] [/not-audio_url]

Duration: 1:45:56
We go so that you want to go next year!Stay current with updates in hospital medicine from SHM Converge 2026 in Nashville, TN. Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spoti…
#522: Healthy Aging with Dr. Elizabeth Eckstrom [not-audio_url] [/not-audio_url]

Duration: 1:19:56
Join us as we explore practical, evidence-based strategies to help patients age with strength and confidence, and navigate the transition into retirement. We’re joined by Dr. Elizabeth Eckstrom (Oregon Health & Science U…
#521 Tales of the Pelvis [not-audio_url] [/not-audio_url]

Duration: 1:19:53
Gain an insider’s perspective on the techniques of pelvic floor physical therapy. Learn when to refer, what to expect and what can be gained from working with your friendly neighborhood pelvic floor PT specialist. We’re…
#520: Healthspan Medicine, A Practical Approach [not-audio_url] [/not-audio_url]

Duration: 1:19:36
How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardio…