#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: 1:19:16
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
REBOOT: #469 Inpatient Heart Failure [not-audio_url] [/not-audio_url]

Duration: 1:32:02
We have another classic episode for you. Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth transitions of care. We a…
#513  Pituitary Incidentalomas [not-audio_url] [/not-audio_url]

Duration: 1:23:51
Dr. Fleseriu schools us on managing the unexpectedBecome a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when su…
#511 Alzheimer's Disease: Updates in Diagnosis and Treatment [not-audio_url] [/not-audio_url]

Duration: 1:16:48
Blood-based Biomarkers, Anti-Amyloid Therapies and BeyondFrom blood-based biomarkers to anti-amyloid treatments, join us as we explore the latest in Alzheimer’s disease diagnosis and treatment with Dr. Halima Amjad. This…
#510 Diverticulitis for the Hospitalist [not-audio_url] [/not-audio_url]

Duration: 1:13:45
Diverticulitis Simplified: Imaging, Antibiotics, Diet, and When to Call SurgeryMaster diverticulitis! Learn how to distinguish uncomplicated from complicated disease, when to reach for antibiotics, and which patients nee…
UNLOCKED PATREON #60 Anticoagulation DVT/PE [not-audio_url] [/not-audio_url]

Duration: 26:47
Matt and Paul recap top pearls from a recent episode on Anticoagulation for Venous Thromboembolism with Dr. Tara Lech, PharmD. They also answer listener questions and share their picks of the week. Picks of the week:Paul…
#507 Swinging the Pendulum on Menopause Care With Dr Rachel Rubin [not-audio_url] [/not-audio_url]

Duration: 1:34:31
Transform your approach to menopause care with the latest evidence and expert insights you can use tomorrow. Learn how to move beyond outdated WHI-era fears and confidently prescribe individualized, effective hormonal th…