#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
#460 HFpEF: Heart Failure with Preserved Ejection Fraction [not-audio_url] [/not-audio_url]

Duration: 49:39
Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.Claim CME for this episode at curbside…
#458 HFrEF: Heart Failure with Reduced Ejection Fraction [not-audio_url] [/not-audio_url]

Duration: 1:04:24
Kittleson Rules Outpatient Heart Failure Volume 1Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittles…
#457 Cold and Flu Season: Upper Respiratory Infections aka URIs [not-audio_url] [/not-audio_url]

Duration: 1:06:25
Treating colds, flu, and more with Dr Amber Bird! Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, and avoi…
#456 Outpatient Oxygen Therapy [not-audio_url] [/not-audio_url]

Duration: 1:12:57
Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders…
#455 Sports Injuries Part 2: Hip and Knee [not-audio_url] [/not-audio_url]

Duration: 54:04
De-stress your approach to stress fractures (and trochanteric pain syndromes and meniscus tears)!Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport…
#454 Kidney Boy on Managing Diabetes and Hypertension in CKD [not-audio_url] [/not-audio_url]

Duration: 1:05:55
Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy. Claim CME for this episode at curbsiders.vcuhealth.org!P…
#453 Sports Injuries Part 1: Concussion and Hip Pain [not-audio_url] [/not-audio_url]

Duration: 57:30
Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 1 covers concussions, femoroacetabular impingement (FAI), and the ongoing quest to…
#451 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 2 [not-audio_url] [/not-audio_url]

Duration: 1:03:39
Quit playing games with my heartYet another beat no to skip here with part 2 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. Learn about the warranty on str…