ASAP Live Session: Diabetes 2 - Thursday, October 12, 2023: 7:00-8:00 pm ET-Video

Video Transcription

Video Summary

In this video, the co-hosts discuss several cases related to diabetes management. In the first case, a 55-year-old man with type 2 diabetes and non-proliferative diabetic retinopathy is experiencing high blood sugar levels and occasional mild hypoglycemia. The best next step in management is to obtain an ambulatory glucose profile using a continuous glucose monitor. This will provide valuable information about glycemic patterns and help modify behaviors and make adjustments to medications. In the second case, a 57-year-old man with type 2 diabetes and low A1c levels is found to have drug-induced hemolysis caused by dapsone. The most likely cause of his falsely low A1c level is carbamylation of hemoglobin derivatives. In the third case, a 50-year-old woman with a recent diagnosis of diabetes and a family history of diabetes and autoimmune disease is likely to have type 1 diabetes. The most useful test to identify type 1 diabetes in this patient is measurement of anti-GAD antibodies. In the fourth case, a 67-year-old woman with type 2 diabetes and multiple complications is at risk for chronic kidney disease progression. The best recommendation for her is to start finarunone to reduce the risk of kidney disease progression. In the fifth case, a 76-year-old man with type 2 diabetes and coronary artery disease is experiencing hypoglycemia. The best treatment strategy for him is to stop his sulfonylurea medication, as this is the most likely cause of his hypoglycemia. Finally, in the sixth case, a 76-year-old man with type 2 diabetes, pancreatitis, and coronary artery disease is at risk for hypoglycemia due to his insulin and sulfonylurea medications. The best treatment strategy for him is to stop the sulfonylurea and consider reducing his insulin dose. Continuous glucose monitoring and more frequent blood sugar checks should also be recommended.

Keywords

diabetes management

continuous glucose monitor

glycemic patterns

anti-GAD antibodies

chronic kidney disease progression

finarunone

sulfonylurea medication

hypoglycemia