USMLE ALGORITHMS: DIABETES MELLITUS Type 1 and 2

[newagecozaki]

DM 1 pts need to get annual flu shots and pneumococcal vaccine? I bet the relationship is somewhere in there deeply hidden. In Mx of DKA, u do not need two large bore cannulas for insulin;u need it for fluid resuscitation..lol! Is important to note he specifies on diagnostic determination of these DM subsets, differential investigations are not really relevant for suspicion of DM at any stage and age. Need to concentrate on clinical pharmacy of metformin understandable!

[winter32842]

I learned the same material in pharmacy school, maybe I can take the USMLE.

Anyway, according to JNC7 and ADA guideline, hypertension should be less than 130 mm Hg (not less than 140 mm Hg)

[joyce161]

Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg.

[Hosanaime]

One of the screening modalities now is included HbA1C>6.5%, If + repeat testing.

Potassium reserves on DKA are actually depleted, hyper K is due to extracell shift due to lack of insulin. Treat for DKA with insulin and I.V fluids is added K when its level goes <4.5 mEq/l or if K level is normal is added with IV fluids since the beginning.

[Hosanaime]

One of the screening modalities now is included HbA1C>6.5%, If + repeat testing.

[ase6120]

вся информация для работы врачем в США usmle-rus.info

[caps31392]

In diabetes the target bp should be less than 130 syst. source uworld ccs

[dmguru4u]

Great Videos. I found your site while searching the main search url in youtube. Just love it!.

[deigot]

Thanks!!!

[TurkiMD]

there is one mistake regarding HTN control .. it should be less than 130 not 140 as he said

[josephmedman]

Hey can you please tell me the source you are using. I used AFP guidelies and wrote this algorithm in 2009 where it was the latest recommendation. If they have changed it please tell me your source. Thanks. @TurkiMD

[rthr1]

Definitely a good job! Thank you!

[copito94]

DKA is precipitated by not just by infections and surgery but discontinuation of insulin use, or simply untreated diabetes..remember the reason why DKA actually develops..Insulin inhibits the expression of glucose producing enzymes like PEP carboxykinase and Gluc-6 Phosphatase.....No insulin = uncontrolled hepatic gluconeogenesis..raising glucose levels...counter regulatory hormones increase activity of lipase...releasing FFA´s and surley leading to the build up of ketone bodies in the blood.

[sonrosado]

126 of what? I know mmol/L isn't used in the USA?

Who regulates what the targets of HbA1c should be in the USA, chief medical officer?

[pri101]

the new criteria for DM also includes Hgb A1C >6.5%. Thanks for the great algorithms.Love it!

[fornow100000]

a couple of pointers. I know this is only a review but it would help if you explained he most basic concepts as you go. This way we can all be on the same page.

[josephmedman]

they give me only 10 minutes to work with on youtube. I could talk for an hour if given the time..haha..sorry

[josephmedman]

I would love to however they limit me to 10 minutes for youtube videos

[Illusion113]

@josephmedman These are really awesome! You could always do a part 1 part 2 sorta thing.

[drsoomro6]

gre8

[tinku1224]

Great video brief and thorough!

[sroursss]

Dr jose i have a question isnt in htn control bp should be kept under 130/80??

[NAUGHTYBOY2099]

yeah, if u have a diabetic patient, the main goal to maintain hypertension controlled is bp 130/80

[humbledone]

@NAUGHTYBOY2099 when you have sweat in the morning whats wrong

[humbledone]

@NAUGHTYBOY2099

[Ihab23]

I think you two gentleman both have it correct. target is <130/80mmHg

saweet

[humbledone]

@Ihab23 whats wrong when you wake up in the morning in sweats i mean the bed is wet and your back is wet

[humbledone]

@humbledone can you tell me what happens

[zoopango]

Omg Omg thnk u soo soo sooooo much,,

[faisjafri]

thanks

[raimoris]

Dr. Jose, what is your algorithms for diabetes patient who is undergoing an elective major surgical procedure, (starting from when is the best time to admit the patient )

Thank you