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#397: Insulin, Type 2 Diabetes, Fanny Packs, and Hypoglycemia with Dr. Jeff Colburn

The Curbsiders Internal Medicine Podcast

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The Risk of Low Insulin Dose Overnight

Jeff: It seems like the nocturnal would be an issue too I know they're getting us like a third of the dose at at dinner time but if they eat dinner at six o'clock is peeking around 12 do you tell them to eat some sort of like evening snack too we don't. You want to be wary of that and maybe have the patient testing kind of randomly on some nights to see all they're doing Jeff: A lot of times it happens worse when pharmacy changes that kind of thing so like you're someone's on largene you get the call like oh they can't take largene anymore but they can'ttake leaven mirrors so you just make a one

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