The Curbsiders Internal Medicine Podcast #397: Insulin, Type 2 Diabetes, Fanny Packs, and Hypoglycemia with Dr. Jeff Colburn
24 snips
May 29, 2023 AI Snips
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Rock Climbing Brought His Family Together
- Jeff Colburn met his wife in medical school through rock climbing and still climbs with family.
- He highlights shared athletic activities (pickleball, swimming) as family bonding and exercise.
When To Start Insulin
- Start basal insulin for type 2 patients when beta cell failure or A1c >10% is present.
- Begin insulin rather than stigmatize it; explain it's pancreatic failure, not patient failure.
Practical Basal Dosing And Titration
- Start basal insulin at 0.1–0.2 units/kg/day or a pragmatic 10 units daily and titrate.
- Titrate by checking fasting glucose and increasing ~2 units every 2–3 days until fasting target reached.