Session Type
Meeting
Search Results for Insulin
Abstract Number: 778
SHM Converge 2024
Case Presentation: A 63-year-old female with a history of heart failure with reduced ejection fraction and pre-diabetes presented to the hospital with lower extremity weakness. On presentation, her physical exam was significant for bilateral lower extremity pitting edema and hepatomegaly. Lab work showed an elevated total bilirubin (7.3mg/dL) and direct bilirubin (3.8mg/dL), liver function tests […]
Abstract Number: 904
SHM Converge 2024
Case Presentation: An 80-year-old female with dementia presented with 4 months of intermittent confusion, hypoglycemia, and associated generalized weakness. Her symptoms resolved with eating. She had no diabetic medications at home. She was hospitalized 1 month prior for these symptoms; her blood glucose during that admission was 39 mg/dL, C-peptide was 6.9 ng/mL (reference range […]
Abstract Number: 964
Hospital Medicine 2020, Virtual Competition
Case Presentation: 73-year-old male had a witnessed fall at home with a minor head injury without loss of consciousness. Later, his wife noted him having new onset convulsive seizures and immediately notified EMS. Upon EMS arrival, he was alert but confused- his fingerstick glucose measured 11 mg/dL. He received oral glucose and was transferred to […]
Abstract Number: G15
SHM Converge 2022
Background: Hospitals generally have clear protocols, often nursing driven, for management of inpatient hypoglycemia. The American Diabetes Association recommends a standardized approach to hypoglycemia management in the hospital to address hypoglycemia. A frequent cause of hypoglycemia is poor management of the first hypoglycemia episode. Standard treatment protocols include the use of oral carbohydrate agents for […]
Abstract Number: G22
SHM Converge 2022
Background: Studies have demonstrated that oral medications such as metformin are safe to continue in the hospital, and that when insulin is used in a hospital setting, a basal or basal-bolus regimen is more effective than sliding scale monotherapy (1-2). Despite mounting evidence and society guidelines, clinicians have been slow to adopt these practices in […]
Abstract Number: L23
SHM Converge 2022
Background: Diabetic Ketoacidosis (DK)A at our center has historically been managed in the intensive care unit (ICU) utilizing low-dose insulin infusion. According to the American Diabetes Association (ADA) and a 2016 Cochrane review, cases of mild to moderate DKA can be safely managed on general medical floors utilizing subcutaneous short-acting insulin. Prior studies have demonstrated […]
Abstract Number: N41
SHM Converge 2022
Case Presentation: 29-year-old man with no significant medical history presented with 1 day of severe epigastric pain and multiple episodes of emesis and nausea. He denied any alcohol use.Vitals: Remarkable for a heart rate of 110. Notable Labs & Imaging:Bicarbonate 16 mmol/L with an anion gap of 23 Glucose 117 mg/dLLactate 2.9 mmol/LLipase 531 U/LNormal […]
Abstract Number: 1036
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics […]
Abstract Number: 1191
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma […]