Background: Glycemic control is crucial in the intensive care setting to reduce morbidity and adverse outcomes.1 The debate over methods for achieving this control highlights the risks of hypoglycemia and unclear management parameters.2 Continuous glucose monitoring software, like Glucommander, helps manage blood sugar safely and prevents hypoglycemic events.3,4 Generally, maintaining euglycemia with insulin improves outcomes [...]

Background: Sodium-glucose transport protein 2 inhibitors (SGLT-2i) are antidiabetic drugs that have shown to aid in all-cause/cardiovascular mortality along with progression of renal disease. ​Though SGLT2i have many benefits, there are many instances where these medications need to be held or discontinued; preoperatively (72h-92h prior to surgery), hypotension, reduced oral intake, decrease in eGFR, urinary [...]

Case Presentation: A 43 year-old man presented with one day of diffuse joint pains and fevers. He had new onset severe joint pains and stiffness of the neck, shoulders, elbows, wrists, fingers, hips, knees, and ankles. He used a continuous subcutaneous insulin infusion device to manage type 1 diabetes. He recently had a small bowel [...]

Case Presentation: The patient was a 74-year-old male with past medical history significant for atrial fibrillation and Type II Diabetes Mellitus who presented due to 5 days of diarrhea and change in mental status. Per family, the patient had poor oral intake for the past week. Pertinent vitals included heart rate of 123 beats/minute, respirations [...]

Case Presentation: A 34-year-old, un-domiciled, woman with T1DM, hypertension, hypothyroidism, polysubstance use disorder, and depression presented with nausea, vomiting, and diffuse abdominal pain for 24 hours. She had run out of her long-acting insulin one month prior and was substituting with short-acting insulin until she ran out of that as well two days before admission. [...]