Today, we discuss the topic of insulin pumps. Heralded as a huge advance in the management of insulin-dependent diabetes mellitus (IDDM), they also bring a bit more complexity to the mix. To sort through this confusion, I brought my friend Josh Miller (@glucosedoc) on to the show to discuss.
Josh Miller, MD
Dr. Joshua D. Miller is the Medical Director of Diabetes Care for Stony Brook Medicine and an Assistant Professor of Endocrinology & Metabolism in the Department of Medicine. He is dual board-certified in Internal Medicine and Endocrinology, Diabetes & Metabolism. Dr. Miller has vast experience helping people with diabetes to conquer the challenges of living with the disease; he has been living with type 1 diabetes for over twenty years. He is an expert in insulin pump and glucose sensor management as well as the transition of care to adult endocrinology for young adults with diabetes.
What we Covered
Tell Us About Insulin Pumps
- Settings (Basal, Bolus)
- What can go wrong
- How do we know if it is functioning
- How to turn it Off
- Site Infection–is this even an issue?
- More on Insulin Pumps
What do We do If Pt with PUMP has DKA?
- Leave It on or
- Supplement or
- Adjust Settings or
- Turn it off–if so how to take pt settings into account
Basal Insulin in the Critically Ill
- How much and how
- Insulin Drip
- Is Lantus Safe-how much and when
- what agents (SGLT2)
- how to manage
- See also RebelEM
Hypoglycemia with a Pump
Now on to the Show…
- EMCrit Wee – Webinar I Gave to Pulm/Crit Care Fellows on Avoiding Intubation and Initial Ventilation of COVID19 Patients - April 4, 2020
- EMCrit 269 – Rationing of Critical Care and Ventilators in COVID19 with Reub Strayer - March 31, 2020
- EMCrit Wee – Stop Kneejerk Intubation with the EMCrit Crew - March 30, 2020