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Endocrinology

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Questions discussed in this category

Do 5HT4 agonists such as Metoclopramide actually lead to improvement in symptoms for patients with diabetes related gastroparesis?
1 Answer available
Should long-acting subcutaneous insulin be started upfront in addition to regular insulin infusion for patients with diabetic ketoacidosis?
4 Answers available
When starting stress dose steroids for patient with primary adrenal insufficiency, how do you decide whether to start hydrocortisone 100 mg every 8 hours versus 50 mg every 6 hours?
1 Answer available
Do you routinely use 3% sodium chloride and desmopressin to correct hypovolemic hyponatremia in an asymptomatic patient with serum sodium of less than 120 mEq/L?
3 Answers available
Should we recommend SGLT2i initiation at discharge to all patients hospitalized with acute myocardial infarction?
Butler et al., PMID 38587237
1 Answer available
When do you recommend plasmapheresis/plasma exchange for management of severe hypertriglyceridemia?
2 Answers available
Do you recommend early oral nutrition when managing diabetic ketoacidosis?
Some data showed early enteral nutrition improves outcomes in DKA. Some thought that enteral nutrition could counteract the insulin gtt.
1 Answer available
What strategies do you use to prevent overcorrection of serum sodium in patients with severe hyponatremia and adrenal insufficiency when initiating glucocorticoid therapy?
1 Answer available
Is there a role for using continuous glucose monitors for perioperative glucose monitoring in patients with diabetes?
1 Answer available
What is the upper limit of blood glucose target in hyperglycemic critically ill patients?
The new SCCM guidelines suggest an upper limit of 200 compared to the conventional 180.
1 Answer available
Do you use absolute random cortisol levels or delta cortisol levels after ACTH stimulation to diagnose adrenal insufficiency in the critically ill?
2 Answers available
How do you adjust your management strategy to address the unique needs of anuric end-stage kidney disease patients when treating diabetic ketoacidosis?
1 Answer available
What is your daily correction goal for those patients being treated for hypernatremia?
2 Answers available
Should thyroid hormone replacement be initiated in patients with very prolonged critical illness with associated low thyroid hormone levels?
1 Answer available
What is your protocol to starting/stopping glucocorticoid replacement in Cushing disease patients after their transsphenoidal resection surgery?
1 Answer available
Can subclinical hypothyroidism cause myxedema coma?
Elderly male with primary hypothyroidism, HTN, and progressive worsening cognition over several months. PCP has been increasing LT4 dose as outpatient...
2 Answers available
What is your approach to managing hypocalcemia following a parathyroidectomy in patients with end stage kidney disease?
1 Answer available


Papers discussed in this category

The Journal of clinical endocrinology and metabolism, 2022 Jun 16
Critical Illness-induced Corticosteroid Insufficiency: What It Is Not and What It Could Be.
Clinical journal of the American Society of Nephrology : CJASN, 2019-05-07
Rate of Correction of Hypernatremia and Health Outcomes in Critically Ill Patients.
Curr Opin Cell Biol, 1995 Aug
Cell volume regulated transporters of compatible osmolytes.
The lancet. Diabetes & endocrinology, 2021 Oct 20
Consensus on diagnosis and management of Cushing's disease: a guideline update.
American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013-04
Hypertonic saline and desmopressin: a simple strategy for safe correction of severe hyponatremia.
The New England journal of medicine, 2024 Apr 06
Empagliflozin after Acute Myocardial Infarction.
Diabetes care, 2024 Jun 01
Accuracy and Feasibility of Real-time Continuous Glucose Monitoring in Critically Ill Patients After Abdominal Surgery and Solid Organ Transplantation.
Diabetes, obesity & metabolism, 2020 Jun 13
Performance of a factory-calibrated, real-time continuous glucose monitoring system during elective abdominal surgery.
Diabetes care, 2024 Aug 01
Hyperglycemic Crises in Adults With Diabetes: A Consensus Report.
The Journal of clinical endocrinology and metabolism, 2012-09
Subcutaneous administration of glargine to diabetic patients receiving insulin infusion prevents rebound hyperglycemia.
Journal of the Endocrine Society, 2019-05-01
A Retrospective Study of Early vs Delayed Home Dose Basal Insulin in the Acute Management of Diabetic Ketoacidosis.
Current diabetes reviews, 2021
Evaluation of Early Administration of Insulin Glargine in the Acute Management of Diabetic Ketoacidosis.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2015 May 25
Prospective randomized trial of insulin glargine in acute management of diabetic ketoacidosis in the emergency department: a pilot study.
Journal of clinical and diagnostic research : JCDR, 2015 May 01
Effectiveness of Insulin Glargine on Recovery of Patients with Diabetic Ketoacidosis: A Randomized Controlled Trial.
Diabetes, obesity & metabolism, 2022 Dec 20
Effectiveness and safety of early insulin glargine administration in combination with continuous intravenous insulin infusion in the management of diabetic ketoacidosis: A randomized controlled trial.

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