Hypo- and Hyperglycemia: Glucose Metabolism & Diabetic States – Emergency Medicine | Lecturio

► LEARN ABOUT:
- Normal glucose metabolism
- Diabetic states
- Hypo- and hyperglycemia
- Rates of diabetes
- Significant morbidity and mortality
- Presenting symptoms and clinical features

► THE PROF:
As an assistant professor in the Department of Emergency Medicine at the Johns Hopkins University School of Medicine, Sharon Bord, M.D. knows how to teach important skills to students. She is a member of the Committee of Emergency Medicine Residency Directors and Clerkship Directors in Emergency Medicine and on the editorial board for a board review question book.

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0:00 Introduction
0:42 Normal Glucose Metabolism
3:36 Diabetic States
4:45 Hypo-and Hyperglycemia
6:22 Presenting Symptoms and Clinical Features
8:01 Initial Testing Elevated Blood Sugar
10:11 Uncomplicated Hyperglycemia
12:26 Diabetic ketoacidosis Pathophysiology
17:49 DKA Diagnosis
19:39 DKA Key Electrolyte Issues

[HafizahHoshni]

Very informative! Thank you so much! 😃😃 13/1/2019

[verakhouryleonelli]

Ketoacidosis is not the formation of ketone bodies. Ketogenesis is the formation of ketone bodies. When the ketogenesis is intense and the mechanisms of compensation (kidney and breathing) are not enough ketone bodies accumulate in the blood leading to ketoacidosis.

[MuneMoones]

Normal glucose is 60-150 mg/dL?? On 2018?? OMG!!

[Somaye]

Kussmaul breathing is, however, deep with normal or increased rate.

[jemackah]

Sorry. you mentioned that Type 2 may remain asymptomatic for long time but your slide indicates the opposite. thanks

[robertodeharo]

Saying that the normal blood glucose concentration is from 60 mg/dl to 150 mg/dl is completely misleading; you guys at Lecturio should select better those who are going to teach others. According to the American Diabetes Association, the normal blood glucose concentration is from 70 mg/dl to less than 100 mg/dl. It is really relevant to have this information clear in our minds because patients should be advised/treated to try to avoid reaching 126 mg/dl, that is to say, progressing to diabetes mellitus. The diagnosis of diabetes mellitus is established at a fasting blood glucose concentration of 126 mg/dl. Because of this, your euglycemic range cannot be correct.

[gorgeousgirl]

At 14:19 I have all these symptoms but my blood sugar is 97. After fasting 4 hrs. I have no energy in my body. It means hypoglycemia I have ? With type 1 ? I don't know what's going on with me

[CCSABCD]

I'm pretty sure Kussmaul's pattern is not shallow.

[sandeepkumarhansdak]

.... and!..."Swoosh!"....☺️🍀