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Glucagon can be a lifesaver, literally. Glucagon’s primary use is in the setting of severe hypoglycemia. Glucagon works by increasing cyclic AMP which causes glycogenolysis and gluconeogenesis. This ultimately leads to an increase in glucose in the blood and helps manage a hypoglycemic state. Here are some clinical pearls that are important to glucagon’s use. […]
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This guest post on selecting a diabetes medication was contributed by pharmacist Jiamin Liau who is also a Certified Diabetes Educator in Australia. I’m appreciative for her contribution to help educate other healthcare professionals! If you’re a pharmacist and have a case or scenario you’ve seen in your practice feel free to shoot me a […]
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About 10 days ago, a 76-year-old male called you to tell you that his spiking blood sugars are higher than they have been in a long time. His blood sugars were in the 300-400 range. He used to never get much above 200. He reports that he has had no diet changes and is adamant […]
Read MoreOrthostasis risk with SGLT-2 Inhibitors is a potential minor concern, particularly in our geriatric population. While a drop in blood pressure can be a good thing for a significant chunk of diabetes patients, that potential modest drop can lead to an increased risk of adverse effects as well. Here’s the case of assessing orthostasis risk […]
Read MoreWhat to do with an A1C ? For the experienced clinician, this is a very simple question, but I occasional see orders for A1C’s at a rate more frequently than every three months. Remember that it is basically an average blood sugar over a period of approximately three months. This can vary a little bit, […]
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