Hyperosmolar Hyperglycemic State (HHS) vs DKA, Hyperglycemic Nonketotic Coma Syndrome Management

[@basicmedicaleducation8417]

Perfect example of a very good teacher and great Doctor. Dr.Waqas keep it up . thank you Dr.Munir

[@tamaradaka9393]

🙌🏾

[@thehelpfuldoctor6848]

Hi sir,how do we manage patients with low EF for example 30-40 % with CKD with HHS or DKA…??

[@elkandoussisara]

If I could press the like button twice I would have done it !!! Deeply grateful to you Doctor ❤️ love from Morocco ❤️

[@natalieburkhardt9296]

You are a wonderful teacher, I am watching all your videos for review for my final medical exams, thank you

[@MuwongeUmar-x9t]

You are A G.O.A.T Dr Fazal You made Medical school less draining than it where.

[@82harris72]

If I am going to pass my final year your videos are going to have number 1 contribution Thank you ❤

[@BilalAhmed-rf1eo]

I m amazed,The way of teaching very clear,no confusion,well explained every point in systematic way Masha Allah Sir If U r alive may Allah bless U with many more And If U r dead,May Allah bless U with JannatulFirdous..❤

[@lazylad9297]

اللہ مرحوم کی مغفرت فرمائے۔ آمین۔

[@ArshBstudyplaylife]

Assalamualaikum Dr. Arshiya this side. I am glad that I found your channel on KZbin. Your clarity in the topics and the way you explain is commendable. Keep up the great work Dr. Waqas 👍

[@MedNerdDrWaqasFazal]

Walaikmasalam and thank you very much Dr. Arshiya. I am very happy that you found my videos helpful. Keep supporting 😊

[@islamwith-quran]

Sir I found your channel yesterday and learnt so much in just one day please post more and more videos. Thanks alot😊

[@areebaqamar2172]

I wish I had found your channel earlier. Thank you for amazing lectures

[@jeewanrajnirola4789]

This series of emergency medicine really helps us sir

[@hudasurve]

Been struggling with this topic for so long. Thank you so much. This was really helpful!!

[@Trafie307]

I am having interview tomorrow Allah bless you sir So briefly u covered everything Thank u sir thank u so much Love from UK

[@aishwaryadhawle992]

Thankyou So much Sir. My final year exams are less than a month away, this video is a saviour.. So helpful Sir. 😊

[@MedNerdDrWaqasFazal]

Good luck Aishwarya Dhawle for your exams. 😊

[@anwaranwar-zl5nv]

Congratulations

[@House_of_fun116]

No video could be better than this. It was just perfect.

[@rizgarali4609]

a great teacher I have ever seen in my life

[@nmkhan3057]

One of the best medicine teacher

[@ghadah9120]

You’re truly a wonderful person. Thank you from the bottom of my heart!

[@mahnoorriazkhan5357]

Crystal clear concepts. We need more videos like these.

[@adelaideawuah5399]

I just chanced on your channel and I must say that your videos are extremely helpful. Thank you 🙏🏾

[@prateik133]

Ek no sir ji bahut badhia explaination

[@pamelamutizwa369]

Best presentation ever 🙂

[@mohitthakur9919]

many thanks for putting the effort into explaining such important topics.

[@MedNerdDrWaqasFazal]

So Nice of you 😊

[@EhsanullahDeedar]

Brain cell don't depend on insuline they receive glucose through glut 4 receptor which are no dependent on insuline same like in RBCs ?

[@DrAnandSriram]

Exactly, I was thinking the same.Apart from that factual inaccuracy I think everything else was right. Glucose uptake in brain is through glut 1 and 3 receptors which are insulin independent.Hence I think that the brain wouldn't be ordering the liver to produce ketones, rather insulin deficiency such as in T1DM combined with lack of energy substrate in peripheral organs would stimulate the liver to produce ketone bodies. Do correct me if wrong. However the brain does require insulin for Glucose metabolism and for satiety/hunger mechanisms. Great video regardless.

[@ziyagawas6012]

That’s too great teaching of u sir… going through all ur videos really helping me alott… requesting u to post video on management of different types of anemia

[@MedNerdDrWaqasFazal]

Thank you very much ziya for your kind words. Keep supporting 😊 will surely upload one on anemia.

[@shrinivasshrinivas2832]

Tq so much sir for beautiful presentation i never seen this type of lecturing ❤ before

[@kusayhamodi7757]

amazing doctor explains so good !

[@awaiskhan8753]

bro you're doing a great job!! best of luck .

[@Knowledge.about-medicinee]

In a Very easy way to u explained the topic sir thnku sir 👍

[@ezebenjamin2664]

nice presentation, very well explained. But do we give 0.9% or 0.45% saline. This is HHS and its a hyperosmolar state, so hypotonic saline might be better

[@amriteshkumar8391]

Sir, In Our hospital we donot correct Potassium. We give Insulin only in DKA

[@anirudhsehgal4418]

Love the way you teach...wow ❤️

[@MedNerdDrWaqasFazal]

Thank you Anirudh Sehgal. Keep supporting 😊

[@mutoroannelynelinda385]

I understood everything perfectly. Thank you

[@Golden-h5i]

Thank you for the lecture! Explained very good!

[@nasinachaithanya4670]

Simply awesome doc..

[@joyitadsuja2701]

Sir can you teach us about different type of joint pain, anaemia. As a intern doc I counter this type of patients regularly.

[@prgamer2799]

Thank you, excellent presentation.

[@stgaruba940]

Your explanation was very helpful. Thank you.

[@TaruCb]

Excellent, no words thank you 🙏🙏🙏🙏🙏🙏 sir

[@doit5568]

Excellent explaination...

[@bhavanapallak]

Excellent videos

[@timothykirabo4269]

He is exceptional ❤

[@mediziner4283]

life savior lectures thankyou sir

[@belmanorachallamsuchiang2341]

Phenomenal lecture sir

[@ZahidHussain-ht4tw]

Thanks sir .... very nice Explaination 👍🙏

[@marjanmathilda1475]

I appreciate your awesome lecture !

[@MedNerdDrWaqasFazal]

I am glad Marjan Mathilda that you found my videos helpful. Thank you 😊

[@katumbabruno7310]

May God bless u alot sir

[@anwaranwar-zl5nv]

Can you add treatment in place of seek help from seniors?

[@drshahwaizkhan9572]

Welldone sir

[@YekoVanice-r2l]

Thank you so much for the presentation

[@brothersmind3415]

Good lectures

[@dr...6925]

Excellent 👍👏 vedio sir

[@iqrachoudhary7278]

Very helpful videos❤

[@sakiransari-fh5sm]

Assalamoalikum,lot's of love from Nepalese docs

[@MedNerdDrWaqasFazal]

Walaikmasalam... Thank you so much for your love and support 😊

[@user-mz5gu4jj1r]

Well explained 👍🏻

[@alichattha1686]

Great video

[@JustKay_77]

Excellent!

[@gyanghalley4982]

Thank you for your great videos

[@isurusajith499]

Does the glucose transport in the brain is glucose dependent

[@melesemengesha9871]

Always miss u

[@50nitin93]

Sir how to correct dehydration in HHS iN A heart faliure patient

[@rumjhumdatta8265]

Thank you so much sir it's so helpful

[@MedNerdDrWaqasFazal]

You're welcome 😊

[@ابوالبراء-غ5و]

Thanks. If pt is hypertensive how can I give fluids??

[@bahiachibi895]

Awesome thank you

[@rajachouhan3721]

Thanku so much sir

[@doit5568]

Thank you so much sir 😌

[@haseebsheikh6551]

Excellent

[@bhoomishp6200]

Sir please tell me where can I get this ppts of your class great lectures and great ppts sir can u plzz share this ppt or else like drive

[@naveenreddyvasari3641]

Glucose uptake in brain is insulin independent ,,

[@TanTan-ch3vq]

I agree, he is wrong in this point

[@alynhaha13]

Thank you Dr 🥹💗

[@cryspydude]

Treatmeny channel ❤️

[@Brownkatu]

Neurons does not need insulin for glucose uptake ,

[@baghagdiary]

Thank you so much!!

[@anwaranwar-zl5nv]

Nice videos.

[@muhammadshanzaib8802]

Thank you so much 😊

[@iqbalkhan9420]

Sir i am confuse sir in case of HHS we gived insulin iv with combination NS

[@ahsanhabib3402]

Sir what can i do in a hypertensive pt in fluid correction?? It rises blood pressure then what can i do??

[@melesemengesha9871]

It's better to at least 3 or more video doc if u can

[@MedNerdDrWaqasFazal]

Melese Menghesha will try to upload more. 😊

[@NiwaJuli-le5zw]

Thanks doctor

[@sikreyto]

you're awesome!

[@MedNerdDrWaqasFazal]

Thank you Sikreyto for your kind words 😊

[@ok6109]

Thanks❤

[@hassanabdigedi4502]

thwnks

[@halohalo5085]

Aren’t glucose transporters In brain cell insulin-independent?

[@MedNerdDrWaqasFazal]

What we have been studying in basic sciences that insulin is not need to transport glucose into the brain. Actually this is not so simple. There are many insulin sensitive receptors present in the brain. Whole glucose metabolism is disturbed in the absence of glucose. Remember this area is still under research and there are many more new things yet to come that might actually defy our older concepts. Thank you for asking 😊

[@TanTan-ch3vq]

It is better to use muscle cells as an example rather than to use brain cells

[@hassanshakoor2163]

Okay👍

[@muhammedabdulnazer7743]

Best

[@saji5988]

👍👍👍👍

[@rock-mr5uo]

🙏🏻🙏🏻

[@supyarkanwar-f4w]

Ok

[@aeeshakhan1994]

Thank you so very much for the immense help and ease in this stressful final year 🥹

[@MedNerdDrWaqasFazal]

Goodwishes for your final year. I wish you become a very brilliant doctor.

[@narendrapachehra2819]

Excellent

[@musikaaffection8570]

Thank you soo much sir ❤

[@meryamlazrak1329]

thank you sir

[@OMA-kz8cg]

Thank you Sir

[@akashkathole2942]

Best