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

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This video “Hypo- and Hyperglycemia: Glucose Metabolism & Diabetic States” is part of the Lecturio course “Emergency Medicine” ► WATCH the complete course on lectur.io/hyperglycemia
► 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

[@zadeckmelch239]

Beautifully presented

[@HafizahHoshni]

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

[@husnalukman8495]

thank you so much!!

[@roland.j.ruttledge]

Many thanks.

[@khamikos1]

thanks

[@Somaye40]

It was great. Thanks.

[@horacioache7093]

Good video

[@muhammadjunaidali769]

Awesome

[@bankinyousef3758]

thank you

[@Somaye40]

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

[@gorgeousgirl5608]

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

[@jemackah7109]

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

[@verakhouryleonelli9980]

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.

[@abdelhakimdaudjelle477]

You can teach me more about hypo/hyperglycemia I will be greatfull I'm are EMT (emergency medical technician)

[@drgarad]

@@abdelhakimdaudjelle477 Haye kaabe, aniga maku baraa.

[@abdelhakimdaudjelle477]

If you can diyar

[@MuneMoones]

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

[@petermayescreampsahlius9750]

Kussmaul is rapid deep breathing

[@CCSABCD]

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

[@petermayescreampsahlius9750]

Deep rapid

[@sandeepkumarhansdak7650]

.... and!..."Swoosh!"....☺️🍀

[@robertodeharo8110]

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.

[@stanleyoiseth103]

You are correct, but it is unfortunately a miscommunication (still an error) since Dr. Bord is taking the point of view of an emergency department physician, so she quotes the concentrations that need further evaluation and possible treatment when a patient presents to the ED. We will correct the error. I changed the lower limit to < 70 mg/dL, since this usually needs treatment, especially if the patient has mental status changes. Thanks for pointing this out! --Stan Oiseth, MD, Chief Medical Editor at Lecturio