Curbside Consults Podcast

By Clement Lee, MD, MSc

Published March 8, 2023

In this episode of Curbside Consults, we examine the Endocrine Society’s 2022 Clinical Practice Guideline on management of hyperglycemia in hospitalized adults in non-critical care settings. We are joined by Dr. Mary Korytkowski, Emeritus Professor of Medicine at the University of Pittsburgh and one of the guideline authors.

00:05 – Intro
00:35 – Endocrine Society guideline process
02:38 – Diabetic devices in the inpatient setting: insulin pumps
03:38 – Diabetic devices in the inpatient setting: continuous glucose monitors
04:37 – Diabetic devices in the inpatient setting: hybrid devices
05:11 – Diabetic devices in the inpatient setting: precautions
08:22 – Target hemoglobin A1C for elective surgeries
11:27 – Basal-bolus insulin versus sliding-scale insulin
14:41 – Non-insulin antidiabetic medications
18:20 – Diabetes education
21:53 – Concluding remarks: hyperglycemia with glucocorticoids and enteral nutrition
24:33 – Outro

Articles discussed in this episode:

1. Korytkowski MT et al. Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2022.

The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

Mary Korytkowski, MD, is Emeritus Professor of Medicine at the University of Pittsburgh. Dr. Korytkowski is an expert in the management of diabetes and the research of new hypoglycemic agents. She has a strong interest in diabetic vascular disease in women and the relationship between diabetes and polycystic ovary syndrome.
Clement Lee, MD, MSc, was a 2021–2022 NEJM Editorial Fellow and is a 2022-2023 Senior Editorial Fellow. He is currently an internal medicine hospitalist at Newton-Wellesley Hospital and a pediatric hospitalist at Boston Children's Hospital. He completed his internal medicine-pediatrics residency at Penn-CHOP.