Engaging and Lovely case scenarios and discussion. Would love to see more. Thank you.
@EndocrinologyIndia
3 ай бұрын
Thank you
@sathishkumar-qs3ce
8 ай бұрын
Excellent management of cases ... keep the great work going.. all the best
@EndocrinologyIndia
8 ай бұрын
Thank you so much
@gajendrasinghgaur6331
6 ай бұрын
Un believable ❤
@Sana123sana
2 ай бұрын
How common is Insulin Autoimmune Syndrome in India?
@EndocrinologyIndia
2 ай бұрын
It is a rare condition
@drsanjaykumar3448
4 ай бұрын
Thyroid hormone increases conversion of active cortisol to inactive cortisone so cortisol is replaced before starting thyroxine
@EndocrinologyIndia
4 ай бұрын
Yes , true
@EndocrinologyIndia
8 ай бұрын
🎯 Key Takeaways for quick navigation: 00:00 🗃️ *Introduction of the topic and the first case * - The video discusses hypoglycemia in non-diabetic patients, using real-life cases for illustration. - The first case is a 40-year-old male experiencing symptoms typically before lunch and after lunch, with blood sugar level testing at 62 during these symptomatic periods. 01:55 🔎 *Differentiating hypoglycemia in diabetic and non-diabetic patients* - A key distinction made between hypoglycemia in diabetic and non-diabetic patients, with diabetic hypoglycemia typically being more straightforward. - Differentiating actual hypoglycemia from anxiety-induced symptoms is critical in non-diabetic patients. - Criteria for diagnosing non-diabetic hypoglycemia discussed, based on the "Whipple triad". 04:43 ⏰ *Identifying the nature of hypoglycemia: fasting vs. postprandial* - Consideration of the timing of hypoglycemia symptoms is essential, distinguishing between fasting and postprandial situations. - The speaker analyzes the first case's typical symptoms, identifying it as postprandial hypoglycemia. 06:09 🧪 *Description of the necessary steps in diagnosing hypoglycemia* - The necessity of capturing a "critical sample" of blood during a hypoglycemia episode is emphasized. - The speaker discusses the importance of testing blood glucose, C-peptide, insulin, and cortisol levels in this "critical sample". 09:14 🍲 *Explaining the mixed meal stimulation test* - *For postprandial hypoglycemia, a sample is ideally captured by inducing hypoglycemia through a 'mixed meal' that the patient typically eats. * - *The speaker advises sending the critical sample for glucose, C-peptide, insulin, and cortisol testing.* 12:56 🛠️ *Discussion on the diagnosis and management of Postprandial Syndrome* - *Speaker elaborates on Postprandial Syndrome, a common form of post-meal hypoglycemia, as a diagnosis of exclusion. * - *Usage of acarbose is highlighted to help delay glucose absorption and blunt insulin peak, which is beneficial in managing this condition. * - *The importance of avoiding excessive sweet consumption due to more robust insulin release is mentioned. * 19:30 🍬 *Dietary advice for patients* - The importance of small, less sugary meals for preventing hypoglycemia in patients. - Emphasizes the counterproductive cycle of hypoglycemic patients consuming more sugar to alleviate their symptoms which in turn triggers more robust insulin release and more hypoglycemia. 20:28 💉 *Insulin-independent hypoglycemia cases* - Discusses cases of insulin autoimmune syndrome, also known as Hirata syndrome, where antibodies against insulin cause hypoglycemia. - Presents cases where certain medications trigger this condition - particularly carbazol, methol, cidor, alpha lipoic acid, and Pento prasm. 22:47 🚺 *Case of a 25-year-old woman with hypoglycemia* - Presents the symptoms of the patient, which included infertility, weight loss, and hypoglycemia. - Discusses the diagnosis of the patient with central hypothyroidism and adrenal insufficiency due to pituitary disorder. 27:11 💊 *Management of adrenal insufficiency* - Explains that adrenal insufficiency is more common than perceived and often presents with hypoglycemia and hyponatremia. - Lists various causes of adrenal insufficiency and describes its management 31:17 📊 *Distinguishing between different types of hypoglycemia* - Discusses the importance of distinguishing between insulin-dependent and insulin-independent hypoglycemia during critical sample testing. - Briefly explains the process of diagnosing insulinoma as a cause of insulin-dependent hypoglycemia. 33:25 👶 *Case of a pregnant woman with severe hypoglycemia* - Presents the symptoms and critical condition of the patient, with a blood glucose level of 26. - Discusses the diagnosis process and the use of dota exendin scan to detect insulinoma, leading to immediate surgery and the patient's recovery. Made with HARPA AI
Пікірлер: 12