evaherbalist com/celluraid/
array celluraid fresh vegetables don't get digested correctly. This type celluraid meals in and celluraid itself shouldn't be fattening. However, you can become so sensitive to the breads and the celery in your meals that you will deposit even the celluraid and proteins to supplement fat. And if you eat a piece celluraid breads or a little plate celluraid nourish, your whole personal body program will send your levels celluraid blood flow blood insulin soaring, reacting as strongly as if you...
evaherbalist com/celluraid/ (Source: Student Doctor Network)
Source: Student Doctor Network - February 4, 2018 Category: Universities & Medical Training Authors: interuhakime Source Type: forums
Opioids in exchange for (critical) care
How would you handle this?
20yo F w/ DM1 admitted about twice per month in DKA (perhaps more to other hospitals), never takes her insulin, gives no sh*ts about her health, not even sure she fully understands the risks of her behavior. Her BGs are always ridiculous. The most recent time I admitted her: wide open gap, serum BG was >1,800 (above the upper limit of testing)- the highest I have seen. Requires some 15 to 20L of IVF (not to mention all the lytes and insulin) before she is ready...
Opioids in exchange for (critical) care (Source: Student Doctor Network)
Source: Student Doctor Network - January 11, 2018 Category: Universities & Medical Training Authors: ReviewOfSystems Source Type: forums
diabetes vs exercise
i know exercise would decrease blood glucose level by increasing Glut 4 expression is it insulin dependent or independent?...Fa says it is dependent ,but in beckers it is described via AMP dependent kinase pathway can any one plz explain this ,thanks in advance. (Source: Student Doctor Network)
Source: Student Doctor Network - January 8, 2018 Category: Universities & Medical Training Authors: Blind date18 Source Type: forums
Insulin pen, box: open box or not? Rite Aid Old Memo of 2013?
Folks, my friend recalls from memory that Rite Aid sent out a memo in 2013 about them getting audited and fined over 1 million dollars for giving too much insulin pens as 1 box and bill for just 28 days.
The argument among pharmacist was that: box of "insulin pen" is not break-able.
However, because of the audit and penalty, Rite Aid wanted pharmacies to break box and dispense enough insulin pens. Still, many did not recall reading or seeing that memo.
Anyone can please find that old memo...
Insulin pen, box: open box or not? Rite Aid Old Memo of 2013? (Source: Student Doctor Network)
Source: Student Doctor Network - November 10, 2017 Category: Universities & Medical Training Authors: HelpfulPharmer1 Source Type: forums
Will you dispense syringes no questions asked?
Assuming that your state laws will allow you to dispense insulin syringes without a prescription, will you do it when it's your decision to do so?
As an intern, I abide by what my pharmacist tells me he/she will allow.
My personal feeling is that I'd rather sell syringes (never just one syringe) to an IV drug abuser than force them to re-use or borrow syringes and risk infection with a blood-borne pathogen. I think it's a public health issue.
What do you guys think? (Source: Student Doctor Network)
Source: Student Doctor Network - September 22, 2017 Category: Universities & Medical Training Authors: twester Source Type: forums
Insulin resistance
This is probably silly question but why is it that more insulin is produced when cells display insulin resistance? What's the point of producing more insulin when the cells are already resistant to insulin?
I heard that there is also leptin resistance. Does this also works the same way? Produce more leptin to make up for the resistance?
Sent from my iPhone using Tapatalk (Source: Student Doctor Network)
Source: Student Doctor Network - July 16, 2017 Category: Universities & Medical Training Authors: taeyeonlover Source Type: forums
Hate outpatient
MS3 here. I'm interested in a lot of things tbh.
I liked neuroscience in preclinical years, but soon realized there was little neuroscience in neurology. I liked radiology, reading studies was amazing. Anesthesia and critical care was brilliant. I liked inpatient medicine and surprisingly, I loved rounds.
Now I'm on outpatient medicine and if I have to see another metabolic syndrome patient I will most likely OD on insulin.
I posted earlier on how I wanted to pursue a rheumatology...
Hate outpatient (Source: Student Doctor Network)
Source: Student Doctor Network - July 1, 2017 Category: Universities & Medical Training Authors: Spodermin Source Type: forums
Re: Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
(Source: BMJ Comments)
Source: BMJ Comments - June 12, 2017 Category: General Medicine Source Type: forums
Can podiatrists handle basic internal medicin issues?
So if a podiatric patient presents to the office for some regarding their lower extremety but have diabetes or a bronchitis or whatever, can the podiatrist prescribe them insulin or antibiotics (Source: Student Doctor Network)
Source: Student Doctor Network - May 18, 2017 Category: Universities & Medical Training Authors: MysteryDiagnosis Source Type: forums
Re: Supporting insulin initiation in type 2 diabetes in primary care: results of the Stepping Up pragmatic cluster randomised controlled clinical trial
(Source: BMJ Comments)
Source: BMJ Comments - May 7, 2017 Category: Journals (General) Source Type: forums
Please check my patient notes
I'm following FA-CS format. Please, let me know what I need to improve on.
FA 5th edi- case 6.
HPI - Source of information is the patients mother. Pt is 10 yo F who was diagnosed with diabetes 1 month ago. Mother doesn't know which type of diabets. At the time of diagnosis, she had polyuria, polydypsia, polyphagia, & hyperglycemia. She is on insulin 2 times. 1 at meal time and 1 at bed time. At home mother gives the insulin injection & when out side child takes it herself. Child is...
Please check my patient notes (Source: Student Doctor Network)
Source: Student Doctor Network - April 30, 2017 Category: Universities & Medical Training Authors: aimskyhigh Source Type: forums
SSI with novolog/humalog vs regular insulin
Hi All,
I am used to using humalog/novolog insulin for SSI orders. My hospital has regular insulin SSI. Once injected, Regular insulin takes 30 minutes to begin working, peaks between 2 and 4 hours and hangs on for 6 to 8 hours, long after the meal stopped raising the blood sugar. Humalog and Novolog, on the other hand, begin working in about 10 minutes, peaks at one to one and a half hours and are gone in about three and a half to four hours.
Just curious to know if you have seen one work...
SSI with novolog/humalog vs regular insulin (Source: Student Doctor Network)
Source: Student Doctor Network - March 18, 2017 Category: Universities & Medical Training Authors: meerkat111 Source Type: forums
Walgreens stars event - customer brought back broke insulin bottle?
Today, a customer brought back a broken glass of insulin and claimed that they got it like that. I suspected that he was lying because the paper box that the glass was in did not show any sign of ever being wet. We gave the customer a new bottle but I did not report this as a star event. Should I have reported it on the product review pharmacist? If not, how would I account for the $100+ worth of insulin? (Source: Student Doctor Network)
Source: Student Doctor Network - March 14, 2017 Category: Universities & Medical Training Authors: a student Source Type: forums
Glut2/Glut4
- How come glut2 is said to be insulin independent if it senses the release of insulin to store glut2 in hepatocytes?
- I understand that glut4 has a Km similar to the concentration of glucose so it gets saturated fast but how come glucose influx can still occur if the glut4 receptors are saturated? And what's the relation with it being zero order?
Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - March 9, 2017 Category: Universities & Medical Training Authors: ys2327 Source Type: forums
Is Rx for syringes implied for insulin vial rxs?
If doctor doesn't send an Rx for syringes with the insulin vial do you assume the Dr wants syringes and write an Rx for them under that doctor without making the patient wait till the Dr office opens the next day... Seems reasonable correct? (Source: Student Doctor Network)
Source: Student Doctor Network - March 9, 2017 Category: Universities & Medical Training Authors: Charcoales Source Type: forums
