Honeymoon Phase with Case
Über den Vortrag
Der Vortrag „Honeymoon Phase with Case“ von Michael Lazarus, MD ist Bestandteil des Kurses „Year 3 – Internal Medicine“. Der Vortrag ist dabei in folgende Kapitel unterteilt:
- Case: 18-year-old Woman with Type 1 DM
- The "Honeymoon Phase"
Quiz zum Vortrag
What is the correct term for low blood glucose readings after starting insulin?
- Honeymoon phase
- First dose phase
- Hyperresponse
- Insulin overreactivity
- Treatment intolerance
What is the correct mechanism of the 'honeymoon phase' that is observed in type 1 diabetes mellitus?
- Exogenous insulin induces a hypoglycemic state that in turn stimulates endogenous insulin production and further hypoglycemia.
- Exogenous insulin directly stimulates insulin production by pancreatic beta cells.
- The honeymoon phase occurs regardless of whether or not insulin therapy is initiated.
- Exogenous insulin induces a hyperglycemic state that in turn stimulates insulin production by pancreatic beta cells and further hyperglycemia.
- The mechanism of the honeymoon phase in type I diabetes is similar to that in type II diabetes.
What accounts for the low blood glucose readings in the case described below? An 18-year-old woman who received a diagnosis of type 1 DM 3 months ago presents for evaluation. Her initial HbA1c level was 12.3%. She was started on a basal and prandial insulin regimen (insulin glargine and insulin aspart). Her blood glucose readings now show episodes of both fasting and postprandial hypoglycemia, with levels ranging from 45 to 60 mg/dL. Physical examination: Blood pressure is 115/60 mm Hg, pulse is 60 beats/min, and BMI is 18 kg/m2. Laboratory test result: Her current HbA1c level is 6.2%.
- Honeymoon phase of initial insulin treatment
- Dawn phenomenon in young diabetic patients
- Wrong insulin regimen used, requires insulin pump
- Wrong insulin dose prescribed, requires lower dosage
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Dozent des Vortrages Honeymoon Phase with Case
Michael Lazarus, MD
Dr. Michael Lazarus is a Professor of Clinical Medicine at the David Geffen School of Medicine at the University of California, Los Angeles (UCLA).
He obtained his MD from the University of the Witwatersrand School of Health Sciences, South Africa, and trained at the Washington University School of Medicine. In 2003, he joined the faculty at UCLA and currently serves as the Medical Director of the UCLA Hospitalist Section.
He has won various teaching awards, such as the Serge & Yvette Dadone Clinical Teaching Award, and was featured in the Los Angeles Magazine's Top Doctors Guide in 2021.
Within Lecturio, Dr. Lazarus teaches courses on Endocrinology.
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Good understanding. Great classes, awesome speaker and teacher. Thanks Dr Lazarus
