Oral hypoglycemics will not be sufficient for steroid induced hyperglycemia. Insulin is needed. Difficult to do over tele health but high dose steroids for COVID-19 wreak havoc on blood sugars. #COVID19India
NPH insulin can be given at the time of steroid administration. A dose of 0.1 U/kg of NPH for every 10 mg prednisone equivalent of steroids is a good start. Dose twice a day for long acting steroids. Relatively easy to start for insulin naive patient #Endotwitter#CovidIndia
Steroids have a role in treatment of COVID-19 infection. Guidelines on steroid use are very clear. Please don’t give steroids to people indiscriminately. Have been seeing uncontrolled hyperglycemia for the last few days. #COVID19#CovidInIndia
Please register for our upcoming meeting on March 20th, at 10 am EST. Dr. Abhimanyu Garg is talking about a journey of a clinical investigator https://t.co/X1EsiVqOHK
Bone density differences in Indian patients and a possible correction formula for calculations. @iofbonehealth@ISBMRTweets
Dr. Rao talks about osteoporosis in Indian populations.
Our inaugural lecture series yesterday on COVID and Diabetes was a great success! Coming up February 20th at 10 am EST, Dr. Sudhaker Rao talks about "Osteoporosis for the Primary Care Physician" Details to follow! #EndoTwitter