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Core IM | Internal Medicine Podcast

Core IM | Internal Medicine Podcast

By: Core IM Team
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Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

Copyright 2023 Core IM | Internal Medicine Podcast
Episodes
  • #192 Debate on First-Line Medications for Diabetes

    #192 Debate on First-Line Medications for Diabetes
    Nov 5 2025

    SGLT-2i vs. GLP-1? vs Metformin? How do you balance the cost and coverage of first-line options like metformin, SGLT-2, and GLP-1s? How do you choose between SGLT-2 and GLP-1s for comorbidities like CAD or CKD? And how do you weigh their side effects and practical use?

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    🔹 Transcript and Show Notes

    Timestamps:

    (01:43) | Case 1: Managing Uncontrolled Diabetes in a 47-Year-Old Male

    (07:15) | Understanding Cost and Insurance Barriers in Diabetes Care

    (09:26) | Case 2: Addressing Weight Gain and Financial Stress in a 52-Year-Old Male

    (14:16) | Case 3: Managing Coronary Artery Disease and CKD in a 66-Year-Old Male

    (19:41) | Case 4: Severe Obesity and Pain Management in a 59-Year-Old Female

    (24:19) | Case 5: High A1C and Vascular Comorbidities in a 67-Year-Old Female

    (35:34) | Weighing Side Effects and Practical Use of GLP-1 and SGLT2 Inhibitors


    Tags: CoreIM, Primary Care, Endocrinology, Diabetes Mellitus, Type 2 Diabetes, Type 1 Diabetes, Metformin, GLP-1, SGLT2, Insulin, CGM, A1C, DKA, Medical Education, Clinical Reasoning, Hospital Medicine



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    37 mins
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