Episode 75: Starting insulin and stopping pain or is it stopping insulin and starting pain?

In episode 75, Mike and James get together with Tina one more time to talk about two topics that have nothing to do with each other (starting insulin in type II diabetics and treating acute musculoskeletal pain in children). However, through the magic of podcasts we transition seamlessly from one topic to the other without any pain and without having to start insulin. Be amazed.  At the end, Mike and James are thrilled they got through yet another podcast, but it was painful and at the end we were both hypoglycemic.

Show notes

1) Tools for Practice

2) Using insulin in a type 2 diabetic – complicated versus less complicated regimens

4-T study

N Engl J Med 2009;361:1736-47

APOLLO

Lancet 2008;371:1073–84

INITIATE

Diabetes Care 2005;28:260-5

JDDM

Diabetes Res Clin Pract 2008;79:171-6

3) Pain control for musculoskeletal injuries in children

Single dose – ibuprofen vs acetaminophen vs codeine

Pediatrics 2007;119:460-7

Ibuprofen vs acetaminophen plus codeine

Acad Emerg Med 2009;16:711-16

Ann Emerg Med 2009;54:553-60