A 12-year-old youth and their parent are in a pediatric emer…

A 12-year-old youth and their parent are in a pediatric emergency department (ED) treatment room because the youth told their parent today about excessive thirst and frequent urination over the past month.  The youth’s ED lab results include serum glucose 362 mg/dL, urine ketones negative, A1C 14.2%; they were diagnosed with type 1 diabetes.  They weigh 92 pounds (41.8 kg). The plan is for the youth and parent to receive a first session of diabetes education including CGM start and diabetes “survival skills”, self-administer the first dose of basal insulin in the emergency department, and then discharge home today. Which of the following would be a REASONABLE STARTING insulin regimen for this 12-year-old who usually eats 3 meals a day?

Moe Bigtoe is a 58-year-old who presents to urgent care with…

Moe Bigtoe is a 58-year-old who presents to urgent care with an acute gout attack. Gout flare description: symptoms started 72 hours ago; pain = 5/10; location = left elbow PMH: Type 2 diabetes, knee osteoarthritis, GERD Medications: febuxostat; diclofenac gel; pantoprazole Labs: Uric acid 7.4 mg/dL, CrCl 54 ml/min, A1c 13.1% Vitals: BP 136/84 Insurance: Quartz What is the best treatment recommendation for Moe’s acute gout attack?