{"podcast":{"title":"Core IM | Internal Medicine Podcast","slug":"core-im-internal-medicine-podcast-60389","podcast_index_feed_id":60389,"rss_url":"https://feeds.redcircle.com/2c03e755-c428-4b8e-9150-95ef1ed2492b","website_url":"https://redcircle.com/shows/core-im-internal-medicine-podcast","image_url":"https://media.redcircle.com/images/2025/6/13/2/b2137ab0-0bbb-43a6-aaaa-b4b07adec3de_fcdc-ce25-48d2-986c-b209f60d7ebb_496745-915727.jpg","author":"Core IM Team","episode_count":218,"summary":"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","last_synced_at":"2026-06-17T20:18:12.014085+00:00","page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389"},"episode":{"title":"#192 Debate on First-Line Medications for Diabetes","slug":"192-debate-on-first-line-medications-for-diabetes","published_at":"2025-11-05T09:04:37+00:00","page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/192-debate-on-first-line-medications-for-diabetes","show_page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389","url":"https://www.coreimpodcast.com/2025/11/05/debate-on-first-line-meds-for-diabetes/","audio_url":"https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/42506592-ce24-4712-af4a-b32c878ee9d6/stream.mp3","summary":"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? 🔹 Sponsor: Use the code \"CORE30\" for 30% off: https://www.coreimpodcast.com/MKSAP 🔹 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 Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out Branch Basics and use my code branchbasics.com/COREIM for a great deal: https://branchbasics.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Quince for high-quality clothes with affordable pricing and use code quince.com/coreim Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy","meta_description":"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 betw…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2210,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/192-debate-on-first-line-medications-for-diabetes/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/192-debate-on-first-line-medications-for-diabetes.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}