A physician asked me to see his patient, a middle-aged woman who was using an insulin pen.  She had extensive bruising at her injection sites, with no simple explanation.  She was not taking any medications associated with increased bleeding, and did not bruise easily otherwise. The physician wondered if there was something else about her injection technique that produced the bruising.

Evidence to help determine proper treatment in youth with obesity and type 2 diabetes. 

Evidence has shown diabetic treatment options to improve beta-cell function and/or insulin sensitivity, but do these effects persist upon treatment withdrawal?

Myocardial flow reserve plays a significant role as a predictor of cardiac death in patients with diabetes.

A second report provides proposed standard of care for people with obesity

No difference in outcomes seen with care by physician, nurse practitioner, physician assistant

Such tumors may increase risk for comorbid cardiometabolic conditions

Anxiety and type 2 diabetes related to frequent visits to ED, high costs but not total hospitalization costs

Significant increases seen in mortality from suicide, accidental injury, viral hepatitis

For many years the Holy Grail of diabetes therapy has been oral insulin. The thought process has been: if patient did not have to inject, they would be happy to use insulin multiple times a day. While we don’t seem that close to oral insulin, we do have an opportunity …