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Donna Pacheco

Why More Hospitals Are Screening Surgical Patients for Undiagnosed Diabetes

Nurse performing perioperative diabetes screening on a surgical patient in a hospital before surgery

Many hospitals now treat surgery as more than a single procedure. Increasingly, it has become an opportunity to uncover hidden health conditions that may otherwise go undetected for years. One important trend is perioperative diabetes screening, which helps health systems identify patients with undiagnosed diabetes and prediabetes before surgery begins. …

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Diabetes and Hearing Loss: The Complication Many Clinicians Still Miss

Older man experiencing hearing difficulty beside a medical illustration of the inner ear and blood vessels linked to diabetes complications

Diabetes-related complications often bring to mind kidney disease, neuropathy, or vision problems. However, one complication continues to receive far less attention despite growing scientific concern: hearing loss linked to diabetes. Emerging evidence suggests that people with diabetes may face a significantly higher risk of hearing decline, yet routine auditory screening …

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The Rise of “Double Diabetes”: Why More Adults With Type 1 Diabetes Are Developing Insulin Resistance

Adult with type 1 diabetes checking blood sugar levels alongside obesity and insulin resistance health concepts

More adults living with type 1 diabetes are now developing obesity, insulin resistance, hypertension, and metabolic complications once linked mainly to type 2 diabetes. This growing overlap, often called double diabetes, is becoming a major concern for clinicians and patients alike. While insulin therapy remains essential for type 1 diabetes …

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Open-Source Diabetes Technology Is Entering the Mainstream: Are Clinicians Ready?

Clinician discussing open-source diabetes technology and DIY insulin automation with a patient using a continuous glucose monitor and insulin pump.

The conversation around DIY diabetes technology and patient-led insulin automation has changed dramatically over the past few years. What once existed on the margins of diabetes care is now gaining recognition from major medical organizations and healthcare providers. In fact, the 2026 American Diabetes Association (ADA) Standards of Care continue …

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Smart Insoles and AI Foot Monitoring: Could Diabetes Foot Care Finally Become Preventive?

Smart insole and AI diabetic foot monitoring technology displaying pressure mapping and predictive foot health data for diabetes prevention.

For many people living with diabetes, foot complications often begin quietly. A small pressure point, unnoticed inflammation, or minor skin breakdown can slowly develop into a serious ulcer. Unfortunately, traditional diabetic foot care has long been reactive. Clinicians typically intervene after visible wounds appear, when treatment becomes more difficult and …

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The New Pregnancy Tech Era in Diabetes: How Automated Insulin Delivery Is Expanding Into Maternal Care

Pregnant woman using an automated insulin delivery system and continuous glucose monitor to manage type 1 diabetes during pregnancy

The management of type 1 diabetes during pregnancy is entering a major turning point. For years, endocrinologists and maternal-fetal medicine specialists have worked within narrow therapeutic margins to reduce maternal and neonatal complications. However, new advances in automated insulin delivery technology for pregnancy are beginning to reshape glucose management in …

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Is Carb Counting Becoming Obsolete? The Rise of Precision Nutrition in Diabetes Care

Patient using continuous glucose monitoring alongside a healthy meal to support precision nutrition diabetes care and personalized blood sugar management.

A bowl of oatmeal can keep one person’s glucose stable while sending another person’s blood sugar sharply upward. The meal is identical, yet the metabolic response is completely different. That reality is pushing many clinicians to reconsider one of the most established principles in diabetes nutrition: carb counting. The growing …

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Automated Insulin Delivery Is Expanding Into Type 2 Diabetes: Are Primary Care Practices Ready?

Doctor discussing automated insulin delivery technology with a type 2 diabetes patient while reviewing glucose monitoring data in a primary care clinic

Automated insulin delivery for people with type 2 diabetes is entering a new phase. What once seemed reserved for highly specialized endocrinology clinics is now moving steadily into primary care offices across the country. Following the updated 2026 American Diabetes Association Standards of Care and recent FDA clearances, more adults …

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Diabetes Burnout Is Rising in the Age of Always-On Technology

Woman with diabetes appearing emotionally exhausted while using CGM and insulin technology amid digital health alerts and glucose monitoring devices

A glucose alarm goes off during dinner. Another alert appears at 2 a.m. A smartphone app flashes warnings about rising blood sugar before the day even starts. Diabetes technology promises better control, yet for some patients, the nonstop stream of notifications and health data can feel mentally exhausting. Clinicians are …

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Beyond the FIB-4: Why Diabetes Care Is Becoming a Hepatology-Endocrinology Partnership

Doctor reviewing advanced liver imaging and metabolic health data during diabetes fatty liver disease screening consultation

Screening for fatty liver disease in patients with diabetes is no longer limited to identifying elevated liver enzymes or calculating a fibrosis score during an annual visit. Instead, clinicians are entering an era where diabetes care and hepatology increasingly overlap, especially as metabolic dysfunction-associated steatotic liver disease, or MASLD, becomes …

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