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CONDITIONS

Can Resistant Starch Lower Your Next Blood Sugar Spike? Inside the “Second-Meal Effect”

Resistant starch foods including oats, legumes, bananas, and whole grains illustrating the second-meal effect on blood sugar.

Could the carbohydrates eaten at breakfast affect the blood sugar response to lunch? Research on resistant starch and the second-meal effect suggests they might. Resistant starch escapes much of the digestion that normally occurs in the small intestine. As a result, less of it is immediately converted to glucose, while …

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Fasting With Type 1 Diabetes? A New Trial Puts Time-Restricted Eating to the Test

Adult with type 1 diabetes wearing a continuous glucose monitor beside a healthy meal, glucose meter, and clock representing time-restricted eating.

Time-restricted eating has become a popular approach to weight management, but what happens when insulin-dependent diabetes enters the picture? Until recently, evidence on time-restricted eating in people with type 1 diabetes was notably limited. A new randomized controlled trial published in Diabetes Care offers some of the first direct evidence. …

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Could CGM Help People With Type 1 Diabetes Live Longer?

Person with type 1 diabetes using a continuous glucose monitor and smartphone to track glucose levels.

Could continuous glucose monitoring do more than improve glucose levels and help prevent hypoglycemia? New research raises that possibility. A large observational study examining CGM use and mortality in people with type 1 diabetes found that starting continuous glucose monitoring was associated with a lower risk of death among older …

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When “Normal” Blood Sugar Feels Too Low: New Research May Explain Why

When glucose numbers improve, patients are expected to feel better. Yet some people with type 1 diabetes report the opposite. A glucose level that looks reassuring on a continuous glucose monitor may leave them feeling tired, uncomfortable, or simply “off.” New research suggests that glycemic habituation may help explain this …

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SGLT Inhibitors Protect the Heart and Kidneys: Why Is Type 1 Diabetes Still the Exception?

SGLT inhibitor medication with glucose monitoring supplies and heart and kidney imagery representing potential cardiorenal benefits in type 1 diabetes.

SGLT inhibitors have changed the treatment landscape for cardiovascular and kidney disease, particularly in people with type 2 diabetes, heart failure, and chronic kidney disease. That success raises an obvious question: why are SGLT inhibitors in type 1 diabetes still largely outside routine clinical practice? The answer is not a …

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Could a Simple Blood Test Predict a Heart Event in Type 2 Diabetes?

Blood sample illustrating epigenetic cardiovascular risk prediction using DNA methylation to assess heart risk in type 2 diabetes.

Could a routine blood sample someday reveal cardiovascular danger that cholesterol, blood pressure, and HbA1c do not fully capture? New research suggests that epigenetic cardiovascular risk prediction could offer a new way to identify people with type 2 diabetes who face a higher short-term risk of major cardiovascular events. Instead …

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GLP-1s and Opioids: The GI Risk Clinicians May Be Missing

GLP-1 medications and opioid therapy representing potential gastrointestinal risks from concurrent treatment.

GLP-1 receptor agonists have transformed the treatment of type 2 diabetes, but their effects on gastrointestinal motility remain an important clinical consideration. Opioids can also slow gastrointestinal function, raising an obvious question: what happens when patients need both? New research examining GLP-1 and opioid interactions suggests that opioid choice may …

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