Blood Glucose Control

HbA1c variability and swings between hypo- and hyperglycemia can increase risk of developing cardiovascular disease.

Recently I had a patient who was referred to me due to increased glucose levels, which happens all the time. However, this patient was referred because of the recent changes in fasting glucose levels. After attending a group diabetes class, the patient seemed to be improving self care and average fasting glucoses had dropped from around 165 mg/dl to 130 mg/dl. The readings held like this for two months and then started to rise again....

I asked a patient with erratic glucose levels where he usually gave his insulin injections to which he responded, "In my arms." I asked, "Could you show me where?" The patient promptly rolled up his sleeves and pointed to the vein in his antecubital space.

A female patient, 68 years of age, newly diagnosed with type 2 diabetes, had her initial visit with her endocrinologist and diabetes educator. Her second visit was then scheduled for two weeks later. However, the patient was a no-show for her second appointment....

Is QT prolongation the key to understanding the effect of intensive glucose control on diabetes mortality?

 Study finds that each 1% elevation in HbA1c increased risk for cellulitis in diabetes patients. 

High glucose levels are known to potentiate microvascular complications, especially in people with diabetes, but does the same apply to people with normoglycemic levels? 

Intensive glucose-lowering techniques can have positive outcomes in patients >65 years.

A first-of-its-kind study examines the differing effects of sucrose versus glucose intake on circulating glucagon-like peptide-1 (GLP-1).

A small pilot study investigates how modest hyperglycemia, not hyperinsulinemia, is better for people with type 1 diabetes during exercise.