For years, GLP-1 receptor agonists have been associated with older adults who already have type 2 diabetes or established cardiovascular disease. However, metabolic dysfunction does not suddenly appear at age 60. In fact, obesity, insulin resistance, and prediabetes often begin decades earlier. That is why conversations around GLP-1 therapy in …
Read More »Preventing Diabetes Complications After Hospital Discharge: A Checklist for Clinicians
Hospital discharge marks a critical juncture in the care of people with diabetes. It’s a period often riddled with risk—confusion about medications, fluctuating blood sugar levels, and a lack of follow-up can easily derail recovery. As clinicians, how can we improve post-discharge outcomes and reduce readmissions? This practical checklist offers …
Read More »Preventing DKA and HHS in Outpatient Settings: 2025 Updates Every Clinician Should Apply
Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are still two of the most dangerous acute complications facing people with diabetes. However, a large portion of these cases can be prevented outside of the hospital. In 2025, the American Diabetes Association (ADA) released expanded guidance focused on DKA outpatient prevention, …
Read More »From Screening to Referral: Integrating Food Insecurity and Housing Instability into Diabetes Visits
Social determinants of health in diabetes, like food insecurity and housing instability, are often the invisible drivers behind high A1C levels and missed appointments. Yet these critical factors are rarely addressed during routine visits. What if a few simple questions could lead to better glycemic control and fewer complications? This …
Read More »Diabetes and Infection Risk: What Clinicians Need to Know About Prevention in a High-Risk Population
Why do people with diabetes face such frequent infections—and what can clinicians do to reduce the risk? With elevated blood glucose impairing immune function and circulation, patients with diabetes are more vulnerable to infections that can escalate quickly, from respiratory issues to stubborn foot ulcers. Understanding this connection is critical …
Read More »Reframing Prediabetes: Can Structured Lifestyle Programs Delay or Avoid Medication Use?
Prediabetes affects a striking proportion of adults worldwide, creating a crucial window for intervention before type 2 diabetes develops. While medications like metformin are frequently considered for high-risk individuals, evidence from large clinical trials shows that lifestyle-based strategies — especially the National Diabetes Prevention Program — can dramatically reduce the …
Read More »The Expanding Landscape of Diabetes Complications: Liver Disease, Cancer, and Frailty
Early in training, many clinicians learn the classic “eye–kidney–foot” framework for recognizing and managing complications of diabetes. However, as science advances, the range of recognized consequences of diabetes—and opportunities for earlier intervention—continues to broaden. Today, the concept of diabetes complications screening must evolve to include conditions such as metabolic dysfunction–associated …
Read More »What is the 10-10-10 Rule to Manage Blood Sugar?
Discover the 10-10-10 Rule: a simple approach to managing blood sugar through mindful eating, meal timing, and brief post-meal activity.
Read More »How Dulaglutide Helps Manage Type 2 Diabetes: What Patients Should Know
Discover how Dulaglutide aids in managing type 2 diabetes by enhancing insulin secretion and offering convenient, once-weekly dosing.
Read More »Dosing Error Due to Misinterpretation
When reviewing the medical record of a hospital patient before meeting with her for a diabetes consult, I noted that the doctor had ordered 46 units of Lantus to be given daily at bedtime....
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