Letter From The Editor

It was about 22 years ago that I first hooked up with our publisher, Steve Freed. I had gotten involved with a nutritional multilevel company that had a soluble fiber product with two patents for lower serum cholesterol, and could level blood sugars. As you know, in an MLM company, …

Many of us remember hearing the TV show police message, “1-ADAM-12, a 211 is in progress downtown.”  1-Adam-12 was the squad car identifier for a ’67 Plymouth Belvedere driven on the streets of Los Angeles in the late 60’s. During the show’s heyday and beyond, most every guy named Adam …

Now that the cold cold weather of winter is upon us I am especially glad I live in Florida. As I am writing this, it is a chilly 61 degrees. Although most of you would love for it to be that warm where you are, there are some problems in …

Most medical professionals agree that type 1 diabetes is an autoimmune disease, and more often than ever before we see patients in their 40’s to their late 60’s who are newly diagnosed with insulin requiring diabetes. These patients are classified as having type 2 diabetes because of characteristics such as …

Every time the ADA or ACE updates their guidelines, the position and order of glucose-lowering medications changes. Although year after year metformin is the #1 choice, the second and third choices become more ambiguous and it seems that any order is possible. including early basal insulin use. The selection is …

Closed loop, Open Loop, MDI, Patch Pump. These are all methods of delivering insulin — some so complex, the combination of sensor and pump will manage highs and lows; others so simple, you barely need a meter. However, all of these methods could benefit from CGM devices. This week in our …

It is so easy to put reminders in your mobile device that many people fill up their calendar with one reminder after another. I have at least 3 reminders in mine each day. I also have an  app that reminds me to take deep relaxing breaths during the day, as …

We are often amazed when someone is diagnosed with T1DM when there is no family history. That is because the disease is about 15 times more common in siblings of a patient with diabetes than in the general population. In addition, siblings have an average risk of 6% of developing …

My wife is heading in to her first appointment with an endocrinologist. After 3 years of controlling her glucose with long acting insulin, a GLP-1 analog and an SGLT-2I, she had to go on meal time insulin. The use of meal time insulin forced her to check her glucose more …

Many times we think the best technology is what our patients want, but that is not always true. Many times advanced technology means more work, more efforts and a greater acknowledgement of the patient actually taking responsibility for their own care. If a patient is only on mixed insulin twice …