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SPECIALTIES

Using GLP‑1s in HFpEF and Diabetes: Bringing New Evidence to Breathless Patients

Illustration of a human heart with preserved ejection fraction surrounded by GLP‑1 therapy tools and diabetes monitoring devices.

In clinical practice, patients with both type 2 diabetes and heart failure with preserved ejection fraction (HFpEF) often present with overlapping symptoms and complex care needs. The evolving landscape of cardiometabolic treatment has brought new attention to GLP‑1 HFpEF diabetes management, especially as recent evidence suggests that glucagon-like peptide‑1 receptor …

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GLP‑1s in Advanced CKD and Dialysis: How Far Can We Go Safely?

GLP-1 injection pen with kidney model and dialysis tubing illustrating treatment in advanced CKD and dialysis patients

Managing type 2 diabetes in people with advanced chronic kidney disease (CKD) and end-stage kidney disease (ESKD) on dialysis presents unique clinical challenges. With the 2026 Standards of Care increasingly shifting the focus toward cardio-renal outcomes, many clinicians are asking: how far can we go safely with GLP‑1 receptor agonists …

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GLP‑1s and Dementia: Sorting Hype from Hope in Brain Health Research

Illustration of GLP-1 injection pen near a glowing human brain, representing the potential link between GLP-1 therapies and dementia risk

Glucagon‑like peptide‑1 (GLP‑1) receptor agonists have revolutionized type 2 diabetes and obesity treatment—but could they also impact your brain? As headlines tout possible cognitive benefits, many patients and clinicians are asking: Can GLP‑1 drugs lower dementia risk? This article breaks down what we know so far, explains the science behind …

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Mental Health and Diabetes: When to Refer and How to Collaborate

Diabetes tools and mental health symbols side-by-side representing collaborative care

Living with diabetes can take a serious toll on a person’s mental well-being. Depression, anxiety, and other psychiatric conditions often go hand-in-hand with chronic illnesses, and diabetes is no exception. Yet, despite the deep connection between mental health and diabetes, care for these conditions remains siloed. This article gives clinicians …

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Cardiometabolic Risk in Women With Diabetes: Screening and Care Strategies

A woman with diabetes consults a female doctor about cardiometabolic health, surrounded by medical icons including heart, cholesterol, and blood pressure.

Did you know that women with diabetes have a significantly higher risk of heart disease compared to men with diabetes? While many of the standard care guidelines apply to all patients, women often face additional, underrecognized threats to their heart and metabolic health. Understanding how sex-specific factors—such as hormonal changes, …

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Kidney Protection in Diabetes: Using SGLT2s and GLP‑1s Early

Medical illustration comparing a healthy kidney and a diabetic kidney, with diabetes care tools like a glucometer and GLP‑1 medication in the background, emphasizing kidney protection in diabetes.

  As the burden of diabetic kidney disease (DKD) continues to grow, so does the urgency for early, evidence-based interventions. The concept of kidney protection diabetes is shifting—clinicians are now encouraged to initiate therapy before substantial kidney function loss occurs. Two major drug classes—SGLT2 inhibitors and GLP‑1 receptor agonists—are leading …

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Diabetes Management in Older Adults: Applying 2025 Guidance on Frailty and De‑Intensification

An older African American man consults with a female doctor about diabetes care, surrounded by a clipboard, glucometer, and medication.

Managing diabetes in older adults isn’t just about adjusting medications—it’s about seeing the full picture of aging, frailty, and functionality. New 2025 standards highlight the need to assess frailty and functional status when setting A1C goals in elderly patients. But how do clinicians know when it’s time to de-intensify therapy …

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Cardiorenal-Metabolic Disease in Focus: Applying the CKM Framework in Diabetes Practice

Composite image showing cardiovascular, kidney, and metabolic health tools including glucometer, medications, and a CKM concept diagram on a doctor’s desk.

The CKM framework in diabetes care—focusing on cardiovascular, kidney, and metabolic health—is more than a trend. It’s a clinical necessity. The ADA’s 2025 Standards of Care urge clinicians to manage these overlapping risks together, not separately. Why? Because patients with diabetes deserve outcomes that go beyond just A1C. This article …

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Diabetes in the School Setting: A Clinical Guide for Supporting Families and School-Aged Patients

Young boy with diabetes checks blood sugar in a classroom while school nurse and teacher coordinate care in the background.

When a child is diagnosed with diabetes, the clinical response extends beyond prescriptions and in-office education. Managing this chronic condition in school settings presents unique challenges and opportunities. For clinicians, understanding how to support diabetes management at school is essential—not only to safeguard the student’s health, but to empower families …

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Addressing Diabetes Distress and Burnout in Routine Visits: A Practical Toolkit for Clinicians

Compassionate doctor supporting a distressed older male diabetes patient during a clinical consultation, with insulin and glucose monitor visible on desk

Diabetes distress and burnout are common but often overlooked challenges affecting people with diabetes. These emotional burdens can negatively influence self‑management, medication adherence, and glycemic control. In routine clinical visits, especially those limited to 15 minutes, clinicians may struggle to address emotional and psychological concerns alongside medical management. However, integrating …

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