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SPECIALTIES

Diabetes Stigma in the Clinic: How Subtle Language Impacts Self-Management and Outcomes

Doctor judging a patient’s high blood sugar reading with visible signs of stigma like “non-compliant” and “poor control” in a clinical setting.

Diabetes stigma in healthcare, especially when conveyed through subtle or unintentional language, can erode trust between clinicians and patients, reduce engagement in self‑management, and ultimately worsen outcomes. Yet many healthcare providers may not even realize how the words they use can have lasting effects on patient motivation and behavior. What …

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When Less Is More: How to Safely De‑Intensify Diabetes Therapy

A female doctor shows a glucose meter to an elderly female patient during a diabetes consultation in a warm, home-like medical setting.

As more patients with diabetes achieve and maintain glycemic targets, the conversation is shifting from “how can we intensify therapy?” to “when is it safe and appropriate to de‑intensify diabetes therapy?” De‑intensify diabetes therapy is becoming a high‑value clinical goal for many clinicians caring for adults with type 2 diabetes, …

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Diabetes in an Aging Population: Managing Sarcopenia, Falls, and Functional Decline

An elderly woman performs strength training in a rehab room while a healthcare provider observes and another older adult uses a walker nearby.

In clinical practice, caring for a diabetes in aging population goes far beyond optimizing hemoglobin A1C. While glycemic control remains central, older adults with diabetes often face unique challenges such as sarcopenia, increased risk of falls, and progressive loss of functional independence. How can clinicians proactively identify these risks and …

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The Expanding Landscape of Diabetes Complications: Liver Disease, Cancer, and Frailty

Illustration showing liver disease, cancer risk, brain health, and frailty in diabetes-related complications.

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 …

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Beyond GLP‑1s: Are We Overlooking the Role of SGLT2 Inhibitors and Metformin?

Assorted diabetes medications including metformin and SGLT2 inhibitors arranged on a wooden surface beside a white pill bottle.

Clinicians and care teams are increasingly focused on GLP‑1 receptor agonists, but SGLT2 inhibitors and metformin in diabetes management remain foundational in achieving comprehensive, evidence‑based outcomes. While GLP‑1 therapies generate headlines for weight loss and glucose control, 2025 guidelines still strongly emphasize the cardioprotective and renoprotective benefits of SGLT2 inhibitors …

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When Diabetes Isn’t the Main Problem: Managing Comorbidities Without Losing Focus

Medical stethoscope, glucose meter, and a clipboard showing icons for heart, kidneys, and brain, symbolizing comorbidities in type 2 diabetes management.

Living with type 2 diabetes often means managing more than just blood glucose. For many patients, conditions like cardiovascular disease, chronic kidney disease, or depression take center stage in their care plan. When diabetes isn’t the main problem, how do you keep glucose control on track without compromising treatment for …

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GLP‑1s Beyond Weight Loss: Are We Overlooking Neuroprotective Benefits?

Illustration of a middle-aged man with a visible brain overlay and insulin pen, symbolizing GLP-1 neuroprotective effects on cognition in diabetes.

The class of medications known as GLP-1 receptor agonists — commonly prescribed for type 2 diabetes and increasingly used for weight loss — may offer more than just metabolic benefits. Growing evidence indicates that GLP-1 drugs could play a role in protecting the brain. Could this mean a dual benefit …

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