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SPECIALTIES

Why Blood Sugar Changes Every Month: Using CGM to Manage Luteal Phase Insulin Resistance

Woman wearing a continuous glucose monitor reviewing glucose trends alongside a menstrual cycle tracker to manage luteal phase insulin resistance.

Many women with diabetes notice that blood sugar levels become harder to control during certain weeks of the month. Despite eating the same meals, taking the same insulin doses, and maintaining consistent activity levels, glucose readings may suddenly climb. This recurring pattern is often linked to luteal phase insulin resistance, …

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Rethinking Sugar-Free: Are Artificial Sweeteners Raising Cardiovascular Risk?

An anatomical heart model surrounded by erythritol, xylitol, stevia, and a blood glucose meter, illustrating the potential link between artificial sweeteners and cardiovascular risk in people with diabetes.

For years, artificial sweeteners have been promoted as an important strategy for reducing sugar intake in people with diabetes. They help lower carbohydrate intake, reduce post-meal glucose spikes, and support weight management without adding calories. However, recent research has challenged the long-held assumption that all non-nutritive sweeteners are metabolically neutral. …

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The Future of Type 1 Screening: Will Genetics Replace Autoantibodies?

Pediatric genetic screening for type 1 diabetes showing a DNA helix, blood sample, and clinical risk assessment used for early detection of disease risk.

Population-based screening for type 1 diabetes is entering a new era. While autoantibody testing remains the gold standard for identifying individuals at high risk, researchers are increasingly investigating whether type 1 diabetes genetic screening could identify susceptible people even earlier. Advances in genomic science now make it possible to estimate …

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The Diabetes Warning Sign Hiding in Routine Liver Tests

Routine liver enzyme blood test alongside a glucose meter illustrating the connection between liver enzymes and diabetes risk.

Many people think of liver function tests as a way to detect liver disease. However, researchers are discovering that routine liver enzymes may also reveal important clues about future metabolic health. Understanding liver enzymes diabetes risk is becoming increasingly important because these commonly ordered blood tests may help identify people …

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The Postpartum Cliff: Why So Many Women With Gestational Diabetes Never Get Follow-Up Care

New mother holding her baby while reviewing postpartum diabetes follow-up reminders and glucose screening recommendations after gestational diabetes.

Postpartum screening after gestational diabetes is one of the most important yet overlooked steps in preventing future type 2 diabetes. Although blood glucose levels often return to normal after delivery, the long-term metabolic risk does not disappear. In fact, up to half of individuals diagnosed with gestational diabetes mellitus (GDM) …

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The Diabetes Complication Nobody Sees Coming: Cognitive Decline in Midlife Adults

Middle-aged adult with diabetes showing signs of cognitive decline, with brain health visualization and diabetes management tools representing the connection between diabetes and cognitive function.

For decades, diabetes care has focused on preventing complications such as retinopathy, nephropathy, neuropathy, and cardiovascular disease. Yet another complication may be developing much earlier and often without obvious symptoms: diabetes-related cognitive decline. While memory loss and dementia have traditionally been viewed as concerns of older age, growing evidence suggests …

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New Diabetes Risk Factor Clinicians Are Paying Attention To: Loneliness

Middle-aged woman with diabetes supplies sitting alone at a table, illustrating the connection between loneliness and diabetes management.

When most people think about diabetes risk factors, they picture blood sugar levels, diet, exercise habits, or genetics. However, researchers and clinicians are increasingly focusing on another factor that may have a profound impact on health outcomes: loneliness. The connection between loneliness and diabetes is gaining attention as evidence continues …

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Is Diabetes Making People Age Faster? What the New Science Reveals

Split-face medical illustration showing a woman with youthful features on one side and advanced aging on the other, alongside DNA strands, a glucose meter, and cellular imagery representing accelerated biological aging in diabetes.

For decades, scientists have known that people with type 2 diabetes face a higher risk of heart disease, kidney disease, cognitive decline, and other age-related conditions. However, emerging research suggests these complications may be linked to something even more fundamental: accelerated biological aging in diabetes. In other words, diabetes may …

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A Positive Type 1 Diabetes Screen Isn’t Always Equal: Why IA-2 Changes the Risk Calculation

Clinical illustration showing IA-2 autoantibody testing, type 1 diabetes risk assessment, blood sample analysis, and patient monitoring strategies used in islet autoantibody screening risk stratification.

As population-based screening for type 1 diabetes (T1D) becomes more common, clinicians increasingly encounter positive islet autoantibody results in children and adults who have no symptoms. However, not all positive screening results carry the same clinical significance. A single positive autoantibody may indicate elevated risk, yet the specific antibody detected …

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Protecting Muscle While Treating Obesity: New Protein Targets for Older Adults on GLP-1s

Older adult performing strength training with protein-rich foods and muscle anatomy model, illustrating sarcopenia prevention during GLP-1 therapy and obesity treatment.

The rise of highly effective GLP-1 receptor agonists and dual incretin therapies has transformed obesity treatment. Medications such as semaglutide (Wegovy, Ozempic) and tirzepatide (Zepbound, Mounjaro) are helping patients achieve levels of weight loss that were previously difficult to attain without bariatric surgery. However, as clinicians celebrate these advances, a …

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