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SPECIALTIES

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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Fasting or Random Glucose Testing? Navigating the New Rules for Cancer Therapy–Induced Hyperglycemia

Healthcare professional performing glucose testing on a cancer patient receiving treatment, illustrating monitoring for cancer therapy–induced hyperglycemia during oncology care.

As cancer treatment becomes increasingly sophisticated, clinicians are encountering a growing metabolic challenge. Cancer therapy–induced hyperglycemia has emerged as an important concern with the expanding use of immunotherapies and targeted therapies. In some patients, hyperglycemia develops gradually. In others, particularly those receiving immune checkpoint inhibitors, severe diabetes and diabetic ketoacidosis …

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The Diabetes Conversation Patients Don’t Want to Start: Addressing Sexual Health in Clinical Practice

Healthcare provider discussing sexual health concerns with a patient during a diabetes management consultation.

Sexual health remains one of the most overlooked aspects of diabetes management, despite its significant impact on quality of life. While clinicians routinely discuss glycemic control, cardiovascular risk, and medication adherence, conversations about sexual function are often avoided by both patients and healthcare providers. Yet sexual health concerns related to …

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Could Hearing Loss Be an Early Warning Sign of Future Diabetes Complications?

Older adult experiencing hearing difficulty alongside medical imagery of blood vessels, ear anatomy, and glucose monitoring, illustrating the connection between hearing loss and diabetes complications.

For many people living with diabetes, complications such as retinopathy, nephropathy, and neuropathy are well-recognized concerns. However, growing evidence suggests that hearing loss may deserve a place on that list as well. Researchers are increasingly examining whether hearing loss reflects the same vascular and neurologic damage that contributes to complications …

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What Your Patient’s Skin May Be Telling You About Their Diabetes Risk

Healthcare provider examining a patient with visible diabetes skin manifestations, including acanthosis nigricans, diabetic dermopathy, and other dermatologic signs associated with diabetes risk and insulin resistance.

The skin is often described as a window into overall health, and in patients with diabetes or prediabetes, it may provide some of the earliest visible signs of underlying metabolic dysfunction. While laboratory testing remains the cornerstone of diabetes diagnosis, clinicians who recognize key skin manifestations of diabetes can identify …

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Constipation, Bloating, and Diabetes: Could Autonomic Neuropathy Be the Cause?

Person with diabetes experiencing abdominal discomfort with a medical illustration showing autonomic nerve damage affecting colon function and gastrointestinal motility.

Many people with diabetes expect complications such as retinopathy, kidney disease, or peripheral neuropathy. However, gastrointestinal symptoms often receive far less attention despite their significant impact on quality of life. Chronic constipation, bloating, abdominal discomfort, and irregular bowel habits affect a substantial number of individuals living with diabetes. In many …

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