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Tag Archives: Continuous Glucose Monitoring

Does It Matter When Your Patients Eat? The New Science of Chrono-Nutrition

Healthy breakfast with a glucose meter and clock illustrating how meal timing and circadian rhythms influence blood sugar control in people with diabetes.

For decades, diabetes management has focused on what patients eat and how much they consume. However, emerging research suggests another factor deserves attention: when they eat. The growing field of chrono-nutrition research in diabetes explores how meal timing interacts with the body’s internal clock to influence glucose metabolism, insulin sensitivity, …

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Beyond A1C: Could Metabolic Flexibility Become the Next Major Diabetes Biomarker?

Woman exercising with healthy foods and digital metabolic pathways illustrating metabolic flexibility and fuel switching in diabetes management.

For decades, A1C has served as the gold standard for assessing long-term glucose control in people with diabetes. However, it tells only part of the story. Researchers are now exploring whether metabolic flexibility could become an important biomarker in diabetes, offering a deeper understanding of metabolic health than A1C alone. …

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Should Patients Still Be Using Flash CGM? Navigating the Shift to Real-Time Monitoring

Patient with a continuous glucose monitor reviewing glucose data on a smartphone while transitioning from flash CGM to real-time CGM technology.

As diabetes technology continues to evolve, clinicians are increasingly faced with an important question: should patients still be using flash continuous glucose monitoring (CGM), or is it time to switch to real-time CGM? While flash CGM systems have significantly improved glucose monitoring and patient engagement over traditional fingerstick testing, real-time …

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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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Why Some Patients Wait Months for Automated Insulin Delivery—and How to Avoid It

Diabetes specialist reviewing automated insulin delivery system data with a patient during a clinic consultation to improve access and eligibility for advanced diabetes technology.

For many people living with diabetes, gaining access to an automated insulin delivery (AID) system can be life-changing. These technologies help improve glycemic outcomes, reduce hypoglycemia risk, and ease the daily burden of diabetes management. Yet despite their proven benefits, many patients continue to face lengthy delays before gaining access. …

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Why Some Patients Abandon CGM Within Days—and What to Teach Before They Leave the Office

Healthcare professional educating a patient about continuous glucose monitoring (CGM) during an office visit, demonstrating sensor placement, glucose trends, and device use to improve long-term diabetes management.

Continuous glucose monitoring (CGM) has transformed diabetes management by giving patients real-time glucose data, trend arrows, and alerts that support better daily decisions. Yet some patients stop using their CGM within days of starting. Often, the problem is not the device itself. Instead, early frustration begins when patients leave the …

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The Overnight Danger Many Clinicians Miss: Why Nighttime Hypoglycemia Still Matters

Sleeping patient with diabetes beside a continuous glucose monitor showing low blood sugar levels during the night, illustrating nocturnal hypoglycemia risk.

Many healthcare providers focus heavily on daytime glucose control, yet some of the most dangerous hypoglycemic episodes occur while patients are asleep. Despite major advances in insulin therapy and glucose monitoring, nocturnal hypoglycemia remains a significant clinical concern for people living with diabetes. Because symptoms often go unnoticed during sleep, …

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Post-Meal Blood Sugar Spikes: Are We Focusing on the Wrong Diabetes Numbers?

Healthy diabetes management scene showing a glucose meter, nutritious meal, and post-meal blood sugar tracking chart illustrating postprandial glucose control.

For decades, A1C has served as the cornerstone of diabetes management. It remains an essential marker because it reflects average blood glucose levels over approximately three months. However, many clinicians are recognizing that managing post-meal glucose levels may provide equally important insights into a patient’s metabolic health. A person can …

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Fasting With Diabetes: How Clinicians Can Reduce Hypoglycemia and DKA Risk

Blood glucose monitor, insulin supplies, healthy meal, and dates arranged for safe diabetes fasting management

Patients with diabetes are increasingly exploring fasting for religious, cultural, and metabolic health reasons. From Ramadan observance to intermittent fasting trends, many individuals choose to abstain from food and fluids for extended periods despite potential risks. For clinicians, this creates an important challenge. Simply advising patients not to fast often …

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The Corticosteroid Conundrum: Managing Steroid-Induced Hyperglycemia in Primary Care

Blood glucose monitor beside corticosteroid medication bottle and diabetes log illustrating steroid-induced diabetes management in primary care.

Patients treated with corticosteroids for asthma, COPD exacerbations, rheumatologic disease, inflammatory bowel disease, or cancer-related complications often develop significant elevations in blood glucose. In many cases, these patients have no prior history of diabetes. Yet within days of therapy initiation, blood glucose levels can rise dramatically, creating a challenging clinical …

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