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 …
Read More »The Corticosteroid Conundrum: Managing Steroid-Induced Hyperglycemia 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 …
Read More »Why Oral Health Is Becoming Part of Diabetes Management
A bleeding gumline might seem like a minor dental issue, but researchers are increasingly finding that it can signal much more than a need to floss. Chronic inflammation inside the mouth may influence blood sugar control, cardiovascular health, and even long-term diabetes outcomes. As evidence continues to grow, healthcare providers …
Read More »Misdiagnosed as Type 2? Why We Need to Screen More Adults for LADA
Up to 10% of adults diagnosed with type 2 diabetes may actually have Latent Autoimmune Diabetes in Adults (LADA), yet many cases remain undetected for years. Because symptoms often develop slowly, LADA is frequently mistaken for traditional type 2 diabetes. However, the wrong diagnosis can delay insulin therapy, worsen glucose …
Read More »Extreme Heat and Diabetes: Why Clinicians Are Paying Closer Attention
Extreme heat is no longer a rare seasonal inconvenience. Across the globe, heat waves are becoming longer, more frequent, and more dangerous. For people living with diabetes, rising global temperatures and more frequent heat waves can create serious health risks that many patients may not fully understand. As discussions about …
Read More »Why More Diabetes Patients Are Being Referred for Sleep and Circadian Evaluations
Poor sleep does more than leave people tired the next day. For many individuals living with diabetes, disrupted sleep may quietly worsen glucose control, increase cardiovascular risk, and complicate long-term metabolic health. As research continues to uncover the close relationship between sleep and metabolic function, more healthcare providers are referring …
Read More »The New Diabetes Workforce Problem: Who Will Manage the Growing Number of Complex Patients?
As diabetes rates continue to rise across the United States, another healthcare challenge is becoming harder to ignore: the diabetes workforce shortage. While new medications, continuous glucose monitors, and AI-supported tools are changing care, many patients still struggle to find specialists who can help them manage complex treatment plans. This …
Read More »The Rise of “Double Diabetes”: Why More Adults With Type 1 Diabetes Are Developing Insulin Resistance
More adults living with type 1 diabetes are now developing obesity, insulin resistance, hypertension, and metabolic complications once linked mainly to type 2 diabetes. This growing overlap, often called double diabetes, is becoming a major concern for clinicians and patients alike. While insulin therapy remains essential for type 1 diabetes …
Read More »Is Carb Counting Becoming Obsolete? The Rise of Precision Nutrition in Diabetes Care
A bowl of oatmeal can keep one person’s glucose stable while sending another person’s blood sugar sharply upward. The meal is identical, yet the metabolic response is completely different. That reality is pushing many clinicians to reconsider one of the most established principles in diabetes nutrition: carb counting. The growing …
Read More »The FDA’s New Insulin Switching Rules: What Interchangeable Biosimilars Mean for Diabetes Care
A patient arrives at the pharmacy expecting their usual insulin refill, only to discover the box, brand name, and pen device suddenly look different. The pharmacist explains that the medication is an interchangeable biosimilar approved for automatic substitution. Although the insulin is considered clinically equivalent, the unexpected switch can still …
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