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Tag Archives: endocrinology

The New Diabetes Type Most Clinicians Have Never Heard Of: Why Type 5 Changes Everything

Young undernourished patient beside a glucose meter with a pancreas illustration representing malnutrition-related diabetes, also known as Type 5 diabetes.

For decades, diabetes has been grouped into familiar categories such as type 1 diabetes, type 2 diabetes, gestational diabetes, and several secondary forms. However, growing international recognition of Type 5 diabetes, formerly known as malnutrition-related diabetes, is challenging long-held assumptions about diabetes classification. This newly recognized condition appears to follow …

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Could Stem Cell Therapy Change Type 1 Diabetes Forever? Preparing for the Next Era of Care

Illustration of stem cell-derived pancreatic islet cells, a pancreas, and a person with type 1 diabetes using a glucose monitor, representing advances in stem cell islet transplant diabetes therapy.

For more than a century, insulin has been the foundation of type 1 diabetes care. However, even the best insulin pumps, continuous glucose monitors, and automated insulin delivery systems still cannot fully replace the body’s lost beta cells. That is why interest in stem cell islet transplant diabetes research continues …

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Your Patient Is Taking a Compounded GLP-1. Now What?

Physician discussing compounded GLP-1 medication safety with a patient during a clinical consultation, with injectable medication vials and a syringe on the desk.

As demand for GLP-1 receptor agonists continues to outpace supply, many patients have turned to compounded medications obtained through telehealth companies, medical spas, wellness clinics, and compounding pharmacies. While these products may improve access for some individuals, they also introduce important clinical, regulatory, and medicolegal challenges. Providers increasingly encounter patients …

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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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Maxed Out on Medications, Not Ready for Surgery: Is Metabolic Endoscopy the Missing Middle Ground?

Physician performing a metabolic endoscopy procedure showing endoscopic treatment of the stomach and digestive tract for type 2 diabetes management.

For many people living with type 2 diabetes, treatment eventually reaches a frustrating crossroads. Despite multiple medications, including GLP-1 receptor agonists, SGLT2 inhibitors, and insulin, glycemic targets may remain difficult to achieve. Meanwhile, bariatric surgery can produce major metabolic benefits, but its invasiveness limits acceptance for many patients. This treatment …

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The First Disease-Modifying Treatment After a Type 1 Diabetes Diagnosis: Why Teplizumab Is Changing the Conversation

Pediatric endocrinologist discussing teplizumab treatment options with a family following a new type 1 diabetes diagnosis.

For decades, treatment after a type 1 diabetes diagnosis focused almost entirely on insulin replacement and blood glucose management. While advances in technology have improved care, clinicians have had few ways to address the autoimmune process driving beta-cell loss. That is beginning to change. With the FDA’s expansion of teplizumab-mzwv …

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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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Getting to 120 Safely: A Practical Guide to Intensive Blood Pressure Management in Diabetes

Healthcare professional monitoring blood pressure in a patient with diabetes using a digital blood pressure monitor, highlighting intensive blood pressure management and cardiovascular risk reduction.

Blood pressure control remains one of the most powerful tools for reducing cardiovascular and kidney complications in people with diabetes. While clinicians have traditionally focused on achieving targets below 140/90 mmHg, recent evidence and the 2026 American Diabetes Association Standards of Care support a more intensive approach for selected high-risk …

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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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