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Tag Archives: glycemic control

The Return of C-Peptide: Why This Old Biomarker Is Finding New Clinical Uses

Healthcare professional reviewing C-peptide test results with a pancreatic model, blood sample, and glucose monitoring equipment representing beta-cell function assessment in diabetes care.

For many years, C-peptide testing was viewed as a simple tool to distinguish type 1 diabetes from type 2 diabetes. However, the story has changed. As researchers gain a better understanding of pancreatic beta-cell function, C-peptide testing in diabetes has become much more valuable than a diagnostic aid alone. Today, …

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The End of Sliding-Scale Insulin? How Predictive AI Is Transforming Inpatient Diabetes Care

Hospital clinician using an AI-powered glucose prediction dashboard to optimize inpatient insulin dosing and improve diabetes management.

Hospital glucose management has long relied on reactive treatment strategies, especially sliding-scale insulin protocols that respond to blood glucose after it has already risen. While this approach remains common, healthcare systems are increasingly exploring AI solutions for inpatient diabetes care that predict glucose changes before they become dangerous. Instead of …

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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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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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Should Hospitalized Patients Keep Their CGMs and Insulin Pumps? The 2026 Standards Say Yes

Hospitalized patient using a continuous glucose monitor and insulin pump while reviewing glucose data on a smartphone under clinical supervision in a modern hospital room.

For years, hospital admission often meant disconnecting patients from their personal diabetes devices. Continuous glucose monitors (CGMs) and insulin pumps were frequently removed, even when patients had used them successfully at home. However, the 2026 American Diabetes Association (ADA) Standards of Care introduce a significant shift in how hospitals approach …

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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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The Diabetes Treatment Barrier Nobody Sees: When Prescriptions Are Never Filled

Patient declines a newly prescribed diabetes medication while a prescription bottle, glucose meter, and prescription form sit on a table, illustrating primary nonadherence in diabetes care.

When a healthcare provider writes a prescription for diabetes medication, most assume the treatment journey has begun. However, for many patients, the process never moves beyond the prescription pad. This hidden problem, often discussed as primary nonadherence in diabetes care, occurs when patients fail to obtain a newly prescribed medication. …

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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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When Depression Treatment Conflicts With Diabetes Management

Healthcare concept illustrating depression and diabetes management, featuring a patient experiencing emotional distress alongside diabetes monitoring supplies, medications, and a balance scale representing the challenge of balancing mental health treatment with metabolic health.

Depression and diabetes management often overlap in ways that make treatment decisions more complicated. Patients with type 2 diabetes frequently experience depression, and depression can make daily self-care harder. However, some commonly prescribed antidepressants and psychotropic medications may contribute to weight gain, worsen insulin resistance, or complicate long-term metabolic control. …

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Why Oral Health Is Becoming Part of Diabetes Management

Dental professional examining healthy gums beside a glucose monitor to illustrate the connection between oral health and 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 …

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