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Tag Archives: hyperglycemia

Dialysis Changes the Rules: What Happens When Patients With Diabetes Use Real-Time CGM?

Patient with Type 2 diabetes using real-time CGM while receiving maintenance hemodialysis.

Managing glucose is rarely simple for people with Type 2 diabetes who receive maintenance hemodialysis. Dialysis can change glucose patterns, insulin needs, and the reliability of familiar measures such as A1C. As a result, clinicians may have an incomplete picture when making treatment decisions. New randomized research on CGM use …

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The Hidden Hyperglycemia Trigger: When Dehydration Makes Blood Sugar Worse

Person with diabetes reaching for water beside a glucose meter, illustrating how dehydration can worsen high blood sugar.

For people with diabetes, an unexpected glucose spike may have a less obvious cause than food or missed medication. Dehydration and high blood sugar can create a self-reinforcing cycle. When the body loses too much fluid, glucose becomes more concentrated in the bloodstream. At the same time, rising glucose can …

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A Newly Discovered Form of Cell Death May Explain Why Diabetes Causes So Many Complications

Scientific illustration showing ferroptosis, an iron-dependent form of cell death, contributing to diabetic complications affecting the kidneys, eyes, nerves, and heart.

Diabetes is known for raising blood sugar levels, but its long-term complications often have the greatest impact on health. Kidney disease, vision loss, nerve damage, and cardiovascular disease affect millions of people living with diabetes. For years, researchers focused on inflammation, oxidative stress, and poor circulation to explain these complications. …

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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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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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What Really Happens When Patients Stop Insulin Without Telling Their Doctor?

Patient with diabetes sitting at a table with insulin supplies and glucose monitoring equipment, illustrating the risks of stopping insulin therapy without medical supervision.

For many people living with diabetes, insulin is more than a medication—it is a lifeline. Yet despite its critical role, some patients stop taking insulin without informing their healthcare provider. The reasons vary widely and may include medication costs, treatment fatigue, fear of side effects, weight gain concerns, or misunderstandings …

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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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The Diabetes Complication Patients Rarely Mention: Understanding Urinary Incontinence

Older woman with diabetes experiencing urinary urgency near a bathroom, illustrating diabetes urinary incontinence and bladder dysfunction.

Urinary incontinence is one of the most common yet least discussed complications of diabetes. In fact, diabetes urinary incontinence affects people with diabetes at significantly higher rates than the general population. While healthcare professionals routinely monitor patients for retinopathy, nephropathy, and cardiovascular disease, bladder dysfunction often remains overlooked. However, research …

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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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Diabetes and Hearing Loss: The Complication Many Clinicians Still Miss

Older man experiencing hearing difficulty beside a medical illustration of the inner ear and blood vessels linked to diabetes complications

Diabetes-related complications often bring to mind kidney disease, neuropathy, or vision problems. However, one complication continues to receive far less attention despite growing scientific concern: hearing loss linked to diabetes. Emerging evidence suggests that people with diabetes may face a significantly higher risk of hearing decline, yet routine auditory screening …

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