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Tag Archives: hypoglycemia prevention

Beyond A1C: Can CGM Help Prevent Severe Hypoglycemia and DKA?

Person using a continuous glucose monitor to track glucose levels and help prevent severe hypoglycemia and DKA.

Continuous glucose monitoring has changed how clinicians and people with diabetes think about glucose control. Yet the next question is more important than whether CGM improves A1C or Time in Range. Can it prevent events that send patients to the emergency department or hospital? Growing evidence suggests that CGM may …

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The Honeymoon Phase Won’t Last Forever: Are We Doing Enough to Preserve Beta Cells?

Hourglass beside a healthy pancreas illustration with insulin syringe and glucose meter representing beta-cell preservation during the type 1 diabetes honeymoon phase.

Receiving a diagnosis of type 1 diabetes can feel overwhelming. Yet for many adults, the weeks or months that follow bring an unexpected twist. Blood glucose levels often become easier to control, insulin needs decrease, and some people wonder if their diabetes is actually improving. This temporary period is known …

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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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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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Managing Rapid Improvement on GLP-1 Therapy: When to Adjust the Rest of the Regimen

Diabetes management tools including glucometer showing improved glucose levels, insulin pen, and medication plan for GLP-1 therapy adjustment

Rapid glycemic improvement with GLP-1 therapy is one of the most powerful benefits of modern diabetes care, but it can also create new clinical challenges. When glucose levels drop quickly, patients may face an increased risk of hypoglycemia if other medications are not adjusted in time. So, how do clinicians …

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Deprescribing in Type 2 Diabetes: Managing Polypharmacy Without Losing Control

Physician reviewing diabetes medications and deprescribing plan with glucose meter and insulin supplies on desk

Type 2 diabetes management has evolved rapidly over the past decade. As new therapies improve glucose control and cardiometabolic outcomes, many patients achieve better metabolic stability than before. However, this progress often comes with a challenge: medication overload. Deprescribing in diabetes care has emerged as a thoughtful clinical approach that …

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Reassessing Hypoglycemia Risk in the Era of Modern Therapies

Physician reviewing continuous glucose monitor data with older adult patient showing low blood sugar alert during diabetes consultation

Managing the risk of hypoglycemia remains a central challenge in diabetes care, even as newer therapies lower the rate of severe events. Although GLP-1 receptor agonists and SGLT2 inhibitors have reshaped treatment strategies, insulin and sulfonylureas are still widely used, especially among older adults and patients with chronic kidney disease …

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Post-Discharge Diabetes Care: Preventing Lapses in the First 30 Days

Hospital discharge checklist with glucose meter, insulin, and medications for safe diabetes transition care

Hospital discharge should mark a fresh start. However, for many patients, the period after a diabetes hospital discharge becomes a danger zone. The days following a hospital discharge for diabetes are often marked by hypoglycemia, medication confusion, and missed follow-up visits. In fact, the first 30 days often determine whether …

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When Less Is More: How to Safely De‑Intensify Diabetes Therapy

A female doctor shows a glucose meter to an elderly female patient during a diabetes consultation in a warm, home-like medical setting.

As more patients with diabetes achieve and maintain glycemic targets, the conversation is shifting from “how can we intensify therapy?” to “when is it safe and appropriate to de‑intensify diabetes therapy?” De‑intensify diabetes therapy is becoming a high‑value clinical goal for many clinicians caring for adults with type 2 diabetes, …

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