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 …
Read More »The Overnight Danger Many Clinicians Miss: Why Nighttime Hypoglycemia Still Matters
Many healthcare providers focus heavily on daytime glucose control, yet some of the most dangerous hypoglycemic episodes occur while patients are asleep. Despite major advances in insulin therapy and glucose monitoring, nocturnal hypoglycemia remains a significant clinical concern for people living with diabetes. Because symptoms often go unnoticed during sleep, …
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 »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 »Managing Diabetes Around Organ Transplant Surgery: What Clinicians Need to Know
The management of diabetes during organ transplantation has become a growing clinical challenge. As transplant programs expand and survival rates improve, more patients are living with complex metabolic complications before and after surgery. One of the most important concerns is post-transplant hyperglycemia, which can affect patient outcomes at nearly every …
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 »Automated Insulin Delivery Is Expanding Into Type 2 Diabetes: Are Primary Care Practices Ready?
Automated insulin delivery for people with type 2 diabetes is entering a new phase. What once seemed reserved for highly specialized endocrinology clinics is now moving steadily into primary care offices across the country. Following the updated 2026 American Diabetes Association Standards of Care and recent FDA clearances, more adults …
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 …
Read More »Treatment Complexity in Type 2 Diabetes: When More Options Make Decisions Harder
Managing Type 2 diabetes used to follow a relatively predictable path. Clinicians often started with metformin and added medications gradually as glucose control worsened. Today, however, diabetes care looks very different. The number of available therapies has expanded rapidly, and while that growth has improved patient outcomes, it has also …
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