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 …
Read More »Postprandial Glucose Control: When Should Clinicians Target After-Meal Spikes?
Managing post-meal glucose levels plays a critical role in diabetes care, yet it is often overlooked in favor of A1C and time in range. However, what happens after meals can significantly affect long-term outcomes. Think of it like traffic flow: even if the highway looks clear overall, sudden congestion at …
Read More »Continuous Ketone Monitoring in Hospital Care: Could It Improve DKA Management?
Diabetic ketoacidosis remains one of the most serious complications of diabetes, yet managing it often relies on intermittent data points. What if clinicians could see ketone levels change in real time instead of waiting hours between lab tests? Continuous ketone monitoring for DKA is now emerging as a promising concept …
Read More »Clinical Inertia in Diabetes Care: Why It Persists Despite Better Therapies
Why does clinical inertia diabetes continue to slow progress, even when better treatments are widely available? It is a bit like having a high-performance car but hesitating to press the accelerator. Despite major advances in medications and care models, delays in intensifying therapy remain common. As a result, many patients …
Read More »Reassessing Hypoglycemia Risk in the Era of Modern Therapies
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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