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Clinical Director

Diabetes and Health Disparities

Diabetes is a disease that affects people of all types, and while there are many factors that affect how well diabetes is managed, some of them are not modifiable, such as race. Although the pandemic has brought the racial health disparities in the United States to the headlines, there is still so much work to be done. The data Back in 2004, the CDC reported data that was collected from 1979-2004 on people ages 1-19 years with diabetes. The data showed that the death rates were significantly higher for Black youth than white youth, and when the death rate declined […]

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Does Diabetes Affect the Developing Brain?

Keeping blood sugars within a tight target range is not exactly easy for people with diabetes. Fears about different diabetes-related complications, like kidney damage, heart disease, and retinopathy, are frequent among PWD and their loves ones, and these complications are often discussed by medical teams. But what about how diabetes affects the brain? A few studies from the 2004-2006 showed reduction in grey and white brain matter and that higher lifetime A1C, length of diabetes and severe hypoglycemia affect the reduction.1 (For info on grey and white matter, see here.) The brain continues developing and maturing until the average age […]

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What is C-Peptide?

You may have never heard of it, but c-peptide is a measure of how the beta cells in the pancreas are making insulin.1 It is a hormone produced by the pancreas, released at the same time as insulin. It has no effect on blood sugar but is a useful marker of insulin production, since the pancreas usually releases c-peptide and insulin in equal amounts. You may have had it measured at diagnosis or in preparation for getting an insulin pump because your insurance required it. Odds are if you have had type 1 for a while your levels will be […]

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Mental Health, Diabetes, and COVID … Oh My!

We have heard the words “unprecedented times” more in the last year than we could have ever imagined. The amount of stress that we have experienced since the beginning of the COVID-19 pandemic has way more than our typical stress baseline. The complete upheaval of our “normal” routines and increase in stress levels can be extra challenging for people with diabetes since our activity and food intake affects our blood sugars … not to mention all that extra stress and the resulting changes in sleep patterns. There have been various studies about how the pandemic has affected glucose control of […]

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Telemedicine and Diabetes

One of the silver linings of the pandemic is that many health care providers, and organizations of all types for that matter, have been thrust into the world of all-things virtual. This has been really helpful for many people who have to drive hours to see their health care team, and helps people keep their social distancing practices until COVID is in the rearview mirror. In Diabetes Therapy, in an article titled, “Application of Telemedicine in Diabetes Care: The Time is Now,” Austrian endocrinologists argue that using telemedicine can help improve access to care and minimize the possible exposures to […]

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What is Non-Alcoholic Fatty Liver Disease?

Non-Alcoholic Fatty Liver Disease (NAFLD) is a condition where you have too much fat built up in your liver, and it can cause damage. It is estimated that 10-20% of the United States population has this condition and it can be hard to identify because many of the symptoms are silent.1 One of the major risks and concerns with this condition is developing scar tissue on the liver which causes permanent damage to the organ. The liver and the pancreas have a harmonious relationship for keeping blood glucose levels in range for healthy people, and in diabetes the communication is […]

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You’re Just my Type (of Diabetes)

Diabetes started out as one condition describing “sweet urine,” and then evolved into type 1 and type 2. Now there are many known variations of diabetes, and a new article in the Cleveland Clinic Journal of Medicine discusses the importance of knowing someone’s diabetes type. Generally speaking, people with type 2 diabetes still produce some insulin, but the cells in the body are resistant to letting the insulin take action. When it comes to type 1 diabetes, the body has an autoimmune response and stops making insulin. There are also some types of diabetes caused by other conditions called secondary […]

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Impact of COVID-19 lockdown on glycemic control in children and adolescents

Many (or all) of us are becoming burnt out from the pandemic and all of the changes in our normal habits and schedules. The COVID-19 pandemic has brought various stages of lockdown to different parts of the world, and in some places it was shown to improve blood glucose control (such as in Spain.)  But a new article out of Saudi Arabia showed that lockdown for teens and adolescents between April and June 2020 actually made glucose control for people with diabetes there worse. The study looked at 150 patients, with the average age was about 12 ½ years old, […]

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