Endocrinology

Are SGLT2 inhibitors safe for type 1 diabetes?

Conditions
October 22, 2025

SGLT2 inhibitors have transformed care for people with type 2 diabetes. They not only lower blood sugar but also reduce cardiovascular events and slow the progression of kidney disease. Given these successes, many have asked whether the same benefits extend to people with type 1 diabetes (T1D).

The answer is not straightforward. In T1D, SGLT2 inhibitors remain off-label, and the biggest concern is the increased risk of diabetic ketoacidosis (DKA). Still, …

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Life after GLP-1s: How to sustain weight loss

Conditions
October 12, 2025

It should come as no surprise that GLP-1 receptor agonists have revolutionized the management of obesity and metabolic syndrome. These drugs have shown extraordinary promise in regulating appetite, promoting weight loss, and improving blood sugar control. Nearly one in eight adults (twelve percent) have taken a GLP-1 agonist, and forty-three percent of adults diagnosed with diabetes have used these therapies, numbers likely to have increased further in the last year …

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Why type 1 diabetes screening should be part of back-to-school

Conditions
September 24, 2025

Back-to-school season is one of the busiest times of the year for health care providers (HCPs). Doctors’ offices are full of young patients and families preparing for the year ahead, checking off physical exams, immunization forms, and age-based screenings. These visits are more than just routine; they are critical opportunities to talk about risk factors and catch early signs of health issues. Yet too often, one disease slips through the …

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How Ukrainian doctors sustained diabetes care during the war [PODCAST]

Podcast
September 6, 2025
YouTube video

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Physician Daryna Bahriy discusses her article “How Ukrainian doctors kept diabetes care alive during the war,” sharing how medical teams in western Ukraine adapted to protect vulnerable patients amid the chaos of …

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New surge in misleading ads about diabetes on social media poses a serious health risk

Conditions
August 16, 2025

A recent surge in misleading ads and AI-generated videos on social media and other online sites promoting bogus diabetes products, treatments and cures – often using fake endorsements, including from my organization Diabetes Canada – poses a serious health risk to people living with diabetes.

So far this year, Diabetes Canada has heard from at least 300 people who saw or bought fake products like smart watches claiming to non-invasively …

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Why testosterone matters more than you think in women’s health

Conditions
July 6, 2025

Menopause is finally having its moment in the spotlight, thanks to high-profile women breaking the long-standing taboo around discussing this life stage. Yet, while discussions around hormone replacement therapy (HRT) have increased, one critical component remains largely overlooked — testosterone.

Traditionally seen as a “male hormone,” testosterone is equally vital for women’s health, playing a key role in mood, energy, libido, muscle mass, bone density, and cognitive function. Yet, …

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A spoonful of vinegar: Why simple glucose hacks deserve more medical attention

Conditions
June 10, 2025

In the age of glucose monitors, blood sugar charts, and wearable tech, one of the most effective strategies for stabilizing post-meal glucose levels might already be sitting in your kitchen cabinet: vinegar.

As someone with a strong interest in endocrinology and women’s’ metabolic health, I’ve found myself increasingly drawn to the work of educators like Jessie Inchauspé (popularly known as Glucose Goddess), who break down blood sugar science in ways that …

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An effective treatment using an effective care delivery model: Using telehealth to treat adolescents with obesity with GLP-1 medications

Conditions
June 7, 2025

Will a telehealth model effectively engage adolescents with obesity and their parents to participate in their treatment plan?

Do GLP-1 agonist medications work to improve weight status and reduce or eliminate comorbidities in adolescents?

I’ve worked for over two decades as a community pediatrician to address the childhood and adolescent obesity epidemic. I can say with full certainty, when it comes to adolescents, we aren’t getting anywhere. With the COVID-19 pandemic, the …

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Reimagining Type 2 diabetes care with nutrition for remission [PODCAST]

Podcast
June 1, 2025
YouTube video

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Endocrinologist William Hsu discusses his article, “Reimagining diabetes care with nutrition, not prescriptions.” William argues for a paradigm shift in treating Type 2 diabetes, moving away from a primary reliance on medications …

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Diabetes and Alzheimer’s: What your blood sugar might be doing to your brain

Conditions
May 20, 2025

There’s an ever-growing body of evidence to suggest that diabetes contributes to the development of Alzheimer’s disease. Some even go so far as to dub Alzheimer’s disease “diabetes type III.”

How might diabetes cause Alzheimer’s disease?

It’s the sugar: Chronic high blood sugar (hyperglycemia) can damage blood vessels, including those in the brain. This vascular damage reduces oxygen and nutrient delivery to brain cells, increasing …

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Reimagining diabetes care with nutrition, not prescriptions

Conditions
May 13, 2025

In 2025, more than 38 million, or 1 in 10 Americans, live with Type 2 diabetes.

In the rapidly evolving landscape of the modern health care system, traditional care strategies for Type 2 diabetes often vastly overlook long-term individual and societal health outcomes in favor of short-term management of the disease. With over 20 years of experience as an endocrinologist at Harvard’s Joslin Diabetes Center, and as the Chief Medical Officer …

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The stigma surrounding diabetes harms those living with the condition. It’s time to finally stamp it out.

Conditions
April 30, 2025

Canadians have rallied together like never before to support each other and stand up for Canada in the face of U.S. tariffs and annexation threats.

People living with diabetes need that same spirit of solidarity around them to defeat a persistent stigma about the condition that leaves them feeling blamed, shamed, and judged.

Negative perceptions about people with diabetes are not only misplaced, but they are also harmful …

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Auto-brewery syndrome: Navigating diagnosis and advocacy [PODCAST]

Podcast
February 12, 2025
YouTube video

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Nurse researcher Barbara Cordell discusses her KevinMD article, “My husband’s rare drunken disease made me an international advocate.” She explores the complexities of auto-brewery syndrome, including diagnosis challenges, treatment options, and the …

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Understanding the testosterone surge: risks, trends, and solutions in men’s health [PODCAST]

Podcast
February 11, 2025
YouTube video

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Internal medicine physician Scott Selinger discusses his KevinMD article, “The testosterone surge: Are men chasing solutions or creating new risks?“, delving into the rise of testosterone therapy, its trends, and associated risks. …

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Improving type 1 diabetes screening awareness among women is critical. Here’s why.

Conditions
January 31, 2025

As a board-certified pediatric endocrinologist, the field medical director for type 1 diabetes immunology (T1D) at Sanofi, and someone who was diagnosed with T1D as a child, it’s fair to say that much of my life has revolved around the disease.

I could recite the risk factors for T1D in my sleep; I’ve seen first-hand the perils of an unexpected T1D diagnosis—including diabetic ketoacidosis (DKA); I’m keenly aware that those with …

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The silent epidemic of low testosterone: Why men are suffering in silence and what doctors can do about it

Conditions
December 19, 2024

The hidden health crisis

Low testosterone (low T) is one of the most underdiagnosed and misunderstood health conditions facing men today. Studies show that nearly 40 percent of men over age 45 and 50 percent of men over 80 have low testosterone levels. However, what’s more troubling is that only 20 percent of these men are ever diagnosed or treated.

The symptoms are often subtle but profound, affecting physical health, mental well-being, …

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Why endocrinologists need to rethink CME: the secret to a healthier conference

Physician
September 11, 2024

As endocrinologists, we spend our days balancing hormones and fine-tuning metabolism, but when it comes to our own continuing medical education (CME) conferences, it seems our ability to maintain equilibrium goes out the window. We advocate for healthy living, yet our CME events are a hormonal disaster, like a cortisol spike right after a sugar crash.

Picture the scene: you roll out of bed before the sun, which is already a …

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Why we need to stop blaming people for their diabetes

Conditions
August 27, 2024

“You brought this on yourself with poor eating habits and bad lifestyle choices.”

If you or someone you know has diabetes, you have likely heard this harmful misconception or even thought it yourself.

While the federal government’s proposed pharmacare legislation has spotlighted diabetes—with diabetes medications to be among the first prescriptions included in a new national pharmacare plan—erroneous assumptions and negative judgments about the condition persist.

It is time that we erased the …

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Bridging the health gap: Empowering Latino communities for a healthier future

Physician
August 11, 2024

As an endocrinologist, internal medicine physician, and public health leader, I have witnessed firsthand the health disparities that affect Latino communities. The COVID-19 pandemic has only magnified these issues, especially with chronic diseases, emphasizing the pressing need for culturally competent health care to address these inequities.

In Arizona and across the nation, my efforts have been dedicated to educating and protecting our communities through media outreach, training community health workers, and …

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A lesson in generosity: How one woman helped a stranger afford insulin

Conditions
June 14, 2024

I waited in line at the pharmacy, a familiar chain store. The man in front of me waited patiently for the technician to ring up his meds. I overheard her say to him, “$125.00. That includes your insulin.”

The man bowed his head and smiled politely, showing many missing teeth. He was dressed modestly. I did not know his name. I did not know him. I had never met him before. …

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