Fran Cogen, M.D., Health Professional

Fran Cogen, M.D., C.D.E., is the director of the Childhood and Adolescent Diabetes Program at Children’s National Health System. She wrote about diabetes for HealthCentral.

Hemoglobin A1c and Diagnosis of Diabetes in Adolescents

The diagnosis of diabetes has major ramifications for the family and child/adolescent and therefore must not be made without certainty. There are four ways to diagnose diabetes (all types including: type 1, type 2, type 1.5, gestational, permanent ne...
Fran Cogen, M.D.

Carb Counting with Lenny

Parsing scholarly articles are very stimulating to my academic self I enjoy reviewing scientific literature to make it understandable to myself as well as to my patients (and readers). My diabetes team also reviews articles in journal clubs and confe...
Fran Cogen, M.D.

Top Causes of Unexplained Hyperglycemia

As you know, many of my postings are based on clinical experience (as well as from my spies on this site). This past week a mother of one of my patients asked if I could blog about unexplained hyperglycemia. We are not talking about forays into fast ...
Fran Cogen, M.D.

Understanding the Honeymoon Period in Type 1 Diabetes

Many questions/comments appear on this site in regard to the honeymoon period: 1. What is it? 2. How do I know I am in it? 3. How long will it last? 4. How do I prolong it? 5. Do I need to continue insulin if blood sugars are in range? 6. Is it bette...
Fran Cogen, M.D.

Guidelines for Sleepovers and Tips for Substitute Caregivers

As always, intriguing blog topics are generated by my patients and families. Last week, one of parents expressed a wish to have a handout developed to give to surrogates that may be temporarily responsible for their child or teen with diabetes. Typic...
Fran Cogen, M.D.

Diabetes and Insulin: Types and Application

After reviewing the healthcentral web site and diabetes related links, I noticed that questions about the different types of insulin and how they work continue to be a popular topic. As an associate professor of Pediatrics at the George Washington Un...
Fran Cogen, M.D.

Traveling With Diabetes

One of the most anxiety provoking activities is planning a vacation and actually enjoying it. Much advance thought is required to map out travel arrangements, destinations, and recreational activities. Considering the additional planning required for ...
Fran Cogen, M.D.

Diabetes Management: Effects of Persistent Ketosis

As I have stated on multiple occasions, ketones are not your friends. They are the portents of bad things to come… the persistence of ketones affects your diabetes. As always, a review of biology/biochemistry is a must when we talk about ketones. Ket...
Fran Cogen, M.D.