Friday, May 24, 2013

Dr. Fran Cogen's Posts

Basal/Bolus Therapy: Combination of Insulin Pump and Lantus

During my outpatient clinic last week, I was queried about the “untethered regimen” in which the person with diabetes uses both Lantus and the insulin pump. I have heard Dr. Steven Edelman (an adult endocrinologist and person with type 1 diabetes) talk about this regimen in person and in a diabetes conference. What is it? The... Read moreChevron

Type 1 Diabetes: Reducing Long-Term Complications

As pediatric diabetes specialists, we tend to practice in the “preventive mode.” As such, we tend to discuss diabetes related complications in terms of events that may never happen if we can establish excellent diabetes control. If I truly did not believe this statement, it would be extremely difficult for me to see patients on a daily... Read moreChevron

Type 1 Diabetes: Latest ADA Recommendations for Self-Blood Glucose Monitoring

The latest recommendations for Standards of Diabetes Care have been published online head of print (American Diabetes Association. Diabetes Care. 2012;doi: 10.2337/dc13-S003). Today I would like to share the recommendations that pertain to children and adolescents with type 1 diabetes. These recommendations are consistent with my previous comments... Read moreChevron

Vitamin D and Type 1 Diabetes, Revisited

Several of my patients have asked me about this recent posting on TheAtlantic.com: “We Had Been Giving Our Daughter Vitamin D, Would She Still Have Developed Diabetes?” by Katie Bacon.    In this post, the author questions whether Vitamin D administration would have prevented her daughter from developing Type 1... Read moreChevron

Interpreting Research Studies: Part 2

Last week we discussed the difficulty in interpreting data in research trials in general and applied the Washington Post article as a springboard to discuss the importance of soundly conducted evidenced based research. Now I would like to provide my approach to evaluate scientific literature.    My suggestions are as follows.   Is... Read moreChevron