Latest by William Quick, M.D.

Bad Outcomes From Hypoglycemic Coma

Someone recently asked Do you die from being in a hypoglycemic coma? My reply: Severe hypoglycemia (low blood sugar) is scary, and can result in bad outcomes, including death. In a study done a few years ago of 102 diabetic patients with hypoglycemic ...

The TSA and Insulin Pumps and CGM

Surely many people with diabetes will be flying this holiday week to visit family elsewhere for the Thanksgiving holiday feast, and friendship, and football, and maybe even for Black Friday sales. And that brings up the perpetual question: what’s the ...

Top Ten Reasons Not to Start Insulin Therapy

Aunt Tillie, who was blind and whose kidneys had failed, started insulin shots and died soon after. [Aunt Tillie should have started insulin years ago, before she got devastating complications. Had she controlled her diabetes all along, she may have ...

Giving the Wrong Insulin

I recently received the following question: What happens if you take your P.M. insulin in the morning? My reply: First of all, everyone (including me) has messed up now and then when giving (or forgetting) their insulin shots, so please don’t blame y...

A Patient with Diabetes, Thalassemia, and an Adrenal Cyst

I recently received the following question: I am 41 years old and about 60 pounds overweight. I had a bad gallbladder and it was removed, along with a four inch benign cyst on my right adrenal gland. In the process of being checked by my OB, I receiv...

Insulin and Hotel Refrigerators

Last week, my insulin pump and my CGM and I traveled to Chicago for a 3-day business meeting. Upon arrival at the hotel, I took my insulin vial out of the clear plastic baggie that the TSA recommends, and put it into the hotel room’s mini-refrigerato...

Endocrinologists vs Diabetologists

A friend of mine was recently diagnosed with type 2 diabetes by an endocrinologist who is employed at a nationally-known medical center. My friend asked me to comment upon the information in the consultation report, a copy of which had been sent to h...

CGM Continues to Improve

One of the two US makers of continuous glucose monitors (CGM) announced today that they have improved their CGM device by approximately 19 percent in overall accuracy compared to their earlier model, with up to 30% improvement in accuracy in the hypo...

What Does a Glucose Value of 3.4 Mean?

I just saw the following question: If my glucose test is 3.4, what does this mean? I had tested in the past several times and it came back 5.6, 6.6, and 5.4 but never so low as 3.4. I am 59 years and not a diet person. My reply: As you know, your blo...

An Unexpected Letter from my Insurance Company

Yesterday I received an unexpected and misleading letter from my insurance company, kindly pointing out that I could save money by switching off one of my medications. It was sent out over the signature of someone with the fancy title of "Direct...