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Latest by Fran Cogen, M.D.

Diagnosing Diabetes in Children and Adolescents

I have been on service at Children’s National Medical Center this past week. This means I am the physician that admits children and adolescents with new onset diabetes. As we are a tertiary children’s hospital, many of our children are referred from ...

New in Diabetes Technology

The technology revolution in diabetes gadgetry continues to blossom. We will address some latest devices and add a cautionary note about the report of a glitch in one of the insulin pumps (source -Diabetes in control.com.) mySentry Remote Glucose mon...

Hypoglycemia and Mortality: Do 1/20 People Die from Severe Hypoglycemia?

What are the emotional costs that result when there is a major campaign to promote a potentially lifesaving device? Over the last few days I have received multiple emails and messages in regard to the recent JDRF ad posted in both the NY Times and Th...

Hypoglycemia Unawareness of a Different Kind: Surprise Lows

I have written about the honeymoon period, symptoms and signs of hypoglycemia, the use of glucagon, etc., and now am entering somewhat of an unknown territory when I write about hypoglycemia that arises out of nowhere. At the end of the honeymoon per...

Mother holder toddler during a physical exam by doctor with stethoscope.
Diagnosis

Type 1 Diabetes Diagnosis for Infants and Toddlers

Most people know the general symptoms of type 1 diabetes but they might not know what signs to look for in infants and toddlers.

The Role of Glucagon in Diabetes Management

As we fill out the school forms for the new school year, there is an area for treatment of hypoglycemia. Once again, my diabetes spy, Ann Bartlett, has turned my attention to the treatment of hypoglycemia and the appropriate use of glucagon. Apparent...

Risk of Development of Type 1 Diabetes and TrialNet Natural History Study

I have written in the past about the predictive value of knowing that there is a “possibility” of developing Type 1 diabetes. At present, the incidence of type 1 diabetes is approximately 1 in 300 worldwide. Some families wish to know everything desp...

Hyperglycemia and Hypoglycemia in Young Children with Type 1 Diabetes: Does it matter?

As all families with young children with type 1 diabetes know, it is a balancing act to try to keep blood glucose levels within a defined range. Our Diabetes team at Children’s National Medical Center recommends different ranges based on the age of t...

Diabetes and Ketones

Let’s test your knowledge: What are ketones? Large amounts of sugar in the urine Chemicals made when the body burns fat Large amounts of protein in the urine Small amounts of blood in the urine As part of continuing education for our families, we dev...

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...