Latest by 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...

Cough, Colds and Ketones"¦Oh My!

It is December 24 and I am “on call” for the Diabetes Program, sitting in my office at Children’s National Medical Center. I am fielding phone calls from our patient population in District of Columbia, Maryland, Virginia, West Virginia, and parts of ...

Top Causes of Unexplained Hyperglycemia

Unexplained hyperglycemia in people with diabetes may have a number of causes, including food, mechanical difficulties, and physiological issues.

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...

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...

SmartCells, Inc. Producing SmartInsulin â„¢: Is This the Future?

Once again, Ann Bartlett gave me a mission: find out about SmartInsulinTM. So, like everyone one else interested in learning about a topic, I used Google and asked a smart 25-year-old who can find information about anything on the internet. After an ...

Diabetes and Insulin: Types and Application

Learn about the different types of basal and bolus insulin. Find out how pens, injections, and pumps are used in insulin therapy to manage diabetes.

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 ...

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...

Beta Cell Regeneration: The Latest Update from the University of Pittsburgh

In recent blogs, I offered my vision for a potential treatment of type 1 diabetes mellitus. I proposed that a combination of several modes of therapy might enable the beta cells in the islets of Langerhans to produce insulin. The goal of any form of ...