Latest by Fran Cogen, M.D.

Diabetes and Portrayal in the Entertainment Industry: Realistic or Not?

I admit it I watch television and go to the movies as a means of relaxation and to immerse myself in other people’s problems. I have always been intrigued with how medical personnel and their lives are portrayed in the media. My first experience with ...

Diabetes Control and the "Hb A1c"

At every visit, patients ask “how did I do?” or “what is the hb A1c result?” High blood pressure and pulse rates are recorded prior to learning the results of the hb A1c. Families are incredibly anxious that the hb A1c will (or will not) accurately r...

The Honeymoon Period in Type 1 Diabetes

We recently discussed the top 10 concerns related to a new diagnosis of type 1 diabetes. Following these concerns, families then often talk about the “honeymoon” period. What is the honeymoon period? Most kids/teens/adults with new onset type 1 diabe...

After the Diabetes Diagnosis: Top 10 Concerns, Part 1

I have been transplanted Since April 2008, I have served as the physician expert for the DiabeTeens website. My goals were to provide information in regard to diabetes (primarily type 1) that pertained to teens and young adults. I plan to continue to ...

Diabetes and Driving

This week I have seen so many teens aged 15 years and 9 months. Why is this age so important? In states such as Maryland, 15 and 9/12 is the age that teens can apply for a learner’s permit. About eight years ago, the medical director of the Motor Veh...

The Many Faces of Diabetic Ketoacidosis

Upon perusal of the www.healthcentral.diabeteens.com web site, there appears to be pervasive discussions of Diabetic Ketoacidosis (DKA) and its various permutations. I wanted to define and discuss the multiple situations leading up to DKA and talk ab...

Research and Type 1 Diabetes: Breaking News

As a practicing diabetes clinician caring for children and teens, my job is to keep tight control over your blood sugars and you in the best physical condition to avoid complications…until we find a cure. I try to take a proactive stance so that when ...

Teens, Sex and Diabetes

Three of the most important topics in relation to teenagers are illicit drugs, alcohol, and sex. Clearly diabetes has implications on all three. I want to be proactive in these blogs and address these sensitive topics. Ginger and I already discussed ...

Diabetes and Associated Autoimmune Diseases

I thought we would delve into more biology this week since we have discussed many psychosocial topics lately. A diagnosis of type 1 diabetes is usually associated with autoimmunity. (However, not all people with type 1 diabetes have evidence of autoi...

Insulin Pump Therapy: To Pump or Not to Pump Part 2 - Pump vs. Multiple Injections

I hope after last week’s blog that you are now in the position to make an educated decision about which form of basal/bolus therapy is or is not for you. Only you, your family, and diabetes team can make that decision. In all honesty, I believe that, ...