By Nicolas Gillingham
Peer Reviewed
Over 30 million Americans—9.4% of the population—live with diabetes, six million of whom are at least partially dependent on exogenous insulin.[1] Insulin can be self-administered by subcutaneous …
Category: Endocrine
Clinical Correlations
A Rare Complication of Diabetes: Diabetic Myonecrosis
March 29, 2018
By Allison Harrington, MD
Peer Reviewed
Learning Objectives:
1) When should diabetic myonecrosis be suspected?
2) What are the diagnostic criteria for diabetic myonecrosis? What is the pathophysiology?
3) What is the management of diabetic myonecrosis? How can it …
How Reliable Is Hemoglobin A1c?
April 6, 2017
By Alexa Yuen
Peer Reviewed
According to the CDC, there are 22 million people with an established diagnosis of diabetes mellitus in the United States, but more frightening is that the rate …
Gamechanger? Can Pioglitazone Reduce Cardiovascular Events After a Stroke? An Analysis of the IRIS Trial
January 19, 2017
By Johanna Hase, MD
Peer Reviewed
Welcome to Gamechangers, a series that takes a critical look at the latest in medical literature to answer one important question: would the results of this …
Botox: Not Just for Wrinkles Anymore
July 28, 2016
Samantha Kass Newman, MD
Peer Reviewed
You can get a Botox injection almost anywhere these days. Internists, dermatologists, and even gynecologists have capitalized on an aging group of baby boomers who aren’t fans of their …
Could Metformin be the First Anti-Aging Drug?
February 11, 2016
By Amy Shen Tang, MD
Peer Reviewed
“I would pay you if you took it away from me. I’d try to buy it back,” said Irving Kahn, the late Wall Street investment advisor when asked …
Is It Time to Reconsider Who Should Get Metformin?
December 11, 2015 
By Lauren Strazzulla
Current FDA guidelines for the use of metformin stipulate that it not be prescribed to those with an elevated creatinine (at or above 1.5 mg/dL for men and 1.4 mg/dL for women). It is also …
Diabetic Foot Ulcers: Pathogenesis and Prevention
March 19, 2015
By Shilpa Mukunda, MD
Peer Reviewed
On my first day on inpatient medicine at the VA Hospital, Mr. P came in with an oozing foot ulcer. Mr. P, a 60-year-old man with a 30 …