Feeling ashamed of all the things you should have done won't make your diabetes better. The best thing you can do is take action and get back on track. To make things easier for us, Dr. Zachary Bloomgarden, a New York City endocrinologist has made a list of the things he'd like all of his diabetes patients to do.
Since I started my practice as an endocrinologist, I’ve had tens of thousands of office visits, mainly seeing people with diabetes. Here’s my wish list of some of the things people with diabetes should know, and do, to succeed.
Only a tiny number of cases of diabetic ketoacidosis have been reported with SGLT2 inhibitor treatment, so this is unlikely to be a major issue for these drugs, which are very useful in controlling blood glucose in a number of ways.
There have been a number of new developments in the treatment of type 2 diabetes, and a question often asked is whether some of the type 2 therapies might be beneficial for people with type 1 diabetes. For example, several years ago, one of my patients with type 1 diabetes was having trouble with weight and with blood glucose control on a basal-bolus insulin combination. We added metformin, and his blood sugars appeared to get a bit better.
Will I prescribe Afrezza for people with diabetes? Not a lot, and not for past or present smokers, and not for people with any breathing problems (or heart issues that might cause difficulty breathing), and not without getting pulmonary function testing and explaining all of what I see as potential risks, and not without close follow-up.