New—Risk differences and underlying factors of #cardiovascular events and mortality in patients with type 2 diabetes versus type 1 #diabetes: a longitudinal cohort study of Swedish nationwide register data www.thelancet.com/journals/lan... #T1D #T2D #CVD #MedSky #EndoSky #CardioSky

Continuous glucose monitors are an excellent tool… when they work! Studies report up to 26% early failure rate of these devices. #ADA2025 #ADASciSessions

For @kavehmd.bsky.social and @glaucomflecken.bsky.social et al. Apropos of this week’s House of Pod. Spotted in Oceanside, CA a couple of months ago. #ThePitt

Not everyone (HCPs or pts) knows enzyme doses may need adjusting for different meals, depending on fat *or* protein content. If you know someone with exocrine pancreatic insufficiency (EPI / PEI), they may be interested in PERT Pilot: Android: bit.ly/PERT-Pilot-A... iOS: bit.ly/PERT-Pilot-iOS

Attorney General Seeks Death Penalty For All UnitedHealthcare Customers

FDA lead forced to resign: “I was willing to work to address the Secretary’s concerns regarding vaccine safety and transparency…However, it has become clear that truth and transparency are not desired by the Secretary, but rather he wishes subservient confirmation of his misinformation and lies.”

If you don’t test then you don’t have any infectious diseases

RIP VX-264. We never even knew thee. investors.vrtx.com/news-release...

Getting vaccinated Protect yourself Protect others Grateful to see this manuscript validating expansion of HPV vaccine both across broader age ranges and of all genders

Another unvaccinated child dies from measles, a fully preventable disease, and only the second child to die from measles in the US in the past 22 years

Honestly it’s just madness

We have VIP visiting town. Air Force 2 landed nearby overnight. The local Reddit discussion has been chuckle-inducing.

Today is Retraction Day, when we observe the anniversary of the retraction (Feb. 2, 2010) of the fraudulent paper that purported to show a link between vaccines and autism. 🧪#medsky

[CITATION NEEDED]

Discovered today that I was somehow now “following” Trump, Vance, and Melania in FB. Fixed that issue, but not happy with Meta right now.

#MedSky #STEM #DrugDevelopment Poll of 1630 biomedical scientists from 80 countries finds ~3/4 believe there is a reproducibility crisis in science stemming mostly from pressure to publish. That should worry all of us for reasons of integrity & use of resources. www.nature.com/articles/d41...

Living room at the new pad is coming together now that the couch and recliner have been moved in from my old place.

Customer: *Orders morning after pill for delivery from CVS via Uber* Me: *Accepts delivery order* CVS: *Out of stock* Me: *sighs* Uber: “Will they accept a box of condoms as a substitution?” Me: “That would have worked a day ago. Now? Not so much. Pretty sure that ship has sailed.”

Capital One.

Intraduodenal quinine reduces the blood glucose response to a meal in type 2 #diabetes by slowing gastric emptying and stimulating GLP-1 and C-peptide secretion: a potential new approach for blood glucose management. #T2D #DiabetesResearch tinyurl.com/3z8tmpf7

The rights to your own medical data are critical to taking control of your health. Patients with #Type1Diabetes have led and continue to lead the way, but without access to their data, that progress may be hampered. www.zocalopublicsquare.org/diabetes-dat...

Came for the “Drones!” comments. Left satisfied.

Looks more like it’s from the plasticene era to me.

Yup. That.

But, that would require restoring the ability to bolus (at all) in the app that controls my insulin pump.

This is why I add extra cinnamon to everything I make as a person who bakes a lot of stuff while living with #type1diabetes.

Bowling league potluck is all fun and games until your 80 y/o teammate sneaks one of the “special” brownies and winds up taking an ambulance ride to the ED. 🤦‍♂️😳

In my latest piece for @science.org, I ask how we should think about experiments that take place outside the lab. It begins here, in St Ives, Cornwall. www.science.org/doi/10.1126/...

As of today, @plos.org (and all of its journals) will no longer be posting to The Bad Place™️ #academicsky

Modern medicine (#immunizations) has enabled citizens of wealthy, industrialized nations to forget that children once routinely died in shocking numbers. In the first half of the 19th century, around 45% of children in the U.S. didn’t live past the age of 5. theconversation.com/infectious-d...

Intermittent fasting inhibits human hair growth. #Cell "Intermittent fasting triggers interorgan communication to suppress hair follicle regeneration." Open access www.cell.com/cell/fulltex...

The people who invented insulin sold their patent for $1 because they wanted it to be available to people. The lead researcher famously said, “Insulin does not belong to me, it belongs to the world.” Pharmaceutical companies ramped up the price anyway, to line their pockets. #MedSky

Breaking: doctors starting to suspect that women's bodies work differently than men's

BECAUSE WE FUCKIN DIED, YOU NINCOMPOOP.

Kudos the the ADA for including Open Source AID solutions in the 2025 Standards of Care. Open-source solutions have consistently been 3-5 years ahead of comparable offerings from commercial entities, & provide superior results for many patients. #WeAreNotWaiting diabetesjournals.org/care/article...

Got to break a saxophone 🎷 out tonight and do live instrumental accompaniment for karaoke. It’s been at least 5 years since I’ve done this, but it came back pretty quickly. It’s actually fun because the next song could be ANYTHING and I might not have even ever heard it before. (1/3)

Pop quiz for heath insurance execs: What’s the average cost of an ICU admission for DKA?

Huh. I was not aware that “Christian Alternative Medicine” was a thing. I’m not surprised that it is, but I was not aware of it until I came across a collection of printed pseudoscientific nonsense at the local public library used book sale. (Note: donated books, not from the library collection)

America!

Look, man- the insulin receptors of my various tissues can only take so much. I think the required amount would result in them being saturated for a week at least. #T1D

For years, #insulin4all advocates have been arguing that the manufacturers have the ability to lower list prices. We've been told it's not possible because of PBMs and insurers and the complicated mess that is our drug pricing system. We've always called b.s. This proves we were right all along.

Novo Nordisk to cut U.S. list prices of two insulin products by more than 70%. www.reuters.com/business/hea...

How come it’s not a crime when UnitedHealthcare kills people?

I’m going to go out in a limb and say this is likely correlation, not a causative relationship

[SCENE: Waiting at a restaurant for take-out] Nobody: Absolutely Nobody: 19 y/o at the cash register: “Hey man, do you smoke weed?”

Consistency is key- like any (recreational psycho-)pharmaceutical agent. Alcohol content has to be listed on the label. There need to be the same standards for cannabinoids.

This finding from the #T2D #Omnipod5 study has been tickling the back of my brain since I saw it. I finally figured out why. It supports the idea that for many (most?) people with T2 #diabetes, earlier initiation of bolus insulin will reduce overall insulin needs. The OP5 algorithm aims for a…

I *am* pretty good at dosing insulin, but why on earth did they feed all the inpatient diabetics nothing but mashed potatoes and pumpkin pie for Thanksgiving?