"Graded exercise" is neither supported by evidence nor recommended for people with an illness defined by worsening with exercise. #mecfs #longcovid www.medscape.com/viewarticle/...

There is a huge difference between "chronic fatigue" and the illness widely known as "myalgic encephalomyelitis," or "ME." In the US the compromise term is "ME/CFS," but many prefer to just eliminate the "chronic fatigue" part altogether, to minimize confusion. #MECFS

#longcovid #mecfs @zalaly.bsky.social slide

"We say 'trial and pivot,' not 'trial and error.' Even interventions that don't work will teach you more about their illness." - Jennifer Bell, PNP-C, at the IACFS/ME meeting. #mecfs #longcovid

Adults with new onset #diabetes can be misdiagnosed as having #type2diabetes when it's actually #type1diabetes and not prescribed essential insulin, or as type 1 when it's actually a monogenic type and unnecessarily prescribed insulin. How to avoid: www.medscape.com/viewarticle/...

The notion of "ultra-processed" food is so complicated, not even @fda.gov knows how to define it. There's a simpler way. Focus on the main health offenders: 👉Refined grains, sugar, and other highly processed carbs. In print today. Free online access (requires email) wapo.st/3WuPHGJ

Continuous glucose monitors are powerful tools but will not "rectify our Bad Energy crisis." To add, #type2diabetes is due to a combination of genetics and environment as well as lifestyle. And #type1diabetes is not preventable by lifestyle. #diabetes #science www.washingtonpost.com/health/2025/...

It's obvious that high-deductible health plans aren't ideal for people with chronic medical conditions such as #diabetes but this study found that such plans also delay diagnosis: www.medscape.com/viewarticle/...

Yes, kids with #type1diabetes can get exemptions that allow them to use their smartphones in schools that restrict their use. But there may be unforeseen consequences: www.medscape.com/viewarticle/...

Grateful to have been able to cover so much #type1diabetes material at this year's @EASDnews conference, including population screening, new treatments, overall management, and #diabetes distress. #EASD2025 www.medscape.com/viewcollecti...

To be clear, there are no data that provide a link between short-term use of Tylenol during pregnancy and autism. In fact, one of the best prospective studies w/ sibling controls, if anything, pointed to a protective effect for use less than 7 days acamh.onlinelibrary.wiley.com/doi/10.1002/...

Writing is at its most powerful when it makes you feel less alone. This beautiful booo from Emma Heming Willis on her marriage to Bruce Willis and experience navigating dementia did just that. A beautiful read.

"Appropriate questions to patients might be: 'What's challenging you the most about your diabetes?” or “What's bothering you the most at the moment?'" #diabetes #EASD2025 www.medscape.com/viewarticle/...

The European Association for the Study of Diabetes recommends population screening for early #type1diabetes starting with children aged 2-4 years. www.medscape.com/viewarticle/... #EASD2025

It's that time again when LinkedIn tells everyone to wish me a happy work anniversary even though I've been a #freelancer since 2012 and have no idea what date or gig they're referring to...Then I have to decide whether to explain that to well-wishers or just say "thanks." 😏

Just learned that the federal form for every potential gun purchaser asks “Have you ever been adjudicated as a mental defective...?" Evidently "a mental defective" is a legal term, dating back to 1993. Wow. www.washingtonpost.com/national-sec...

The “problem” with vaccines? They so effective at preventing deaths that they create generations of people that question whether disease was a problem in the first place because they have never experienced the horrors of a world without vaccines.

Please help me welcome to Bluesky @drdebhoury.bsky.social - brave, brilliant, and principled. abcnews.go.com/Politics/vid...

Can a product that combines a continuous glucose monitor + #AI help in weight management? It's now on the market: www.medscape.com/viewarticle/...

Kennedy demands doctors get more nutrition training while 18.8 million Americans live in food deserts and insurance generally doesn’t cover dietitian visits. Classic misdirection: blame physicians for systemic failures they can’t solve. www.nbcnews.com/health/healt...

Just made an appointment for the updated covid #vaccine. Soonest available: Sept. 4th. #covidvaccines

Public health is under assault. The purge of CDC leadership, people with decades of experience guiding the nation’s response to health threats, dismantles the very programs and direction that keep Americans safe from infectious diseases, chronic illness, injuries, and violence.

"We’re all in favor of a gold standard for science. But it’s misleading, & even a little insulting, to say that somehow NIH didn’t already support that. Everything that NIH stands for is rigor in sci...There’s some implication here that NIH has been systematically sloppy. I reject that conclusion."🛟

Brilliant article on these ever expanding and prolific conditions.

“What had once felt like a rare or niche diagnosis now seemed to be everywhere, impossible to ignore.” - Brittany Adler, MD, of Johns Hopkins, re post-infectious chronic illness that goes by many names but has no dedicated medical specialty. #POTS #MECFS www.medscape.com/viewarticle/...

Great material for rebuttal when someone says that #vaccines cause #autism. Bookmarked.

Still in the airport, 7 hours later! 🤯

"Diabetes device distress" is both alliterative and incessant in all the ways named in this article! #T1D #type1diabetes

My flight would have arrived with plenty of time before my insulin delivery device was due to shut off. But now it’s delayed so long I had to replace the device in the airport restroom. Fun times with #type1diabetes ✈️ 😒

#Diabetes technology improves and even saves lives, especially for people with #type1diabetes . At the same time, it can also cause a lot of stress: www.medscape.com/viewarticle/...

How are Americans with #type1diabetes doing? Results are mixed. www.medscape.com/viewarticle/...

“Actual cases of [factitious disorder imposed on another] are incredibly rare, yet medics and social workers seem to latch on to this theory when they lack the scientific knowledge to explain an illness or the humility and compassion to admit that sometimes they simply don’t have all the answers."

On #SevereMEDay reposting my 2022 article about caring for patients with myalgic encephalomyelitis / chronic fatigue syndrome who are too sick to see a doctor. Some can't eat, and may be misdiagnosed with anorexia. #MECFS is not psychiatric. www.medscape.com/viewarticle/...

“You have to sort of scratch your head to wonder why the secretary is directing these sort of actions against probably one of the most powerful platforms in medicine that has come along in the last 20 years.” - @jmcoller.bsky.social www.washingtonpost.com/health/2025/...

Further cautious hope for islet cell transplantation. #T1D #diabetes

I don't normally say this, but this new report signals some real progress towards curing #type1diabetes : www.medscape.com/viewarticle/...

"I, too, am disgusted by the role of money in health care, but I see it more as a result of the system we’ve set up, rather than the people who labor within it. And the public seems to be able to make that distinction as well." - @danielleofri.bsky.social www.nytimes.com/2025/07/28/o...

Note to medical office staff: DO NOT leave a message at 4pm Friday to say you're going to guess which of 2 listed pharmacies is correct to send the prescription and if that's wrong call back, then do it. It's past noon Monday and I'm still trying to fix the error. 🤦‍♀️#healthcare

A bit of good news. #autoimmune #autoimmunity www.medscape.com/viewarticle/...

Some professional news: After more than a decade of columnizing at The Washington Post, I'm taking the buyout. This is my last column. It is my advice to any other lucky pundits who land a perch like this -- with 11 principles I've aspired to, even if I haven't always achieved them: wapo.st/3TU2fGw

The editors-in-chief of NEJM and JAMA explain the importance of editorial independence for medical journals: www.washingtonpost.com/opinions/202...

Everyone with high blood pressure should be screened for a common condition called primary aldosteronism, @endocrinesociety.bsky.social and other organizations say. #ENDO2025 www.medscape.com/viewarticle/...

New guidelines from @TheEndoSociety regarding pre-existing #diabetes in #pregnancy were based on low-level evidence because there are so few studies, especially in #type2diabetes #ENDO2025 www.medscape.com/viewarticle/...

European Association for the Study of Obesity's new framework increases the estimate of those who are #obese. Story via @medscape.com @miriametucker.bsky.social #MedSky #EndoSky #nutrition #weight #primarycare #FPSky #obesitymedicine

Story from #ADA2025: I used to think that a lean person couldn't have #type2diabetes and in fact, many are misdiagnosed and actually have #type1diabetes or #MODY. But, "lean type 2" does exist, proving how much is still to be learned about #diabetes : www.medscape.com/viewarticle/...

Appointment with new PCP this am. Didn't pre-fill forms because they were texted to my phone instead of emailed. Arrive at office, couldn't finish forms before being taken in and asked same questions I'd just answered on form. See doctor, she leaves. Forms are still next to me, unfinished, unread. 🤦

Just another rollercoaster holiday! #July4 #IndependenceDay #Type1Diabetes

Lots of big problems in the world, but for some of us #type1diabetes continues to be among the biggest.

I'm old enough to remember when scientific expertise was a requirement for serving on a scientific advisory panel. www.fiercepharma.com/pharma/sen-c...

10 people with type 1 #diabetes have remained insulin-independent for over a year following allogeneic stem cell-derived islet-cell therapy. Story by @miriametucker.bsky.social via @medscape.com from #ADA2025 in Chicago. #T1D #MedSky #EndoSky #endocrinology