Diving Into Diabetes

Managing hypoglycemia remains a persistent, high-stakes challenge for both clinicians and the patients they support. What are the updates to the Diabetes Canada Clinical Practice Guidelines for Hypoglycemia and how can these be integrated into daily practice immediately? Our host, Dr. Jeremy Gilbert , an Endocrinologist at Sunnybrook Health Sciences Centre and Associate Professor at the University...

What is the role of early detection of type 1 diabetes and how can it be integrated into clinical practice? In this episode, our host, Dr. Maha Lebbar , discusses the practical aspects of screening for type 1 diabetes (T1D) with Dr. Rémi Rabasa-Lhoret, endocrinologist at Centre Hospitalier de L’Université de Montréal (CHUM), professor and researcher at the Montréal Clinical Research Institute (IRC...

How can T1D screening programs be effectively established in the clinic, and what are the considerations to get started? Our host, Dr. Alice Cheng , explores this topic with James Stainer , a Registered Nurse and Certified Diabetes Educator at Windsor-Essex Community Health Centre. Join our experts for a foundational discussion detailing the initiation of the first community-based T1D screening pr...

How can healthcare providers best navigate the unique complexities of diabetes in an aging population? Our host, Dr. Jeremy Gilbert , explores the multifaceted nature of type 2 diabetes management in the elderly with Dr. Peter Lin , Director of Primary Care Initiatives at the Canadian Heart Research Centre and contributing author to the Diabetes Canada Clinical Practice Guidelines. In this episode...

How can early identification transform type 1 diabetes (T1D) care and what groundbreaking advances are on the horizon? Our host, Dr. Alice Cheng , explores this topic with Dr. Karen McAssey , a pediatric endocrinologist, researcher, educator, and advocate for people living with T1D at McMaster Children's Hospital in Hamilton, Ontario. Join our experts for a compelling conversation that delves into...

What are the most effective ways for a diabetes care team to tackle the complexities and challenges of insulin management for patients? Our host, Dr. Alice Cheng , discusses practical approaches in coordinating multidisciplinary diabetes care with Dr. Michelle Long , a Primary Care Physician based in Port Hope, Ontario, with more than 30 years in clinical practice, and Ms. Susie Jin , a Pharmacist...

Curious about how primary care practitioners are managing the complexities of type 2 diabetes (T2D) in their practice? Join our host Dr. Alice Cheng as she delves into this topic with Dr. James Kim , Clinical Assistant Professor in the Department of Family Medicine at the University of Calgary, lead editor for the Primary Care section of the Canadian Journal of Diabetes , and a key contributor wit...

How is our understanding of autoimmunity in type 1 diabetes (T1D) shifting the way it’s detected and treated? Our host, Dr. Alice Cheng , discusses this topic and more with Dr. Bruce Perkins , Professor, Endocrinologist, Epidemiologist, and Clinician-Scientist in the Faculty of Medicine and the Institute for Health Policy Management and Evaluation at the University of Toronto. In this episode, the...

What do we know about the developmental stages of type 1 diabetes (T1D), and how can this understanding ultimately lead to improved patient outcomes? Our host, Dr. Alice Cheng , explores these questions with Dr. Bruce Perkins , Professor, Endocrinologist, Epidemiologist, and Clinician-Scientist in the Faculty of Medicine and the Institute for Health Policy Management and Evaluation at the Universi...

As technology advances, what are the current and future digital innovations that can best serve patients with diabetes and improve diabetes management? Our host, Dr. Ilana Halperin , discusses these innovations with Dr. Peter Lin , Director of Primary Care Initiatives at the Canadian Heart Research Centre, and a contributing author of the 2013 and 2018 Canadian Diabetes Guidelines. Our experts del...

Why does the timely addition of basal insulin remain an important issue in practice, despite the increasing use of glucagon-like peptide-1 receptor agonists (GLP1-RA) seen in recent years? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Meera Luthra, an endocrinologist at St. Joseph’s Healthcare Hamilton and Clinician Educator at McMaster University. The episode disc...

Hypoglycemia associated with commonly used diabetes medications can be distressing and potentially lethal. What are the latest recommendations on prevention and treatment of hypoglycemia from the Diabetes Canada Clinical Practice Guidelines (CPG)? Our host, Dr. Alexandria Ratzki-LeeWing , takes a deeper look into this topic together with Dr. Stewart Harris , a family doctor and professor at Wester...

Diabetes remission is a concept that has been gaining attention as new treatments and interventions become available in the Diabetes Canada Clinical Practice Guidelines. How do we define diabetes remission, and what strategies can we employ to sustain it once it has been attained? Our host, endocrinologist Dr. Hertzel Gerstein , professor of medicine at McMaster University and Hamilton Health Scie...

Numerous challenges afflict patients with type 1 diabetes (T1D) throughout their disease journey. How can newer, more innovative management approaches help patients overcome these challenges? This episode discusses the challenges that regularly burden patients with T1D, and how recent technological breakthroughs, such as automated insulin pumps and continuous glucose monitoring (CGM), have been tr...

With the abundance of various glucose monitoring technologies, how can healthcare providers guide patients with type 2 diabetes (T2D) toward the most appropriate choice? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Ilana Halperin , Endocrinologist at Sunnybrook Health Sciences Centre and Assistant Professor at the University of Toronto. This episode discusses the...

Hypoglycemia is a major concern for people living with diabetes; however, there are numerous myths and misconceptions surrounding its role in diabetes management. What are the common misunderstandings about hypoglycemia in diabetes care? Our host, Dr. Alexandria Ratzki-LeeWing , takes a deeper look into this topic together with Dr. Stewart Harris , a family doctor and professor at Western Universi...

Titration is a crucial element for individuals with diabetes taking basal insulin to achieve their glycemic targets, so how do we ensure we’re doing it optimally? Our host, Dr. Ronald Goldberg , takes a deeper look into this topic with Dr. Irene Hramiak , a Professor of Medicine at Western University, and the current Department of Medicine Site Chief and Endocrinologist at St. Joseph’s Hospital. T...

Exercising with diabetes requires extra preparation, so how can healthcare providers best guide those living with type 1 diabetes in exercising safely to maintain a healthy lifestyle? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Mike C. Riddell , a Professor at York University’s School of Kinesiology and Health Science and Muscle Health Research Centre, and a Seni...

Do second-generation basal insulin analogues really offer any advantages over their first-generation counterparts?   Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Alice Cheng , an endocrinologist at Credit Valley Hospital in Mississauga and St. Michael's Hospital in Toronto. She is also an Associate Professor in the Department of Medicine at the University of Toron...

Diabetes Canada updated their recommendations for the pharmacologic glycemic management of type 2 diabetes in adults in 2020, but how can clinicians interpret and implement these guidelines in their everyday practice? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Peter Lin , the Director of Primary Care Initiatives at the Canadian Heart Research Centre and a Family...

How can healthcare providers best guide Muslims living with diabetes to safely observe fasting during Ramadan? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Ally Prebtani , a Professor of Medicine in the Department of Internal Medicine, Endocrinology & Metabolism at McMaster University. This episode discusses the month of Ramadan, where a significant number of...

How do we approach diabetes management during pregnancy? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Denice Feig , an Endocrinologist, diabetes researcher, and champion for women’s health. She is Head of the Diabetes in Pregnancy Program at Mount Sinai Hospital and an Associate Professor at the University of Toronto’s Department of Medicine. Dr. Feig’s work aims...

Did you know that people with type 2 diabetes having chronic kidney disease are at an increased risk of hypoglycemia? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Alice Cheng , an Endocrinologist at Credit Valley Hospital in Mississauga, and St. Michael's Hospital in Toronto. She is also an Associate Professor in the Department of Medicine at the University of Tor...

Living with a chronic disease can take a toll on one’s mental health, so how can healthcare providers best support those living with diabetes? Our host, Dr. Ronald Goldenberg , takes a deeper look into this topic with Dr. Michael Vallis , a Health Psychologist and Health Behaviour Change Consultant based in Halifax, and an Associate Professor in Family Medicine at Dalhousie University. He has auth...

Fixed-ratio combinations of basal insulin and glucagon-like peptide-1 receptor agonist (GLP-1 RA) have demonstrated maintenance of HbA1c efficacy, less hypoglycemia, and weight loss compared to basal-bolus insulin therapies in previous trials, but what is the latest evidence comparing these strategies in those with type 2 diabetes? Our host, Dr. Ronald Goldenberg , takes a deeper look into this to...