Managing type 2 diabetes can change over time, but having the right information for your patients can make those changes feel a lot more manageable. CGM can help your patients see what’s happening with their blood sugar and guide what comes next.

In this episode of the TCOYD Podcast, Dr. Steve Edelman and Dr. Jeremy Pettus discuss how continuous glucose monitoring is changing the way type 2 diabetes is managed for your patients, especially as treatment needs evolve over time. They explain why type 2 diabetes can progress from lifestyle changes and oral medications to GLP-1 therapies and insulin, and why needing insulin isn’t a personal failure. They also explore how seeing glucose data in real time can help your patients better understand how meals, exercise, medications, and insulin affect their glucose throughout the day.
The conversation gets practical with how CGM can help guide your patients’ transition to basal insulin, make insulin adjustments easier and safer, and identify when mealtime insulin may be needed. Dr. Edelman and Dr. Pettus explain what overnight glucose patterns can tell you about your patients’ basal insulin dose, how to recognize post-meal spikes, and why starting mealtime insulin doesn’t necessarily mean adding injections at every meal for your patients. They also discuss newer basal insulins, avoiding too much basal insulin, and how automated insulin delivery systems may fit into the future of type 2 diabetes management.
Ultimately, CGM gives your patients living with type 2 diabetes more than glucose numbers. It provides feedback that can help them recognize patterns, see how their treatment is working, and work with their healthcare team to make more informed adjustments as their diabetes management needs change.

Key Topics

• Why type 2 diabetes treatment needs can change over time
• How insulin resistance and declining insulin production affect glucose management
• Why needing insulin is not a personal failure
• How CGM use is expanding in type 2 diabetes
• Using CGM with lifestyle changes, oral medications, GLP-1 therapies, and insulin
• What time in range, GMI, and glucose variability can tell you
• How CGM can help determine when basal insulin may be needed
• Using overnight glucose patterns to adjust basal insulin
• Why insulin titration matters more than the initial starting dose
• How CGM can make insulin adjustments easier and safer
• When mealtime insulin may be needed
• Why mealtime insulin doesn’t always have to be taken with every meal
• How to recognize and avoid too much basal insulin
• The benefits of newer long-acting basal insulins
• When patients with type 2 diabetes may want to consider an insulin pump or automated insulin delivery system
• How real-time glucose feedback can help people take a more active role in their diabetes management

Subscribe for practical diabetes management tips, expert conversations, and the latest advances in diabetes care to help people living with diabetes live healthier, more confident lives.

Chronic kidney disease (CKD) is one of the most common complications of diabetes, but here’s the tricky part: you can have it for years without feeling any symptoms. The good news? Kidney disease can often be detected early, and with the right screening, treatments, and lifestyle changes, its progression can be dramatically slowed.

In this episode, Dr. Steve Edelman and Dr. Jeremy Pettus are joined by nephrologist Dr. Bethany Karl to break down what everyone with diabetes should know about kidney health. Dr. E also steps into the patient seat to share his own experience living with chronic kidney disease, from discovering it without symptoms to navigating kidney tests and newer treatments. Together, they explain the two simple tests that can uncover kidney problems, why blood pressure and cardiovascular health matter, and how today’s growing toolbox of medications is giving people with diabetic kidney disease more reasons for hope.

Key Topics:

• Why chronic kidney disease is often a “silent” complication of diabetes
• How diabetes can affect the kidneys over time
• Dr. Edelman’s personal experience with diabetic kidney disease
• The two important kidney tests: eGFR and UACR
• Why urine protein can be an important early warning sign
• How often people with diabetes should have their kidneys screened
• The connection between glucose, blood pressure, cholesterol, heart health, and kidney health
• Lifestyle considerations for protecting kidney function
• Medications that can help slow the progression of diabetic kidney disease
• Newer kidney-protective therapies and why there is more reason for optimism today

✨ Subscribe for practical diabetes management tips, technology updates, and treatment breakthroughs that help people with diabetes live healthier, more flexible lives.

More diabetes resources:
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Hot flashes, blood sugar swings, brain fog... is it menopause, diabetes, or both?

In this episode of the TCOYD Podcast, Dr. Steve Edelman is joined by renowned menopause expert Dr. Cindy Stuenkel, endocrinologist and Professor Emerita at UC San Diego, for an insightful conversation about how menopause affects women living with diabetes. Together, they explain why menopause is much more than a normal stage of aging. It's a major metabolic transition that can influence blood sugar management, insulin resistance, heart health, sleep, mood, and overall quality of life.

The conversation explores what actually happens during perimenopause, menopause, and postmenopause, why hormonal fluctuations can make glucose management more challenging, and how continuous glucose monitoring can help distinguish hot flashes from hypoglycemia. Dr. Edelman and Dr. Stuenkel also discuss the latest evidence on hormone replacement therapy, newer non-hormonal treatment options, the importance of protecting heart health, and practical strategies to help women navigate this stage of life with greater confidence. Whether you're living with type 1 or type 2 diabetes, approaching menopause, currently experiencing it, or supporting someone who is, this episode provides practical guidance and evidence-based information to help you feel more prepared.

Key Topics:

• What is perimenopause, menopause, and postmenopause?
• How hormonal changes affect blood sugar and insulin resistance
• Why menopause can increase glucose variability in women with diabetes
• The difference between hot flashes and hypoglycemia
• How continuous glucose monitoring can help during menopause
• Metabolic changes that occur during the menopause transition
• Why cardiovascular risk increases after menopause
• The connection between menopause, weight gain, and abdominal fat
• GLP-1 medications and menopause
• The latest recommendations on hormone replacement therapy
• New non-hormonal treatments for hot flashes
• Sleep, mood, brain fog, and quality of life during menopause
• Heart health strategies for women living with diabetes
• How partners can better support someone going through menopause
• Trusted menopause resources and when to seek medical care

✨ Subscribe for practical diabetes management tips, technology updates, and treatment breakthroughs that help people with diabetes live healthier, more flexible lives.

More diabetes resources:
Website: tcoyd.org
Blog: tcoyd.org/blog
Podcast: tcoydthepodcast.transistor.fm
Instagram: / tcoyd
Facebook: / tcoyd

Stay connected! Sign up for our monthly newsletter here!
Support TCOYD's educational programs: tcoyd.org/donate