Sugar Surfing Lesson #19: Setting the record straight

In addition to being a practicing endocrinologist, I also mentor young physicians how to practice pediatric medicine. I’ve had this honor for over a quarter century. One of the 21 core competencies of being a capable pediatrician is appreciating that ambiguity and uncertainty are an integral part of medical practice. Ambiguity is the most difficult concept to get many doctors to appreciate. Years of premedical and medical school training create the hubris that there is an answer somewhere for everything and everyone. This is simply not true.

The truth is that half of what I learned in medical school and residency later turned out to be wrong or misleading. This pattern has not changed over the decades I’ve practiced. We are always learning. Always striving to improve. Never static. Diabetes is a disorder of a highly complex bio-neurological control mechanism whose purposes include ensuring consistent and steady energy delivery to our cells, while at the same time storing and preserving that same energy for future use. It's got lots of moving parts! Our tools to assume control of this