Anna Kahkoska & Medha Munshi on improving care for T1D in older adulthood, Jennifer Sherr on the persistent burden of severe hypoglycemia in people with T1D despite technology use, plus a classic edition of "Rapid Exchange."

Welcome to the latest episode (April 2026) of Diabetes Care "On Air"—a new and different way to bring the research published in Diabetes Care to life. Join co-hosts Alice Cheng, MD, FRCPC, and Michael Rickels, MD, MS, as they discuss the latest and greatest content in the April 2026 issue of Diabetes Care and beyond.

4:35 Alice welcomes Anna Kahkoska, MD, PhD, assistant professor in the Department of Nutrition and Department of Medicine at the University of North Carolina at Chapel Hill, as well as Medha Munshi, MD, director of the Joselyn Geriartic Diabetes Program and professor of medicine at Harvard Medical School. They are lead and senior authors on the article, "Challenges and Opportunities for Improving Care for Type 1 Diabetes in Older Adulthood," available for free at doi.org/10.2337/dci25-0078.

22:00 Mike speaks with ​​Jennifer Sherr, MD, PhD, professor of pediatrics in the Division of Endocrinology and Diabetes at Yale University. She is first author of the article "Persistent Burden of Severe Hypoglycemia and Impaired Awareness of Hypoglycemia Among People With Type 1 Diabetes Despite Technology Use: A Follow-up Survey," available for free at doi.org/10.2337/dc25-2345.

33:10 In this month's "Rapid Exchange" segment, Alice and Mike wrap up the episode by reviewing several interesting articles in the April 2025 issue of Diabetes Care. Studies highlighted in this segment include:

• Thai et al. Longitudinal Analysis of Liver Chemistry Trajectories and Risk of Type 2 Diabetes in Children With Metabolic Dysfunction–Associated Steatotic Liver Disease: A Multicenter Cohort Study doi.org/10.2337/dc25-1532

• Twig et al. Thyroid, Celiac, and Other Autoimmune Diseases and the Risk of Incident Type 1 Diabetes in Young Adulthood doi.org/10.2337/dc25-1423

• Van der Meer et al. Impact of Metabolic Bariatric Surgery on Weight Loss and Glycemic Control in Adults With Type 1 Diabetes: A Multicenter Retrospective Cohort Study doi.org/10.2337/dc25-2295

• Dumortier et al. Effects of Sodium–Glucose Cotransporter 2 Inhibitor Use on Mortality, Amputation, and Healing in Patients With Diabetic Foot Ulcer doi.org/10.2337/dc25-2001

• Retnakaran et al. Impact of an Additional Pregnancy on the Natural History of Insulin Sensitivity, β-Cell Function, and Glycemia in Parous Women doi.org/10.2337/dc25-2354

• Godneva et al. Investigating the Spectrum of Normoglycemia: Time in Glycemic Ranges and Their Association With Metabolic Outcomes in Individuals Without Diabetes doi.org/10.2337/dc25-2154

To learn more about Diabetes Care, please visit diabetesjournals.org/care. Interested in submitting cover art to the journal? Please visit https://diabetesjournals.org/care/pages/submit_a_cover_image.