Dr. Fran E Cogen MD
Endocronologist (Pediatric) | Pediatric Endocrinology
111 Michigan Ave NW Washington DC, 20010Rating
5/5
About
Dr. Fran Cogen is a pediatric endocrinologist practicing in Washington, DC. Dr. Cogen specializes in growth, puberty, diabetes or other disorders related to hormones that produce certain conditions in children and growing young adults. Pediatric endocrinologists possess copious knowledge on hormone chemicals and how they can affect other parts of the body and their functions.
Education and Training
Columbia Univ Coll of Physicians And Surgeons, New York Ny 1979
Columbia University College of Physicians and Surgeons 1979
Board Certification
PediatricsAmerican Board of PediatricsABP
Provider Details
Dr. Fran E Cogen MD's Expert Contributions
Type 1 diabetes and general anethesia
Type 1 diabetes and general anethesia My 15-year old son had had type 1 diabetes for 4 years. He has frequent episodes of both hyperglycemia and hypoglycemia. He is scheduled to have his deviated septum fixed and I want to know if he faces any additional risks because of his type 1 diabetes and if he should be doing anything differently with his insulin intake prior to surgery. Answer: Surgery and diabetes can be tricky. If you have a pediatric diabetes team, I would suggest asking for specific information related to your son. General answers: Surgery in people with diabetes should be conducted first thing in the morning. - would suggest blood sugar be on the higher side prior to surgery: 150-200 mg/dl - would suggest checking blood sugars before, during and after surgery with the availability of IV dextrose, if needed. Anesthesia should be asking the questions below Questions: - What kind of insulin regimen is he on? If pump: basal rate should be continued, but if surgery first thing in the am- he will not need to bolus unless he is very high as he won't be eating. If on multiple daily doses of long acting insulin such as glargine, detemir, degludec etc. and rapid acting insulin such as Humalog, novolog, apidra, would suggest giving long acting insulin as usual (night for example) and if his fasting blood sugars have been at target range or lower, would lower long acting insulin dose by 2-3 units. If he is or has been high in the am, would suggest giving 1/2 correction to avoid lows. Once again, you should consult your diabetes team as they know your child best and may provide more specific information in relationship to your son. Good luck, Fran R. Cogen, MD, CDE READ MORE
Dr. Fran E Cogen MD's Practice location
Practice At 111 Michigan Ave NW
111 Michigan Ave NW -Washington, DC 20010Get Direction
Dr. Fran E Cogen MD's reviews
Write ReviewPatient Experience with Dr. Cogen
Recommended Articles
![]()
Celiac Disease May Shadow Type 1 DiabetesA recent study has found that celiac disease may follow Type 1 diabetes, and it has found that children have a greater risk of having celiac disease auto-antibodies, which may then result in the disorder.According to Dr. William Hagopian, type 1 diabetes and celiac disease are closely related...
![]()
Diabetes vs. Science: Who’s Winning?What Is Diabetes?Diabetes is a serious chronic illness that could affect 552 million people by the year 2030, according to the International Diabetes Federation (IDF). A person suffering from diabetes is at a much greater risk of heart attack, kidney damage, or stroke. Therefore, we are now putting...
![]()
Link Found Between Hormone Therapies and Diabetes Among Transgender PatientsTransgender Patients and Recent Studies Relating to DiabetesThose who are having issues with diabetes already know what issues can be faced, in the present and down the road. Knowing when to seek help for these issues is challenging enough, but those who are transgender already face many more...
![]()
Hypothyroidism: Why Am I Always Exhausted?Hypothyroidism is a common condition in which the thyroid gland is underactive and does not produce enough hormones. These hormones are very important in maintaining the metabolism of the body. Metabolism refers to the process by which cells produce and utilize energy from food. A reduction in the...
![]()
What is Apert Syndrome?Apert syndrome, named after the French physician who described the condition for the first time, is a genetic disorder characterized by several birth defects. Children with this syndrome will have an abnormally developed face and skull. This syndrome is rare and in most cases, it develops even when...
![]()
Pre-digested Formula May Reduce the Risk of Type 1 Diabetes in InfantsA new study has shown that pre-digested formula may reduce the risk of Type 1 diabetes in infants who have a high risk for developing this condition. The study reports that babies who were fed on pre-digested formula had a 50% lower chance of developing the kind of antibodies that predict diabetes,...
Nearby Providers
![]()
Dr. Amita De Souza M.D.Abdow Friendship Pediatrics, Pc Rockville MD 20852![]()
Douglas Sobel Other3800 Reservoir Rd Nw Washington DC 20007![]()
Dr. Radha Nandagopal MD10 Center Drive Msc 1103 Bethesda MD 20892![]()
Dr. Paul B Kaplowitz MD111 Michigan Ave NW Washington DC 20010![]()
Dr. Andrew J Bauer M.D.Walter Reed Army Medical Center Washington DC 20307![]()
Dr. Otilia Neacsu MD8505 Arlington Blvd Fairfax VA 22031
Nearest Hospitals
MEDSTAR WASHINGTON HOSPITAL CENTERl
110 IRVING ST NW WASHINGTON DC 20010HOWARD UNIVERSITY HOSPITALl
2041 GEORGIA AVE NW WASHINGTON DC 20060