Vinni Makin1,2,3, M Cecilia Lansang4,5,6. 1. Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA. 2. Clinical Assistant Professor, Ohio Heritage College of Osteopathic Medicine, Cleveland, OH, USA. 3. Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic, Cleveland, OH, USA. makinv@ccf.org. 4. Professor of Medicine; Director, Inpatient Diabetes Service, Cleveland Clinic, Cleveland, OH, USA. 5. Chair, Cleveland Clinic Health Systems Diabetes Care Committee, Cleveland, OH, USA. 6. Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic, Cleveland, OH, USA.