Thinking Like A Pancreas Blog

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It’s Libre, Man! In-Depth Review of the Newly Approved Freestyle Libre

By | 2017-11-21T14:55:30+00:00 November 18th, 2017|November 2017 Newsletter, Thinking Like A Pancreas Blog|

Diabetes educator, Gary Scheiner gives his in-depth review of the newly approved Abbott Freestyle Libre CGM continuous glucose monitor. Faster than the fastest meter. More powerful than point-in-time measurements. Able to leap piles of test strips with a single scan.   Look… on pharmacy shelves (soon).  It’s a meter.  It’s a CGM.  It’s FREESTYLE LIBRE!   Seriously, this is exciting.  Abbott’s Frestyle Libre has finally been approved for sale in the United States.  Why the excitement?  Because it almost eliminates the need for fingerstick blood glucose measurements.  It has features of a CGM (continuous glucose monitor) and a blood glucose meter combined in one device.  And it is simple to use, reasonably accurate, virtually painless, and relatively inexpensive ($60 for the durable receiver/scanner, $40 per sensor; insurance coverage pending).   Super!  How does it work?   An applicator device is placed on the back of the arm.  With one push, a tiny glucose-sensitive filament is inserted just below the skin, with the waterproof transmitter (about the size of two stacked quarters) attached and adhered to the skin.  After a 12-hour warmup period, a signal is sent every minute to a handheld receiver about the size of a small cell phone, and the current glucose level along with a trend arrow and graph of the most recent eight hours of data is displayed.  The sensor/transmitter is replaced every 10 days.  And because of its accuracy, NO fingerstick calibrations are required.     A very similar device has been available in Europe and other parts of the world since 2014.  The hardware is basically the same, but there are a few subtle differences between the US version and the European version.  The European sensors last 14 days [...]

670G and Me: Insights and Incites on Medtronic’s Latest System

By | 2017-09-30T12:49:07+00:00 September 29th, 2017|Thinking Like A Pancreas Blog|

The 670G represents an important step towards fully automating glucose control. However, it is important to put it in the proper context and set expectations at an appropriate level.

Diabetes BLAME Game: When your sugars are up, is it the medication or your diet?

By | 2017-07-13T22:05:59+00:00 July 13th, 2017|Gary's articles, Thinking Like A Pancreas Blog|

what happens when we eat with reckless abandon and blood glucose levels start to head in the wrong direction?  Being the responsible individuals we are, we usually place the blame squarely where it belongs: on our medication.

Review of FiASP insulin and how it compares with other fast insulins

By | 2017-06-21T17:41:35+00:00 June 21st, 2017|Thinking Like A Pancreas Blog|

Novo Nordisk’s new FiASP insulin (short for Faster insulin Aspart) has hit the market in various parts of the world, and is awaiting FDA clearance here in the US.

My Review of Afrezza Fast Acting Inhaled Insulin

By | 2017-05-24T15:00:11+00:00 May 18th, 2017|Diabetes Bites, May 2017 Newsletter, Thinking Like A Pancreas Blog|

By avoiding the need to absorb through the fat layer below the skin, Afrezza starts working almost immediately, peaks in about 15 minutes, and in most cases, clears in about 2 hours. Now that’s rapid!

Our Testimonials

By | 2017-12-31T18:16:52+00:00 May 15th, 2017|Thinking Like A Pancreas Blog|

I know I am still working to get better, but I am SO HAPPY with the improvement! I can't thank you enough for all your help, I am losing the fear and feeling more confident in taking the right amounts of insulin and eating a healthy amount of carbs. Looking forward to learning more and more from you! ~ Mila Kurtz, Des Plaines, IL

Diabetes Management: Integrated Diabetes Services vs. Clinic based Endocrinologists

By | 2017-05-08T16:40:40+00:00 May 8th, 2017|Thinking Like A Pancreas Blog|

At Integrated Diabetes Services, we have a different setup. Everyone who works at IDS has a personal connection to diabetes. 3 of our clinicians are CDEs who wear insulin pumps and use a CGM, and the 4th is a CDE who is the mother of a child with Type 1.

Glycemic Index: The 4th Dimension of Diabetes Management

By | 2017-03-01T20:03:48+00:00 March 1st, 2017|Thinking Like A Pancreas Blog|

If you think you’ve mastered everything there is to know about carb counting, it’s time for a little revelation. Not all carbs are created equal. Another factor to consider is the influence of the Glycemic Index.

Diabetes and Air Travel: 6 Tips and Tricks!

By | 2017-02-27T14:12:34+00:00 February 27th, 2017|Thinking Like A Pancreas Blog|

Nowadays, travel involves more hassles than most of us are equipped to handle. And having diabetes just adds to the fun. Luckily you have me, Mr. “Platinum-Status Flier,” to share a few pointers for making travel a bit more bearable and enjoyable.

How DKA Happens and What to Do About it – published article

By | 2017-02-08T21:29:56+00:00 February 8th, 2017|Thinking Like A Pancreas Blog|

Diabetic Ketoacidosis (DKA) is a condition in which the blood becomes highly acidic as a result of dehydration and excessive ketone (acid) production. When bodily fluids become acidic, some of the body’s systems stop functioning properly. It is a serious condition that will make you violently ill and it can kill you.

Top 10 Techniques for managing blood sugar in kids with Diabetes

By | 2017-01-25T15:01:25+00:00 January 25th, 2017|Thinking Like A Pancreas Blog|

by, Gary Scheiner MS, CDE, Named 2014 Diabetes Educator of the year by the American Association of Diabetes Educators, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. We used to receive a call every week asking if we held support groups for kids with diabetes. Honestly, I never thought to have one. Why would any kid want to come to a support group when there are cartoons to watch and siblings to torment? Finally, I caved and decided to start a kids’ diabetes support group. It was an epic failure and a rousing success all wrapped up on one. The kids were miserable. They varied in age from 4 to 14, which may have accounted for some of the struggles in getting them focused. As much as we tried to engage them in fun social activities, the younger ones were too hyperactive to hold still, and the older ones were too caught up in the “this is stupid – I’d rather be on Facebook” thing. About the only time they would look up would be to check the clock. The parents, on the other hand, had the time of their lives. We had coffee and snacks for them in the other room. I could hear them laughing and carrying on. There were snippets of conversation that stuck in my brain:   “… you wouldn’t believe the food stash I found under his bed…” “…if she remembered her meter like she remembered her cell phone…” “…anyone else have bloody test strips all over their house?…” “…we change his pump while he’s sleeping so we don’t have to sit on him…” “…exercise? You’ve got to be kidding…” All [...]