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Medicare and Diabetes Technology Insurance Coverage

By | October 14th, 2016|Thinking Like A Pancreas Blog|

It's awesome that people with diabetes are living normal lifespans, but the current Medicare system is not set up to provide coverage of the technologies that we become accustomed to using when we have commercial insurance coverage to control the disease as well as we can.

Blood Sugar Checks – What Have They Done for You Lately?

By | October 13th, 2015|Thinking Like A Pancreas Blog|

By Diane Herbert MSW, LSW, CDE (pending) If you’re living with diabetes, you have been told many times and in many ways – Check your sugar, test, monitor your glucose, do your finger sticks….. You have also likely been told that this is how you learn your current glucose (sugar) level. I’m wondering how much information you’ve been given about why checking your blood sugar is helpful to you and what it means at different points in your day? Your Body at Work The pancreas and the body are truly amazing when it comes to keeping checks and balances within our systems. As far as your blood sugar goes – the pancreas and the liver perform a seamless dance to metabolize food/energy/sugar to make sure that all the other systems get just the right amount they need at just the right time when they need it. When you live with diabetes, your body’s ability to do that dance breaks down and requires that a third partner be entered into the mix – that partner is you! Your non-diabetes pancreas and liver had blood sugar management skills literally hardwired into their DNA. These are skills that we from the outside continue to only dream about matching. Effortlessly these amazing organs knew how much to adjust for exercise, when to release insulin quickly, when to dole it out slowly over hours, and how to auto-correct with a perfect shot of glucose if we added a late variable to the mix (say going on a roller coaster after eating pizza). Now living with diabetes – that balancing act largely rests on you to perform manually. How can you hope to be able to return to the smooth, graceful [...]

Educating the General Public – Will they ever get it right?

By | July 28th, 2015|Thinking Like A Pancreas Blog|

The recent online explosion of comments regarding the poorly dramatized experience of a woman with type 1 diabetes in the BBC’s season finale of The Syndicate shows just how uneducated people without diabetes are – even if they are a writer for a big name show.

G’day everyone, from Australia

By | February 29th, 2012|Thinking Like A Pancreas Blog|

G'day everyone, from warm & humid southeastern Australia. Been here for four days now, lecturing at hospitals in Brisbane, Melbourne, and today in Sydney. Interesting to note the differences between cultures and how diabetes is managed. The physicians and their support team of diabetes educators try to be aggressive with care, but they're a bit limited because of the lack of government/insurance funding for pumps, CGM, etc... There are also fewer medication options here, so things like Amylin and Victoza just aren't used. Unfortunate, because the people here are clamoring for more. I've spoken with hundreds of type-1s who are still on injections but longing to go onto pumps & cgm. Many are footing the bill themselves. I found it inspirational that they take their diabetes care seriously enough to do that. Met woman whose husband and FOUR sons all have type-1. One of her sons plays professional rugby. She started her own company that makes assorted supply cases. She even came up with these mini finger wipes for cleaning fingers before doing BG testing. Neat! On a lighter note, the major pro sports here are rugby, soccer, cricket, and australian-rules football. Those guys take a serious beating! Make American athletes look like wimps. Going to attempt to run over the giant bridge in Sydney harbor later today... hope my cranky foot (plantar fascia) holds up. Signing off from Sydney! - Gary