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Innovative Stuff2016-12-08T23:26:29+00:00

innovative diabetes news and resourcesDiabetes Advancements, New Diabetes Information and Products

Introducing IDS Connections!

Through 20 minute interactive online forums we will share information, updates, laughs, helpful topics, tips and bring our clients (past and present) together TO CHANGE THE WORLD!!

Low Blood Sugar While Driving

A recent study evaluated insulin treated drivers to see if they experience hypoglycemia or a sudden unexpected fall of blood sugar while driving.

Diabetes Trivia Question: September 2020

In a recent study presented at the European Association for the Study of Diabetes (EASD) 2020 conference, researchers queried insulin pump users about their use of various pump features.

IDS Clinician Food Challenge 1 and 2

The IDS team is challenging ourselves once a month to eat foods that are tough for people with type 1 diabetes to manage their blood sugars after consuming.

Diabetes Trivia Question: July 2020

Electronic reflectance blood glucose meters marked a significant shift from clinic-based diabetes care to home-based self-care. Who was the manufacturer?

ADA Scientific Sessions 2020 Report

What I learned at the 2020 ADA Scientific Sessions by Gary Scheiner MS, CDE -Owner & Clinical Director of Integrated Diabetes Services. Read about the newest advances in Diabetes management.

Hope in Times of Change

While we're far from out of the woods with Covid-19, I'm glad to see a beam of hope in the darkness.

Recovering From COVID-19 With Diabetes

A very special client of ours, Deepak Malhotra, 44, recently recovered from a mild case of the coronavirus. He has lived with type 1 diabetes for 25 years and describes his story.

Can Sun Actually Reduce Stress?

A recent study done in the UK found that outdoor activities of any kind can help reduce stress. For people with diabetes, this can result in improved blood sugar levels.

Diabetes Survey: September 2019

This month- September 2019 - This month, we’d like to know if you have a plan in place for taking care of your diabetes in the event of an emergency/disaster.

Diabetes Survey: June 2019

This month- June 2019 - This month, we’d like to know who you believe will launch the BEST hybrid closed-loop system in the next year or two?

Faster Lifting = Longer Life! Weight Lifting and Diabetes

Weight lifting is well known as a great way to maintain bone health as well as insulin sensitivity for those who have diabetes. But, did you know that increasing the muscle power (different than strength) provides longer life expectancy?

Diabetes Survey: May 2019

This month- May 2019 - This month, we would like to know what you think about government-sponsored healthcare

Diabetes Survey: April 2019

This month- February 2019 - This month, we would like to know what you think about insulin companies charging $250-$300 for a vial of insulin

Ketogenic Diet and Diabetes Management

We've all heard about the "Keto Diet", but is it good for people with type 1 and type 2 diabetes? Get an unbiased breakdown from 2 Certified Diabetes Educators.

Diabetes Survey: March 2019

This month- February 2019 - This month, we would like to know what you think about insulin companies charging $250-$300 for a vial of insulin

How Diabetes Affects my Conscious Thought

Ever consider how much you DON’T think about consciously? I’ve realized diabetes is a much unseen condition to live with. We have an inner monologue to our daily routine of management that requires a lot of thought, but most people don’t hear what we are consciously thinking about.

The Diabetes Museum Wants Your Stuff!

Integrated Diabetes Services are creating a Museum of Diabetes Treatment. We already have some seriously outdated stuff, but there’s always room for more!

Why is Insulin so Expensive And What Options Do Insulin Users Have?

A recent study showed that the insulin users in North America make up 14% of all insulin users worldwide, but they account for nearly 50% of total world-wide sales. With so many profit-making avenues, you can see why this three-company oligopoly (Lilly, Novo Nordisk, Sanofi) is keen to keep raising insulin prices.

WANTED: Old Medtronic Pumps & Supplies

If you happen to have an old Medtronic pump in any condition, consider donating it to our office. Specifically, we’re looking for Medtronic Paradigm pumps manufactured between 2006 and 2012.

Whole30 Plan Completed

I started and finished following the Whole30 plan as I talked about in my last Journal message in the September Bites newsletter. Here is what i learned...

Thank You Diabetes Educators!

Diabetes educators are amazing people. But when you find one who also lives with diabetes, the experience can be truly magical.

Patients and Caregivers – Get paid for Your Opinion

Get paid for your opinion! Patients (14 and older) and Caregivers (family, friends) of any disability, disorder, syndrome, disease or condition are provided an opportunity to voice their opinions through surveys and interviews to improve medical products and services.

Diabetes Survey: October 2018

We want to know what you're thinking! Every month we come ask diabetes based questions and share the answers. So, this month- October 2018 - Deals with who has it worse - Type 1 or type 2?

WANTED: Old Medtronic Pumps!

You may have heard that some IDS clinicians are using the do-it-yourself “Loop” app to create a hybrid closed-loop system. That’s where YOU come in... consider donating your old medtronic pumps

When you have Diabetes: Why you NEED a doctor when you are WELL

Alicia: UnLeashed! October article: When you have Diabetes: Why you NEED a doctor when you are WELL .... We have all heard the analogies that our body is like a car, we need to fuel it, keep good tires on it, and take it for an oil change every so often.

Glucagon: FDA Approves New Changes!

Glucagon: dusting off that old rescue kit to see what’s new! Soon we might have more options for guarding against dangerous lows than the old red and orange boxes!

Low Carb, No Carb…How should I eat?

What is the best “diet” for diabetes? Literally, it is one of the first things asked when I start to work on diabetes management with someone. “What should I eat? Should I do low carb or Paleo or Mediterranean, etc.? How much should  or do I need to eat? What will make me feel good and have the control I want”?

Insurance interruption has profound effects on our health

A recent study quantifies the impact we all fear when we lose health insurance coverage.  The study shows a direct correlation between persons with diabetes not having health insurance, and severe negative repercussions on our health and safety.

Dia-Bullying: Tips for students with Type 1 diabetes and their families

Alicia: UnLeashed! September article: Dia-Bullying- Back to school tips for students with Type 1 diabetes and their families. As we settle into the school year and the changes of these first few weeks we often see rises in blood sugar or changes in eating patterns that seem to defy control.

Diabetes Survey: September 2018

We want to know what you're thinking! Every month we come ask diabetes based questions and share the answers. So, this month- September 2018 - Deals with special treatment and perks

Rare Patient Voice – Get paid for Your Opinion

Get paid for your opinion! Patients (14 and older) and Caregivers (family, friends) of any disability, disorder, syndrome, disease or condition are provided an opportunity to voice their opinions through surveys and interviews to improve medical products and services.

Diabetes Survey: July 2018

We want to know what you're thinking! Every month we come ask diabetes based questions and share the answers. So, this month- July 2018 - whether you’ve tried one or not, we’d like to know your opinion of LOW-CARB DIETS.

Retreat for Women with Diabetes – 2018

Sometimes a bit of time away with others who really “get it” makes a difference. If you are a woman with diabetes, take a peak at this unique retreat opportunity.

Diabetes: A basic guide to Sanity and Civility

Alicia: UnLeashed! July article: A basic guide to sanity and civility for we people with diabetes. I'd like to share my experience with interacting with the diabetes world online without feeding the trolls.

ADA Scientific Sessions 2018: Gary’s Top-5 Observations

As usual, this year’s American Diabetes Association Scientific Sessions didn’t place much emphasis on a healthy lifestyle.  There was food everywhere, and trust me, we’re not talking fruits & veggies.  But there was a great deal of research presented on diabetes medications and devices. 

Diabetes Confidential

I have to thank the late Anthony Bourdain for my giving me the desire to write and delve into the “in the box” management of diabetes here in the States which is controlled by many groups, such as FDA and the product/medication corporations.

How to Improve Your Eye Health

We workout for lots of reasons, but did you know that if you have retinopathy, a good workout might actually help to improve your eye health!?

Developing a “language of diabetes”

Alicia: UnLeashed! June article: I can often be heard reminding patients that their doctors work for them, not the other way around! We should Develop a "language of diabetes".

Diabetes Survey: June 2018

We want to know what you're thinking! Every month we come ask diabetes based questions and share the answers. So, this month- May 2018 - What do you think about the government’s role in furthering the treatment of medical conditions like diabetes?

Learn How Symlin Users Can Earn $200

Learn How Symlin Users Can Earn $200! A market research company in the Philadelphia area is looking for current Symlin users over the age of 18 to evaluate a new medication delivery device.

LOOP vs. Medtronic 670G

One of the best examples I’ve come across in the “regulation vs. right to choose” debate related to diabetes technology is the We Are Not Waiting movement within the diabetes space.

Diabetes Survey: May 2018

We want to know what you're thinking! Every month we come ask diabetes based questions and share the answers. So, this month- May 2018 - What do you think about the government’s role in furthering the treatment of medical conditions like diabetes?

Get Paid For Your Opinion!

Get paid for your opinion! Patients (14 and older) and Caregivers (family, friends) of any disability, disorder, syndrome, disease or condition are provided an opportunity to voice their opinions through surveys and interviews to improve medical products and services.

How to get past the gate keepers of insurance denials

Alicia: UnLeashed! April article: There are a lot of moments that unite people living with diabetes. But by far one of the most loathsome shared experiences is having an insurance company deny coverage for a medication or service. So what opens the door when the insurance company says no? 

Athletes with Diabetes Survey

You have a unique chance to be part of the new edition of Dr. Shari Colberg’s book Diabetic Athlete’s Handbook which will be available in Spring of 2019. Learn more specifics and where to take the survey

Diabetes Survey: April 2018

We want to know what you're thinking! Every month we come ask diabetes based questions and share the answers. So, this month- April 2018 - how has the current political climate affected your health?

Do You Really Gain Weight Eating Pasta?

Weight loss recommendations often include education on cutting carbs – including sugars as well as starches like pasta, bread, rice, etc. But are they correct?

Effect of Exercise on mental health parallels effect on insulin sensitivity

In a recent article published in the Journal of Affective Disorders, researchers did a literature review to evaluate a correlation between stopping exercise and increase in depression.  They found that women had more depressive symptoms than men and that symptoms increased the longer exercise had stopped.   

New Omnipod Hybrid Closed Loop System in Development

In February Insulet released results of a hybrid closed loop (HCL) system using their Omnipod insulin pump and Dexcom sensor technology. This initial safety study included patients ages 6-65 with A1Cs from 6-10. read about this new system in development

Flash Glucose Monitoring: The new take on CGM technology

The world of glucose monitoring is currently divided into two options, finger sticks, and wearable monitors. The choice here is easy. More information with less discomfort is the clear winner. Studies have also overwhelmingly shown that A1C improves, and hypoglycemia and DKA reduce with the use of worn 24 hour glucose monitoring devices.

Pediatric Insulin Pump Use: A New Study Sheds Light

As pump therapy becomes more common for people with type 1 diabetes more of us are starting on pumps earlier and earlier, including pediatric patients. Many parents struggle with making a decision about what is the right method of treatment for their kids.

JDRF Ride to Cure Diabetes – 2018 Bike Ride Trips

JDRF Ride to Cure Diabetes isn’t just a bike ride: it’s an experience where hundreds of riders come together from all over the world to raise money to help end Type 1 diabetes. Here is a list of the 2018 bike ride trips and how to register.

Low Carb, Health Diabetes Recipes

Have Type 1 or Type 2 Diabetes? Enjoy These Healthy, Low Carb Recipes That Are Also Delicious! Peanut Butter Chocolate Chip Cookies - do we need to say more?

New Updates to Omnipod’s Dash PDM

Insulet, makers of the Omnipod insulin pump have finally released an update to the Dash touchscreen PDM. This has been eagerly awaited by those who use Omnipod, as an update to the handheld device has not happened in several years.

Protein & Fat May Also Effect Blood Glucose Levels

Did you know that protein and fat may have an effect on blood glucose. While the effect is not rapid as it is for carbohydrates, the effect of fat and protein can be seen well after the meal for several hours. So what food sources contain protein and fat? And why do Protein and Fat affect BG levels?

Flu and Diabetes: How To Boost Your Immune System

If you have diabetes it makes it even harder to manage glucose levels. Typically a cold or flu will raise insulin needs due to the stress it causes in the body. Learn how to boost your immune system without additional medications and visits to the doctor.

How many carbs should you have to control diabetes?

Integrated Diabetes Services answers your questions about living with type 1 diabetes, offers tips an tricks to managing weight, blood sugar and overall health. Todays question deals with carbs - how many is just enough...

Prebolusing improves A1C

A way to improve my A1C that does not require me to change what I eat, how much I work out, what medication I take, or even my dose of insulin?! It may sound too good to be true, but the statistics show that one small change in the order we do things could be the key to change!

Options for Animas Pump Users

It should come as no surprise that Animas recently announced that it has discontinued sales of its insulin pumps in North America and is effectively “shutting down.” So...Animas pump users, should you stay or should you go?

Medtronic Infusion Device Recall: No Reason to Panic

Have you heard? Last month, Medtronic announced a voluntary recall/replacement for many of their popular Paradigm infusion devices, including the Mio, Quick Set, and Silhouette. But there's no reason to panic...

New Nurse In The House!

Integrated Diabetes Services is excited to announce the addition of Alicia Downs RN, BSN, CDE to our clinical team. Alicia will oversee IDS’s patient care and education services through our main office in Wynnewood, PA.

Psych Services Now Available through IDS

Recognizing that our ultimate goal at Integrated Diabetes Services is to help our clients live healthier, happier lives, we cannot overstate the importance of sound emotional health. Diabetes places an emotional and physical strain on all of us (patients, caregivers, and yes, even healthcare providers!), putting us at high risk for a number of mental health complications. To address this need, we have partnered with one of the best in the business: Dana Lehman, Psy. D.

Diabetes under the skin?

A new study led by researchers in the University of Toronto's Institute of Biomaterials & Biomedical Engineering (IBBME), transplanted healthy pancreatic cells under the skin to see if they would produce insulin for blood glucose control.

New Benefits Found With Liraglutide Use in Type 1 Diabetes Patients

Although it didn't work wonders for blood glucose (BG) levels, liraglutide improved anthropometric and metabolic parameters without causing an increase in hypoglycemia, according to the results of a clinical trial published in July in Diabetes, Obesity, and Metabolism.

Glucose Concentrations and A1c Levels Vary by Race

Have you ever noticed when you look at your lab results, there's a measure of kidney function called eGFR that is reported for both non-African American, and for African American? That's because there are racial and ethnic differences in kidney function decline. When it comes to A1c levels, they are higher in black people than in white people. It is debatable if this is because of poorer glycemic control, or whether there are, in fact, differences between the races in the glycation of hemoglobin.

Nasal glucagon: a viable option

According to research presented at the annual meeting of the American Diabetes Association (ADA) in June, a new glucagon product is much easier to use than is the traditional formulation for injection. Could this mean that it's more likely that a caregiver would be willing to administer it when needed?

Strategic alliance announcement

Ascensia Diabetes Care announced on June 8 that it signed a development agreement with Insulet Corporation, which you probably know better as the company that makes Omnipod insulin pumps.

Diabetes Training Camp Announces New Teen Athlete Boot Camp

Ever wonder what it would be like to have all the people on your team understand what it’s like to compete with diabetes? Diabetes Training Camp Foundation is very excited to announce the launch of the DTC Teen Athlete Boot Camp! Ever wonder what it would be like to have all the people on your team understand what it’s like to compete with diabetes? DTC has a new Teen Athlete Boot Camp!

Liraglutide use in Type 1 diabetes patients offers multiple benefits

According to a study presented at the May 2017 annual meeting of the American Association of Clinical Endocrinologists (AACE), treating people with Type 1 diabetes with liraglutide resulted in lower A1c levels. Liraglutide is better known as Novo Nordisk's Glucagon like peptide-1 receptor agonist (GLP-1RA) Victoza.

JDRF Night At the Phillies!

Join us on Wednesday, August 23rd at 7pm for JDRF NIGHT AT THE PHILLIES when the Fightin’ Phils host the Miami Marlins.

May 2017 Newsletter Survey

We’d like to know what you think of Dr. Scott Gottlieb, the man chosen by President Trump (and recently confirmed by the US Senate) to head the US Food & Drug Administration (FDA).

BG control in Type 1 Diabetes Improves with Fast-Acting Insulin Aspart

According to a study published online in Diabetes Care on April 11, fast-acting insulin aspart (faster aspart) improved blood glucose control in patients with Type 1 diabetes, as compared to the conventional formulation of the drug, insulin aspart (IAsp). In the United States, insulin aspart is better known as Novo Nordisk's insulin Novolog. In many other countries, it is known as NovoRapid.

My Review of Afrezza Fast Acting Inhaled Insulin

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

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

Exercise and Type 1 Diabetes: JDRF PEAK Program

How to exercise safely with type 1 diabetes: JDRF PEAK is a program meant to share information about just that! This program is a collaboration of JDRF with researchers around the world meant to address a missing piece in type 1 care and education.

Participate in a survey: pregnancy with type 1 diabetes – by Glu

Have you gone through pregnancy with type 1 diabetes? Are you considering a pregnancy? The research and surveys done through Glu surveys up to this point has already shown that there insufficient published literature about past pregnancy management. This new survey hopes to change this.

Insulin Allergy? Our Diabetes Educators Discuss

Not all problems with diabetes are cut and dry. Recently, my fellow certified diabetes educators, Gary Scheiner, Lisa Foster-McNulty, and I put our heads together about an insulin allergy question.

Diabetes and Air Travel: 6 Tips and Tricks!

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.

Can when you eat affect heart health?

Cow's milk has been thought to be a possible risk factor for the development of Type 1 diabetes. New research shows that while most cow's milk formulas do not raise the risk, one type of baby formula could be linked to a greater chance of developing Type 1 when given in the first week of life.

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

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.

New Lilly program provides discounted insulin pricing

If you are paying full retail pricing at the pharmacy for insulin because you do not have insurance, or are in the deductible phase of your high-deductible insurance plan, you may soon be able to get a little relief.

New Hope: Glucagon for the dual hormone artificial pancreas

We are all so eager for a commercially available closed-loop "bionic pancreas" system to hit the market. But glucagon isn't stable for any great length of time after it is reconstituted, so researchers are working on developing a more stable version of it. Read on to learn more about progress on that front!

All-star team collaborates on closed loop system

Guess who is working together to integrate their respective technologies into the International Diabetes Closed Loop (IDCL) trial, which is funded by the National Institutes of Health and slated to begin before year's end…!

An Update on the Eversense CGM

New info about a 90 day implantable sensor which is inserted via a surgical procedure and features a transmitter which is body-worn over the sensor.

A triple therapy approach to Type 1 diabetes

Type 1 diabetes treatment doesn't have to be about just insulin anymore. There are many new medications on the market aimed at treating Type 2 that provide glucose control through various pathways. Type 1 management is starting to incorporate some of these agents for improving glucose control.

Abbott gets premarket approval from FDA for FreeStyle Libre Pro

Folks with diabetes in the USA may or may not be aware that in other parts of the world, people with diabetes are using the Abbott Libre. It's a form of CGM (Continuous Glucose Monitoring) that doesn't provide alarms for out of range blood glucose (BG) levels, but it also doesn't need to be calibrated in order to track BG levels, and a sensor is worn for two weeks.

New faster rapid-acting insulin coming soon

As fast as rapid-acting insulin is, the phrase "slower than molasses in January" is a better descriptor for how quickly it works as compared to the insulin made by a normally functioning pancreas. It takes about 4 hours for it to finish working, for crying out loud! In the not-so-distant future, we may have insulins available that improve upon the action of our currently-approved mealtime insulins.

Free support & mentoring for living with diabetes

Tens of millions worldwide have some form of diabetes, and an estimated 60% or more don’t know anyone else in their lives who lives with diabetes as well. Are you one of them? Learn about a free support system!

Have you been denied Medicare coverage for CGM?

If you are a low-income Medicare beneficiary with diabetes who requires multiple daily injections of insulin, or insulin pump therapy, and also have hypoglycemia unawareness, we have some good news for you! You may be eligible to receive help with your appeal if you have been denied coverage by Medicare for a continuous glucose monitoring (CGM) system.

Medicare and Diabetes Technology Insurance Coverage

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.

2016 Blood Glucose Meter Comparisons

Meters should be within 10% of lab values to be considered accurate. The more often a meter falls within 10% (or 10 points) of the lab value, the more reliable it will be.

Tandem gets FDA clearance for remote software update tool

Wouldn't it be great to be able to get a software update to your existing insulin pump when your pump company comes out with new innovations rather than having to wait until your pump is out of warranty and you are due for a new pump? It's frustrating when you want the latest and greatest version but have to wait. Fantasy should be becoming reality sooner than you think.

Improvements in New Microneedle device for Type 2 diabetes

There is some early research on Type 2 patients showing that a novel way of administering insulin may give better insulin coverage of meals and help to provide better after meal blood glucose (BG) control in Type 2 patients. In the future, it's possible that we could all be giving insulin in a different way than we do now. For details, read on!

The Challenge of Diabetes Management & Air Travel

Did you know that about 10% of travelers with diabetes report that they've had a diabetes-related complication during air travel? Let's take a look at some guidance on how to avoid problems with diabetes management during long distance travel.

Finding a diabetes clinical trial just got a whole lot easier

Have you ever wanted to participate in a clinical trial for diabetes so you could play a role in the development of a new product or make a contribution to our body of knowledge about the cure/prevention/treatment of diabetes, but didn't know how to do it? The process is now much more user-friendly than it has ever been!

Back to School for kids with Diabetes

Heading back to school is an exciting and anxious time for most and no doubt diabetes can add to that anxiety level. Whether your child is very young, newly diagnosed or maybe just heading to a new school this year, the thought of going back to school may have you both on edge.

Companion Medical wins FDA nod for InPen insulin pen

Companion Medical won FDA 510(k) approval for its wireless-enabled InPen insulin pen and mobile application. InPen is a new injector pen that actually contains computer chip technology built right into the base, including Bluetooth LE wireless capability.

Medtronic Introduces New Pump – August 2016

Among the more exciting developments from from AADE was the unveiling of Medtronic’s new 630G insulin pump, which received FDA clearance just a few days ago. I had a chance to “play around” with the new pump, and here’s what I learned...

A Note From Gary

I’m writing to you as a person with diabetes or a loved one who I know is concerned with making sure that new diabetes technology is approved, covered and utilized to their fullest capacity by the most people.

Practical CGM – by Gary Scheiner

An invaluable source for people with diabetes as well as the diabetes experts who care for them. Use of real-time continuous glucose monitors among people with type 1 and type 2 diabetes is growing rapidly and should continue to grow until an artificial pancreas is brought to market.

Eversense 90 day implantable CGM approved in Europe

A company called Senseonics has announced that its Eversense Continuous Glucose Monitor (CGM) received CE Mark approval in Europe. It will launch is Sweden in June and in Norway and Denmark by the end of the year.

Working towards a stable liquid glucagon

When new drugs hit the market, lots of research has been done to evaluate their safety and effectiveness. When you hear about drugs that are in development and the results of research that is being done, you are often hearing about phase III clinical trial results.

Improving A1c may help bone health in type 1 diabetes

Some encouraging research was presented at the European Congress of Endocrinology meeting in May of this year. It showed that improving the A1c seems to ease loss of bone mineral density (BMD)and bone turnover in people with type 1 diabetes.

Artificial Pancreas Systems – What’s in the Future?

There are a multitude of different groups working on hybrid closed loop projects, and each one runs on its own unique proportion of automation and brain-power. Here are a few of the projects that were presented and discussed at the ADA Scientific Sessions in New Orleans this past June.

Nutrition to control diabetes

Do you need a nutrition makeover? If you have diabetes, you need to manage your weight, blood glucose (BG), blood pressure (BP), and cholesterol levels. Food choices can help us to do this.

Running a Marathon with type 1 diabetes

My name is Jacob Seltzer, I am 20 years old, and a Type 1 Diabetic. I was diagnosed with diabetes on my half birthday, November 21, 2011 at the age of 15. I have had diabetes for roughly 5 years and I do not let it get in my way. I am currently going into my junior year of college at Stony Brook University as an athletic training major.

The importance of lower blood pressure targets

High BP is called "the silent killer" because generally there are no symptoms of hypertension unless the BP is dangerously high. Given the high risk for cardiovascular disease that goes along with a diabetes diagnosis, it's important to know what BP range to target to stay safe.

How to Avoid Diabetic Ketoacidosis (DKA)

DKA is serious, and can be life-threatening. It might have been a really long time since you've been in diabetic ketoacidosis (DKA), or maybe you've never had it. But, if you have type 1 diabetes, you are at risk.

Diabetes Patient Advocacy

By Bennet Dunlap -- Father of Two T1 Kids and Diabetes Advocate (It is OK to Skip to the Shortcuts Below  :-D) [...]

Diabetes Friendly Foods

What do I eat? Diabetes & Diet If you are new to living with diabetes (or you've lived with diabetes for years [...]

Dexcom G5: Not just a matter of convenience

Dexcom's recent release of their G5 system introduces a number of opportunities and a few challenges for people with diabetes, as well as those who care for and treat them.

Double Your Pump Volume

Lilly recently began marketing their U200 Humalog Kwik-Pen. This pen contains rapid-acting lispro insulin that is twice as potent as ordinary lispro.

When Low BG Frenzy Hits

We've all been in the position of having a bad low, where all you want to do is eat everything in sight. There's no reasoning with yourself. It's like a demon has hijacked your self-control!

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

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.

Are Two Hats Better Than One?

We all have many hats that we wear in our lives - parent, partner, colleague, community member etc. For me, two of my most important roles are that of being a mother and a Diabetes Educator. The fact that my son has type 1 diabetes means that these roles intersect and overlap on a regular basis.

ADA Scientific Sessions Recap

It is with great pleasure that we have a special opportunity to post Dr. Steve Edelman & Dr. Jeremy Pettus's ADA recap from the recent ADA Scientific Sessions in Boston.

Eat Out, Eat Well

Practical resources and great information are key elements in managing diabetes on a 24/7 basis.

June 2015 FREE Webinar

Join us for a FREE Live Webinar: “Advanced Carb Counting” Presenter: Jennifer Smith, RD, LD, CDE – Director of Lifestyle and Nutrition [...]

Which ‘Tide to Ride?

When it comes to managing type-1 diabetes, insulin is no longer the only treatment option. Yes, insulin is necessary, but there are other injectable medications that can serve as powerful supplements to insulin. These medications can offer benefits to those trying to improve their after-meal glucose levels and/or shed unwanted pounds.

A New Sweetener on the Shelf

I recently read about FDA Approval for a “NEW” sugar substitute…Advantame. Interesting name – it would appear the creators believe there is [...]

Can You Feel The Vibe?

Vibe is the first and only insulin pump to integrate all the features of the Dexcom G4 display module into the pump itself. That’s right! No need to tote around a separate CGM display. I was given a 2-week trial/demo of the Vibe by Animas in mid-December, and promptly wore it on a one-week family cruise vacation and through the holidays. I must say, having the Dexcom CGM data right on the pump gave me a nice sense of autonomy.

The Bionic Pancreas

When I hear the word “bionic,” I can’t help but have the opening theme of the 70s TV show “The Six Million Dollar Man” pop into my head. Then I come back to the 21st century, and ponder the exciting innovations of the bionic pancreas project.

Pumping: Ease Of Use Matters

These days, insulin pumps have sooooooo many features, it’s hard to pinpoint which one is truly best. Each pump has its share of strengths and weaknesses - So, keeping with our practice’s policy of keeping an open mind and offering up objective, practical information, we decided to put each pump’s bolus entry mechanism to the test.

Healthy Holiday Habits

Sometimes eating at parties feels defeating when so much goes into choosing and counting when you live with diabetes. Most parties that we attend have so much food, everything looks great – but when we live with diabetes it gives us more to chew on so to speak!

Breaking the Download Code

Here’s how anyone (PC or Mac user), anywhere, can download their dexcom G4 to Diasend to view data and reports!

The Best Defense is a Good Offense

Poorly controlled diabetes (both type 1 and type 2) is a major risk factor for cardiovascular complications, and adults with diabetes are 2 to 4 times more likely than those without diabetes to suffer from heart disease or stroke.

Back In A Flash?

Abbott's new Libre Flash glucose monitoring system has been approved in Europe

My Try-Athlon

My key to a successful triathlon.....I had BETTER GLYCEMIC CONTROL!

A1c – Size Does Not Fit All

The American Diabetes Association (ADA) released a new position statement that specifically addresses the needs of people with Type 1 across the lifespan.

Diabetes – A personal journey.

At the ripe age of 40 I was diagnosed with Adult Onset Type 1 diabetes. I had all of the usual symptoms: weight loss, fatigue, frequent trips to the boys’ room. Of course, I never thought it could be diabetes; certainly not Type 1.

Kings and Queens of Carb Counting Share their Secrets

The results are in. Apparently, there is universal interest in the topic, because we received hundreds of entries in our carb counting contest from people as far away as Eastern Europe and Australia. We all think we’re “experts” after years of label reading and WAG counting, but our three winners really showed their expertise and scored high in all three sections of our Integrated Diabetes Carb quiz.

The Buddy System

A few months ago, I went on (blog) record to share the news that my A1c peaked above 8% for the first time in more than 2 decades. I listed a plethora of possible reasons (better known as excuses) – travel, burnout, stress, junk food, etc… What I DIDN’T do was what I do for a living: profess a solution. Because, quite frankly, I didn’t think I had it in me to stick to whatever I came up with. Now that’s changed.

Jenny & Lisa Review the 530G

Medtronic’s new 530G Insulin Pump with Enlite CGM represents the first step towards closed loop technology. 530G is the first pump/CGM combination that acts upon a glucose value automatically, without the user’s intervention. To see if the system is all it’s cracked up to be, we had our Director of Patient Care & Education (Lisa Foster, MSN, RN, CDE) and our Director of Lifestyle & Nutrition Services (Jennifer Smith, RD, LD, CDE) – both experienced pump/CGM users and trainers – wear 530G for several weeks and offer their candid feedback. Here’s what they had to say.

To Each His Own, Diabetes-Style

Different meters for different bleeders. Different pumps for different chumps. Call it what you want… diabetes management preferences are unique to each individual.

These Are A Few of My Favorite… APPS

In the world of diabetes management, anything that makes living with diabetes better and easier is worth putting on my favorite things list. Here are a few of my favorite Apps!

We Do More Before 9am…

I must admit, I don’t consciously think much about having diabetes. I do what I do on auto-pilot most of the time.

My Diabetes Confession

I think my practice does a pretty good job helping people to meet their diabetes management goals. But quite frankly, my control stinks. My A1c has crept up to nearly 8%, and despite using a pump and CGM religiously, I still experience more than my fair share of lows.

The Amazing “Magical Diet”

The age old (really old!) question is always, “What diet is best for________?” Since we live with diabetes, that’s usually the fill-in-the-blank.

Diabetes Burnout

Whether you’re an old pro and have been managing your diabetes for years or if you’re new to the world of tracking, counting, adjusting and managing your blood sugar – burnout can strike anyone at anytime.

Sensor Vs. Sensor

In the diabetes industry, the “war” has traditionally been “meter vs. meter” or “pump vs. pump.”

Pregnancy Resources

You don't have to deal with the trials & tribulations of managing diabetes during pregnancy alone.

Pump Settings

Forms to download for your pumps. In PDF and word format.

Mealtime Dosage Calculator

The mealtime dosage calculator is intended as an aid in figuring mealtime rapid-acting insulin requirements. It should only be used under the supervision and guidance of your health care team.

Carb Quiz

A test quiz to assess your carb counting skills and determine where you may need to work on your carb counting accuracy.


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