My dad is a mechanic, so I spent my formative years leaning over engines and climbing on car lifts getting covered in grease stains and rust. So it's probably no big surprise that I turned out to be pretty mechanically inclined which helped develop my skills in assessment and diagnostics as a nurse. I find myself frequently using automotive metaphors for health. When you think about it, the two worlds are not too different. There are all these different size and shape vehicles similar to the different people in the world. Some bodies are specialized and are good at different things, but they all run more or less the same way similar to all the vehicles in the world. Bodies, just like vehicles all need routine maintenance to run optimally and maintain their capabilities over as long a life as possible. 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. Taking your car to my dad or the guy a hundred miles down the road will provide you with more or less the same oil change. For people, this is the equivalent of getting our flu shot at the pharmacy, no need for advanced know how or even to know me as an individual. Just do the thing and move on until next time. Rusty old beater, or shiny new racer, we all get the same oil change/flu shot - this is maintenance. But what happens when there is something wrong? This is where trouble starts. If you let this problem with a car go on for so long, it may [...]
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.
There is no doubt that CGM can improve the quality of life and blood sugar control for just about everyone with diabetes. But which system is best for you?
IDS Clinicians Offer Different Perspectives on the Medtronic 670G after 10 days of use. Read what they have to say...
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.
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.
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.
Everyone needs an outlet for pent-up energy, frustration and negative emotions. I’m lucky enough to have two excellent catharsises (catharses? catharsisis? you get the idea): Exercise and writing.
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.
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.