Does protein effect blood sugar after a meal? Is there additional math we need to do for improved control after meals?
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 [...]
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.
Today, we bring you the top ten list of comments we'd rather not hear, and some thoughts on how we might comment when we do hear them.
It’s great when there are tips or tools that help us remember when to do something or products that make carrying all our “stuff” a bit easier. Little thing can helps us balance diabetes a bit better.
For those of us who use an insulin pump, changing out the insulin and tubing is one of the more time-consuming tasks we have to endure.
By Gary Scheiner I’ve always felt that it takes three things -- I call them the “3 Ts” -- to manage diabetes effectively: Tools, Techniques, and ‘Tude (attitude… but I needed something that starts with “T”). If any of the three is lacking, diabetes management tends to fall apart. Insulin pumps fall into the “tools” category. Pumps are viewed as one of the more powerful and effective instruments at our disposal, but it still takes the skills and desire to use a pump optimally in order to achieve better glucose control and quality of life. Since most people stay tethered to their insulin pump longer than the average marriages lasts, it pays to shop around. There are now SIX different insulin pumps on the U.S. market, and there are differences between them – distinctions that have both clinical and convenience implications. That’s why we have a detailed set of pump comparisons at our website. Recently, I’ve had the opportunity to use one of the “new kids on the block” -- the Snap insulin pump from Asante Solutions, based in California’s silicon valley. I believe the name comes from one of the key attributes of the pump – how easy it is to set up and maintain. Unlike other pumps, Snap is modular. The “brain” of the pump (called the controller) is the only part that is not disposable. The controller has a full-color display and buttons that correspond with the on-screen icons. The controller also stores historical information for on-screen review and downloading. Asante Snap Controller Since a brain isn’t of much use without a body, Snap utilizes disposable “pump bodies” (really… that’s what they’re called!). Each pump body holds a 300-unit prefilled [...]
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.
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.
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.
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.
On June 27, 2014, the FDA announced the long-awaited approval of AFREZZA, an insulin delivered by inhalation, for adults with diabetes requiring meal-time insulin.