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.
Medtronic’s Hybrid Closed Loop System: Getting More Bang For Your Buck By, Gary Scheiner MS, CDE, Jennifer Smith RD, LD, CDE, Alicia Downs RN, MSN, CDE, Annette Valle RN, CDE It’s been about a year and a half since we started using and training/managing patients on the Medtronic 670G “hybrid closed loop” system. And we’ve learned a lot. We’ve learned that 670G is beneficial for some, but it clearly isn’t for everybody. Yes, for the “average” person with diabetes, it can produce improvements in glucose control while helping reduce the risk of dangerous hypoglycemia. But there are limits to the degree of glucose control that can be achieved, and there are many hassles and extra tasks involved with using the system. There are other hybrid closed loop systems that are already in use, despite not being on the “FDA approved” list of systems. Loop and OpenAPS systems are highly effective for improving glucose control, but they require special equipment and an “app build” to get them up and running. Tandem’s T:Slim with Basal IQ is easy-as-pie to use, but it only turns off basal insulin to help prevent lows. Other systems are coming to market soon: Tandem’s Control IQ, OmniPod’s Horizon, Tidepool Loop and BigFoot Biomedical’s system are all slated to make automated basal adjustments (similar to Medtronic’s 670G, but with less work on the part of the user), but until the pre-launch studies are completed and the FDA signs off, all we can do is picture them in our daytime fantasies. So for those who want 24-hour automated basal adjustment NOW that is FDA approved, that really leaves just one option: 670G. Medtronic has taking steps to cut down on some of the [...]
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.
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.
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.
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.
You go to bed and your blood sugar level is perfect....Ahhh. Then you wake up and it's awful?! What happened??. Find out the 4 Reasons Why Blood Sugar Can Be High in the Morning
What do I eat? Diabetes & Diet If you are new to living with diabetes (or you've lived with diabetes for years and you are looking for information), you've likely heard a lot about food and how it can affect your blood sugar. Your favorite Aunt might have lovingly told you to stay away from “white” food, and your oh-so-helpful co-worker may have said to avoid “Carbohydrates” – it can lead to a lot of confusion. Food is a basic necessity of life – we need to eat – yes, WE ALL NEED TO EAT!! With the right information as well as some self-evaluation you’ll start to learn how food affects your blood sugar. However, it helps to have a place to start. There are plenty of diabetes friendly foods you should continue to eat and some that you might need to add to help keep your blood sugar levels under control. A good list to get you started will help with making a grocery trip a bit easier and give you some results that please you as well. The foods you eat have a direct effect on your blood sugar levels so eating food to help keep glucose levels in target is key when we talk about preventing complications down the road. It also helps to understand a bit about how the body works to move the food we eat into our body for energy. After eating our digestive system breaks food down into smaller pieces - the one that affects blood sugar most is carbohydrate. This is broken down into a simple form of sugar called glucose. When our body gets the signal that it has been fed, insulin is released by an [...]
Scott Benner is a stay-at-home Dad, a storyteller, a type 1 diabetes advocate and an author.
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 [...]