Comment

Comment by miketosh on January 26, 2010 at 6:09am

Howdy everyone. I've had Type 1 for the last 18 years. Live outside Atlantic City.

Comment by Tim Moeslein, RN on January 22, 2010 at 3:21pm

Hey Scott!
Thanks for the comment. You are absolutely right about the need for a nutritionist in the mix. However, like all the other figures in the team approach finding the right practitioner is the key. :-)
Peace+
Tim

Comment by Scott on January 22, 2010 at 6:11am

Tim - Your comment was very thoughtful. After doing alot of reading and some research, and also dealing with CDEs and nutritionists, I think that alot of the problem is the ADA itself. The one thing I've learned is that every one of us needs to deal with diabetes in our own way. Some do well with the ADA guidelines on nutrition and others do well with a low carb approach. Even with its announcement a few years ago that low carb is ok for losing weight, the ADA has not provided practitioners with enough flexibility to accommodate differing ways of approaching the disease. The other issue here is that because food is the one overarching concern for diabetics, nutritionists take on a leading role. Yet nutritionists, by their nature, look to have a nutritionally complete diet, e.g., one that includes a certain amount of carbs. It makes it difficult for them to endorse a diet or lifestyle missing that nutrient.
Just my 2 cents...

Comment by FdMstng99 on January 22, 2010 at 5:56am

Curtis Bay Maryland.

Comment by Tim Moeslein, RN on January 16, 2010 at 6:52pm

Hi group! Just wanted to comment on diabetes educator's rigidity about following the ADA "rules". I would venture to say that most educators are not themselves diabetics for one. Not that one has to have the disease to educate about it but if you have never experienced a blood sugar of 42mg/dl in the middle of the night or while you are speeding down the beltway, then you really do not know the way one feels and the "life or death" feeling you have while trying to get it back to 100mg/dl. Secondly, the AADE/NCBDE certifies educators based on the Standards of Care as published by the American Diabetes Association. Thirdly, if the diabetes center is an ADA approved/accredited center they have to follow those guides. All in all the guides are a sound groundwork from which to start a diabetes management plan.
Diabetes management Has definitely changed focus from how it used to be - go to the doctor, take your insulin/medication and don't eat ANYTHING with sugar to now a more collaborative approach. However, with that said, this new approach places a lot of responsibility on the shoulders of the diabetic. Some guidelines are too rigid for certain individuals and the rules have to modified to match the diabetic and the expected reasonable goals of the diabetes team - which includes the diabetic.
Finally, you will probably run into groups and educators that are just not your cup of tea. No problem,find another. Call your insurance company ask for the current list of providers (nutritionist/support groups/diabetes management classes), contact the AADE and find a Certified Diabetes Educator (CDE) in your area - make an appointment and go prepared with questions and your expectations as well as what you are willing to do to get your disease under control.
Peace+ Tim

Comment by Ken McDade on November 11, 2009 at 5:19am

Today, I woke up, bs was 396, pump was buzzing low resivour, last night caught my CGM on the edge of a table and pulled the sensor out, so I did my adjustments which emptied out the pump, took a shower, shaved the areas for the new infusion set and CGM, changed everything out, finished adjusting for the high, put on the rain gear, and rode into work on the motorcycle. It is true, the only motorcycle you see at a psyciatrists office is the psyciatrist's own bike. Even in the rain a ride does wonders for my attitude. I guess that is the key to a good day, find something you like to do and do it. And whatever you do, stay away from Pizza the night before... I like it but it don't like me...

Ken

Comment by Rebecca on November 10, 2009 at 11:27pm

Hang in there, it's way to early to give up on today! Go ahead and scream (that's what they made pillows for) and then put yourself back together and realize that whatever it is, you are stronger. And no matter how bad today ends up being it really is only 24 hours and then it's over and tomorrow can be better.

Comment by Jawaid on November 10, 2009 at 11:07pm

There are days when I just want to scream. Today is one of those days.

Comment by Doug on September 27, 2009 at 11:12am

Rita, I don't want to sound like an ass, but the reality of our disease is, IT IS SERIOUS! I am very well read on diet, nutrition, the meds, what are they working on, etc... I felt and to so degree still feel like you do. I don't like to be told what to do and how to do it. I don't want to hear I can't eat this or that, but I have to hear it, because I have had diabetes now for TEN years, and it isn't going away, I'm not cured, because there is no cure! You NEED to take this disease seriously, there is nothing light hearted about it! So go to the meetings/classes, curse them under your breath, and try to learn something each time.

Comment by Tom Gallagher on September 27, 2009 at 8:00am

Southern New Jersey/Philadelphia area.

Tom

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