The first discussion I ever posted here on TuD was about switching to a pump after 37 years of MDI. I received a lot of great advice and eventually decided that MDI was still the right thing for me.…Continue
Just when you thought all you needed to worry about were carbs and proteins when figuring your insulin doses, the Joslin does a study looking at fat. Granted the study is very small only involving 7…Continue
I had so much fun doing BBT's last year and helping the total get to 20000 and beyond that this year I decided to get a head start. On November 15th, 2012 I began an excel spreadsheet of my big blue tests. What started as daily morning walk with Cosmo has morphed into a daily morning walk with Cosmo, a daily after lunch walk with co-workers, and an evening activity of racquetball, tennis, swimming, cycling or jogging on the treadmill. The sample size is small and the n=1 but here is what I…Continue
In the last year I have learned an awful lot about D. I learned what basal and bolus insulin was all about. I learned what a Dexcom was. I learned how to count carbs and lost some weight. I participated in the Big Blue Test and am continuing that this year. An important thing I learned both here and on another DOC is the importance of participation in the community. Whether it's just posting occasionally here or becoming an advocate or member of the care staff who greet the newcomers or…Continue
Recently I sat down with my CDE to go over pump settings and the like. We went over the Dexcom reports I had prepared from the 3 months before getting a pump and the 3 months afterward. She congratulated me on the pretty graphs and shared her frustrations with patients who don't really understand how important it is to control the beast. From her mid-30's lawyer with 3 young kids, wife, busy career and a pump which he doesn't use very well since his A1C is 9 or the teenager in ICU for the…Continue
In an effort to research just how egregiously bad my D control was as a teenager and young adult I ordered up a set of pedi-endo clinic notes from the late 70's and 80's.
I was horrified to learn that from 1981-1985 the lowest A1C I had was 11.6 and the highest was 16.5 with an average over the 5 years of 14.4 ! To put that in perspective, the estimated average glucose for 14.4 is 367. Just about every single note said "poor control" except for the 11.6 because that was such a departure…