jbowler
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  • Kerby, OR
  • United States
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jbowler's Discussions

How many of us have health insurance and feel that cost issues get in the way of our diabetes management?

Started this discussion. Last reply by christy Sep 8, 2011. 17 Replies

On the tudiabetes front page today: "11% of TuAnalyze users have no health insurance, and of these 64% report that cost issues get in the way of ideal diabetes management." Ok, that's obviously a…Continue

 

jbowler's Page

Latest Activity

jbowler replied to joey's discussion 'tips for going to an amosment park. and water park' in the group OmniPod Users
"If you can put the pod somewhere where it won't get whacked off. The lower rear back works ok for me normally, but things like waterslides could easily be a problem. Look at getting some swim gear that covers the pod. A tight shirt can work…"
Aug 17
jbowler replied to joey's discussion 'tips for going to an amosment park. and water park' in the group OmniPod Users
"I've never had a problem with hot tubs or, for that matter, saunas. Hot tubs aren't normally hot enough to cause significant sweating, though I guess there are exceptions (well over 100F) and, while saunas certainly cause me to sweat there…"
Aug 17
jbowler replied to Linny's discussion 'Insulet a non-preferred provider' in the group OmniPod Users
"You don't have to use COBRA: https://www.healthcare.gov/what-if-i-currently-have-cobra-coverage/ When I retired (2001) COBRA was ridiculously expensive so I simply used a private policy. For certain you will have to cover the deductible.…"
Aug 17
jbowler replied to Jim's discussion 'Insulet, Dexcom agree to develop integrated pump-CGM' in the group OmniPod Users
"Totally bogus patent of course; it was done 20 years ago with the Palm Pilot and existing glucose monitors: http://www.hanselman.com/blog/TheSadStateOfDiabetesTechnologyIn2012.aspx The really sad thing is that this is a patent war being fought for…"
Aug 13
jbowler replied to Jim's discussion 'Insulet, Dexcom agree to develop integrated pump-CGM' in the group OmniPod Users
"Well... clearly if there is no pod I'm not using the pump to inject insulin, so if I don't change the pod for 48 hours (as happened last weekend) I *must* have injected insulin, so I almost certainly have insulin-on-board when I activate…"
Aug 12
jbowler replied to Jim's discussion 'Insulet, Dexcom agree to develop integrated pump-CGM' in the group OmniPod Users
"I have to admit after three days on MDI because I was diving (so too deep under water for the pod) I'm considering abandoning the Insulet blood glucose handling and using a separate app on my telephone. The PDM is very happy to tell me what…"
Aug 11
jbowler replied to rgcainmd's discussion 'Clock on PDM' in the group OmniPod Users
"The pod expiry is controlled by the pod, so errors in the PDM timer don't help. The pod just counts down from the moment of activation (when it beeps). John Bowler"
Aug 11
jbowler replied to rgcainmd's discussion 'Clock on PDM' in the group OmniPod Users
"Yes, I believe it is consistently slow. Mine is currently running 2 minutes slow and that's after three to four weeks. Some inaccuracy is to be expected in a device this cheap that doesn't have a connection to GPS or the internet, but such…"
Aug 11
jbowler replied to gorajekd's discussion 'OmniPod Failure Help!' in the group OmniPod Users
"I saw the end-of-bolus errors repeatedly after I first got the new PDM/pods. They went away after a while. There was no correlation with the pod lot number that I could determine; for a while I was posting lot numbers on tudiabetes but all that…"
Aug 7
jbowler replied to Jim's discussion 'Insulet, Dexcom agree to develop integrated pump-CGM' in the group OmniPod Users
"That's how I feel too, though in my case I was never able to get the Dexcom to work (this was a couple of years back, prior to the G4). Low energy BT with good encryption is the only way to go. Having a published interface would potentially…"
Aug 6
jbowler replied to Linny's discussion 'Insulet a non-preferred provider' in the group OmniPod Users
"I have to admit I don't understand. I think my insurer uses the same terms too, but it's one of the things I find incomprehensible (in my defence, I didn't grow up in the US, some of the culture still eludes me!)"
Aug 5
jbowler replied to Linny's discussion 'Insulet a non-preferred provider' in the group OmniPod Users
"Yes, correct - before I changed insurers at the start of this year I was with BCBS and they did, indeed, drop Insulet at some point and require that supplies go via a third party. I'm back with Insulet now because I'm with ODS (moda); the…"
Aug 5
jbowler replied to Emily Coles's discussion 'Consensus Conference on glucose monitoring, patient input needed!'
"My wife's algorithm: ask the pharmacist the exact day when the prescription can be refilled, enter the count of days into the calendar, call *every* day the prescription can be refilled, regardless of need. One thing I like about living round…"
Aug 4
jbowler replied to Emily Coles's discussion 'Tell FDA your thoughts on the proposed Nutrition Fact Label (by Aug. 1)'
"One, post comment, question I'd be interested in seeing the answer to. Given the example label: Total Carbs 37g Dietary Fiber 4g Sugars 1g Added Sugars 0g and ignoring the serving size change, assuming *you* consumed a 2/3cup (55g) serving,…"
Aug 4
jbowler updated their profile
Aug 4
jbowler replied to Emily Coles's discussion 'Consensus Conference on glucose monitoring, patient input needed!'
"Overall comment: so far as blood glucose monitoring is concerned it is essential to distinguish diabetics with *no* residual insulin production capability from those who are able to produce a reduced (even a considerably reduced) amount of…"
Aug 3

Profile Information

The PRIMARY person in my life who has diabetes is
me
The PRIMARY person in my life who has diabetes has
I don't know what type of diabetes
How do you hope to benefit from TuDiabetes?
I've never had an antibody test, but my body certainly produces no insulin.
Date diagnosed
January 1, 0197
Most recent HbA1C %, date of result (optional)
[varies]
Type of treatment/devices you use
Shots, Pump, Diet and Exercise
What pump model do you use, if any?
Omnipod
Tell us more about you (optional)
I scuba dive and swap back to MDI when diving.

About me

I developed diabetes (juvenile onset) around the age of 12; I think it was 1972 or maybe 1973. It took maybe a month to develop fully, at the end I had to p*** pretty much every 40 minutes; something I remember very well because I could barely last a single lesson at school.

Since then I've taken bovine, pig and now human insulin. Initially mixed regular and protamine-zinc (PZI). Yes, mixed! Don't laugh, it wasn't funny. Of course that resulted in overnight low blood sugars throughout my youth.  Anyway that, and the sensitivity to non-human insulin in the form of very rapid lows, is in the past.

More recently I took Ultratard (or the Novo equivlent) for my basal supply then, when that was discontinued, Lantus. (Lantus is a ridiculously overpriced bad imitation of Ultratard so far as I'm concerned.)

I've used regular then Humalog during the day. These days I take 4 units of Humalog before any significant meal, 2 or 3 for high blood sugar and small amounts of food.

My diet ended up being basically starch free (Bernstein with fruit ;-). I and my wife had been trying to get reduced A1C levels and that led to the abandonment of the starch diet.

With the availability of a tubeless insulin pump (Omnipod) I swapped to that. That allowed me to relax the starch free diet and be much more proactive in my control - I could inject less than 2 units of insulin at a time!

Today I'm still on the Omnipod and still trying to get the balance right between the basal dose and the per-meal (or per-correction) doses. I'm also scuba diving on a regular basis and, as a result, going back to temporary MDI (Lantus+Humalog) on a regular basis.

My contact information is jbowler@acm.org - I use lots of spam filters, but simple text email normally gets through fine.

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Comment Wall (11 comments)

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At 4:36pm on October 20, 2013, artwoman said…

I (think I did it corRectly) sent a request to be a friend. I am in Portland, fairly recetly moved here. It will be two years next week. I am looking to connect with other adults with type 1 who are very proactive. Thanks
Artwoman

At 6:18pm on April 8, 2012, Linda G said…

Hello! How Do You Do, and HAPPY BIRTHDAY to you jbowler...
Best Wishes NOW....and for the rest of the year!
Have a GREAT "ME" DAY :)

At 9:10am on April 8, 2012, SEAGATOR said…

Happy,Happy Birthday,jbowler. I wish for you a most wonderful day. ENJOY!!!

At 5:47am on April 8, 2012, brokenpole said…

Happy Birthday, jbowler!! Hope you have a wonderful day and get to have some fun. Enjoy your special day.

At 7:03am on July 30, 2011, Donna H said…
Welcome to TuDiabetes! Check out some of the groups -- it's a great way to get to know the community.
At 3:46pm on July 27, 2011, Doris D said…
WELCOME TO OUR REALLY BIG (WORLD WIDE) LOVING, CARING AND UNDERSTANDING FAMILY!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! If you need anything just ask.

Here's a link to help our newbies get to know us better: http://www.tudiabetes.org/notes
At 12:13pm on July 27, 2011, Marie B said…
hello and welcome! You might want to take a look at this Group

http://www.tudiabetes.org/group/drbernstein
At 11:13am on July 27, 2011, andy chen said…
I love you, my husband.
At 9:35am on July 27, 2011, SEAGATOR said…
Welcome to our wonderful family. We are a very caring and supportive group. Questions? Please feel free to ask us. WELCOME!!!
At 8:12am on July 27, 2011, brokenpole said…
Welcome to the family!! On this forum you will learn so much. Most of all you will learn that you are not alone. Everyone here is supportive and will provide answers to your questions. Search the site for answers. Read the discussions and blogs for information. There are videos to help you understand diabetes and its treatment. Most of all there is family to talk to and even to vent to, if needed. Welcome home.

Jbowler's Blog

The emporer's new PDM

Posted on December 20, 2013 at 6:00pm 5 Comments

So here I sit in my castle with my high blood sugar: 249.

I've also just eaten a sweety, a chocolate covered biscuit; 7g my wife says.

So I use my magnificent new golden PDM to enter a bolus and it says I need zero (0) units:

Suggested bolus: 0.00u

Meal (7/12) = 0.55u

Correction:

(249-100)/64 = 2.30u

Meal IOB:

(3.60u) = -2.30u

Correction IOB:

(0.55u) = -0.55u

-----------------------

Total = 0.00u

? on my magnificent…

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From the Diabetes Hands Foundation blog...

Diabetes Among Hispanics: We’re not all the same

US Hispanics are often portrayed in the press as a single, monolithic group. But anyone who has spent any time in San Francisco’s Mission District or the Bronx can tell you, we’re not all the same. Now we’re finding out Read on! →

Diabetes entre los hispanos: no somos todos iguales

Traducido por Mila Ferrer.    A menudo los Hispanos en Estados Unidos son retratados en la prensa como un solo grupo, monolítico. Pero cualquiera que haya pasado algún tiempo en el  Mission District de San Francisco o el Bronx se Read on! →

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