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 commented on Mathew's group 'OmniPod Users'
"Consistently high blood sugars would normally suggest that the correction bolus ratio is way off, because the correction boluses fix errors in both the basal rate and the carb/insulin ratio. However for me if my blood sugars were consistently over…"
Tuesday
jbowler replied to Trudy's discussion 'Also Sobering...'
"I believe that if you drink alcohol Ketostix (at least) will register ketones, even though there aren't any there. At least I've just tested both my own (bg 184mg/dl) urine and my non-diabetic wife's (bg 113 mg/dl) urine and we both…"
Oct 11
jbowler replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
"I think it's just mis-design in the PDM. I'm sure the pod doesn't have a clock; it does everything in time relative to activation. I believe the issue is that basal programs are, effectively, programmed into the pod and that means…"
Oct 3
Dave replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
"Not knowing the design of the system, I can't say. However, being familiar with very inexpensive SOC chips (like the PIC as an example), it doesn't surprise me other operations being performed by the pod must be suspended to change the…"
Sep 30
Dave replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
"I agree 100%! It's a bad design in that respect.Further, I believe you've suggested the enhancement elsewhere in other discussions that boluses should be restartable after a pod change too -- a missing feature that baffles me. I ate the…"
Sep 30
jbowler replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
">Remember the suspend feature is "suspend all insulin delivery" -- >it stops any extended bolus you've programmed as well Well, yes; it permanently cancels it without warning you. Another reason for not using suspend. This is a…"
Sep 29
Dave replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
"John, you point out a very important distinction between the operation of the SUSPEND feature, and the operation of the TEMP BASAL feature. I do think we're being a bit hard on Insulet about this, however. Rather, I think they've done the…"
Sep 29
jbowler replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
"I agree. It's a quick easy option and it does the right thing for low blood sugar."
Sep 18
nevada replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
Sep 18
Biedronk replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
"Thanks for sharing. Good point."
Sep 17
Kilij replied to jbowler's discussion 'Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job' in the group OmniPod Users
"Hi John! I always felt that the suspend delivery option was a good one on occasions where my glucose was dangerously low. Were I to lose consciousness, while alone or alone with my young daughter, it would be best that the insulin delivery not…"
Sep 17
jbowler added a discussion to the group OmniPod Users
Thumbnail

Issues with the Omnipod 'suspend' option and why it shouldn't be used where 'temp basal' can do the job

On Tuesday I went swimming/diving with my Omnipod. As is normal I entered the water with a blood sugar of about 150 mg/dl and, before doing so, suspended insulin delivery for one hour.Well, it took 53 minutes to swim/walk up the river to where we wanted to dive and, at the end of that time, the pod was beeping about the end of the suspend. That's fine; a resume then would have started raising my insulin levels in about half an hour.Unfortunately, however, according to the Omnipod manual even…See More
Sep 17
jbowler replied to John11's discussion 'Pod restart?' in the group OmniPod Users
"I don't think the pod ever shuts off after the insulin fill turns it on. I guess power usage is reduced and the motor life extended by an insulin delivery suspend, but the pod is still prepared to accept commands from the PDM so it is still…"
Sep 10
jbowler replied to Dave's discussion 'Another annoyances, improvements for next generation thread' in the group OmniPod Users
"Even with the increased backlight it's still pretty difficult to read in just moderate sunlight. eInk works in the brightest light, indeed I find it easier than paper to read at the beach. Current eInk displays are strictly black and white, but…"
Sep 10
jbowler replied to Dave's discussion 'Well that's a first time...' in the group OmniPod Users
"If you turn on the PDM, press confirm and see a blank screen with just "Last BG", "Last Bolus" and "IOB" written on it followed (after about 3 seconds) by a blank screen with an animated radio antenna (triangle with a…"
Sep 10
jbowler replied to Jim's discussion 'Insulet, Dexcom agree to develop integrated pump-CGM' in the group OmniPod Users
"I did some experiments after I wrote the above too. Since I was going to take the pod off anyway I took it off without deactivating it and stuck it to a plastic bag then put the whole lot in my BC. I then took it swimming to about 55ft with no…"
Sep 10

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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Join Diabetes community by Diabetes Hands Foundation: TuDiabetes

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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