As an engineer by training, I find quantitative analysis -- numbers -- an expression of control. Self control, exercise, body function, health and illness... So while I'm fortunate enough not to have to be "Bionic Betty" with a peripheral pancreas, I still refer regularly to six separate instruments, plus additional Web-based resources, to manage my food intake, exercise output, and biometric information.

Weight. Some folk say weighing once a week is enough, but I find that if I don't weigh in every morning, my weight can go off on very health-unfriendly curves. I log my weight both in The Daily Plate and in my personal Excel workbook.

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Acupuncture

I went to a health and benefits fair at work recently and talked to an acupuncturist. Our conversation went a little like this:

Him: I do have some patients with diabetes and I can tell you, we’ve seen some improvement from a combination of herbal therapy and acupuncture.

Me: Type 1?

Him: Yes, type 1.

Me: Type 1?

Him: Type 1.

Me: TYPE 1?

Him: YES, TYPE 1!

To his credit, he did have a clear knowledge of the different types of diabetes and he spoke of beta cells, theorizing that maybe they weren’t dead but rather asleep.

Imagine proposing acupuncture to Charlie.

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Tuesday night, I switched my Lantus over to a once-per-day shot instead of the split doses I'd been using previously. I started with 22 units of Lantus at 8pm. I knew I'd see some highs, but I didn't want to risk an unexpected night low after making the first switch.

And I did see some elevation. I ran mostly in the 180-290 range all through Wednesday, which wasn't as high as I was expecting really. I made sure to consider food in the highs, along with the usual post-breakfast spike. And I was confident that a few more units of Lantus might do the trick (or at least get me closer).

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I have two eyes. 

I have ten fingers. 

I have two legs.  And two thighs. 

I have one insulin pump.   

I have about fifteen blood glucose meters.  

When I was a little kid, my mother used to tell my brothers and me to stop counting.  What she meant was to stop looking at how many cookies someone else got, or how many toys someone else had, or how much money someone else got in their allowance - and comparing it to what we had.  She would say "when you count what others have, and compare, it's easy to forget what YOU DO have."  

Sound advice.

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He stood in the doorway as I put on my shoes and lifted my jacket over my shoulders. He was wearing an "I Love NY" t-shirt and red shorts with his insulin pump clipped just off-center - tubing dangling haphazardly and looping like a roller coaster.

"In school we made these bowls out of clay and we took leaves and we pressed them down into the bowl …"

He spoke.

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As a long-term volunteer at Mile 20 of the New York City Marathon, I have seen many things that runners will do, or put themselves through, to get their bodies through that distance en route to the 26 miles and some odd yards of a marathon. Blisters, cramps, and bleeding are part and parcel for the course. So are dehydration, overhydration, and electrolyte depletion. At Mile 20, most runners visiting the medical station want a quick massage or some Vaseline® before heading back out on the course. While a few runners do drop out, most of those are able to wait for the "sweep bus" to carry them back to the finish line. Exceedingly few runners who require medical aid this far along the course need to be ambulanced out.

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