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May 24th, 2012
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When I met with our new CPA for the first time, I brought him everything I could think he would need. In 2008 my family and I lived in two states and between me and my husband we had five jobs.

 

As we sat down to talk taxes, he asked the obvious, normal questions. And then the biggie: he wanted to know if I kept receipts or records from doctor's office co-pays or any other medical treatment. No, of course not, because I had no need to. Well, in Arizona, he said, you can write off your medical expenses, right down to your office co-pays.

 

Well, hot damn, I thought! I have tons of medical expenses!

 

"Co-pays, really?" I asked.

 

"Yes."

 

"Prescriptions?"

 

"Yes."

 

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I have a trusty little pocked-sized notebook I carry around with me where ever I go. I wish I could say it's because I'm a writer or, better yet, a poet or songstress, and must commit the words to paper as soon as inspiration strikes lest they be lost forever. But no, those days are long gone. My pocket notebook serves a much more practical purpose these days. It's my food and exercise journal-slash-blood glucose and insulin log.
I'm almost embarrassed to admit that I'm not one of those technologically savvy girls who uploads her meter and spit out reports. Nope, call me old fashioned, but I keep all the information in my handy little pocket notebook. At least I'm not using quill and ink to write on a parchment scroll. (READ MORE)


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Every so often, the topic of emergency medical identification comes up on one or another diabetes-related forum. Most of us agree we should wear some form of identification in case -- Deities forbid -- we should get hit by a car, pass out in the middle of the supermarket, or suffer any of a myriad of Edward Gorey-esque mishaps when we are out solo, or with someone who is not familiar with our medical histories.This holds true whether we have have diabetes or not, whether we are caregivers for people with diabetes or other chronic illnesses, and even whether or not we are out with our parents, spouses, or adult children.

 

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Blah, blah, blah, here she goes again, pissing and moaning about logging.

Back when the year was shiny and new, as opposed to snow-covered and grubby (and enough with the snow already, ok? I'm SICK of it. Sick.) I resolved to be more diligent about logging Olivia's blood sugars. And for a few weeks I was. And then I forgot for a couple of days. And then it was Thursday and I thought, well, I'll just start over on Monday. And I forgot again.

I've logged in fits and starts over the last 2 months, but mostly, I haven't logged at all. And now she has an endo appointment tomorrow and I'm not going to have that much information to give her and I'm pissed at myself.

I just don't know how to make myself log. I forget. And if I'm forgetting to log, how am I supposed to teach Olivia? I'm not setting a good example at all and they always tell you (who are they anyway?) that you should lead by example when it comes to your kids.
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I'm in the middle of preparing a presentation for my computer user group on "Connected Medical Devices" -- that is to say, durable medical equipment that has the ability to connect to a smartphone, a computer, or the Internet for the purpose of maintaining a log of data points, keeping track of one or more patients' health, or helping one manage his own health.

 

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It's the end of my logging week again, so I'm sitting down to examine the logbook that I hold so dearly close to my diabetes management's heart. The time that I set apart for this goes something like this. First, I update the logbook with my most recent numbers, Lantus doses, and any important comments including new prescriptions, strange food choices, or exercise. Next, I tally daily averages as well as averages for time of day. After that, I analyze those averages compared to the last weeks averages and look for any resounding patterns that might need changing.

 

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ADM logoIf nothing else, diabetes has provided me with stories to tell.

 

Like the time before diagnosis when I peed my pants.  Or the time I told a classmate if they weren't careful, I'd put insulin in their milk and make them diabetic.  Or the time I socked a kid who called a diabetic friend of mine "sugar-freak."  Or the times I've made a donkey of myself during a low.  

 

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Ever since I got my pump, I stopped logging my blood sugars. Typically, I kept a running chart of every blood sugar categorized by time of day and weekly averages. But since the pump stores all of my information and produces such wonderful graphs, I stopped logging.

 

However, those graphs do not show specific blood sugar trends on a weekly basis and the numbers are never directly in front of me (haunting me at times). So I decided that I would get back on the logbook wagon.

 

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This is a breakdown of my first use of the Dexcom CGM. It's had its ups and downs, as you'll see. It's been peace of mind and obsession all in one. Mostly, it's been eye opening to what my diabetes is really like these days.

 

Day 1: I was really excited to start the first sensor. I went through all the setup process. I waited for the receiver to charge, downloaded the software, and prepped my skin for the sensor. The sensor comes with its very own insertion device. The insertion is nothing like the Minimed CGM that I used before. You see the needle in the device, just like you see the needle with the Minimed. However, this isn't a fast, hard insertion. It's up to your own fingers to stick the needle in. Surprisingly, past the initial sting of the needle, it really doesn't hurt at all. Much less than the Minimed for sure.

 

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Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
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