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May 27th, 2012
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Too often, we look at the 7-day, 14-day, and 30-day trends on our blood glucose monitors, see numbers that look great (or horrid), and rather than seeing an A1c that confirms those readings, we get a number that would appear to have come completely out of left field. (Or Mars. Or the Andromeda Galaxy. It's hard to say exactly where.) We can either scratch our heads and wonder why the numbers aren't correlating, or we can take out our manual readings logs, our meter downloads, our CGM downloads, and our personal journals and try to figure "what we are doing wrong".

 

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If anything can make having diabetes "fun", it's the cool toys I get to play with. While I don't consider myself within the normal confines of geekiness, I'm one of those folk who feel lost without multiple computers and a broadband Internet connection to-hand, and the ability to capture and analyze data up the wing-wah. (Whether or not I actually use that ability, or use it consistently, is another story.)

 

Managing diabetes falls right into the obsessions of a data wonk.

 

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The doorbell rang randomly today. My mom answered and received a package. Medtronic. I just received my supplies, so I wasn't sure what it could be.

 

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I've been under 100 for half of the last ten blood sugar checks. My lows are mostly in the seventies and eighties now. Only three below 60 in the past week. My averages are steady at 133, with certain times of day at 110 while others average at 158.

 

I'm certainly not complaining about good numbers and amazing averages. It's taken years of blood, sweat, and tears to get my diabetes where I want it to be. I actually feel like jumping up and down for joy at the moment. I can see the future ahead of me, not tainted by complicated pregnancies or kidney disease.

 

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In addition to the normal things I worry about (I worry. A lot.), like, did I remember to feed the dog and did I mail the cable bill, I worry about my kids. Why does The Bug only have three teeth, still, when she's a year old? Is she going to be the only toothless kindergartner? Will Boo ever learn to say chocolate properly? (Don't follow that link unless you have a sense of humour.) Did I get everything on Olivia's back to school list? Is my son going to have that horrendous beard for the rest of his life? (Seriously. It's hideous. It's like pubic hair. Nasty.) But now I'm worrying incessantly about Isobel.

Maybe it's a fluke, maybe it's a urinary tract infection. Maybe she's just not peeing enough during the day and it's all coming out at night. Maybe maybe maybe.
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Over the past month, it seems like I've had a lot of "intuitive" feedback. No, I'm not talking about my own psychic revelations. I'm talking about diabetics citing intuition and their body's signals as their diabetes beacon. It seems readers across the web are using their body's feedback as their guiding light to treat blood sugars. And I have to say...I'm not all that pleased.

 

I can definitely understand where they are coming from in these statements, but I also have to say that I don't think it's a wise choice. At least not for me. For me, it could be a life or death situation.

 

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There has been much heat in the diabetes online community concerning the new Medicaid/Medicare restrictions on paying for blood glucose testing supplies for people with diabetes, including the belief that these limitations will quickly replace current private-insurance coverage policies. We're seeing some of those repercussions here as The Other Half has just been informed that instead of covering testing supplies ad libitum (as many as his doctor writes for, for whichever brand she writes for), they will only cover OneTouch or Accu-Chek strips, to a maximum of 51 strips per month for people with diabetes who do not require injectable insulin, and 204 strips per month for those who do require it. (READ MORE)


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ADM logoI 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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When I have a lot going on, I always put aside testing my blood sugar. I'll go from checking 10 times a day to checking 4. With that much of a drop in tests, I can easily see my numbers start to rise across the board. So now that I've sat down with my logbook for the first time in two weeks, I can see the times of day that I don't test and what follows that.

 

I'm relentless about checking first thing in the morning. As soon as I wake up, my meter is sitting right beside me so it's easy to check before my feet even hit the floor. That regimen allows me to start my day off with a good decision: juice for lows and insulin for highs. Unfortunately, the rest of my day doesn't go as smoothly.

 

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Doing my final preparations for tomorrow's presentation, I put together a last-minute shopping list of materials I need to demonstrate some of my "Connected Medical Devices". I'm not quite sure why I started off thinking I needed to bring (almost) every glucometer in my arsenal, but the list started accumulating strips for my OneTouch Ultra meters ("pick a meter, any meter"), my Bayer Contour USB, and my Wavesense Presto. (READ MORE)


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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
George Simmons
George SimmonsGeorge Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)
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