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February 9th, 2012
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I recently solicited questions and got a taker (whoo!). katdiego asked: "Hi Julia, My daughter is almost 11, dx'd at age 6, wears a pump. I'm curious about puberty. At what age did you start noticing a monthly trend? What can I expect? I had heard that girls start showing an increase in insulin needs monthly for quite some time before they actually start to menstrate. And what about teenage rebellion? Does your daughter still take care of herself? Any advice on keeping you child engaged and conscientious about their diabetes care? Has she experienced burnout? I apologize if you have talked about these things previously. "

She also gave me some lovely compliments, so thanks, kat.
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The day before Charlie was to begin playing ice hockey for the first time, we went to the rink to break in his new skates and get a little practice in.

 

As it is with just about everything we do, decisions need to be made regarding Charlie's diabetes. Do we adjust basals? Maybe. Does he skate with pump on or pump off? What do we do with his testing supplies? I didn't want to hold the bag while skating the whole time yet I couldn't leave it behind in a locker. I ended up stuffing my coat pockets with alcohol wipes, peanut butter crackers, a juice box, test strips, a pricker and the meter. With a camera, cell phone and keys also in my pockets, it's a wonder I was able to move at all.

 

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I just got home from playing two softball games tonight and I am not very happy. The first thing on my mind is that we lost. On top of that, I just tested my sugar and I was way too high...300 to be exact. "OH MY GOD!" I was mad! I could have sworn that I took the necessary steps before the games.
Let's back up to the pre-game diabetes ritual. "Let see, I don't want to eat too much food before exercising." Tonight, I choose chips and dip and a bagel. "Ok, time for a shot of insulin." I factor in what I just ate and how many hours the games will last. "Six units should hold me over". When I get to the ballpark, I test my sugar and it's 131. I'm happy; but, just to be on the safe side, I gobble down a banana and some orange juice so I have no chance of getting low. (READ MORE)


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I must admit that I do wonder how in the *&%^ing world Broncos quarterback Jay Cutler manages his sugar during what I can only assume to be an intense several hours every Sunday. I asked a friend of mine, who has type 1, how she managed her sugars when she recently ran a marathon. They were, predictably, up and down. But from a novice's standpoint, it seems like she may have had more luxury of stopping to treat a low or deal with a high. There are no TV timeouts in community marathoning, though.

 

When a professional sports team – and all that comes with it including your job, sponsorships, advertising, ad nauseum – are essentially riding on whether or not you can throw a football to a guy 50 yards down the field without getting sacked, the stakes are a little higher.

 

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While my primary cycling fandom allegiance is to Team Type 1, since our household worships at the shrine of La Grande Boucle, you'll often find me streaming the day's race video on my computer, or when Versus or Universal Sports covers it, on the TV. So it was this morning, as the first of the three Grand Tours, the Giro d'Italia, played out its third stage.

 

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Yesterday, I discussed how I'd like diabetes healthcare providers and the healthcare industry to better use existing tests and technologies, and how I believe our current crop of devices and programs might be developed in the near-term future. Today I'm going to discuss items that will take a bit longer to develop and get through FDA approval, or which may take technological and medical breakthroughs to bring to fruition.

 

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I have been working out about 4 times a week for SEVEN months now!  This is a lifetime record for me, working out consistently for so long.  I'm really starting to see a difference, and as soon as I figure out my health-care strategy, I expect to see results via my A1C test.  I have reached one goal already - the ability to play tag with my son until he gives up, not until I collapse.

 

I have found there are more downsides to getting fit than I expected.  Time, money, and physical effects are all turning out differently than I expected.   

 

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Charlie will play organized baseball for the first time tonight. He's super excited. It's also the first time he will have a coach other than me. I've coached Charlie's soccer team for the past few seasons.
This doesn't make me nervous though. It actually allows me to have my eyes on him a little closer now that I won't be dodging soccer balls launched at my head or wearing 40-pound children as slippers. But it does necessitate some fair warning to the coach regarding Charlie's diabetes. Not just for safety purposes. I like the coach and I don't want to put him in an embarrassing situation. (READ MORE)


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I have enough trouble managing my sugar when I take my daily walk, I can't imagine being a person with diabetes who is also a profressional sports player, or a body builder or even someone who decided to participate in a triathlon.

 

For some reason, the idea of someone like Doug Burns, who is Mr. Universe, managing type 1 diabetes is easier to accept than someone on a professional sports team. It seems like a professional body builder has more time to stop, test and adjust if need be. Or, maybe I just don't know that much about body building.

 

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We're constantly weighing things. Weighing grams. Weighing negatives. Weighing the lesser of two evils.
On the soccer field at halftime I weigh the effect grapes will have on Charlie when his blood sugar is 260. I weigh this against the sadness he'll have if he's the only kid unable to enjoy a halftime snack. This one's easy though. I'll never ever subject him to exclusion.
But, how many grapes? I don't like that he's 260, but he's running around like a wildebeest for two hours. He should come down. Right? Well, maybe. He may also go up higher with all that adrenaline pumping. He may just stay the same somehow and then plummet later. I can't bolus him and risk a low.
But there's that difficult decision again. The rest of his teammates are reclining on soccer ball pillows and popping grapes like Julius Caesar and I've allotted Charlie a measly three. (READ MORE)


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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)
Brenda Bell
Brenda BellBrenda was diagnosed with high blood pressure, high cholesterol, and Type 2 diabetes in July 2002. After a rocky start, her diabetes has been diet-controlled since January 2004 and she hopes to keep it that way for as long as possible. (Read More)
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