Fiasp Injection_0

The Newest Fast-Acting Insulins – How Fast Is Fast?

I think it’s time for me to send out an update on the new ultra-rapid acting insulins but before I jump into what’s new, let me back up a minute and talk about what’s “old”.  Most of us use a rapid-acting insulin of some kind- mostly either Humalog or NovoLog.  But we all know that these insulins are a FAR cry from rapid acting.  In fact, they are quite the opposite.  How many times have you been high, taken a dose of “rapid” acting insulin, then looked at your CGM 30 minutes later (or tested) and your blood sugar hadn’t moved at all- or even gone UP.  WTF?!  Super frustrating and the number one cause of rage boluses in my personal situation.  Oh, 5 units didn’t budge me at all?  Nothing a 10 unit rage bolus can’t handle.  Annnnnnnndddd now I’m grumpily eating crackers with an apple juice chaser.  And peanut butter for some reason….

Unfortunately the myth of rapid-acting insulin perpetuates our mentality- for both people with diabetes and physicians, that we still think we can take the insulin and eat right away.  This might work if you have significant gastroparesis, but otherwise, you will be WAY behind the eight ball.  That’s one reason Steve and I always push the “pre-bolus” or bolusing a minimum 20-30 minutes before you eat, and longer if the glucose level is really high and/or with trend arrows shooting upward.  This was actually one of my most vivid memories when I was first diagnosed and in the hospital.  They brought me my food and gave me my insulin but made me sit there staring at my food for 20 minutes before they would let me eat!  Nothing like not being able to eat to let a 15 year old kid know that his whole life just got F’d up.

So can these new “ultra-rapid acting insulins” get us away from the pre-bolus and enable us to take insulin when we actually eat?  I’m sorry to say, but I just don’t think so.  Not yet.  I should clarify that I’m NOT talking about Afrezza which you actually CAN (and should) take when you start eating… or even after eating because it is that fast.  I’m talking specifically about the new “faster-acting aspart” or Fiasp.  This is basically the new NovoLog that just hit the shelves about a month or so ago now, and you may start hearing about.  Basically it adds a couple of excipients to the NovoLog we all know and love to make it get absorbed a little bit faster.  So how fast is faster?  Well, a little, but not a ton.  In the first of the clinical trials, Fiasp lowered A1c by about 0.1% compared to regular NovoLog with some small improvements in BGs after a meal.  So not a huge difference, but a difference.

My take on it is really this-

1. Some people seem to notice a difference when switching, but I personally didn’t, nor did Steve.

2. If you are going to switch, I would just go into it with low expectations so you aren’t all devastated if you don’t like it.  This is my approach to movies as well and it works well for me.  Was still disappointed by Pitch Perfect 3 though.

3. Also, and most importantly, I personally would STILL pre-bolus before eating.  Fiasp is a little bit faster, but not enough to make me really believe you can avoid pre-bolusing.  Don’t worry, it’s not super-dooper fast to the point it will make you crash, so you definitely still can give it a run up before eating.  Having a CGM will help you figure it out.

4. It’s supposed to be priced the same as NovoLog, so you might just adopt a “why not” approach to trying it.

5. Even though number 4 is true, it still might be a hassle to get for these early days since it’s new.

6. You will probably have to remind your provider that it exists and you want to try it.  Then sit back and enjoy the moment where they realize you know more than them.

7. It MIGHT have the best benefit in automated insulin systems like the 670g or for you LOOPers out there since it can take care of the basal for you and really highlight any mealtime benefits.

Ultimately I think having a truly fast-acting insulin that you can inject or put into a pump is the single biggest need for insulin therapy in T1D. So for that reason, I’m super super glad to see companies working on this.  Out of the gate with Fiasp, I don’t think we are “there” yet, but I hope it will continue to push insulin therapy in this direction.  With that in mind, numerous other companies are working on their new, faster-acting insulins, so we will have to see just how fast their fast is.

 

This post originally appeared on weareonediabetes.org. If you are a diabetes professional and also have type 1,  sign up for the WeAreOne online diabetes community here!

Kabat-ZinnQuote

Diabetes and Mindfulness

It’s time to face the facts people, living with diabetes can be VERY overwhelming and that’s nothing new to all of you out there living day in and day out with type 1 and type 2. Right? RIGHT!

So, with that being said, it’s pretty common to experience difficult emotions and when you have those difficult emotions, (i.e. feeling as though you want to give up, throw something against the wall, cry like a baby, or just yell at whoever happens to be around because you are so darn frustrated), it’s normal to spend a lot of time and energy TRYING to make yourself FEEL better.

Can you guess what the most common strategy people use to try and make themselves feel better? AVOID! AVOID! AVOID! Are you one of those people? Do you watch hours of mindless TV? Let’s remember though, that there is certainly an appropriate time and place for marathon Netflix watching, but back to the subject at hand, if you find yourself sleeping excessively, or exercising like a maniac, binge eating or drinking chances are you are probably playing the “avoidance game,” and no one wins at that game. Maybe you don’t manage your blood sugar levels because doing so brings up feelings and emotions you just don’t want to have to deal with and that’s completely understandable and really common.

So how well do these avoidance strategies actually work? Well, let us tell you that watching Netflix all weekend and eating three bags of Doritos Jacked 3D Bacon Cheddar Ranch isn’t going to make you feel amazing in the long-run. Chances are you probably aren’t doing things that are important to you, like spending time with your family and friends and managing your diabetes.

Dr. Mark Heyman, Psychologist, PhD, CDE and a type 1 suggests that you should not avoid your uncomfortable diabetes related emotions, but instead to simply observe them. By doing this it may actually help you focus less on your negative feelings and have more freedom in your life. Some of you may be calling BS right about now but stick with TCOYD and Dr. Heyman for a second.

Dr. Heyman is talking about something called mindfulness and unless you’ve been living under a shroud of Netflix shows for the last five years, you’ve probably heard this term before.

Mindfulness means paying attention on purpose, in the present moment, and non-judgmentally, to what are you are experiencing.

In other words, observing the thoughts, emotions and physical feelings you are having right now, without avoiding or judging them. The goal of mindfulness is not to make you feel a certain way (e.g., relaxed or happy), but to give yourself the space to just notice your present experience.

To really understand mindfulness, you need to experience it, and practice it regularly. We encourage you to do a short (about 5 minutes) mindfulness exercise (courtesy of UCLA’sMindfulness Awareness Research Center) to help you get a better idea about what we mean. Click here to get started.

Learning how to be mindful can take some practice, and it can be especially difficult to pay attention to experiences in the present moment when you are busy doing everything necessary to manage your diabetes, not to mention your every growing to-do list, your kids, your spouse. It’s even more challenging to pay attention to the present moment without judgement – and who hasn’t beaten themselves up over a high or low blood sugar? Even though it may not be easy, mindfulness can be something you can try to help you manage difficult diabetes-related emotions.

Let’s take a minute and think about what you may get out of being more mindful with diabetes. First, you may learn something new about yourself. You may see that even though it is not always easy, you can handle having uncomfortable thoughts emotions around your diabetes. You may even find that experiencing these thoughts and emotions are not as bad as you thought it might be. It also may be easier to do the things that are important to you but you have been avoiding. While these feelings may still be uncomfortable, you may find that mindfulness makes it harder for them to control your behavior. Mindfulness can allow you to choose your behavior, rather than letting your emotions choose it for you.

Dr. Heyman suggests some great methods that you can use in order to start being more mindful with your diabetes, take a look!

Mindful eating

As you eat, notice any thoughts you have about your food. Are you looking forward to eating it? Are you feeling guilty about eating it? Are you worried about what the food will do to your blood sugar? Take some time and notice the different sensations you experience as you eat. How does the food feel on your lips, your tongue, as you swallow? What does your food taste like? What is the temperature? The texture? How spicy is it? Just notice, without judgment, what you experience as you eat your meal. Try eating one meal mindfully and see what you notice and learn.

Mindful glucose monitoring

Before you check your blood sugar, notice your thoughts. Do you think your blood sugar is high, low or in range? How does this make you feel? Content? Discouraged? Notice what it feels like to prick your finger. Notice the all steps involved in putting the drop of blood on the strip. When you see the result, notice your response. Are you surprised? Proud? Frustrated? Once you have the result, just take a minute and observe what you just experienced – not from a place of judgment, but from one of curiosity.

Finally, try not to get discouraged (and if you do get discouraged, notice that feeling without judging it!) and remember that being mindful takes practice. As you practice mindfulness, keep in mind that the goal isn’t to make your thoughts and feelings go away, but to notice them. Whatever you experience, mindfulness gives you the space to observe your thoughts and emotions while not letting them control you. Being mindful can help you make decisions based on what’s important to you, rather than as reactions to your thoughts and feelings.

Jon Kabat-Zinn sums up mindfulness nicely when he says ‘You can’t stop the waves, but you can learn to surf.’

 

Content provided by:

Dr. Mark Heyman, Psychologist, PhD, CDE

Dr. Heyman is affiliated with the Center for Diabetes and Mental Health in Solana Beach, CA. He has lived with type 1 diabetes for over 15 years.

Diabetic woman preparing for a run

Tips on Glucose Management During and After Exercise
for Type 1s

You may never have heard their names before, but they’re out there and they’re dominating in almost every sport: basketball, football, surfing, car racing, Olympic snowboarding, Taekwon-Do and even ballet. Sean Busby, Zippora Karz, Charlie Kimball and Missy Foy are just a few professional athletes living out their dreams and simultaneously living with type 1 diabetes.

Even though shooting for an Olympic medal is not the norm for most of us when we lace up our running shoes, the success of those who have can bring inspiration to people with diabetes who want to keep fit at any level.

A ton of research is being done in the field of glucose management during and after exercise, and we asked two top researchers who are also athletes living with type 1, to provide insights into their work and to share their personal training regimens.

Dr. Michael Riddell is a Professor in the School of Kinesiology & Health Science at York University in Canada and is considered the international authority on exercise and stress hormones and how they affect diabetes metabolism. He enjoys biking, hiking and trekking, and climbed Mt. Kilimanjaro in 2013 with the World Diabetes Tour.

Dessi Zaharieva is a 3rd year PhD candidate in kinesiology and health science at York University. She earned a bronze medal in Taekwon-Do at the 2013 World Championships and is currently training and competing in mixed martial arts. Her research at York is aimed at improving diabetes management and blood sugar control during exercise in individuals with type 1.

TCOYD: Do you have any advice or tips for someone with type 1 who wants to take their training to the next level or take on a new fitness challenge?

Mike:

Unfortunately there are no magic bullets or magic solutions…what we’ve noticed is that training for an activity with type 1 requires a lot of vigilance around glucose monitoring along with a lot of trial and error.

 Dessi:

General guidelines are difficult because individual variability is so huge. For me, even if I were to do the exact same things today and tomorrow, the exact same training with the exact same adjustments to my sensor-augmented pump, I may not have the exact same response.

Also I have to take my pump off during training because I do mixed martial arts and I fight, so the changes I make to my pump might be very different than what Mike does when he’s cycling, because he doesn’t have to disconnect his pump.

TCOYD: Can you share some things that have worked for you personally with regard to managing glucose levels while working out?

Mike:

For the prolonged endurance exercise that I do that lasts an hour or so, I need to get my insulin down beforehand, so I try to find a time to do that activity when my insulin is already low, and the insulin I’ve taken after a meal is largely gone. This can be four hours after a meal or more, or it can mean exercising in the morning before I have breakfast. That really is the key to my success.

On top of that, I need to lower my basal insulin on my pump well in advance of an endurance activity, so an hour or 90 minutes beforehand, I need to get my basal down to about 20% of my usual basal rate. I also have my CGM on to make sure my blood sugar’s not getting too high.

I can usually get my basal rate down aggressively and then I can go for an hour – two hours even – with a very long run or a long bike ride. My performance improves if I can then start to have a little bit of carbohydrate from either a sport beverage or glucose gels, but I might need to turn my basal back up a little if I notice on my CGM that my glucose is beginning to rise because I’m snacking.

So for me, the secret is starting with low insulin in my body and then consuming carbohydrates for performance at the rate of around a half a gram of carb per kilo of body mass, so around 40 grams an hour or so.

Dessi

With my training there are a lot of similarities to Mike in that we both reduce our basal insulin quite drastically beforehand because I feel like without doing that, too much insulin in the circulation is not going to be a good thing with the amount of training I do. My training sessions are between one and three hours a night and sometimes even longer.

With that amount of exercise, reducing basal insulin becomes very important (or just having less insulin in the circulation if possible). That is one of the times when preplanning is essential. I don’t like to go fully fed into a training session. If I can wait four hours before I train that’s the best situation – to not have a lot of food or insulin in the body in order to try and prevent big spikes and drops in blood sugars.

TCOYD: How often are you checking your blood sugar during a workout?

Mike:

I’m vigilant about monitoring my glucose and constantly using CGM, and I wear my CGM on my watch. I don’t stop and poke my finger and do a blood test – I’m just looking at my outputs on my watch or on my pump, and I look frequently because I know my performance is best if my glucose is near normal or only slightly elevated. In American units I’m talking about 120, 130 milligrams per deciliter. That’s where I want to be, so I’ve got to look at my CGM all the time so I can continue to make changes. I can increase my basal rate if my glucose goes high or I can snack on carbohydrates if it drops below that narrow window of performance for me.

Dessi:

My pump is off when I train so it’s not as easy for me to check my CGM. I have the new Medtronic 630 G pump. I keep it in my bag really close to where I train, and anytime we get a water break I go look at my pump screen and it picks up a signal as long as I’m not too far away. So even if it’s not connected to me I still have an idea as to what’s happening.

TCOYD – Are there challenges in glucose management post exercise?

Dessi

It can be really challenging to maintain blood sugars throughout exercise AND in recovery. That’s one of the biggest challenges right now.

Mike

Some of the research we’re doing is focused on the glucose excursions and the meal after exercise, and if you have your pump off whether that makes glucose go higher. During exercise everything may be okay, but you may suffer a little bit in what to do for the meal after exercise if you’ve had your pump off, you’re hungry and you want to have a big meal, but your insulin might be low at that point.

Recovery is important because if you want to feel good and do it again the next day, you have to treat your body well in recovery. We’re still learning what the best approach is, what the right meal is, when to eat, how much insulin to give for any given meal, etc. You know you use a lot of calories and you burn a lot of carbohydrate when you exercise, and you’ve got to pay it back or you’re going to possibly set yourself up for hypoglycemia overnight. So these are all interesting research questions that we’re working on right now.

TCOYD: What are your thoughts on taking Afrezza if your numbers are high after a workout?

Mike:

We have Fiasp here in Canada. We don’t have Afrezza, but we know athletes who have taken Afrezza after seeing high blood sugar, and it disappears out of the system quite quickly which is nice, and then there’s no prolonged late onset hypoglycemia so I think it holds some promise.

Dessi

We know that if we can get the insulin in our system faster it’s going to help.

Mike

Get it in and get it out!

Dessi

I’m going to have spikes if I don’t take bolus insulin after exercise with my pump disconnected for so long and if that insulin is taking half an hour to actually start kicking in and working it’s already too late, so the Fiasp has been very helpful.

A few final thoughts:

People with type 1 diabetes can achieve basically any dream they have on the exercise front. They can be Olympians, marathon runners, rugby players, basketball players, etc, but each form of exercise has different energy needs and places different demands on their diabetes.

If you are embarking on a new goal or simply focusing on maintaining a current one, remember that it’s process of trial and error, try not to get discouraged, and what’s most important is that you do what works best for you and your body.

 

For more information on exercise with type 1, check out Dr. Riddell’s book:

Getting Pumped- An Insulin Pump Guide for Active Individuals with Type 1 Diabetes
available here.

For more information on their research at York University, please visit Dr. Riddell’s webpage here.  

one2018-blog-header

ONE 2018: The Ultimate Conference & Retreat
for Adults with Type 1

Mark your calendar for TCOYD’s 2nd annual weekend-long conference & retreat…ONE!

It’s happening August 17-19, 2018 in San Diego, CA. We have an incredible line up of nationally recognized guest speakers, and here’s the best part – most of them have type 1 diabetes themselves, so they GET IT!  Join Dr. Steve Edelman and his amazing team of type 1 doctors, endocrinologists, and diabetes specialists for a full weekend retreat at the picturesque Paradise Point Resort & Spa.

Here’s just a little taste of who to look forward to:

  • David Panzier – runs the Helmsley Charitable Trust and has two kids with type 1
  • Kerri Sparling – an incredible speaker and top type 1 blogger
  • Irl Hirsch – an Endocrinologist with type 1
  • Mike Riddell – an exercise physiologist who has type 1 and also has a son with type 1

You can also look forward to a very open and serious discussion about TrialNet and the question of whether or not to have your loved ones take part in a clinical research trial.

It will be a VERY special weekend for sure!

We are also planning on having diabetes confession booths, a tattoo artist (henna or real), amazing interactive games, fun fitness sessions like yoga and a 5K, and sponsored nightlife parties so you can mix and mingle with your fellow type 1s!

For more info about ONE and a glimpse at what went down at last year’s retreat click here!

A beautiful Latino, (Hispanic) mother and daughter checking blood sugar reading on a glaucometer. Diabetes mellitus type 1. Juvenile diabetes. Monitoring bold sugar levels with constant testing and following a healthy diet is crucial in the management of diabetes.

6 Tips on Parenting a T1D Child

My daughter was diagnosed with Type 1 diabetes at the age of five nearly three years ago. Needless to say, this event upended our lives. We suddenly had to perform round-the-clock rituals just to keep her alive. We lived with constant fear of hypoglycemia, and we could not escape the reality that one small misstep could lead to seizure, coma, or even death. (Never mind the more remote threat of long-term complications.) These psychological and emotional burdens were compounded by financial ones. We quickly realized that diabetes is expensive—very expensive.

Diabetes’ tentacles reached far and wide, impacting my and my spouse’s professional lives, as well as our mental and physical wellbeing. It wasn’t long before we each developed our own stress-related health problems. As I’ve written elsewhere, I believe that these were psychosomatic. Sigmund Freud was right to call the body a pedantic symbolist. When one feels helpless, one can become helpless.

Over the years, we’ve found ways to take better care of ourselves while also taking care of our daughter—and our son, who does not have T1D and who too often feels like an afterthought. Of course, each day is still a struggle. We all move mountains every day just to manage diabetes. (And I use the word “manage” loosely.) But there are opportunities to take some of the sting out of diabetes. Here are a few of the routines that have most improved our lives:

1. Giving Our Child Options

Our daughter has T1D; hence, she is going to have moments of feeling deprived. There are inevitably times when we have to limit or deny treats when everyone else is eating to their heart’s content. For instance, if her blood sugar is over 400, dessert is out of the question—even if it is Christmas Eve. Because of this reality, we try to give her choices when and where we can. Sometimes, when preparing dinner, we let her select the protein, vegetable, and carbohydrate for the meal. We also include her in grocery shopping. Such small gestures give her a sense of control (however small) over her food intake.

2. Scheduling Time for Our Other Child

As already mentioned, our non-diabetic child is too often in the background. We are so focused on the day-to-day tasks of managing our daughter’s diabetes that it’s hard to keep him in mind, and this leads to further tension. Here’s a sample scenario: my son is trying to show me something he made at school, but the CGM is alarming. So, I acknowledge him with a reply that really means “go away” so I can attend to the more important task—treating the high or low. Then, he misbehaves either to get attention or to express his frustration. Being conscious of the problem helps. So does carving out time for him specifically. If our daughter is at a friend’s house or a doctor’s appointment, then one of us will plan to do something extra special with our son. We look for opportunities to orbit him for a change.

3. Braving Play Dates

Speaking of play dates, how have we learned to manage the tricky hand-off to other adults without diabetes expertise? It is definitely a challenge. I always feel pressure to strike the right balance with information. I want to give enough information to convey the seriousness of diabetes and to adequately instruct the person to manage it in my absence without scaring him or her away. The truth is, some people are scared away, but many are willing to take on the responsibilities of diabetes. In this situation, it helps to provide a cheat sheet for the caregiver to reference and a promise to pick up the phone on the first ring. I also take extra precautions, such as giving a few extra carbs to prevent a low or arranging for more frequent glucose checks.

4. Distancing Myself from Diabetes

Honestly, there is no escaping diabetes. Even when my daughter is under others’ trusted care, diabetes is on my mind. But I have noticed that there is one task in which it is more remote in my mind: reading. Perhaps because reading is so private and personal, it helps to drown out the other noise. My advice to other parents: find something that allows you to retreat. Even if you cannot fully escape diabetes, the distance is rejuvenating.

5. Guarding Downtime

My spouse and I are protective of the weekends and the hours outside of school. We limit organized sports, and we never over-enroll in activities like scouts, camps, or other events that require planning and driving. It’s not that our kids wouldn’t enjoy more activities—I know they would. Frankly, managing diabetes is exhausting, and we don’t have much bandwidth to spare. This may change as our children age, but for now, we just can’t commit. And guess what? Our kids still live charmed lives.

6. Putting Things in Perspective

It never hurts to remember that, just as we are burdened in some respects, we are privileged in others. Our family’s “mountains” may appear like molehills to others. The more fully we appreciate this, the more fully our daughter will, as well.

To read more from Audrey and others living with type 1, visit InsulinNation.com.

Hand writing DIY - Do It Yourself with white chalk on a blackboard. "n

DIY Looping

Steve and I had the pleasure of going to Vienna, Austria together two weeks ago for the diabetes technology meeting, and while there definitely was some cool stuff presented in the artificial pancreas world, my update comes from my own AP world.

As I’ve mentioned before, I started on LOOP about 4 months ago, and I think I’m finally ready to give an update on it.  So first off, what is LOOP?  Basically, it’s an AP system that uses:

  1. An old Medtronic pump
  2. An Iphone
  3. Your CGM (Dexcom or Medtronic)
  4. And a device called a “RileyLink” that connects them all together

The founder of Loop has a daughter with T1D named Riley, and thus, RileyLink!

So what does it do?  Basically, it uses an app to determine what basal rate adjustments should be made on your pump, and uses the RileyLink to hack the pump and tell it what to do.  You still have to bolus as you would for meals, and correct, and all that garbage, but the system does a great job of giving you more or less insulin as a basal rate.  Basically, it does what the 670g system does, but with a lot less hassle.  So what do I like about it?  Well here it is:

THE UPSIDE:

I SLEEP BETTER

I could probably just drop the mic after this one and walk away and I would be fine with that.  I simply don’t get low at night anymore.  And I don’t really get high either.  Nighttime went from my most frustrating time, to my most consistent.  My wife told me the other day, “Hey you don’t sleep with apple juice by your bed anymore.”  And I was like- she’s right.  Now I’m just spending time thinking about what I’m going to do with all this juice money.  Seriously though, I don’t wake up to alarms, and I wake up every day with a really, really good blood sugar.  It took going on LOOP to realize how crappy I was sleeping before…  Low.  Eat.  High.  Insulin.  Repeat.

I’M A LITTLE LAZY WITH MY DIABETES

Yeah that’s right.  Loop lets me slack off a little, and I kinda like that.  I know if I don’t nail my bolus, the basal rate will kick in to help minimize the damage of me drastically underestimating my carbs…. again.  So I think I worry a little less about the fluctuations and my time in range is better.

LESS LOWS

Not a lot to add here.  I get low less.  Less at night, less during the day, and less with exercise.  Less lows means fewer texts from Steve telling me to get my shit together.  I really like that feature a great deal.

SOME TECH FEATURES

The pump is completely controlled from your phone through a pretty slick-looking app.  So if you don’t want to, you never really have to touch your pump.  You can adjust your target to whatever you want- including an exercise target.  It gives you a predicted glucose curve and its fun to see it shift when you enter carbs or insulin.  It’s not always right, but it looks cool.  You can tell the app if you’re eating a high carb meal (lolly pop), a mixed meal (taco), or high fat (pizza).  All well thought out stuff.

THE DOWNSIDE:

So what don’t I like about it?  Well it’s really when it just doesn’t work.  Sometimes it drops the Dexcom signal or isn’t picking up the pump for some reason.  So I do spend a fair amount of time looking at the app to make sure I’m still “looping”.  Carrying the RileyLink around is kinda annoying and I’ve broken 3 of them.  Yes 3.  All water related.  So more “fried” them then broke them.  But this is all minor stuff.

SO HOW DO YOU GET ONE?

How do you or your patients get on the system?  To be honest it’s a little complicated to set up, but I actually did it myself (the second time) without any problems.  There are VERY good instructions here:

https://loopkit.github.io/loopdocs/

I didn’t mention before that this is a complete Do It Yourself (DIY) system so is NOT FDA APPROVED, you won’t find it in any CVS, and your doctor can’t prescribe it for you.  You have to do it your damn self (DIYDS).  And to do that you’ll need all those things I mentioned at the top, several hours to spend, and about 130 bucks to buy a RileyLink.

I didn’t realize how much LOOP had really been helping me until I was in Vienna, and I only packed one European electrical converter and ended up charging my phone more than my RileyLink.  So my LOOP would drop out when the RileyLink didn’t charge, and I was back to the dark ages.  Champagne problems for sure, but hey, it made me realize what a big advance this type of technology is.  So while we are waiting for systems to get better and better, for now, go out and DIYDS.

 

This post originally appeared on weareonediabetes.org. If you are a diabetes professional and also have type 1,  sign up for the WeAreOne online diabetes community here!

researcher dropping the clear reagent into test tube with periodic table and chemical equations background, for reaction testing in chemical laboratory.

Cure-Based Therapies for Type 1’s

What the heck are cure-based therapies? Well, the AP is not a cure but a darned good form of therapy that will bridge the gap until there is a cure. This talk will focus on the area of research that is going for the gold…a real cure…from prevention for our loved ones who have tested positive with diabetes-causing antibodies to the implantation of islet cells. This panel of experts has some of the world’s smartest folks in this space and will leave viewers with some real hope…and hope is where it’s at!

Pattern Sugar Cubes on a Pink Background

Sugar Surfing

You can’t stop the waves of fluctuating blood glucose levels but you can learn to surf. For those considering or already using Continuous Glucose Monitoring, this talk is for you. Dr. Stephen Ponder, a pediatric endocrinologist and a type 1 himself, takes you beyond the basics and shows you a better way to manage your blood glucose levels. He debunks the myths surrounding classic diabetes management while teaching you a better way. Watch him “Hang Ten”!