Diabetes Control – Then and Now

richthediabetic-churchclothesThe other day, I had a lengthy conversation with my dad, about me and my diabetes when I was a kid.  You see, I’ve become friends with some mom’s who have type 1 diabetic children, and when they post stories of the struggles both they, and their kids go through, it makes me think of my childhood.  When I look back on my own childhood, I don’t remember the kind of nightmare’s that these poor kids are going through as type 1 diabetic children.  I see their mom’s post stories all to frequently of their kid’s blood sugars being over 400 or 500 that won’t come down, resulting in lengthy hospital stays.  I also recently saw another diabetic advocate post about numerous children that had passed away from their diabetes, all in a short time.  Then I saw a video about something called “dead in bed” syndrome.  OMG!  That video was horrifying, and it’s something that they say is becoming all to frequent with diabetic children?!  What is going on?!!!  My childhood wasn’t like this!!  We didn’t live in fear of my diabetes like this?!!

So I asked my dad what he remembered with my diabetes as a kid.  I asked him specifically if he lived in fear of me dying as a child.  He said no.  Yes, there were some sleeping seizures from serious hypo’s, but they were few and far between.  2 or 3 times a year maybe.  Very few hospitalizations in all of my youth years from diabetes, and never for very long.  He said that he and my mom had to learn timing of my meals and snacks because back then we didn’t have fast acting insulin, or blood sugar testing, so they only used urine strips and NPH insulin, and NPH would leave me hypo at certain times of day, so they just knew that at certain times, I needed to eat a snack.  I talked to my mom about this a couple months ago too, and she pretty much told me the same thing.  1 shot a day, timing of meals, check urine sugar.  That was it.  That’s all there was to juvenille diabetes control back then, and I did fine as a kid.  It wasn’t until my adulthood that my diabetes got totally out of control, when I started taking multiple shots a day, using fast acting insulin, and checking my blood sugar frequently.  It was after years of doing this, that I suffered a complication of my diabetes.  That I suffered cardiac arrest at age 34. (As you can see, I survived it.)

Now I’ve been thinking about this a lot lately, and I have a rather radical thought.  WHAT IF . . . diabetes control is to tight in this day an age?  WHAT IF . . . blood sugar monitoring, insulin pumps, and A1C’s under 7.0, are the cause of these problems in juvenile diabetic children now days?  I know, I know.  Calm down.  Hey, . . . it’s just a thought.  How long have I lived with type 1 diabetes?  42 years?  Hmmmmm?  Of course, I’m not saying you should stop your current treatment and jump back 35 years in treatment methods.  DON’T EVEN THINK OF DOING THAT!  Follow your doctors prescribed treatment method.  I’m just saying it’s an awfully interesting set of coincidences that line up here, and it just makes me wonder.

WHAT DO YOU THINK?

Samsung Galaxy S4 Blood Glucose Software?!

S HealthYes, the new Samsung Galaxy S4 will have an app called “S Health” that includes blood glucose software for monitoring your blood sugars, and get this, it will import those readings from select blood glucose meters!  I can’t even convey how excited I am about this!!!  I never really talk about what I do for a living on my blog, but I’m going to tell you now.  I work in an android call center for a major cell phone company.  When you’re android phone doesn’t work and you call your cell phone provider for help, you could end up talking to me.  I’ve actually talked to a few diabetic cell phone customers, about our diabetes, while troubleshooting their bill or their phone.  So I’m surrounded by cell phone news and information all the time.  I already have the Galaxy S3, and this S Health app is suppose to already be released “internationally”.  Bad for me, good for you! That is if you’re one of my international readers.  Once the Galaxy S4 drops, I’m sure they’ll release it for the Galaxy S3 here in the United States.  

So that’s not the only thing this S Health app will do.  It also includes a food tracker, a fitness tracker, a built in pedometer, can sync to a special weight scale, blood pressure monitor, and heart rate monitor that Samsung makes, and it even measures the temperature and humidity of the room you’re in to rate the “comfort level” for you.  Oh!  It also somehow has some sort of sleep monitor.

Now, take a moment . . . . . think about how freaking cool it would be, to have your food diary, your fitness diary, your blood sugar diary, a pedometer, your blood pressure, your heart rate, all in a single device.  A device that you always have with you.  How freakin’ cool is that going to be?!  Are you as stoked as I am?!!!  Below you’ll find a CNET video describing the Galaxy S4, as well as the Samsung press release for it to get you started with your research.

 

 

http://www.samsungmobilepress.com/2013/03/14/Samsung-Introduces-the-GALAXY-S-4—-A-Life-Companion-for-a-richer,-simpler-and-fuller-life

 

CGM Review: Dexcom G4 vs. Medtronic Guardian

CGMsThis CGM review will cover continuous glucose monitors from Dexcom and Medtronic.  The Dexcom G4, and Medtronic Guardian.  I’ve had the Medtronic Guardian since March of 2012.  I got the Dexcom G4 at the end of December and started using it last week.  First, let me just say that both have benefits and drawbacks compared to the other, however, I only trust 1 of them.  If you’ve done any reading online about CGM’s you probably already know which one I trust.

I was excited in March to be getting the Guardian.  At that time, I was only aware of the Guardian, and since it integrated directly with my pump, it was a no brainer to go with it.  I just called Medtronic and they dealt with insurance, who paid for it all.  (I have amazing insurance!)  When I received it, I was a bit terrified at the size of the needle.  So much so, that I told the Medtronic nurse I was going to send it back.  She calmed my concern over it, and got me to try it.  When I tried it, I was surprised that I barely felt it go into my skin.  After using it for a week, I called the nurse again to ask why it was so horribly inaccurate.  It was only ever close to being accurate in the mornings when I hadn’t eaten for 10 or 12 hours.  Once it told me my blood sugar as 146, but it was really 322!!!  I told her that if this is normal, it does me no good.  She said that it’s not as accurate when I’m rising or falling quickly, when my blood sugar is high, or if I calibrate it more than 3 times a day.  Well, it seems to me, that if it’s NOT accurate at those times, it’s no good to anybody?  People under good control don’t need CGM’s.  It’s the people on the blood sugar roller coaster that do, and if this CGM is admittedly inaccurate at those times, then what good is it?  Again she convinced me to stick with it.  6 months later and I’m still on the original box of sensors, with multiple  unopened boxes.

Darkness CGMThen I started to become involved in the diabetes online community, or DOC.  Everyone in the DOC raved about the Dexcom 7, with it’s comfort, accuracy, and that you can wear it for 7 days.  In the fall, I suddenly remembered that someone at Medtronic told me I have to re-order transmitters every 6 months.  Instead, I called Dexcom.  The G4 had just been released to rave reviews.  My insurance allowed it, and I got it ordered before end of year so there would be no out of pocket cost.  (Deductible was complete early in the year.)  So far, I’ve been absolutely thrilled with the Dexcom G4.  It’s accuracy is especially surprising compared to the Medtronic, especially when I’m spiking or crashing quickly, or running high.  My educator mentioned to me that it’s more accurate the more you calibrate it, so I’ve been doing that.  In just 3 days I’ve already noticed trends that I could never notice on the Medtronic because it was so horribly inaccurate.  I also like that it’s not integrated.  It allows me to set it on my desk at work, and monitor my blood sugar easily, without having to stand up and dig my pump out of my pocket.  I like that it’s brightly lit and in color so it’s easy to see in the dark, without my glasses on, when I feel low.

Over the last 2 days, I wore both sensors.  Granted, the Medtronic was past it’s 6 month mark, but it was never any good new, so who cares.  I was really just trying to prove to myself that I made a good decision this time.  At every OneTouch meter test, the Guardian failed in comparison to the G4.  Tonight, the G4 warned me of a low that I hadn’t noticed yet while the Guardian thought I was at 122.  Before the 48 hour mark, I just gave up on the Guardian and tore it off my skin.  I’m done with it.  The Dexcom G4 I have complete trust in.

Now, there are some drawbacks to the G4, but they’re minor.  What’s most important to me, and to anyone who needs a CGM, is accuracy, the the G4 is certainly impressive regarding it’s accuracy.  Below I’ve listed the benefits and drawbacks to each CGM.

Dexcom G4 Benefits:

  • Accuracy! Especially when you need it, when your blood sugar is changing quickly.  It seems the more I calibrate, the more accurate it is
  • Much thinner and more comfortable needle
  • The transmitter doesn’t have to be charged because the battery lasts 6 months
  • Not integrated into pump.  I actually like it not being integrated.
  • Color screen with red for lows, yellow for highs
  • Better range.  I can go anywhere in my apartment and not lose signal
  • It shows blood glucose as high as 400 compared to Guardian which is only 250
  • The site sticks to your skin before you plunge the needle in
  • Can move forward and backward in navigation of blood sugar history
  • Sensor lasts 7 days officially (14 unofficially), the Guardian only lasts 3 (6 unofficially)
  • Multiple alert profiles with differing sounds
  • You can adjust the rise and fall rate arrow alerts
  • When you don’t get it calibrated on time, it keeps tracking instead of stopping
  • Univeral USB charger and connection to PC to track data

Dexcom G4 Drawbacks:

  • Manual insertion of the sensor needle (no insertion catapult, it’s like taking a shot, but it was super easy and I can live with that)
  • The sensor sticks out away from your skin farther than the Guardian so it’s easier to catch on things (I’ve had no problems as of yet though)
  • You can’t go back in history and see the actual blood sugar values. You can only see the graph
  • Lots of plastic waste created each time you change a site. Every new site comes with a new insertion tool.  Really seems like a waste of materials.

Medtronic Guardian Benefits:

  • Ummmmm?  Ummmm?  Give me a minute.  I’ll think of something.
  • The guardian uses an automatic insertion catapult
  • If you use a Medtronic pump, you only have to deal with 1 supplier
  • Transmitter is smaller and doesn’t stick out as far from your skin as the G4
  • Although I don’t consider it a benefit, most people would, but it’s integrated into your pump, so you only have to carry 1 device, which you’re already used to carrying

Medtronic Guardian Drawbacks:

  • Horribly inaccurate.  Sometimes more than 200% off.  Often at least 100% off.
  • Smaller range than the G4.  If you’re in another room, chances are the signal will be lost.
  • The insertion needle is *insert colorful metaphor* HUGE . . . and leaves bloody wounds/scars
  • Integrated into pump. Which means you can’t leave it out on the desk at work, without having to stand up and dig your pump out of your pocket while you’re talking on the phone to a customer
  • Transmitter has to be charged with a battery operated charger instead of universal USB cable
  • Sensor only lasts for 3 days (6 days if you stretch it, but you’ll have a nasty wound if you do)
  • Uses proprietary bluetooth connection to PC to track data, which is horribly slow and often doesn’t work, or has driver problems, etc.
  • When you don’t get it calibrated on schedule, it TURNS OFF?!!!  

When I started this blog, it was so others could learn from my mistakes and not have to suffer them.  Please . . . learn from my mistake, buy the Dexcom G4.  And now my typical closing tag from G.I. Joe is more appropriate than ever . . . . .

 

 

********** Now ya know, and knowing is half the battle.  Go Joe!!! **********

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Agave Nectar and Fructose Are Evil

star_wars_phantom_menace_sith2Yes, agave nectar and fructose are strong with the dark side of the force.  Last week, I posted a tweet that said ”fructose is poison”, and small group of people disagreed with me, and asked me to provide how much is safe, and proof of why I think it is poison.  One of them suggested that I’m a “Lustig Devotee”, but I don’t even know Lustig, so no, I’m not a devotee.  So here’s my reasoning about why agave nectar and fructose are evil, mostly agave nectar actually.

First, I should explain why some people think that agave nectar is good for diabetics (that’s the evil part).  The agave nectar companies as well as many raw food activists swear by this stuff, and they do their very best to convince us that it’s healthy for us.  They say it’s good for diabetics because it doesn’t raise your blood sugar much.  It’s true that it doesn’t raise blood sugar much, but it’s not true that it’s good for diabetics.  I’ll get to that in a moment.  The important thing to know about agave nectar is that it’s 90% fructose.

So if it doesn’t raise your blood sugar, or cause an insulin release, what happens to it?  Fructose cannot be processed into energy by your muscles.  Instead it’s processed by your liver, and turned into fat to be stored in your fat cells, to be converted into energy at a later time.  They’re actually called triglycerides.  Wait a minute.  Your liver turns all that fructose into triglycerides?  You know, the stuff that’s stored in your fat cells, and that raises your risk of heart disease, as if your risk isn’t high enough having diabetes?!  Yeah, that stuff!  Now, imagine using agave nectar as a sweetener in everything, replacing your household sweeteners with it.  Madhava-Organic-Agave-Nectar-Light-235-oz(Remember, it’s 90% fructose!)  This is what the marketing companies want you to do.  To buy agave nectar as your primary household sweetener, because it’s a “healthy alternative”.  Christ!  Every time I hear that I want to scream.  The marketing companies that market agave nectar want you to believe it’s good for your diabetes and instead it could kill you.  You’re trading a short term health benefit, no blood sugar spike, for a long term health risk, heart attack resulting in death.  I have experience in death, so please excuse me for being a little dramatic, but I want to stop you from having to go through that.  It sucks big time!  When they checked my cholesterol in the hospital after my cardiac arrest, my triglycerides were 289 I think, and my HDL was 29.  That’s the exact recipe for heart disease.  I had heart disease, and the first symptom was cardiac arrest!  If high quantities of fructose in agave nectar can add to your triglycerides, wouldn’t you want to discontinue use of it, or never even try it?  You’re already at risk because you have diabetes.

So how much is safe?  I have no flippin’ clue, and no scientist or medical professional will give you a straight answer to that question anyway.  All I know, is that I prefer sweeteners that don’t make friends with you like Senator Palpatine, only to try to kill you later as the Emperer.  Yes, fructose is in many other whole foods in natural form, but those foods aren’t 90% fructose.  It’s that 90% part that I’m going to protect myself from.  It’s like PURE FRUCTOSE and PURE EVIL.  No thank you!!!  So that’s why I called fructose poison in my tweet, but I should have been more specific and called agave nectar poison, because that’s what is truly evil.  The fact that it’s touted as a healthy alternative for diabetics, when it’s just as bad for you as sugar is.

 

********** Now ya know, and knowing is half the battle.  Go Joe!!! **********

If you found this article helpful, please give it a LIKE and share it with others who might benefit from it.  Thanks for paying it forward!  If you’d like to connect with me, you’ll find my social networking profiles to the right:  ————————>

 

 

What Causes Diabetic Ketoacidosis (DKA)

300Diabetic ketoacidosis.  Diabetics everywhere know this term, . . . I hope.  What is diabetic ketoacidosis?  How is it different than ketosis?

I’ll start by explaining ketosis, and try to keep the sciencey (Yes it’s a word.  It’s MY word.) stuff to a minimum.  Ketosis is a natural body process that occurs when your muscles require fuel, but there’s none in your system.  That fuel starts out as carbs.  If you don’t get enough carbs, your body will naturally enter ketosis when your body starts to break down your fat, thus producing ketone bodies which it can use as fuel.  Your brain and your heart actually run more efficiently on ketones, than they do on glucose.  Our bodies were built to do this, to survive when there was no game to hunt, no plants to forage, no food nearby.  This is NOT dangerous, . . . it’s natural, unless you’re diabetic.  Why is it only dangerous for diabetics?

Because ketone bodies are acidic, and when they reach a certain level, a non-diabetic will secrete insulin, which reduces the ketones just like it does blood glucose.  We of course don’t have this mechanism.  When a diabetic gets ketones, and their blood glucose is above 250, this is the formula for diabetic ketoacidosis.  I know what you’re thinking.  I still haven’t told you what causes it.  Well, here we go.

What causes it is simply a lack of insulin or fuel.  A lack of insulin caused by a faulty infusion set, simply not taking your insulin, being sick and dehydrated, or not eating enough carbs.  The reason your body would enter ketosis is that it doesn’t have enough fuel in the form of carbs, OR . . . it has plenty of fuel, but not enough insulin to get it into the muscle cells.  If the body cannot process or does not have fuel, it will create it by breaking down fat.  This is ketosis.  NOW, your body can’t use the carbs you’ve eaten due to lack of insulin, AND ketones are rising because of lack of insulin.  Rising ketones turn your blood acidic.  This is what can kill you.  If you’re sick and you’re vomiting or have diarrhea, it’s even worse because that creates dehydration which causes insulin resistance!  Ever had ketones while you’re sick, and wonder why in the heck you have to take 3 times the insulin to bring down your blood sugar and ketones?  You need insulin for the blood sugar, for the ketones, and to compensate for the insulin resistance.  Now I can see the wheels turning in your head.

When you go to the hospital, they’re going to treat you with a saline IV, an insulin drip, and electrolytes.  These treat all of the symptoms of DKA all at once, and bring you back to normal.  Your dehydration, your high blood sugar, your high ketones, and your low electrolytes.  So . . . clear as mud now?  Well, I hope it’s clearer than mud for you.

 

********** Now ya know, and knowing is half the battle.  Go Joe!!! **********

If you found this article helpful, please give it a LIKE and share it with others who might benefit from it.  Thanks for paying it forward!  If you’d like to connect with me, you’ll find my social networking profiles to the right:  ————————>

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