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Glucose Sensor Technology Featured at Dr. Heile’s Pump Group

It’s a busy week with another great opportunity to find out about some newer pump technology.  On Wednesday, June 3rd at 7:30pm, Dr. Heile’s Insulin Pump Support Group will feature the Freestyle Navigator with insight into Glucose Sensor Technology.  Find out what’s happening with this latest technology to help manage blood glucose on a frequent basis. 

Join the group at The Family Medical Group Timeless Medspa on the westside of town.  It’s at 3260 Westbourne Drive, Cincinnati, OH 45248.  If you have any questions, you may contact This email address is being protected from spambots. You need JavaScript enabled to view it..  Unfortunately, I won’t be able to make it, but let me know if you do.  I always welcome input from others on these events.

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Back to School! Diabetic Tips

Back to School! Diabetic Tips July 29, 2010

Posted by amdiabetessatx in Uncategorized.

Make your child’s school an American Diabetes Association Safe at School Superstar, a school that provides exemplary care for students with diabetes.

The Checklist of ADA Safe at School practices:

  • THE SCHOOL’S NURSE and administrators coordinate with a student’s parents or guardian and doctor to create a diabetes care plan.
  • WRITTEN CARE PLANS include the Diabetes Management Plan and the Section 504 Plan, which detail everything about a child’s care at school and during school-related activities. This includes what to do in case of an emergency, which school staff members have been trained to provide care, and how much diabetes management the child may do on his or her own.
  • THE SCHOOL ALLOWS a capable child to check blood glucose in class, unless the care plan calls for giving the student assistance or granting privacy.
  • IF A CHILD with diabetes goes on a field trip, a school staff member trained in diabetes care is also present.
  • A CHILD WITH diabetes is welcomed into any after-school program or sports team, and a staff member or coach trained in diabetes care is present at that school-sponsored activity.
  • THE SCHOOL NURSE or other qualified health care professional has trained staff members on how to recognize and treat low blood glucose and administer insulin and glucagon.
  • THE SCHOOL CAFETERIA staff provides nutrition information, including carbohydrate counts, with menus.

*** Fore more info, please visit: http://www.diabetes.org/living-with-diabetes/parents-and-kids/diabetes-care-at-school/safe-at-school/safe-at-school-statement-of.html

****IF YOU NEED HELP explaining your child’s right to diabetes care to school administrators, start by calling the ADA Center for Information and Community Support at 1-800-DIABETES (1-800-342-2383) and by reviewing the resource at diabetes.org/safeatschool

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A Good Saturday for a T1 Athlete

On Saturday, Feb 26th, I ran the Castlewood Cup 15K trail race and later that afternoon I talked about running and doing triathlons at the JDRF Family Retreat here in St. Louis.  A very good day for an athlete with Type 1 Diabetes!

This was my second running of the Castlewood Cup.  It’s a fantastic race and just a ton of fun.  I don’t get a chance to do much trail running, but I wish that I did.  9.3 miles fly by on the trails!  I won’t go into much detail about the race this year.  You can read last year’s race report here, which has a lot of info on the race and the course.  I did manage to set a race PR by 9 minutes by running a 1:28:14, which was good for 135th out of 322.

In the afternoon, myself and James Murphy, another fellow Insulindependence/Triabetes member, presented at the JDRF Family Retreat.  We had an hour and 15 minutes to talk about managing blood glucose during sports and exercise.  This was my first time speaking to a group like this, I was a little nervous, but I simply love talking about this stuff, so I knew as soon as we got started I would be fine and enjoy it.

We had a group of about 30 people sit down and listen to us talk about our experiences running and doing triathlons.  James spoke first and showed a quick Triabetes video.  After that a CDE that joined us spoke for a bit and then I got up.  I started by showing an image of what my Dexcom looked like during Castlewood.  This was great, because it showed a spike right at the start of the race and another spike right after the race.  We had a lot of questions about dealing with BG spikes during exercise as opposed to going low.  A lot of kids playing sports in school are doing short bursts of speed and not doing 6 or 7 hour triathlons.

NOTE:  On my Dexcom graph, the 1st bump was breakfast, the 2nd was the start of the race, and the 3rd was at the end of the race.

After talking about Castlewood, I went into the main portion of my talk and presented how I did my basal plan for Branson 70.3.  I wrote a post about this last year, so I essentially turned this into Powerpoint and talked about it.  We had a good discussion with the group and I think everybody learned a lot and took away some good info.

I really enjoy sharing my experiences and trying to help and inspire others with Type 1 Diabetes.  It’s a humbling experience at times, but I love it.

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Update: Location Change Pump Support Meeting

I found a recent change in location for the upcoming Pump Support Meeting on “Can Laughter Lower Blood Glucose?” with speaker, Trisha Porretti, RN, BSN, CDE.

It will be Wed, March 25 at 7:30pm at:

The Family Medical Group Multiplex/Timeless Medspa
3260 Westbourne Ave
Cincinnati, OH 45248

I plan to attend, and I hope to see others there as well.

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Trying out the diet…

Thursday, I started my (official) journey to a A1C that is within baby making range.

The standards my endo gave me were to be as close to 6% as possible. The blood glucose goals she gave me were:

  • Fasting: 60-95 mg/dL
  • One hour after meals: <140 mg/dL
  • Two hours after meals: <120 mg/dL
  • Bedtime: 60-99

Right now, these numbers seem more than a little intimidating to me. After eating my blood sugar soars over two hundred almost every time.

I do know that I haven’t really been watching my carb intake (I count the carbs…but then I eat A LOT of them), and my eating schedule is all over the place. I think if I can decrease the amount of carbs I take in at each meal, and try to stick to some semblance of a schedule, it could help me.

Today, I took my dog on a two hour walk, and since I stopped running in August it felt good to get out and get some exercise. When I returned from my walk, my blood sugar was 105 (down from 180 at the beginning of the walk).

Does anybody have any other tips that might help me out? I’m trying to get my numbers within the BG goals for pregnancy so that it is not a huge shock once I am pregnant.

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Scoping Out the Side-Butt

Ladies and gentlemen, I have discovered a new part of the human body — and I’ve christened it “the side-butt.”

My journey of side-butt discovery began about a year and a half ago, when I first received my Minimed CGM. I went to the training sessions, I read all the manuals, I looked online — and every official Minimed source* gave the same recommendation for sensor placement: the abdomen. At the same time, however, the Minimed website includes this nugget of wisdom:

For best glucose sensor performance, avoid:

  • Sites where clothing may rub or constrict (for example your beltline)
  • Sites where your body naturally bends a great deal
  • Sites that are scarred or have hardened tissue or stretch marks

And of course, all of the above apply to my abdomen. I used my tummy skin for my first several sensors, but I was getting wildly inaccurate CGM readings, the adhesive I use was sticking and unsticking, and I was forever trying to dress around two sensitive bumps on my midsection.

Minimed's recommendation for sensor placement.

So, I ventured out. First to the back of my arms, which offer (a little too much) skin that doesn’t bend, just enough fat, and enough discretion to keep the sensor bump hidden on most days. But six to seven days of sensor (and tape) wear tends to give me welty upper arms, so I sought an alternative — another place to include in the rotation.

Enter the side-butt. As I tried to explain to Megan via Twitter last week, the side-butt is the area on, well, the side of your butt. For sensor placement purposes, the side-butt is bordered to the north by the waistband of one’s Hanes Her Way bikini underwear, and to the south by the elastic of the leg hole. Desperate to communicate the ideal side-butt placement of a CGM sensor, I sketched a quick stick figure and Tweeted it to Megan. Here it is:

My recommendation for sensor placement. (Butt not drawn to scale.)

Even though it’s not officially endorsed by the manufacturer, I find side-butt sensor placement to be darn near perfect. Placed here, sensors are absolutely invisible under pants, impossible to catch with bra or purse straps, and since I’ve always got my pump hooked on a pocket, there’s a short distance for the magic radio waves of blood glucose information to travel. And the side-butt is far less sensitive and prone to excessive bleeding than the abdomen, in my experience. That’s what living with diabetes is all about, right? Using the tools we’re given in the ways that work best for each of us.

I try not to worry about what new body parts I’ll have to discover when my back-arms and side-butts start to wear out. Maybe the lower backfat or rear thigh. God help me if I have to move to the middle forehead.

*Of course, Minimed recommends the abdomen because that’s where patients placed the sensors during clinical tests. Those poor guinea pig patients must have had to wear sweatpants for months.

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