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Find articles on insulin pump use, reviews and technical discussions.

To friends & family members of those newly diagnosed...

Hi, and welcome!

Type-1 diabetes can be a very scary diagnosis. There are a million unanswered questions and even more unfounded fears. For parents there is anxiety, doubt, blame, terror, and a myriad of other emotions running wild through your hearts and minds.

Let me be the first to tell you:

It's going to be all right!

This blog was created as a resource for you. I want you to learn as I learn, and more importantly I hope you learn from my mistakes. It's easy to look back over the course of time and concede that what seemed like a sound decision in the past was in fact an erroneous one. A major mistake I made with my diabetes was dismissing the pump.

I simply refused to allow myself to even consider the possibility of being on the insulin pump. You can look back to my first few posts to read why, but I can tell you that I was foolish and wrong for thinking so negatively.

The insulin pump is more than 'an alternative' to taking shots. I would say that comparing the pump to shots is like comparing type-1 to type-2 diabetes. Sure, in some ways they're alike; but in many more ways they are totally different.

Knowing how I feel now, compared to how I felt then (for over 20 years)....knowing that it would affect not only how I am, but who I am.....knowing that this one simple piece of equipment can prolong my life and improve my quality of life exponentially.....knowing the freedom it affords.....knowing that I am more now of who I was meant to be....knowing all that, and so much more I can confidently say:

Please do everything you can to convince, persuade, or encourage every single person with diabetes you EVER meet to get on the insulin pump IMMEDIATELY.

It's never too late, or too early to start.

Until next time, keep pumpin'...

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School and Diabetes and 3 Day Weekends and Other Family Stuff

I love 3 day weekends! School tomorrow...I have mixed feelings on this. Allow me to explain...of course I will miss the little nippers on my Mondays off, but it'll be nice to have the house to myself. It's a drag that I have to go to the school to check Aaron's blood sugar and give him his insulin, but we still would rather do this than to trust someone at the school with this task. Aaron and Emily will have different lunch periods, would have been nice to have them at the same time. We got good news the other day, Emily has the same teacher that Aaron had for 1st grade, whom we loved! It's so nice when your kids get a teacher that you like.

Matt seems to have settled in at Ferris, and Jessie is taking classes at Macomb Community College. She still has no idea what she wants to do with her life, but that's O.K., at least she is preparing for the future.

Oh, did I mention that I love 3 day weekends?

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What I regret about choosing the insulin pump over taking shots or any other diabetes management technique

6 month review of insulin pump, click HERE

Medtronic Revel insulin pump review, click HERE

P90x & the pump, click HERE

Complaining never helps, click HERE

A visual aid (graph) to prove the point, click HERE

What I regret about choosing the pump, click HERE

My family explains the benefits of the pump (a video), click HERE

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The Unsung Heroes of Diabetes Care (a.k.a. give your CDE / nurse practitioner a hug today)

6 month review of insulin pump, click HERE

Medtronic Revel insulin pump review, click HERE

P90x & the pump, click HERE

Complaining never helps, click HERE

A visual aid (graph) to prove the point, click HERE

What I regret about choosing the pump, click HERE

My family explains the benefits of the pump (a video), click HERE

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Insulin resistance linked to Alzheimer's brain plaques

by CTV.ca News Staff

Updated: Thu. Aug. 26 2010

A new study has more bad news for people with pre-diabetes or type 2 diabetes: researchers have found evidence they may be at increased risk for developing the brain plaques linked to Alzheimer's disease.

In the new study, which appears in the journal Neurology, 135 Japanese men and women underwent diabetes screening tests in 1988. They were then followed for up to 15 years for signs of Alzheimer's disease.

After they died, researchers conducted autopsies on their brains to look for plaques, and brain "tangles," another brain abnormality seen with Alzheimer's disease. While 16 per cent had symptoms of Alzheimer's disease while alive, a total of 65 per cent had brain plaques. Plaques were found in 72 per cent of people with insulin resistance and 62 per cent of those with no indication of insulin resistance, the researchers wrote.

People who had abnormal results on their blood sugar tests were more likely to have plaques in their brain, the study shows. This relationship was more pronounced among people who also had a form of the ApoE gene that's been linked to a higher risk of developing Alzheimer's disease.

There was no link between insulin resistance and type 2 diabetes and risk for developing brain tangles, the study found. The researchers say it's not clear if insulin resistance is a cause of brain plaques. But if it is, that leaves the door open to perhaps preventing Alzheimer's disease by controlling or preventing diabetes. The study's findings are significant, the authors say, given the rising prevalence of both type 2 diabetes and Alzheimer's disease.

"With the rising obesity rates and the fact that obesity is related to the rise in type 2 diabetes, these results are very concerning," study author Dr. Kensuke Sasaki, with Kyushu University in Fukuoka, Japan, said in a news release.

As for why diabetes and Alzheimer's might be linked, the researchers suggest that having high levels of glucose and insulin in the blood may damage neurons.

It may also hinder the brain's ability to clear out amyloids, a protein normally produced by the body. These proteins can then form the beta-amyloid plaques that are a hallmark of Alzheimer's disease.

Sources include
http://www.ctv.ca/servlet/ArticleNews/print/CTVNews/20100826/diabetes-alzheimers-100826/20100826/?hub=Health&subhub=PrintStory
http://www.sciencedaily.com/releases/2010/03/100315161921.htm
http://www.neurology.org/
http://www.nia.nih.gov/Alzheimers/Publications/adfact.htm
http://ghr.nlm.nih.gov/gene/APOE
http://diabetes.niddk.nih.gov/dm/pubs/insulinresistance
http://hyoka.ofc.kyushu-u.ac.jp/search/details/K002449/e

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Multiple Diabetes Injections Could Yield to Injections Just 3 Times a Week

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Excerpted from ABC NewsMarch 10, 2011

A new study, published in the Lancet, found that a longer acting form of insulin, known as degludec, is just as effective as the existing long-lasting insulin, glargine.

One injection of glargine lasts 18 to 26 hours, but study participants who used degludec had the same amount of blood sugar control as glargine while only getting injected three times a week instead of daily.

Sticks and Pricks of the Study

Participants who took degludec had lower rates of hypoglycemia.

"This would give patients the same level of control in insulin with much less chance of hypoglycemia," said Dr. Bernard Zinman, director of the Leadership Sinai Center for Diabetes and lead author of the study. "It was so long-acting that we looked at administering it less frequently, and even under those circumstances we had an excellent response with respect to lowering glucose."

Researchers enrolled 245 people aged 18 to 75 years old with type 2 diabetes onto the preliminary trial. Patients were randomly assigned to receive the three-times-a-week or the daily insulin injection.

"This was a proof-of-concept study," said Zinman. "We need to wait for much larger studies involving more patients under different circumstances to see whether this would be valuable in the clinical setting."

Dr. Gerald Bernstein, director of the Diabetes Management Program at Beth Israel Medical Center in New York, said that other "basal-like," or background, insulins, like NPH and Levemir, already are being used today.

"In my mind, there is no question that, with hundreds of millions of people with Type 2 diabetes, there will be subgroups that would benefit and respond to one of these insulins," said Bernstein.

"If this new preparation would get more people to take insulin earlier, that would be a plus," said Bernstein. "As it proves itself out, it may be of significant value in the future."

According to the American Diabetes Association, nearly 26 million people have diabetes in the United States. Type 2 diabetics often do not have indicating symptoms of the disease but sometimes they will suffer from frequent infections in the skin, gums or bladder, blurred vision, bruises that are slow to heal and tingling in the extremities.

Type 2 diabetics do not produce enough insulin or the cells ignore the insulin.

Potential Breakthrough When Lowering Hypoglycemia

Most diabetic patients who take insulin need about two shots per day to control blood sugar levels. But it is not uncommon for people to inject insulin four times a day.

"Another long-acting basal insulin that might be effective when given every three days could improve adherence and reduction in hypoglycemia, [which] is always an important goal in that hypoglycemia deters adherence with and acceptance of insulin therapy in type 2," said

While study authors warned that the insulin is not ready for clinical use, many doctors remain hopeful that the drug will cut down insulin maintenance for diabetic patients in the future.

"This is a promising advance in the management of diabetic patients, easy to take, less cumbersome, perhaps cheaper and, if indeed [it] has less hypoglycemia episodes, even better," said Dr. Albert Levy, assistant professor of medicine at Albert Einstein College of Medicine in New York. "The most common side effect of practically all insulin injections is hypoglycemia, and if this unwanted side effect is minimized it would be a major breakthrough."

Sources include
http://abcnews.go.com/Health/diabetes-study-finds-times-week-insulin-improves-glucose-levels/story?id=13097090&page=3
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62305-7/fulltext
http://www.novonordisk.com/include/asp/exe_news_attachment.pdf?sAttachmentGUID=eb95fd24-0fdc-4f82-9d64-9dd748c78c0f
http://www.lantus.com/
http://www.lunenfeld.ca/researchers/zinman
http://www.friedmandiabetesinstitute.com/
http://www.aolhealth.com/2010/08/24/meet-diabetes-expert-dr-gerald-bernstein/
http://www.diabetes.org/
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001423/
http://www.einstein.yu.edu/home/faculty/profile.asp?id=3017
http://www.einstein.yu.edu/home/default.asp

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