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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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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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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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Is your Apidra dying early???? Commenting Fixed, I hope

Is your Apidra dying early???? Commenting Fixed, I hope

NOTE - blogspot decided I don't need to see any comments for some reason. I had to turn off comment moderation. Any comments on this post went into some kind of black hole, so please recomment if you said something before...

I live in upstate New York, I've tried two different pharmacies (an independent and a CVS) and I seem to run into issues with my Apidra dying about 10 days after opening a vial. It can't be my fridge as it happens even with the first vial I bring home from the pharmacy, which gets opened and set on my dresser.


This has been happening on and off since July, but it's gotten really bad since Christmas. I'm talking like 80% of the insulin I open lasts a week. Has anyone else seen this???

My last two bottles (different pharmacies, both not very effective after 6 or 7 days, and virtually dead by 10) are from lot numbers 40C413 (exp 7/2011) and 40C419 (exp 9/2011).

Anyone out there with those lot numbers, can you let me know if yours works? I suspect all the local pharmacies may get supplied from the same place....

Thanks!

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Feeling Cold, pt. 2 - effect of insulin on body temp


As you may recall, I recently started doing some data recording of my basal body temperature at waking and before bed. Through that data, it was pretty obvious that my core body temperature (CBT) is more than a bit lower than the normal 98.6 degrees (F). I have consistently run 96.5. Having established my initial baseline for my A-B-A data set test for my upcoming experiments on increasing my own CBT, I was doing some Google-research when I stumbled upon a preview of an article to be published this coming October in the medical journal, Diabetes.

The article is entitled "Insulin Causes Hyperthermia by Direct Inhibition of Warm-Sensitive Neurons." The objective of the research was to examine the role of the metabolic signal insulin in the control of core body temperature. The findings demonstrated that insulin can directly modulate hypothalamic neurons that regulate thermogenesis and CBT which indicated that insulin plays an important role in coupling metabolism and thermoregulation at the level of anterior hypothalamus. Since I myself don't have a subscription to the Diabetes medical journal nor feel like spending $45 to read something I probably can't understand in the first place, I'll just assume they are correct until one of you readers points me to contrary medical research.

According to a summary medical article on Medical News Today "New Link Discovered Between Core Body Temperature and Insulin," while much research has been conducted on insulin since its discovery in the 1920s, this is the first time the hormone has been connected to the fundamental process of temperature regulation:

The scientists found that when insulin was injected directly into a specific area of the brain in rodents, core body temperature rose, metabolism increased, and brown adipose (fat) tissue was activated to release heat. The research team also found that these effects were dose-dependent - up to a point, the more insulin, the more these metabolic measures rose.

"Scientists have known for many years that insulin is involved in glucose regulation in tissues outside the brain," said Scripps Research neurobiologist Manuel Sanchez-Alavez, who was first author of the new paper with Bartfai lab colleagues Iustin V. Tabarean and Olivia Osborn (now at the University of California, San Diego). "The connection to temperature regulation in the brain is new."

...

In work coordinated by Osborn to characterize these neurons and their transcriptome (all of the messenger RNA molecules in a cell, which reflect the genes being expressed), the team noticed something unexpected - a messenger RNA for an insulin receptor.

"We were surprised to find the insulin receptor," said Tabarean. "The insulin receptor is very well documented in the pancreas and in other peripheral tissues. But in the brain, it was not clear and we definitely did not know about its existence in warm-sensitive neurons."

The article goes on to explain the methodology, then draws some conclusions:

The authors note that while their new paper illuminates a key piece of the puzzle of the body's metabolic processes, it also raises many intriguing questions: How does insulin get to the brain's preoptic area - does it cross the blood-brain barrier or is it produced locally? Are diabetics, who are insensitive to insulin in peripheral tissues, still sensitive to insulin in the brain; if so, could this dichotomy be used in the development of a new therapy? Could scientists find a way to use these new insights to increase energy expenditure for the purpose of weight loss?

Unlike the rodents in the medical tests, I'm not really in much of a position to stick a syringe into my brain and inject a bit of humalog to see what happens. So, I thought I'd ask for volunteers. Just kidding!

It does, however, give me an idea for an experiment to try: determining the effect deprivation of all insulin from my system would have on my CBT. Given the above, would my CBT actually be lower if I had, say, 24 hours of no insulin whatsoever? It would be a pretty simple test to complete, perhaps at my next scheduled site change. Don't worry, I'd couple it with a complete fast as well so my blood sugar levels shouldn't rise too high... that in and of itself would be pretty interesting to know as well: what is the rising rate of one's blood sugar if nothing is ingested?

As always, please don't try this at home. I don't mind screwing up my own body processes in the name of science, but I don't want to worry that I'm messing with your own. But, if you do decide to give it a try, don't hesitate to share the data!

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