8 Questions: Can you guess the answer?

Ready for a guessing game? Let’s see if you can find the answer in 8 questions (or less):
 
 
1. Dexcom users: What is neither red nor yellow?
 
 
2. What can make you smile?
 
 
3. Goldilocks would love this.
 
 
4. For many of us, this eliminates half of the bolus equation.
 
 
5. In some parts of the world, this is worth one dollar. #hundy
 
 
6. According to Joslin Diabetes Center, “People who do not have diabetes typically have fasting plasma blood glucose levels that run under” this.
 
 
7. The square root of this many Maniacs:

 
 
8. For this Type 1 patient, it’s the Happy Medium!
 
 
Answer:
DSC00251
 
 
 

It’s Big Blue Test Time!

Big-Blue-Test
 
 
Today marks the start of one of my favorite parts of the year. It’s Big Blue Test time!

For the next month, every Big Blue Test that is logged will result in a $1.00 (US) donation to non-profit diabetes groups that are working tirelessly to provide education, support, and supplies to people who need them.

Here’s how it works:

1. Test your blood glucose. If you do not have diabetes, you can skip this step.

2. Get active. For 14 to 20 minutes, get up and get moving. You can , walk, run, clean the house, swim, tap dance…whatever!

3. Test again. On average, Big Blue Testers seen their blood glucose level drop 20% after 14-20 minutes of exercise.

4. Share your results. (Answer the questions in the right column of the page at bigbluetest.org). And don’t forget to talk about your experience on social media.

Hashtag-Big-Blue-Test

Tell everyone you know, whether they’re living with diabetes or not. Log those moments of activity throughout your day.
Share this with everyone you know (use the hashtag #bigbluetest).

Have you been looking for a way to help move the needle toward better outcomes for People With Diabetes, but you’re not sure how? This is how.

I’ve already logged my first one! I took the long way walking from the train station to work, and my BG dropped 53 points. I’m going to try to do this every working day (twice per day, of course) for the next month. I’ll bet there’s something similar you can do where you live and work.

Sometimes, diabetes advocacy is both fun and easy. Go to bigbluetest.org to find out more.

Recipe! Flatbread pizza.

Happy Friday!

Cliche alert: Like you, I’m always on the lookout for low-carb options of my favorite foods. Today, I’ll be showing you just how easy it is to make a tasty flatbread pizza. Not only is it low carb, it’s also about three dollars (or less) per pizza. Let’s begin:
 
 
Preheat your oven to 400 degrees fahrenheit. I’m still working on this; you can probably cook these a little lower, say around 350. The idea is to get all the ingredients cooked through while crisping up the flatbread, but not burning it. A little finesse is required. We’ve also done this on the grill, which requires a very low flame so you don’t burn the flatbread. Regardless, watch it like a hawk the first time.

Flatout-Flatbread

I started with flatbread from Flatout Bread. Good size, easy to use, fits on a cookie sheet. 16 grams of carbohydrates per flatbread. They come in a variety of options, including Garden Spinach and Sundried Tomato. I used the Italian Herb. FYI: Their website contains great recipes from other bloggers.

I like to put a very thin layer of olive oil on the bottom of my cookie sheet, along with some garlic powder or celery salt, to give the crust a little zing. Then I went to the refrigerator.

Ingredients

I just looked for anything that might taste good on a pizza. I found turkey deli meat (for Maureen), salami deli meat (for me), green onions, baby portabella mushrooms, and green olives. I also had some cherry tomatoes left from my garden.
 
 
Classico-Pizza-Sauce

We began the pizza build with Classico Fire Roasted Pizza Sauce. The nutrition label says that ¼ cup carries about 6 grams of carbohydrates, and that’s about the amount we used on each pizza. I’m also a big fan of basil on my pizza; we didn’t have fresh basil, but I sprinkled some dried basil flakes on top of the pizza sauce to give it an extra layer of flavor.

Then we just started piling on ingredients! One thing about the tomatoes: A lot of flavor is in the juice of tomatoes, but that extra liquid can really make your pizza soggy if you’re not careful. These cherry tomatoes worked fine, but we made sure to put them on top of the other ingredients. If you’re using something like a Roma tomato, slice it really thin and place each slice on a paper towel first. It won’t drain all of the liquid from the tomato, but keeping the slices thin will keep from weighing everything down, while still giving you that tomato boost. Yes, I’m a fresh tomato addict.

Once we finished with our ingredients, all we needed was a little mozzarella cheese on top. Here’s a look at one pizza before the cheese and one after the cheese. Looks good, right?

Half
 
 
Well, they were even better when we took them out of the oven. Cook your pizza at 400 degrees for 5 to 5 ½ minutes. In our case, thanks to our 50 year old oven (literally), we needed to finish it off for 30 seconds or so under the broiler to brown the top a little bit.

Flatbread-Pizza

From start to finish, these two flatbread pizzas took about 15 minutes. It may not have taken that long to eat them.
 
 
Carbohydrate count: Let’s see… 16g for the flatbread, 6g for the pizza sauce, maybe 3g for anything else. That’s 25 grams of carbohydrates for everything you see in the photos! A regular store bought or pizzeria pizza of the same size would probably be three or four times that amount. Note: You might want to take the fat content of the cheese you use into consideration too.

Carb counts are estimates only. Check with a registered dietician to find out what a healthy carb count is for you.
 
 
Full Disclosure: I’m not getting anything from Flatout Bread or Classico for writing about their products. They are just what I used to make this pizza.
 
 
 

A Pump Vacation? More to it than you might think.

Yeah, about that 3-day pump vacation I had last week: To be honest, it was a little less “Pump Vacation” and a little more “Sudden MDI Freakout”. The reasons for that are ones you can probably think of, but since this was unplanned, I wasn’t really prepared. I was lucky to have done as well as I did, when you consider these factors:

To begin with, I started back on the Lantus for basal insulin. I was still using Novolog for boluses, just like I do in my pump. But it’s been quite a while since I’ve used Lantus, and it scared the crap out of me. Prior to pumping, I had some pretty horrific lows on Lantus, and that’s the first thing I thought of when I did my first basal injection. Here’s the biggie: If I’m injecting for my basal, I need to take exercise and what I’m eating into consideration. Too much (read: ANY) eating without a bolus injection means going high. Exercising without extra carbs or without previously altering the basal injection almost certainly means eating and drinking like a juice-addicted chow hound later on. There’s no such thing as “threshold suspend” when you’re injecting.

Oh, and injections. Part of the flexibility with pumping is the obvious freedom to bolus whenever you need to, without stopping what you’re doing and finding your insulin pen, getting a fresh needle out, and injecting. For everything you put into your mouth. When I had bloused for dinner, eaten, and then Maureen’s family decided to go to Dairy Queen or something for dessert, I had to decide whether I wanted to partake and inject again. I still had to decide whether I wanted to add to my carb count for the day. But part of my decision was based on whether I actually felt like doing another injection.

And the calculations. I’ll admit it… I’m a big user of my pump’s bolus wizard feature. The first time I needed to do a bolus injection, my BG came in at 78 mg/dL. You know what that means, right? Take the 22 mg/dL I was below 100 to figure how much to reduce my bolus so I wouldn’t go low overnight. To my surprise, I found that doing these calculations in my head was like riding a bicycle (in my head). The first calculation took a while, and I practically singed some brain circuitry, but the rest were really no trouble. Good to know I can still do simple math in my head.

But I also had to remember that I was in sunny, HOT Florida. When we went out with my pump on, the air conditioning in the car kept my pump cool, and then we’d quickly go into an air-conditioned building of some sort. But I needed to take the cooler along when I had the insulin pens, or leave them in my pocket the entire time. Which can be tough with a swimsuit on. In retrospect, I should have just kept them in my pocket anyway.

All of this is just a reminder that a pump vacation may seem like a fun idea when you first think of it. But if you don’t do some real planning, you may find yourself in sudden MDI freakout mode, just like me. Make sure you have your calculations down, you’re familiar with what your insulin of choice is capable of, and make sure your meal/carb intake is well planned as much in advance as possible. If you think of these things ahead of time, you can look at even the surprise pump issues with a little less freakout and a little more vacation in mind.
 
 
 

8 Vacation Observations.

I’m feeling somewhat refreshed after a week away, but also a little bummed about the change in temperatures at home, and mostly about the dwindling amount of sunshine in the days here in North America. To begin the week, since I seem to be stuck at eights lately, I thought I would offer eight observations from the previous week:

Transportation Security Administration: We’re still finding different rules in different airports. In Baltimore, take out your iPad, and take off both your shoes and your belt. In Fort Myers, you can leave your belt on, and you can leave your iPad in your bag. But regardless of where you go, don’t forget to empty your pockets. I got yelled at (and I mean YELLED AT) by a TSA agent at BWI, but my pockets were empty. He was very, very unhappy, and came out from behind the barricade he was behind, walking straight toward me, pointing. Until I pointed out that what he saw was my insulin pump, after which he said “Okay, just go through here and we’ll take care of you right away”. With a smile on his face.

Pump Vacation: I took an unexpected pump vacation for a few days down in Florida. After being in the pool for a while, with my pump in a cooler (inside a plastic bag– thanks Kelly), I took it out, reattached, and started receiving button errors that I’d never seen before. I couldn’t get the ACT button on my Medtronic Revel pump to work at all. I worked with it for about half an hour and started to get some functionality back, but the ACT button was still spotty, so I just took the battery out and went on MDI for about three days. I reconnected Friday night, and everything seems to be okay, but the ACT button still needs a little extra oomph to work properly. I’m happy to report that despite all this, diabetes played a mostly secondary role this past week. But this is a huge wake-up call for me, a big reminder that because my pump warranty expired over 6 months ago, maybe I shouldn’t wait too much longer to decide on a new pump.

How would you like to be cooked? Why is it that while you’re on vacation, you’re always worried about getting too much sun, but as soon as you’re back, you think you didn’t get enough? Inquiring minds want to know.

Speaking of not enough: When did I get the mentality that I’ll never be able to do enough diabetes advocacy? When I started this blog, I wanted to help where I could, thinking that I probably wouldn’t be able to do much. By this point, I’ve accomplished about ten times more than I ever thought I would, but it just doesn’t seem to be enough. Oh well… I guess I’ll continue to try to help where I can, as long as there is a need. And unfortunately, there is still a need.

Reading: My reading at home is mostly at the rate of ten pages at a time. That’s how many pages I can read on the train to work, during my short lunch, and on the train home. Thirty pages per day. So vacation is usually when I get a chance to dive into something without missing a stop (I’ve been known to do that). On this trip, I read the fabulous Billy Crystal autobiography Still Foolin’ ‘Em, which will make you laugh out loud in public places, often. Great background stories on the projects he’s worked on over the decades too. I also read through Blog Inc., by blogger Joy Deangdeelert Cho. It’s mostly about monetizing your blog, which I’m not much interested in. But there are some great tips on blogging in general that I found useful, and that you might find useful too. I especially liked the interview with Emily Henderson on page 115 where she talked about why she started blogging.

The ATL: Travel both ways this time was routed through Atlanta’s Hartsfield-Jackson International Airport. For the life of me, I can’t understand why an airport that claims to be the busiest in the country makes my wife with arthritic feet walk half a mile (literally) to find out what gate her next flight departs from. And while we’re at it, why do pilots still make an announcement that says “If you need help finding your next flight, an attendant will be at the end of the jetway to help you”? Because those attendants don’t exist. They were “right-sized” out of the company while you were adding 50 bucks to my fare so I could actually take the luggage I’ve never paid extra for before. We did find someone at an empty gate a few gates down, who refused to look up our connecting flight and pointed us in the general direction of where we could find our departure. If we moved fast enough so we wouldn’t miss it.

Bonus: The ATL does include sharps containers in the restrooms. I found this one in the back of the Men’s room in terminal D next to the urinals. Great idea, bad placement.
Sharps-container

DSMA: Despite wi-fi that was slow as molasses, I was able to sit in on last Wednesday’s DSMA Twitter Chat, and it was still one of the highlights of my week. I think it’s safe for me to say my life would be a little LOT less happy without that crazy hour of questions, answers, encouragement, and support. Even on vacation.

Finally… Pictures! Here are a couple of sunrise photos from Sanibel, Florida. One, sunrise looking toward Bonita Beach and Estero at low tide, and one showing the famous Sanibel Lighthouse. Enjoy your Monday!
Sanibel-Sunrise

Sanibel-Lighthouse
 
 
 

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