Monthly Archives: October 2015

Technology: More to think about, in a good way.

I got through reading this thouroughly engaging post from Kerri Sparling over at diaTribe. It’s a very helpful post that gives People With Diabetes real information to consider when deciding whether to share or not share continuous glucose monitor (CGM) data via NightScout, the Dexcom G5 Mobile CGM, or MiniMed Connect/Carelink.

As I said, I thought the post was very helpful, but what also struck me was how we now have three different BG data sharing platforms to choose from.

When I considered that, I had a reaction that went something like: “Wha… what? Two years ago we didn’t have any! Now there are three!”. On the surface, it’s a no-brainer. Why not be able to share data from your CGM? But it took Nightscout, in my opinion, to get that ball rolling. Once people, and mostly device makers, saw that, and considered the possibilities for themselves, they were all on board. Makes perfect sense.

But there’s something else to consider too. Think about this: If you’re using a CGM and you decide to share, you now have to decide who to share your data with, and the rules regarding that shared data. It’s as if the gods said “Well, you don’t have enough diabetes stuff to think about already, let’s roll out something new to give you even more to worry about”.

That’s in addition to the fact that we now have, essentially, three separate apps sharing data across three separate platforms. It’s great to have choices. The more choices we have, the more likely it is that we’ll find something we really like. We need that. But again… more decisions. Which to choose? That’s easy if you’re using the Enlite sensor from Medtronic. But if you’re a Dexcom user, you have two options to choose from.

On the other hand, these are good problems to have. And parents of kids with diabetes, especially, have been wanting something like this since forever. I know, because I’ve asked them. I’ve been at JDRF Type One Nation events where parents see remote monitoring for the first time and simply ache for it. For them, it’s choices, schmoices. They’ll take anything as long as it works, because it allows for both more freedom for their child, and more knowledge of how the child’s diabetes is performing throughout the day. More choices? More decisions to make? Bring it on! They don’t care. Parents are awesome that way.

It’s very interesting for me, this realization that these three data sharing platforms seem almost ho-hum now. Sharing CGM data already seems like it’s been a part of our lives for quite a while. But it’s been less than two years between having and keeping CGM data to ourselves, and having the ability to share it with people a world away.

We live in a fast-paced world powered by technology. The latest innovations are making their way toward us faster than ever. The trick will be, of course, in not investing our time working for our data. But rather making the data work for us, for our health, for our safety, for our happiness.

You know what? We are worth it. #WeAreNotWaiting
 

Frustrated, but okay with it (sort of).

Do you ever experience a low where someone really goes out of their way to help you, when you don’t really need it, and it’s kind of annoying?

This wasn’t help during a low… this was, unfortunately, hindrance.

About three minutes earlier, I felt like I might be low, and tested out at 58 mg/dL. I started to eat some candy I keep in a jar on my desk at work. I suspended my pump, for what that was worth, and I was sitting quietly, not doing anything. Just concentrating on the one thing I needed to do in that moment, which was eat the candy (or, as some might call it, Stephen-eat-the-cheeseburger), and nothing else. Then someone came by, and noticed I was low. Before I knew it, I heard “Come with me… do you have something in your desk?… Here, I got your juice… drink it. NO, DRINK IT… NOW”.

My co-workers have come a long way in their understanding of diabetes, and especially their understanding of the dangers of hypoglycemia. But a few days ago, I came to the realization that there is a big difference between basic knowledge of highs and lows, and knowing about the nuances of diabetes.

I was definitely low in this instance. No doubt about that. But I was already treating, and as we all know, ingesting something now does not mean my BGs will come up at the very moment that fast-acting carbs are ingested. It takes fifteen minutes or so. Nothing I can do about that.

But it’s very hard for people who don’t live with diabetes to just sit there and wait, or even understand what it means to sit there and wait those fifteen precarious minutes. Especially when they’re worrying about you.

I have to tell you… it warms my heart to know that the people I work with are so eager to help when I hit a bad low. By the same token, it takes more than just literally shoving a juice box in my face and expecting me to be okay. The truth is, I would have been okay eventually, even if I was the only one there.

The thing is, it’s easy for me to be frustrated, because my low wouldn’t have been so difficult had I been left to my own devices. I was sitting in a chair at my desk, eating candy. My pump was off. I knew it was going to take a bit, but I knew I would eventually be okay. I didn’t need the extra grabbing and juice shoving and holding the juice so all I had to do was drink it. I also could have done without the “It’s because he’s stressed… the stress is making him low” comments.

But… how can I be unhappy about the level of concern and effort put into this moment? In reality, I cannot expect someone who doesn’t live with diabetes to know the difference between what 74 mg/dL feels like, and what 44 mg/dL feels like. And they really wanted to help me. How can I complain about that?

In the end, for all of the frustration, it’s just another brief episode in life with diabetes. I need to go through the mental checklist, examine the moment, and see if there’s anything I could have done better. To not do that would be folly. If it turns out it was just one of those crazy lows that happens from time to time despite our best efforts at diabetes management, then I just have to let it go. And thank everyone who tried to help me.

And be happy that there are people who want to help when I need it, even if I don’t need it all the time.
 

T2 Series: Mark your calendar.

Hey, did you know that TuDiabetes has a super live interview series? Every week, they’re interviewing someone new, talking about subjects that we all care deeply about.

During the month of October, TuDiabetes’ live events will focus on Type 2 Diabetes, featuring guests who really know what they’re talking about.
type2-live-series
Yesterday’s guest was journalist and author Gary Taubes, whose books Why We Get Fat and What to Do About It, and Good Calories, Bad Calories (also known as The Diet Delusion in the UK) are widely read. He’s also co-founder of the not-for-profit Nutrition Science Initiative. In addition, he’s recipient of a Robert Wood Johnson Foundation Investigator Award in Health Policy Research, and he’s won a boatload of awards for his journalism.

Did you miss this interview? It’s okay. TuDiabetes will be posting a copy of the interview shortly, so you can watch it whenever you want. Isn’t technology great?
 
 
On October 7, TuDiabetes welcomes Susan Guzman, co-founder of the Behavioral Diabetes Institute. It’s the first non-profit organization devoted to the emotional and behavioral aspects of living with diabetes. By trade, she’s a clinical psychologist specializing in diabetes. Her main focus is on overcoming emotional challenges that interfere with managing your diabetes on a daily basis.

They’re going to be talking about dealing with and overcoming the stigma that people try to lay on Type 2s on a regular basis. This should be a really interesting talk, and I, for one, cannot wait to hear it.
 
 
On October 13, Ansley Dalbo will be welcomed to TuDiabetes to talk about DiabetesWhatToKnow, a great resource for Type 2s who are just getting started in their life with diabetes, or are looking for a little more information to help them manage their Type 2 lives better from here on out.
 
 
On October 15, noted Type 2 and major advocate Bennet Dunlap will appear, talking about the recent launch of Diabetes Patient Advocacy Coalition, and how each of us can take a hand in carving out a better life for everyone living with diabetes.
 
 
And Mike Durbin will be on! The author of My Diabetic Heart will stop by on October 22 to talk about living with Type 2 diabetes and congestive heart failure. Shame isn’t a part of his repertoire, and I’m thinking he might have some great advice for you and me too. This one has been already marked on my calendar.
 
 
Pretty good lineup, no? Want to be in on the happenings? Good. Here’s what you do:

CLICK HERE for a quick look at the calendar of events. Want to find out more about a topic? Click on the event. Can’t be more simple than that.
 
 
Hey, I’m not a Type 2, but I could stand to learn an awful lot about my brothers and sisters who are living with a type that’s not my own. Join TuDiabetes for the innovative T2 Series, and for heaven’s sake, be part of the discussion, learning, and empowerment that comes from being a member at TuDiabetes.
 

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