Tag: CGM

thank god I woke up

Thank God I Woke Up

Thank God I Woke Up

By: Katharine Orona

Blog: This is Type 1 Diabetes


When you go to sleep at night you generally expect to wake up in the morning. When you have a chronic illness like Type 1 Diabetes, you try everything you can to make sure you will wake up the next morning.

You do everything right. But sometimes it’s not enough.

I am thankful to have technology that helps me stay alive, but I understand that technology is not perfect and sometimes things can still go wrong. Two weeks ago I went to bed like any other night, but woke up early the next morning with an intense feeling of desperation that I know all too well. My blood sugar was dropping. Fast.

I looked at my phone to check my Dexcom app and it read 74 (which wouldn’t normally give me these symptoms). I knew the reading had to be wrong so I woke my husband up and told him to get me juice FAST. He did, along with my meter so I can see how much juice I might need. My meter read 49. And I can tell I was dropping to a lower number quickly, so I drank a 2nd juice.

The next 15 minutes felt like 15 hours. Heart racing, rapid breathing, physiology kicking in and telling you that you need more sugar now. But I know I must wait. It finally came back up and I woke up a couple of hours later at a completely normal blood sugar of 123.

Then I thought to myself, what if that 49 didn’t wake me up? What would’ve happened to me?

I clearly needed those 30 grams of carbs I drank since my blood sugar didn’t spike later. If I didn’t drink it, what would that morning have looked like for my family? Panic set in. The feelings of what if and the feelings of reality kicking in came over me. But why did my blood sugar drop so low?

Why do these things happen even if you live your life by a calculator and you dose your insulin as best you can and you try so hard? Because. Diabetes.

Diabetes has no rhyme or reason. Sometimes 2 + 2 does not equal 4. And sometimes you wake up before the sun because God decided that today is not that day. Today you will wake up. You will wake up before it’s too late.

Today, you will survive. And two weeks later, I’m still thankful.


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It’s Not You, It’s Diabetes

“It’s not you, it’s diabetes”
By: Mitchell Jacobs

“BEEP BEEP BEEP BEEP” Will you fix your sugar already it’s 2 in the morning and I have to be up in 3 hours! This is almost a nightly event with my wife of four years. She’s a type one diabetic. Which in short means her pancreas failed at a young age.

So why is this such a big problem in our day to day lives? The constant beeping, the constant snacking, and the never ending high alarms and the dreaded low alarms. My wife sets her CGM to go off below 70 and above 200. That doesn’t leave much room for a quiet night, or after noon or anytime for that matter. However, we would rather be alert of her situation than unaware and not treat a severe high or low.

I work anywhere from 45-55 hours a week, on a military schedule mind you, which could mean showing up for work Wednesday and being told I’m leaving for a detachment Friday.

I can’t begin to tell you how many times i’ve been in a room at work with co workers to hear her low alarm go off. (If you’ve heard an amber alert go off on you’re phone its as startling as that.) So it scares my coworkers and definitely scares me. Now I need to go out of the building (no reception) and make a phone call to ensure my wife is aware of her low, and treating it. This is just the beginning of my frustration with her type one diabetes.

A large part of my job in the military is flying. I’m not a pilot but I’m known as a Naval Aircrewman. So we could have 6 – 7 hour flights from one side of the country to the next. Or even more worrisome is when we travel oversees. Then I cannot get cellular data (thanks a lot Verizon), until I connect to wifi in the hotel we’ll stay in.

I can’t begin to stress to you how deep your heart can sink when you get a low alert at 8am local time but 2am where my wife is, and I can’t get through with her. It’s the simplest thing, to make a phone call, until hearing that voice is the only thing that stops the panic.

 
More than frustrating, Type one is scary. I’ve seen the horror stories of the husbands who left for work, hadn’t heard from their wife all day, to find her that night unconscious. I find the bulk of the frustration I feel towards my wife (other than her managing to wash her hands in a sink that we collectively removed the garbage disposal from [*inside joke*]) is type one diabetes. I constantly find myself desiring to apologize to her for how angry or annoyed I got with her, based on something she has little control over.

If I could say anything to my wife right now, it’s I love you. Plain and simple, and I know what I signed up for. I don’t mean to always seem frustrated with you because I want you to be healthy, and I’m glad you set your alarms for such good numbers. I just want you to know its not you, it’s diabetes.


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My Guardian Angel –

The other night was one of those times where I needed saving. Some may say it could be timing, coincidence, or luck. But to me, it’s nothing short of a guardian angel.

I go to sleep, but this time my CGM didn’t alert me of a low blood sugar. A simple malfunction or loss of signal perhaps. Any other night I would get alerted, wake up, and care for my blood sugar. But not this night.

On the other side of the house a smoke alarm beeps 3 times. My husband wakes up quickly and goes to figure out where the loud noise is coming from. There’s no fire, no one awake in the house but himself, and it never went off again after he woke up – (Even days later).

He then goes to check on me. Puts his hand on my chest and notices that I’m sweating profusely. He wakes me up and I feel weak and confused. He hands me a handful of M&M’s and as I eat I slowly start to become alert and well.

I thank him for waking me up. I feel distraught on how I can do so good for so long and have just ONE bad night with diabetes. He asks me if I heard the smoke alarm going off and I said no. It didn’t click in then, but the next day I really thought about weird that was.

It doesn’t surprise me though. And it’s not the first time something like this has happened where I feel protected in some way. It’s comforting and reassuring that someone is looking after me. I believe my husband is my assigned guardian angel.

I think having a guardian angel is a way of saying “I know you can’t do this alone and you’ll never have to. An angel is there to protect you.”


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challenge accepted

Challenge Accepted –

Challenge accepted –

By: Ryan Baldwin


December 18, 1992..I was nine years old and I had been pretty sick for 3 months. My mother had taken me in for another doctor visit..only this time, I wasn’t going home right after. Instead, I was being admitted to the hospital. I remember asking my mom, “why are all these tubes hooked to me? What is diabetes? And when do I get to go home??”

I knew diabetes was serious when my mom and dad coexisted in the same room for 6 days..soaking up as much as they could about a disease neither side of my family knew anything about. “You can leave when you can give yourself your own shot.” Deathly afraid of needles, I knew the last place I wanted to be on Christmas was the hospital. Two hours later, my mother and I were on our way home.

For the last 25 years, I couldn’t tell you how many times I’ve heard “Ryan you can’t…”

This disease I live with isn’t a death sentence….. I choose to look at diabetes as a challenge. Life’s way of testing my limits. An opportunity. We all have our own challenges. Mine just happens to involve many calculations and perhaps carrying around more items each time I go out.

“Ryan you can’t…”

I can. I’ve been able to race cars, play hockey & football, surf, enjoy the outdoors. I can go to Vegas with the guys. Of course we face challenges along the way. But, who doesn’t?

Over time, my challenges have evolved from showing I can and fitting in.

My 10 year old son came home from school. So excited. “Dad..there’s a kid in my class. He’s just like you!!”

Now, Im faced with a new challenge. A new opportunity to show my kids that everyone has their own struggles. Everyone has issues. Yet we are all the same.

Highs. Lows. Sleepless nights. Mood swings. Fatigue. The curious stares as you inject while out at dinner. The awkward noises coming from your CGM while out in public or in a meeting. No biggie. It’s not a crutch. It’s a challenge. To better yourself. To rise and conquer.

I embrace the challenges ahead. To advocate and educate on type 1 diabetes. We aren’t alone. I’m reminded everyday. Whether it’s getting a text/call from a buddy because he got an alert regarding my sugar levels. Or my children stopping in their tracks to make sure Dad is ok because he’s acting funny or they heard the all familiar alert coming from my CGM.

Diabetes is what you make it. Don’t let it control you.


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Daily Thoughts Of a Person With Diabetes

Daily Thoughts Of a Person With Diabetes

My day to day life revolves around diabetes. As much as I like to tell myself that it doesn’t control my life, to a certain extent it does. I forget sometimes how often I think about my diabetes, from the moment I wake up to the moment I fall asleep it’s on my mind.

Here are some of my daily thoughts with diabetes:

Just waking up I check my blood sugar, it’s 163. Okay, how much insulin do I need to inject to bring it down slightly and to be able to eat breakfast?

Do I have enough insulin? How long until I run out? Am I due for a refill soon? How much will my insulin cost when I go to pick it up? Will I be able to afford this?

My CGM (continuous glucose monitor) is beeping a low alarm. How low is it? What should I eat or drink? How much should I eat or drink to bring it back up to a safe number?

I want to go out to lunch this afternoon. How many test strips should I bring? Do I have enough insulin in my insulin pump or should I change it prior? What if my blood sugar drops too low or goes high? Do I have enough snacks? Prepare. Prepare. Prepare.

I’m eating dinner. How will this meal affect my blood sugar? Did I bolus? Will the insulin I gave myself prior be sufficient enough? What if I miscalculated? Will I need to correct?

Credit: Type 1 Diabetes Memes

I’m out of the house. My blood is low and I’m not feeling well. Do I tell everyone around me? Where can I sit down and take care of my diabetes? Why are people staring at me?

My blood sugar is high. Why is it high? I did everything that I normally do but my blood sugar won’t come down. Why do I feel so sick? Should I test my ketones? Should I go to the ER? Could it be DKA? Why is diabetes so frustrating?

Just put a new insulin pump site on. Is it on correctly? Why is my blood sugar rising? Could the cannula be bent? Should I take it off and put on a new one? I would hate to have to waste a site if it’s fine.

It’s midnight and my blood sugar is low. What should I eat? How long before my sugar rises? I hope it comes up soon because I’m tired. What if it doesn’t rise and I fall back asleep?

I’m working out and my blood sugar is dropping. Should I stop my workout? Should I eat something and continue working out? Should I disable my insulin pump?

My blood sugar trends have been wacky lately. Should I change my basal rates? What if I’m just combating hormones or sickness? Should I bolus more for my meals? What adjustment is needed without going too high or low throughout the day?

Packing for a trip. How much insulin should I bring? How will I keep my insulin refrigerated? How many infusion sites, sensors, lancets, and test strips should I pack?

Diabetes is demanding and it requires constant attention.

Trying to mimic a pancreas is no easy feat. Everyday I make choices for my health, and those choices have a huge impact on my life. Going over my daily thoughts I have just proves how much work I put into my diabetes, and my life everyday.


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This Is My Life Support, This Is Type 1 Diabetes

This Is My Life Support, This Is Type 1 Diabetes

By: Katharine Orona

Instagram: @this_is_type_1_diabetes | Blog: thisistype1diabetes


10 years ago I was only a few weeks away from having my life turned upside down and changed forever. I was only weeks away from being diagnosed with an incurable disease, one I didn’t bring upon myself, and one I knew nothing about.

I was about to be diagnosed with Type 1 (LADA) Diabetes.

I had been the picture of health. Perfect blood work results at every checkup, thin, and young. I was 26 years old, about to get married, and recently promoted at work. It was then that I thought I had everything under control and everything seemed to be perfect.

I had all the classic symptoms but didn’t know what they meant: extreme thirst, frequent urination, and rapid unexplained weight loss (at 5 feet tall, I went from 106 lbs to 90 lbs in less than 3 months). My doctor knew right away it was diabetes when I went in with my symptoms. I went to the ER, was immediately admitted, and spent 5 days at the hospital.

After that it took me 5 years to come to terms with my disease.

5 years to go through anger, denial, and grief over losing a life I had known for 26 years. 5 years to decide I was ready to start using a different form of treatment, an insulin pump.

I was so resistant to this technology. I saw it as life support, I saw it as a restriction, I saw it as something I would have to conceal and be ashamed about. When I was finally ready and took the plunge, I loved it from day one. To my surprise, it was freeing, not restricting.

life support

It is life support, but I am thankful for it.

However, I still felt the need to conceal it. I dreaded being asked questions about it or having people wonder why I was wearing a pager (90s folks you know what that is). I felt embarrassed that I needed something to live that other people did not. It took a long time to own it.

A few years later when I was pregnant with my son and my doctor suggested a continuous glucose monitor I went through the same feelings all over again. Another medical device? More things that will make it harder for me to pick an outfit that can conceal that too? But, I knew I had to do it so I did.

My son was worth every awkward stare and every question I faced.

These are tools that I use to make my life a tiny bit more normal. They keep me alive. When my son was born 5 weeks before his due date, and I later made the connection, I realized that he was born on the 6th anniversary of my diabetes diagnosis, at the same hospital I spent those first 5 days after diagnosis.

That fateful day in 2007 that I thought was the worst day of my life, turned out to be the best day of my life 6 years later.

Today I can finally say I not only wear my medical devices with pride, I rock them.

And no matter what method of treatment you choose, know that it’s keeping you alive and you are stronger because of it. Feel comfortable with whatever makes you different. Because it makes you YOU.

As Dr Seuss once said: “Today you are You, that is truer than true. There is no one alive who is Youer than You.”


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Diabetes Won't Stop Me From Living

Diabetes Won’t Stop Me From Living

Diabetes Won’t Stop Me From Living

By: Nickie Eckes

I have type one diabetes. I was diagnosed back in February of 1990, at 5 years old, because my body decided it wanted to wage war upon itself and destroy the beta cells in my pancreas.

I remember going to the hospital, and I remember being terrified and having no idea why all these doctors were “torturing” me. I just wanted to go home with my mom, dad, and brother. They said my blood sugar was over 1000 and I had to stay.

The weeks that followed in the hospital were not fun. I had gotten used to getting up and playing and running on stop. Now I was being told I had to live on a strict schedule, only able to eat a certain amount of food at certain times, along with a shot of insulin to ensure that my blood glucose levels were maintained.

They also informed my parents of a place called Camp Sioux, a camp for kids living with diabetes to go and have a “regular” camp experience, but also learn about diabetes. I loved going and it made me feel not alone because everyone was diabetic, and I made some lifelong friends. The type that understands me when I just need “a minute” or “a snack” and understand all those diabetic jokes that make my stomach hurt from laughter.

I’ve dealt with the highs and the lows of this disease now for over 27 years. I’ve handled people telling me if only I would take better care of myself, I wouldn’t be this sick. I did nothing wrong to get this illness, it’s an autoimmune condition. My body can’t make the hormone insulin, which is what is needed for the simple sugars you get from food to enter your cells for energy.

I have to calculate everything I do in a day, from what I eat, to how much I’m going to be moving, along with stress levels and illness (such as common cold or the flu) just to ensure that my blood glucose level stays within a good range and I don’t pass out due to a low blood sugar, or go so high that I get diabetic ketoacidosis (meaning your body is producing a thing called ketones and those can make you very sick). And what works one day may not work the same the next day.

I had the years of rebellion and not caring what my numbers were. I did the whole I’m gonna die young anyway so who cares. And then I decided, I wasn’t going to let this disease keep me down. My friend calls diabetes livebetes because he says “it won’t stop me from living!”

 

Research has made many amazing developments since then, so much now that newly diagnosed people are being told that not much in their lives has to change; they just need to know where their numbers are and how much insulin flow take for those different numbers. We can even program those numbers into a pump and have it do the dosing for us (although not completely without thought from us).

We now have faster acting insulins that instead of having to wait 30 minutes after taking them to even start eating, we now only have to wait 5 minutes. We have what is called a Continuous Glucose Monitoring system (or CGM for short) that can tell us our levels every five minutes, which helps a lot given it can predict a high or a low before they occur, and we can correct the issue before it becomes an issue.

In fact this year, with any luck, I will get to obtain the new diabetes pump, with the first ever closed loop system on it! Both my doctor (who is also diabetic) and I are rather excited for this and are not so patiently waiting. There’s still always planning and calculating everything. It helps, but it’s not a cure. All of these advancements sound amazing and are fantastic, but it’s still a heavy load to carry.

Diabetes Won’t Stop Me From Living

I will keep fighting. I am strong. I hope to one day be able to say “I used to have diabetes.” And because of all this, I remind myself while I may have diabetes, it does NOT have me.


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Never Be Ashamed For Being Different

Never Be Ashamed For Being Different

Never Be Ashamed For Being Different

Throughout my school years, I hid my diabetes from my peers. I felt embarrassed and ashamed for having a disease that was easily misunderstood. When I went to class I never came fully prepared for a low blood sugar. I wouldn’t check my blood sugar or administer insulin in front of people. If I had to attend to my diabetes, I would do so in the bathroom. The only people aware of my condition was my family (of course) and a few really close friends.

I didn’t want to be treated or viewed differently from everyone else.

It went to such far extremes that I was putting my life at risk at times. Which ironically became even more humiliating when it came down to it. I recall my doctor advising that I should try an insulin pump — which I completely avoided. I didn’t want the looks or stares that came with wearing a device attached to me.

I recall getting teased on one occasion in particular at school when someone saw a insulin syringe in my purse and accused me of taking “drugs”. I simply explained: “no, this is insulin, a hormone that I MUST take everyday to stay alive.

After many years of battling my self-esteem and confidence, the worry of what other people think went away. What it eventually came down to was realizing my health and well being comes before anyone’s perception of me.

I started talking and opening up to more people about my diabetes which then brought on more conversation and ways for me to express myself. I embraced the person I’ve become by sharing what makes me different. Hiding my illness for so long made me feel like a prisoner in my own body.

Now I have an insulin pump and CGM, which I wear proudly. I give myself insulin and check my blood sugars wherever and whenever. And in any given opportunity I try to educate more and more people because I know what it’s like to feel alone and misunderstood.

So this is my way of taking strides to inform the public and let other’s know they’re not alone. And that you should never be ashamed for being different but feel empowered for what makes you unique.


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My 3 AM wake up call

My 3 AM Low Blood Sugar Wake Up Call

It’s around 3 AM and I wake up out of a restless sleep.

I believe it to be my natural instinct kicking in or a guardian angel telling me to wake up and check my blood sugar. I then go to check only to find out that I’m low (40 mg/dl) and headed straight down.

My CGM (Continuous Glucose Monitor) is setting off alarms with an “URGENT LOW” alert. I can now hear it echoing throughout the house. It takes me a minute to grasp what’s going on as I gather the little energy I have in me. My mind is telling me to jump right up but it takes my body a minute to catch up.

I then head to the kitchen and find a juice box, crackers, and anything I can find. I fumble to open the juice box as I’m frantic and lost. My body is trembling, I then drink the entire juice box in a matter of a few seconds. I then sit down and scarf down everything else I have, and I still feel weak and disorientated.

I look at my CGM meter and it’s not signaling upwards yet. I sit for a moment to let the sugar get absorbed and the adrenaline starts to pull away from me.

That’s when it usually hits me and I realize that this isn’t a dream. No, rather a terrifying nightmare but in the end I’m thankfully able to save myself once again. I’m frightened because I think of the “what ifs”. As I look back down at my meter my blood sugar is beginning to rise.

That’s when the mental and physical numbness starts to diminish. I feel myself again. I feel tired. I feel exhausted. But I’m alive. This is my normal, something that I’m fully acquainted with, and even after years of managing it still leaves me uneasy at times.

My 3 AM wake up call is not a normal rise and shine moment. It’s a fight to stay alive. It’s all too real. And while others may be able to sleep soundly throughout the night, I’ve been called to take on this challenge.

As I lay back down to go to sleep, I know that while this battle with Type 1 Diabetes is never fully won, I also know that I’m not the only one fighting.

Here’s to the warriors of the night.


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Taking a break from diabetes technology

Taking Breaks From The Diabetes Technology

Taking Breaks From The Diabetes Technology

By: Randall Barker

My daughter, Emma was diagnosed with Type 1 diabetes a little over 3 1/2 years ago. Being a diabetic myself, it was a moment that has brought us significantly closer. As she was choosing which glucometer she wanted to try out among the countless choices offered to her by the Diabetes Educator in the hospital, my mind was already working on the technological options that were out there.

Of course, Emma was also thinking about the “tech toys” as well; in fact I recall her asking if she’d get an insulin infusion pump before we even left the hospital. It was her doctor that quickly mentioned that she needed to first learn about insulin injections before moving on to the insulin infusion pump. He told her she would get an insulin pump soon, in fact she got her first pump three short months later.

Emma’s insulin pump is a device that she has seen me wear since she was an infant. The insulin pump is a device that is sometimes mistaken by people as a pager. And to be honest it’s about the size of a pager and is usually clipped to a person’s waist.

The pump houses a supply of insulin and gives the wearer a continuous dose of insulin throughout the day. I often describe it as a small IV unit since most people can relate to what an IV machine does. Emma’s choice for insulin pump was one just like mine. She chose a unit made by Medtronic. Her insulin pump was the latest version available on the market.

The pump also included a CGM or continuous glucose monitor. The CGM is another device that has been around for sometime but has recently become more accessible and readily available. The CGM is a sensor that has a small filament that is inserted just below the skin, where it sits for 3-7 days. The filament detects the levels of sugar in the sub-dermal layer of skin and by translates these levels into a blood glucose level reading. By using this device a person can get an accurate idea of how their glucose levels respond to insulin, diet, and other factors.

After just being diagnosed for a little over 3 months, my now 11 year old daughter had some of the newest and most advanced technology available at the time for diabetics. Along with having this equipment, I was watching an emerging advancement in glucose monitoring via the cloud. There was a group of software engineers that were developing code that would allow the parents to see their children’s glucose readings. They saw a need and after doing some “hacking” to the insulin pump, developed glucose monitoring via the cloud. It was a group that would become know as NightScout.

This idea intrigued and frightened me at the same time. I applauded the idea of being able to see my daughter’s glucose reading anytime. Yet, I was scared to attempt the “hacking” on her pump. I decided that instead of testing it out on her pump I would try it on my pump. Ultimately I was successful, but that led me to a new concern.

Was the gear that was required to “hack” my daughter’s pump and then the added responsibility of the end result really necessary? I decided at that time it wasn’t. Emma was still young in terms of her diabetes diagnosis. I wanted her to develop and be involved in decisions that affected her. With that in mind, we decided at that time cloud monitoring wasn’t for us.

Time continued on, as well as advancements in technology. Some of the medical equipment we used changed and some stayed the same. One such instance was with another CGM that was manufactured by another company other than the one we used.

Taking breaks from the Diabetes Technology

It was called Dexcom and the new system was called the G5. It was the latest at the time and it brought new features that I was thrilled to see. The Dexcom system would not communicate to the insulin pump Emma was using, by that I mean Emma’s current CGM would automatically transmit to her pump the glucose reading it was detecting.

By doing that Emma could just pull out her pump and get a decent idea of where her glucose reading was. The Dexcom required a separate receiver to display the glucose readings. That was until the G5 series Dexcom was introduced. The G5 added Bluetooth functionality which meant now devices such as a mobile phone could be used to display the glucose reading.

Another advantage to this setup was now an app could be loaded on a separate mobile phone that could also be used to display glucose readings. Now we had a great solution to our CGM issue. Emma could see her glucose readings on her phone which just like any teenager, her phone was with her all the time!!!

And now her mother and I could see her glucose reading on our phones no matter where we were. We could be sitting across the room or across the globe. In fact I was recently on a trip in Africa and Emma was back home in Texas; I was still able to see how her glucose readings were.

I must say the medical and technology device advancements for diabetes that I have observed over the years are amazing. They have helped to improve the lives of countless diabetics and their families worldwide. Sometimes though these gadgets can create an unwanted effect.

For instance, one can rely on the tech so much that sometimes they forget the basics or fundamentals. I recall one time when my insulin pump simply stopped working. The manufacturer was great about getting me a replacement, in fact I had it the next day. Those 16 hours without the pump were very long though. I had to retrain myself how to do multiple insulin injections in order to keep from going into DKA.

Other times they can create a level of observation that one could almost compare to being watched by “big brother.” I find myself playing the role of a “helicopter parent” sometimes with Emma. By that I mean that I find myself glued to my phone sometimes following her glucose readings. When those readings start getting out of range I find myself quickly checking in on Emma, to then find out she has already taken action to correct the situation.

I have to remind myself that she needs to experience things firsthand in order to know how to react. There will come a time when Emma is out on her own and she will need the experience to help guide her with her diabetes management. Sometimes we become so “plugged in” with the gadgets that we lose sight of how things are without the technology.

These days I try to include my daughter in decisions that concern her diabetes management. She doesn’t always wear the Continuous Glucose Monitor. I understand that sometimes it does become cumbersome. She does routinely check her blood glucose by performing a finger stick so we at least have an idea of how her blood sugar levels are doing. She likes to take breaks from the CGM though. I do allow it because I want her to take responsibility and be involved in her diabetes decisions.

When it comes to insulin management once she was able to get her insulin pump she has never once looked back on it. I’m not sure she would ever want to go back to multiple daily injections. She does take the occasional injection when her infusion set malfunctions or if there is another reason why her blood sugar levels won’t drop. However, I don’t see her ever taking a break from the pump like she does with the CGM.

The technology that has emerged in diabetes care has exploded in the past decade. Having been a Type 1 for over 25 years I stand back in awe at some of the things I have seen. It’s still nice to remember the basics and to keep those familiar for when issues do arise. I can’t wait to see what new tech options are released in the upcoming years, but I never what to forget where things were when I was first diagnosed.

The technology is fantastic but the facts that one can take a break or even a step back is also great. The trick, I suppose is to never become overwhelmed by what options you have at your disposal.


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