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I'm down 36 pounds over a long 6 years or so. This is mostly due to pretty modest carb, (20-30 gram/meal max), few snacks unless truly hungry or needed (usually half an apple or pear and some almonds or walnuts). The greatest change happened though, when I went to all plant-based in May 2018. Poof! Dropped 20 pounds over 5…
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I've been observing fast from 6 PM to 6 AM. Needless to say, has stopped nighttime eating and with that a huge improvement in overnight BGs and decrease in insulin. Immediately started to notice the scale dropping too. I had to remind myself that there is just no reason for me to eat my biggest calories before…
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I'm a pretty old Type 1 (got it in 1969!) but here's some things I think I've learned and I keep learning from you all every day. It does involve how much aerobic and how much anaerobic effort we put into the workout. I get a lot of good advice from Sheri Colberg's book, "The Diabetic Athlete's Handbook." She is type 1 and…
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Not yet, I believe. When I'm focusing on an area I use the Notes section on the Food Diary. There's just such powerful reporting out of our meters and pumps, I pretty much just let this be food and then have a pump to report BGs + insulin. I did add A1c to the Goals section here, since that was an area I wanted to work on.
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I'm not an absolute stickler about this, but I bet Brooke's going to tell us she doesn't espouse the term "diabetic" but rather "I have diabetes" or "this person with diabetes." Human being first; diabetes added on. I'm super careful about this in my practice, I must confess, since the term is sensitive. It's not like…
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I like to mess people up by saying I have, "auto-immune diabetes." That stops 'em in their tracks.
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Be sure the Lantus and Humalog you're using are okay. When it's a strange change, and not explainable by illness or excess fat or high protein in the diet, it could also be a bum bottle of insulin. It's rare, but worth considering moving to a fresh bottle.
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I hear you. I think a lot of us over-tested when starting cgm--both out of curiosity and also to be "right on." You get over that once there is good trust with whichever cgm you're using. Technically, you can TEST as often as your pocketbook can handle, but you only want to CALIBRATE 3-4x/day with Enlite and 2-3x/day with…
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MOST important thing I've learned as a pumper, cgm wearer, and diabetes educator is that you really really don't want to calibrate the Enlite sensors more than 3-4 times/day, and FOR SURE before bed--to ensure getting most accurate readings during our most vulnerable time of day/night. "No extra credit" for…
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Curious if you cover that post-lifting meal with usual insulin-to-carb dose or if you take less for that one?
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I know this is not the perfect answer but I have been using the NOTES feature in MFP to at least leave myself some clues to what was happening that day. I can download my meter data (and in my case pump and CGM) and then look over the MFP stuff for "CSI BG." I do this for a week or 2, but can't be relied upon for that much…
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I too am a pumper and CGM wearer and agree whole-heartedly about setting the low limit up a bit so I treat before I'm inconvenienced. I try not to get below 100 when working out and use 80 as my low limit for general days and nights. Treat early and gently for lows is my motto. I can usually get by on a couple glucose tabs…
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Hi Bob, Do I understand on your "Bolus about 10 percent of normal" that if you would usually use, say 3.0 units to cover a meal, you would only use 0.3 units to cover that pre-exercise food? Just curious if I understand. You also mentioned you don't change your basals and I'm wondering if yours are pretty low to begin…
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It's true, after insurance, most folks end up paying out their year's maximum ($1200-2500, whatever is the annual maximum) and insurance has picked up the other 80% of a new pump purchase. The pumps all end up being about $7000 these days--market's competitive enough, no one can afford to be "the most expensive one." Even…
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I don't know if this would be of interest, but the OmniPod has no tubing and their recent upgrade is smaller and thinner. You just fill it, pop it on, and go. Might take a look at their website.
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Hi Bob, I see that if I send in $49 or so, to FitBit, they have a "premier" version of their program that would let us enter more blood glucose readings. Still, as you have pointed out, this is separate, AND in addition to our work with CareLink and our meter downloads. I've gone ahead and moved to the Contour linked meter…
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Phenomenal efforts everyone! Remember, for us, just being alive and fit is incredible. If you read about folks who didn't have insulin and then DID have it, in the 1920's, it is very humbling. Meanwhile, if you ARE fit and have made it all the way to that last 10-15 pounds, gosh! take it and go with it. You are amazing!…
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Way to go on those A1c's! Hang in there on the retinopathy. Has to be so frustrating and frightening. I've been very fortunate, but you are a hero to me for working so hard to get blood sugars down to take care of those beautiful eyes! Vicki
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Hi Bob, Count me in! I'm a pumper--was on one of the first, back in the early 80's and still pumping. It's been 44 years since I was a little kid sitting in the Peds hospital bed learning about taking glass shots and peeing in a cup to watch the test tube turn blue or orange. Now I'm a techy, wearing a pump, using MFP on…
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I too have reduced from 55-60 units/day, down to 37-42. What really tells the story though is A1c from 8.3% down to 6.9%! That was awesome--lowest for decades. It's taken me lots of little steps down on the basal, while making sure I have the right amount for insulin-to-carb. I'm using this principle to help all my…
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A couple of fun clarifications: Neil Armstrong--sorry on that spelling, Neil. You're my hero! My lowest BG was upon arriving to work in the pediatric intensive care. I felt a little strange after report and tested to find myself at 23. Retested and same. Started a grape juice and burst into tears. Then my colleagues and I…
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At what age and what year were you diagnosed with T1? Age 10--Actually on the same evening Niel Armstrong stepped onto the moon. I was watching him from my little hospital bed on a black and white TV. What is your best A1c to date? 6.9 What's your lowest recorded blood sugar? 23 Have you ever been hospitalized due to…
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Hi! I'm 53 and have had T1 since I was 10 years old. I'm a pumper and have no significant complications either except gaining some weight while I've been in grad school the last several years ! Since I got diabetes in the 60's, having children wasn't a good option for my husband and me later on. My career as a peds nurse…
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I'm brand new to the group and noticed this subject first. I just returned from diabetes camp with kids, where I serve on the staff. I sure had a heat-related episode early in the week while simply touring a ghost town :smile: and standing in about 87 degrees. It seemed worst while in direct sun and only slightly relieved…