When people with diabetes are successful and happy, their situation is often viewed as having been achieved despite the obstacle of diabetes. I am advocating for a shift in that perception. What if instead of seeing all the good in our lives as existing despite our disease, we begin to see everything that we are—the challenges and the achievements—as a direct product of all that we are made up of, diabetes included?
Older type 2s who exercise tight control over their blood sugar may run an increased risk of hip fracture, says a study from Changi General Hospital in Singapore. The researchers studied 558 elderly people with diabetes who had been treated for hip fracture between 2005 and 2010. They found that those patients had a significantly lower median A1C, 6.8%, than the control group median of 7.4%. In 59.2 percent of the hip fracture cases, the patient's A1C was less than 7%, and slightly more than three-quarters of the patients were taking sulfonylureas.
Recently, while scrolling through discussions posted on an online diabetes forum, I came across one from a man in his thirties who wrote about how paramedics had found his twin brother face down in a sauna, in an insulin shock coma. How did he end up in such a state? The appalling answer is, he didn't have enough glucose strips to test before he got into the hot tub. A few weeks before the sauna incident, his insurance company had limited his glucose strips to just four per day.
The new Accu-Chek Nano was approved for diabetes patients in January 2012, and distribution of the product began in April. Jennifer Aspy, the director of product marketing and operations, sat down with me at the American Association of Diabetes Educators to talk about the merits of this new medical device.
As teenagers, most of us did some reckless and irresponsible things. It's part of growing up, right? But if you're a teenager with type 1 diabetes, acting reckless becomes a bit more tricky. I had a reckless summer of my own ten years ago, right after high school graduation, when I traveled down south to spend a month with my mom. I hadn't lived with her since the age of 16, so I wanted to get to know her and my younger brother again. Unfortunately, I also used that time to take a break from my diabetes regimen. It had been only four years since my diagnosis, and I wanted to feel that even though I had a disease, I was still a normal teenager who was capable of an adventure.
One of the greatest technological advancements in diabetes care has been the insulin pump. For one, it gives you the illusion of being "normal" because you no longer have to inject insulin throughout the day. Instead, you "bolus" by pushing a button on the pump itself or using a remote control. It allows better glucose management because you can adjust your basal rate (the "background" insulin dose) by increments of one thousandth of a unit every hour. Especially when you're moving from the peaks and valleys of NPH or the restraints and hazards of Lantus, the freedom of living with an insulin pump is incredible. But pumps do not come without their kinks.
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