Here's the scenario: You're a famed prosecutor who happens to be on an insulin pump. One of the criminals you put away years ago has been released from prison, and he's eager for revenge. This is a particularly cunning criminal, so he hatches a subtle plan. He hacks into your insulin pump, giving you a massive dose of insulin without warning. As you drive to work one day, you begin to feel woozy. That's odd, you think, looking down to where the pump attaches to your stomach. I just ate....
Erin lay on a bed in the emergency room, finally serious about getting help. Her second episode of diabetic ketoacidosis in a single year had sent her to the hospital shaking and vomiting. For the past seven years, she had been driven by one desire: to lose forty pounds. She refused to give herself her full dose of insulin, fearing weight gain. She hadn't seen her endocrinologist or checked her blood sugar for a year or two.
Rensselaer Polytechnic Institute in upstate New York is working on a new approach to blood sugar monitoring that could open the door to an artificial pancreas. The plan is to develop an automated monitoring system so sophisticated that it can take into account the often great differences in blood sugar levels and insulin sensitivity among people with type 1 diabetes.
Roger Hurdsman lives in Roy, Utah, surrounded by women. His wife of four years, Hilary, is there, along with his two young daughters, Bonnie and Tess. He seems to be handling the estrogen well though, perhaps because he devotes his days to designing software for the Department of Defense. He is able to spend time with computers and gadgets before being inundated with tea parties and dress-up when he gets home.
"Good news," my diabetes nurse educator says to me. "Your new insurance covers continuous glucose monitoring supplies!" I give her a half-smile as my brain screams at me, "CGM? Really? Something else to deal with on top of this damn disease, an insulin pump, exercise, and nutrition?" But I comply, and a CGM is added to the rest of my paraphernalia.
Max Bruno, a freshman at the State University of New York at New Paltz, tries to get to the gym about four times a week. He says that he knows his limits for working out, but likes to push himself. "I just have to be careful," he explains. "About an hour or so after I'm done working out, my blood sugar drops really low."
Whenever I tell someone that I have type 1 diabetes, the first words that I typically hear are "I'm terrified of needles! I could NEVER give myself a shot!" But needles are the least of my fears when it comes to my disease. I have bigger fish to fry. Concerns about daily management, combined with fears of heart problems, blindness, and kidney failure, equal one very stressful disease.
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