Thursday, October 20, 2016

13 Rewards of Exercise

Top 13 Rewards of Exercise...yes, there are 13. Exercise also helps manage your blood sugar. I love exercise, how about you?

Sunday, October 16, 2016

Longevity Of T1D's

People with type 1 diabetes are living much longer. Studies have found that better diabetes care has narrowed the gap between the life expectancy of type 1 diabetics, and non diabetics in the US. Until recently, no one would have predicted that people with type 1 diabetes could have a nearly normal life span. Things ave improved so much. I am 77, with 71 years of T1, and am very healthy. Some T1 people have lived into their 80s, and a few into their 90s. Researchers are busy looking to find out what these people did right. The Joslin Medalist Study is one study that is researching the increased longevity of so many type 1 people.

Tuesday, October 11, 2016

Diabetes Care, High-Tech

Hi-tech diabetes care is nice, but will insurance cover it? If not, can we afford it? I certainly can not!

Tuesday, October 4, 2016

My A1c History

A1c testing was not available until 1976. My doctor started A1c's with his patients in 1980. I was diagnosed in 1945 when I was 6, and I must have had very high blood sugar until about 1988. That is when my A1c's began improving. Now I am alive after 71 years of type 1, and I have no complications except for some mild nerve damage. As part of my preparation for my taking part in the Joslin Medalist Study I was supposed to have a listing of all my A1c's. My doctor was very cooperative, but there are several gaps in the list.The years 1990-1994 were not available. Below are the A1c's that my doc was able to retrieve from his files. I have updated for 2013-2016.
1980...10.6, 9.6, 9.0
1984...9.2, 9.7, 8.9
1987...8.0, 9.8, 10.3
1988...10.5, 7.7, 7.7
1997...6.0, 5.4
1999...6.8, 6.7, 6.5
2000...6.3, 6.1, 5.5
2001...5.8, 6.0, 5.6, 6.0
2002...6.0, 6.4, 6.2, 6.0
2003...5.6, 5.4, 5.9
2004...5.9, 5.7, 5.8, 5.6
2005...5.6, 5.8
2006...5.6, 5.7
2007...5.5, 5.6, 5.7, 6.1
2008...5.7, 5.9, 5.7, 5.6
2009...5.6, 5.8, 5.8
2010...5.7, 5.6, 5.6, 5.4
2011...5.6, 5.7, 5.8, 5.6
2012...6.1, 6.1, 6.0
2013...5.8, 6.1
2014...5.7, 5.6, 5.8
2016...5.9, 6.0, 6.1
Notice the drop from the 10's to the 7's in early 1988. That is when I
read an article in a magazine that said diabetics should follow a low
carb diet. My doctors never told me that. Then in the late 1990s I was permitted to use basal/bolus control. In 2007 I started pumping. My A1c's have been very good during the new century because I finally knew what to do to get good control. I was very successful for several years before pumping too, but using an insulin pump has made good control so much easier.
I took only one injection of beef/pork insulin per day during my first
35+ years. Can you imagine what my A1c's would have been during those years? Those were the years before my doctor started having my A1c's done.
I feel so lucky to be alive and healthy, without serious complications. Is it good genes? The Joslin Study of long term type 1's in the Us has reported that many of the participants are still producing some insulin. Those individuals are insulin dependant, but any amount of insulin produced in our bodies is very beneficial in helping to prevent complications. My C-peptide is less than 0.1, so I am producing almost zero insulin. There has to be some other explanation for so many of us living so many years with type 1, and not having any serious complications.

Friday, September 30, 2016

FDA Approves First Closed Loop System

This is an important step in producing a closed loop system for insulin users, but I have some reservations.
The accuracy of the Enlite sensors could prove to be an important issue with this closed loop device. Many users of Medtronic Enlite sensors have found them to be very inaccurate at times. Some users quit using them, and started using the Dexcom CGM system. I found these dissatisfied people in the Tandem T-Slim facebook group. They started using the Tandem pump because it is integrated with the Dexcom CGM, and now they are very pleased with the switch. I have read that some people are having success with the Enlite sensors, but many are having trouble with the accuracy. I would not want to have the 679G monitor my BG and give me insulin, when I actually did not have a high that required any insulin. That could result in terrible hypoglycemia. Even the Dexcom CGM has occasional problems. I am using the Dexcom G4 and I do get false alarms a couple of times most days. I want to make my own decisions, I do not want a device doing that for me.

Wednesday, September 28, 2016

The Libre, Coming To The US

This is Abbott's FreeStyle Libre, a simplified CGM system that is not so expensive as the Dexcom. It has been approved by the FDA, and the consumer version should be available very soon now. It has been used in some other countries for several years. You can find the Libre users group on Facebook and ask questions there. This might be a good option for those of us who do not have insurance that will cover the more expensive CGM systems. It might also be affordable for out of pocket purchases.