Imagine you are an experienced and confident baseball shortstop. Your position on the field allows for lots of “in the moment” choices to be made during the game. You are continuously aware of the following: 1) the player at bat, 2) what you know about the batter’s hitting style and power, 3) the number of runners on base, their speed and quickness, 4) the game score at the mo...
Type 1 diabetes often arrives totally unexpected. Shock, denial, fear, and sadness are usual first reactions. For most, the maelstrom of negative emotions swirling around the person and family will significantly influence what happens next. The following are the top 5 things I feel are essential to convey early into the diagnosis: if not at the very first encounter in the emer...
Many questions get sent to me regarding living and managing type 1 diabetes in the Covid-19 'new reality'.
I will preface this by saying I am no Dr. Fauci, but I’ve appreciated reading about how he lives and the safety principles he follows. I'm a pediatric endocrinologist and not an expert in infectious diseases. But like Fauci (due to his age), I’m considered 'high risk' for...
From the beginning, I've taught that Sugar Surfing™ is NOT a diet. It's a decision making system based on rapid visual analysis of common patterns in a CGM trendline. Recently during a search we came across the blatant misuse of Sugar Surfing™ for an online promotion of a "personalized meal plan" service on a website claiming it was "recommended" by me (see below).
Sugar Surfing was created and written to explain and disseminate Dynamic Diabetes Management practices which were already being practiced by many persons with type 1 diabetes, but often done without the awareness of diabetes health care providers or diabetes educators. As continuous glucose management (CGM) technologies became more widely used, Sugar Surfing methods and strate...
In addition to being a practicing endocrinologist, I also mentor young physicians how to practice pediatric medicine. I’ve had this honor for over a quarter century. One of the 21 core competencies of being a capable pediatrician is appreciating that ambiguity and uncertainty are an integral part of medical practice. Ambiguity is the most difficult concept to get many doctors...
Sugar Surfing™ is a method for reaching and attaining personal empowerment to live well with diabetes: yours or your loved ones. It transcends carb counting, low carb style nutritional approaches, insulin delivery methods (pumps/pens/inhaled), carbohydrate dosing ratios, correction factors, basal rates, insulin types, loop protocols, and just about everything else. The belief...
