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Calling All Surf Champs
"Things of this world are in so constant a flux, that nothing remains long in the same state."
John Locke Nothing in life is truly 'static'. Some things change very gradually whereas others seem to be in a constant state of change. The wind and oceans forever reshape the land even if only measured in years to millennia.
In diabetes we are taught a very static approach to the self management of our condition. Like a still photograph, a single point in time blood sugar rea


Cynthia's Story
Please welcome Cynthia to the Sugar Surfing Blog. She asked us a few weeks ago if we would consider sharing her story with others and why not? Today you can read how she transformed from poor control to normal blood sugar levels and how she did it. If you have a story to share please send us a message using the form at the bottom of this page and we'll see how it fits into our publishing schedule. Thank you! Hi, everyone! My name is Cynthia, and I have lived with type 1 diabe


DON'T FEAR THE KETONE
In an ongoing effort to demystify and rebuild the tarnished reputation of the misunderstood ketone, I submit this post.
This morning my BG was 108 mg/dl (divide by 18 to get to mmol) and 0.3 mmol ketones were measured. The overnight trend line plot shows a steady level of control over the past 12 hours.
All of this was achieved with a SINGLE basal rate of insulin! Not even a 'rate' per se, since I don't wear an insulin pump anymore.
This 'basal rate' comes from a single


ONE AND DONE?
Traditional static diabetes principles teach that insulin is dosed at or before a carbohydrate containing meal. Using preset ratios and formulas, the insulin dose is calculated by the patient based on the carb amount to be eaten and the pre-meal blood sugar level. This is what the vast majority of persons with diabetes are taught as dogma. Those on insulin pumps have more options to alter the timeline of how their device delivers a dose (combination or dual wave bolus; extend

D-Education Tech Goes Wayback
As part of developing some new diabetes education technology, I visited The Wayback Machine. If you've never been there you might find it very interesting to see how pretty much every website and page looked over time. For example, here's a page from Diabetech.net in 2005: Among other things, we had just launched a new product called "Virtual CDE"™. It was a mobile cloud based system for delivering simple profile driven diabetes education directly to patients. To use it was v

The Contrarian Pump
The simplicity of this pump may be very attractive for some patients. Now imagine a system that integrates an easy to use cgm or flash glucose monitoring system with the new CeQur patch pump for people with type 2 diabetes. Here's how it works: I wouldn't want to burden this pump with baggage by labeling it as part of an artificial pancreas. Just as a way to simplify the task of dosing. With the CeQur insulin pump, there is a continuous basal rate programmed by the patient's

Do You Pivot?
At the heart of Sugar Surfing is the PIVOT. It’s the ability to redirect a trending BG away from an out of range value of the Surfer’s choosing. Mastering the art of pivoting takes patience, consistency and resilience: the 3 virtues of well controlled persons with diabetes. Pivoting seamlessly blends the reactive and the proactive aspects of insulin action, food, exercise and stress to bend and steer the BG trend line to the will of the Sugar Surfer. It’s empowering beyond me