From a study published in Diabetes Care: Optimized Mealtime Insulin Dosing for Fat and Protein in Type 1 Diabetes: Application of a Model-Based Approach to Derive Insulin Doses for Open-Loop Diabetes Management From the abstract: CONCLUSIONS This study demonstrates that insulin dose calculations need to consider meal composition in addition to carbohydrate content and provides the foundation for new insulin-dosing algorithms to cover meals of varying macronutrient composition. http://care.diabetesjournals.org/content/early/2016/07/06/dc15-2855
The plot unfolds with a visit by the tormented ghost of Jacob Marley, Ebenezer Scrooge’s former business partner. Marley’s condemned soul must wander for eternity dragging a long and incredibly heavy metal chain of his own personal misdeeds and beliefs. Marley howls to the miserly Scrooge “I wear the chain I forged in life! I made it link by link and yard by yard! I [made] it of my own free will and by my own free will, I wore it!” The symbolism behind Jacob Marley’s immense chain reminds me of the chains of choice we all forge in life regarding our health and diabetes. In reality, each of us carries these invisible chains in daily life. They’re the chains of habit. But unlike Marley, I beli
Sugar Surfing requires creativity and some safe experimentation. Outdated static methods and directives only act to rob us of exploring the "what if's" of our self management which are needed to unlock the unique aspects of our diabetes. In this example, a 10 gram serving of yogurt was eaten while the trending blood sugar was around 70 mg/dl (3.9 mmol/L). A decision was made to see what would happen if NO rapid acting insulin was taken. You can see what transpired in the first image. This action was taken without any shifting basal insulin delivery rates because I am not wearing an insulin pump here. I take a single basal insulin dose (insulin degludec:Tresiba). If I had done this omission t
Almost everyone has an unread book or two in their home. For many, they continue to purchase new books at a pace that far exceeds their time available to read them. For some, this buying compunction comes out of a sense of guilt with their conscience whispering, "You know you really should read more". The problem is that simply buying a book is not the same as reading it. And just because you bought the book, or borrowed it, won't relieve you from the guilt of not actually reading more. So why do we do it... this habit of continually stocking more books than we can read? Here's a theory. Taking action toward satisfying a core belief, "People should read more books", is better than taking no
I ran across a forum post a couple of years ago and was so influenced by it that it informed much of my contribution to Sugar Surfing. After you read this you'll probably nod your head like I did and say of course that's how it works. My challenge to readers of the Sugar Surfing blog is to comment with your comparisons to the gentleman's description of how music is learned but in the context of managing diabetes. For example, Bob talks about study sessions. Some people study or practice 5 days a week for say an hour each day. Well given that t1d is a full time non-stop requirement, how might you implement the notion of 'study sessions' as a way to adopt a new method of managing diabetes (ie
