As a person with type 1 diabetes for over half a century, I've lived through many technological breakthroughs in how my condition has been cared for and managed. Many examples come to mind.
Disposable insulin syringes certainly made the process of preparing an insulin injection much easier than boiling (to sterilize) a glass syringe and reusable needle each morning. Blood glucose meters gave me more specific information about my diabetes control compared to testing my urine
"Doc, I (we) tried that once before and it didn't work" For me, that's one of those "if I had a nickel for every time I heard that... I'd be rich" sayings. When working with patients and parents of children with diabetes, I'm constantly attempting to explain, teach, or suggest the adoption of new ideas, devices, or strategies based on my interpretation of what I'm told by them or what I deduce during the encounter. But the "push back" I sometimes hear (or see posted on line i
“The Wall” The journey to combat my own for of diabetes-related "learned helplessness" (LH) in some ways began over 25 years ago. I learned an invaluable lesson about living well with type 1 diabetes in a most unconventional way. It has remained with me ever since. It was the early 1990's and I was working at the Texas Lions Camp diabetes sessions in Kerrville as the camp’s Medical Director. That afternoon I was covering camper activities at the high element ropes course. The
Type 1 diabetes (T1D) is an autoimmune disease which is driven by a subset of white blood cells known as Th1-lymphocytes. Through a complex series of steps, some known and other poorly understood, the insulin producing pancreatic β-cells are slowly destroyed. This results in a life-long dependency on injected (or infused) insulin, daily self-care responsibilities, and significant risks for short and long term health concerns and complications. The way type 1 diabetes develops
“A college freshman with type 1 diabetes goes to a college party with her friends on a Friday night. The next morning her dorm roommate can’t wake her up to grab an early lunch. Even shaking her fails to arouse her.” Low blood sugar (hypoglycemia) is the first consideration anytime a person with type 1 diabetes (T1D) experiences an altered level of consciousness and/or seizures. This story highlights a common scenario of underage alcohol consumption. Alcohol is the most widel
Here is a quote from a d-parent I know: “Our daughter has had type 1 diabetes for 6 years, her A1C runs as high as 8%. We’ve recently been using the insulin pump but can’t seem to control or balance the blood sugars during activities or after changing the infusion site. Can you advise us on how to adjust the pump?” Ok, reasonable and common concerns I’ve heard for years. And I certainly understand the intent. But the focus might better be placed somewhere else besides primari
Once upon a time I cared for a family with young child with type 1 diabetes who was very well controlled. This family had very much to be thankful for. The child's excellent diabetes control was not due to a prolonged honeymoon phase, but from an invested, hard working family. plus and a child who was just as diligent and attentive. He spent quality time of his own choosing to maintain the best blood sugar control possible. When I complemented them for their hard work and exc