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"My parents didn't give me life...they gave me a future."
On March 1, 2018 I will have lived well with type 1 diabetes for 52 years. After receiving my 50-year Joslin Medal in 2016, I was enrolled in a closed social network of other medalists. I read a post by a fellow medalist asking the group what our group had in common. What allowed us to survive so long with type 1 diabetes? What helped us to live over a half century with a disease which was expected to dramatically shorten the quality and quantity of our lives? After all, Josl


My take from using Fiasp®
Dr. Matthew Stephen is one my endocrine practice partners. Matt has lived well with type 1 diabetes for 33 years. He has used Fiasp and wrote this summary of his thoughts. Not surprisingly, the Fiasp® FlexTouch pen looks and feels much like the Tresiba® FlexTouch. In my limited experience so far with Fiasp, I have appreciated its rapid absorption and action. Pre-meal dosing should be done with caution especially if pre-meal glucose is low or low-normal as it is absorbed and


Emily's Story
When I presented a Sugar Surfing™ Workshop in Houston on February 3rd 2018, a young mother approached me. In her arms she held her lovely 3 month old daughter. Her name is Emily Vocke. She related a story to me which literally brought me to tears. I asked if she would share her journey and allow me to share it with you. It speaks to the power of Dynamic Diabetes Management to benefit new moms and their unborn children. I remember it like it was yesterday. My heart was filled


Sugar Surfing from the start
The story below is by Susan Surovik, MOD extraordinaire. Susan's son Caleb has been surfing almost all his diabetes life. She recently shared with me how their dynamic approach to diabetes allows her to see diabetes self care in a radically different way compared to the static approaches she was initially taught. Read her compelling story: I had another day etched in my memory with type 1 diabetes, a very joyful one. The journey we have walked with our son, Caleb, has been lo


WHAT MOTIVATES US WITH DIABETES: NUMBERS OR NORMALCY?
When diabetes first invades our lives, we fight back. How we fight back changes over time. I don’t mean the tools or knowledge we possess, but the reasons WHY we apply them in our daily lives. Our first diabetes motivator is usually fear. It’s handed to us on a silver platter when we’re diagnosed. Free advice rains down upon us like a monsoon. It’s a constant bombardment of cautionary tales from friends, family, co-workers, and of course the medical profession. When I was di

"Z minus 10,000 meters"
“Z MINUS 10,000 METERS” Nerd alert! This post contains some really old sci-fi references This is one of my favorite diabetes teaching posts. In the 1980’s Star Trek film “The Wrath of Khan”, the iconic Captain Kirk engages in a final “cat and mouse” battle with his nemesis Khan deep with a murky interstellar nebula. Midway through the action sequence, Mr. Spock makes an insightful comment to his Captain: “He (Khan) is intelligent, but not experienced...His pattern indicates


February 2018 Newsletter: The Quiver
"The Quiver" Our Newsletter This is our inaugural Dynamic Diabetes Management Inc, monthly newsletter. It’s intended to keep Sugar Surfers and Friends of Surfers up to speed with what is going on with Dynamic Diabetes Management Inc, (Sugar Surfing™). And what about that name, “The Quiver”? It’s a real ocean surfing slang term which means ‘a surfer’s surfboard collection’. This newsletter will discuss the collection of projects and programs which are completed or in developme