October 28, 2016

Since antiquity, the practice of medicine has always been about the relationship between a person and their medical practitioner.

Today, this relationship is associated with certain ethical and legal privacy protections to both parties.

It's also a fact that diabetes is a patient managed disease. The individual literally makes hundreds of choices daily which directly or indirect...

October 19, 2016

Not this surfer and not by Mr. Hand. 

Definable and reproducible patterns on CGM blood sugar trend plots are meant to be interpreted and used by a Sugar Surfer for immediate self-care decision making. Looking at these plots often and searching for common patterns is part of the practice of Sugar Surfing. Once competent with this skill, the Surfer begin to apply his/her knowledg...

October 13, 2016

One question I often get asked when first informing a parent that their child or teen has diabetes is "what can he/she eat"?

I happen to know people who love, love, love eating rice cakes. Blech! I try very hard not to share my disgust for those little pieces of cardboard disguised as food. It's not for me to say. Just like my rice cake loving friend, I get to choose what I lov...

September 26, 2016

"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...

September 13, 2016

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...

September 9, 2016

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 opti...

September 1, 2016

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 s...

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BG Metric Conversion Tool
This tool converts blood glucose from mg/dL to mmol/L vice versa
A 3 Part Interview With Dr. Ponder
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