The pivot is to the Sugar Surfer as the forehand or backhand is to the tennis player. In this lesson I will review the basic insulin pivot. All the basic anatomical structures are displayed or highlighted in the images below. Units of measure in the upper picture are expressed in mg/dL and in the bottom image the units are mmol/L.

From left to right, the following six core Sug...

As a patient (and later as a physician) I was taught to consider blood sugar management like a mathematical equation. First, gather a blood sugar value. Next, calculate the carbohydrates to be eaten, then calculate a meal time insulin dose (or snack time insulin dose) to be injected in response to the first two calculations, plus a 'correction dose' for the difference between...

The other day, I was discussing Sugar Surfing™ with a t1d teen in clinic. She is a competitive softball player; a pitcher. As I reviewed blood sugar levels on her CGM, most were elevated. Her glucose readings before breakfast were generally in range. But during the day they tended to go up and stay up.

I asked her how many insulin doses she injected each day. Her answer was imm...

Dynamic Diabetes Management (aka Sugar Surfing™) is a process, not a recipe. Certain virtues or qualities are essential to obtaining the best results. Patience is one of those personal qualities.

In the book Sugar Surfing I discuss the 3 virtues of well controlled persons with diabetes. After working with thousands of patients for nearly four decades, I learned that patience, c...

Sugar Surfing™ is the art of 1) visual pattern recognition, 2) assigning significance to what is visualized, 3) choosing an action to take (or not take), then 4) following up carefully and at times frequently. Here is another basic lesson in Sugar Surfing I ask you to study carefully.

The image below highlights all the basic patterns seen on a blood glucose trendline. I’ve colo...

When I began medical school, my first significant class was human anatomy. This was logical. I had to know the names and location of the structures of the human body before I learned how they worked and interacted with one another.

This image shows a stylized version of Sugar Surfing "anatomy". It's certainly easier to remember than human anatomy. And when you do mast...

The glycemic trend line on a continuous glucose monitor (CGM) is always telling a story. It's the story of your blood sugar control. So much is revealed by the trend line if you only know how to look for it and interpret it. Sugar Surfing is the Rosetta Stone to deciphering the mysteries of your or your child's blood sugar control challenges.

Graduates of my Sugar Surfing...

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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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