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...

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...

True Sugar Surfers understand that they're actually steering a glycemic trend line and not just responding to a single point in time BG value. Rather than watching helplessly as their blood sugar trends chaotically rise and fall, Surfers take charge. The tools of the Sugar Surfer are numerous and well described in the book Sugar Surfing ™

The double tap pivot (i.e., m...

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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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