As I write in the book “Sugar Surfing™”, blood glucose levels in healthy people are never truly static (at least not for very long). The ebb and flow of blood sugar reflects the natural shifting which occurs in response to the immediate metabolic needs of the human body. Glucose (blood sugar) is a high energy fuel for tissues. Activity, stress, digestion and fasting ar...

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...

My day job is as a pediatric endocrinologist ("peds endo" in the diabetes on line community vernacular). In our current health care system, primary care “providers” (doctors, physician’s assistants and nurse practitioners) evaluate and examine patients, determine if their patient needs more assistance or care than what they can provide, and then get referred on to specialists...

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 gluc...

To be successful at Sugar Surfing requires us to make a fundamental change in how we visualize or conceptualize blood sugar levels.

Since the late-1970's, the concept of blood sugar measurement has been founded upon the collection of a single glucose value or 'level' from a sample of blood. Ironically, the term 'level' tends to promote a sense of stability. And this 'level' is...

The plot unfolds with a visit by the tormented ghost of Jacob Marley, Ebenezer Scrooge’s former business partner. Marley’s condemned soul must wander for eternity dragging a long and incredibly heavy metal chain of his own personal misdeeds and beliefs.

Marley howls to the miserly Scrooge “I wear the chain I forged in life! I made it link by link and yard by yard! I [made] it o...

August 2, 2016

As with every year, we've been looking for the dreaded 'mystery bolus' and we've found plenty to go around at diabetes camp yet again.

So... what exactly is a "mystery bolus", you ask?

A mystery bolus is a dose of insulin delivered by an insulin pump at a time when insulin normally isn't given. I broaden the definition to include boluses of insulin taken for some reason which mi...

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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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