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Sugar Surfers experiment carefully

I've been asked how I came to develop Sugar Surfing. My answer is simple: I chose to reject the traditional "boilerplate" insulin dosing approach to type 1 diabetes I was taught (and taught to others) once I saw how blood sugar levels really behaved after using a continuous glucose monitoring device (CGM).

The conventional "static" approach to type 1 diabetes has come to be defined by terms like insulin sliding scales, insulin to carbohydrate ratios, correction factors and insulin on board. These are not inherently wrong, but they always left me wanting more. I sought to take full command of how my blood sugar levels behaved. Sugar Surfing opened that door.

Sugar Surfing began by conducting personal experiments with my diabetes under carefully scripted conditions. On one level that sounds scary, but I did it very carefully and with close attention to my CGM trend line. I used all sorts of safeguards to prevent a rapid drop or rise in my BG which might compromise me. I was prepared.

This "nudge" example illustrates my intent. I had long been taught that the "Rule of 15" was how to properly