Had a business lunch today and only had 3/4 of a club sandwich…maybe had 20 or 25 homemade potato chips….Took additional insulin to cover and 2 hours after lunch and I am pinging 244 on my Dexcom…..What the heck?  It is times like these that you question yourself and your ability to estimate carbs. I’m guessing I mis figured but that is sure a pretty good size miss.  Oh well…..........what are you gonna do?  Keep on fighting the good fight and just plow on…...it seems to be the only thing that makes any kind of sense to me.. Helllooo insulin….

Ah, the joys of diabetes….........................

I have been blessed to have been using a Dexcom cgms for close to 4 years now and have religiously had my Dex by my side. Amazingly I have not lost it in all that time and have found it to be a great tool in helping me manage my disease. My most recent A1C was 5.9 woo hoo…...and that is because with the pump and the cgms, I can make decisions and get feed back quickly.
In the last 6 months however, I have drowned 2 Receivers and have had to buy new ones because of it..
How…..well, let me paint the picture for you.
Yaaaaawnnnn…..stumble out of bed, clip my Dex to my pajamas…..stumble into the bathrooom, pull up my t shirt…..splash….Dex jumps right into the toilet. Pull it out within 1/10th of a second, and alas it is completely dead. It wont dry out, it just dies. The receiver is not anywhere even close to being water resistant.How did this happen….well, in my sleepy state, I probably got part of my tshirt caught in the clip and when moving my shirt, splash down!!!
It sounds stupid I know, but I am guessing this happens to folks pretty often when you figure the thousands and thousands of folks using them.
After recently spending a bunch of money again to buy a new one, I figured I would plan for the ultimate inevetabilty of my cgms getting wet again.Storms or dropped in puddles, or a sink….what have you.

I looked online for simple solutions….water proof cases and the like….but I couldnt find anything that was small enough, didn’t look like a big ole box on my hip, or was inconspicuous.
My solution…..a small Hefty sandwich bag. I wrote “Reward” and my phone number on the back of the unit in case I ever mistakingly lose it some where. I put the cgms in the bag and slide and stuff it all into my cgms case from Descom. It is very simple and cheap, and effective. The cgms is still visible as the bag is clear and functionality is not affected. You do have to take it out to charge it however…but it’s not a big deal. And you can replace the bag if you ever think its torn.
You may not even think it is a problem for you, and I didn’t for 3.5 years with this never happening to me either. Not me..I said to myself. ..I am extremely careful, I wouldn’t ever drop my cgms into water….Yeah right!!!!
I would recommend you do something….Trust me, you dont want to look at that dieing cgms and think Oh man, its over….Dex is dead…...

As usual, I think it makes sense to look at things from many angles, and then make up your own mind…........................

Aggressive measures to treat diabetics make many of them worse, studies show

Rigorous treatment to bring down blood pressure and cholesterol is not beneficial and increases side effects, researchers say.

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The results are disappointing, researchers say, because they suggest that clinicians may have reached the limit of what they can do for diabetic patients without developing new therapeutic approaches.

But the good news is, the findings “reduce the cost and potential side effects of drug therapy” and mean that patients will not have to work as hard at reducing blood sugars, lipids and blood pressure, said Dr. Denise Simons-Morton of the National Heart, Lung and Blood Institute, which funded the trial.

“The take-home message is that the standard care approaches are pretty good. If we try to go beyond them, it doesn’t provide additional benefit,” she said.

Diabetes has become a tremendous problem in the United States, with at least 21 million people afflicted with Type 2 diabetes—in which cells do not respond properly to insulin produced by the pancreas—and millions more at risk because of obesity. Most diabetics also have high blood pressure and high cholesterol, factors that raise their risk of heart attack and stroke to the same level as that of people who already have suffered a heart attack.

Many doctors have reasoned that aggressively lowering blood pressure and lipids below nationally recommended levels might decrease the risk of heart disease, and ACCORD, or Action to Control Cardiovascular Risk in Diabetes, was created to study the possibility.

In one arm of the study, Dr. William C. Cushman of the Veterans Affairs Medical Center in Memphis, Tenn., and his colleagues at 77 medical centers enrolled 4,733 Type 2 diabetics with high cholesterol and cardiovascular disease or a high risk of developing it. They were randomly assigned to treatment regimens to lower their systolic blood pressure—the top number in a blood pressure measurement—below 140 mm Hg, the standard treatment goal for diabetics, or below 120 mm Hg, the target goal.

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The FDA says:

This is to alert you to the possibility of falsely elevated blood glucose results when using GDH-PQQ glucose test strips on patients who are receiving therapeutic products containing certain non-glucose sugars. These sugars can falsely elevate glucose results, which may mask significant hypoglycemia or prompt excessive insulin administration, leading to serious injury or death. The following provides background information on this problem, a summary of fatality reports FDA has received, and recommendations to reduce the risk. This problem can occur wherever these products are used including in-patient and out-patient healthcare facilities, and at home.

Here is a full list of to known affected Meters/Strips:

List of GDH-PQQ Glucose Test Strips
The following test strips (with associated meters) use GDH-PQQ methodology as of August 2009:
Roche Diagnostics:

• ACCU-CHEK Comfort Curve test strips, for use with:


• ACCU-CHEK Inform meters [model 2001201]


• ACCU-CHEK Complete meters [models 200 and 250]


• ACCU-CHEK Advantage meters [models 888, 831, 850, and 768]


• ACCU-CHEK Voicemate meters [model 0009221]


• ACCU-CHEK Aviva test strips, for use with:


• ACCU-CHEK Aviva meters [models 525, 535, and 555]


• ACCU-CHEK Compact test strips, for use with:


• ACCU-CHEK Compact meters [model GF]


• ACCU-CHEK Compact Plus meters [models GP and GT]


• ACCU-CHEK Go test strips


• ACCU-CHEK Go meters [model GJ]


• ACCU-CHEK Active test strips


• ACCU-CHEK Active meters [models GG and GN]

• Freestyle test strips, for use with:


• FreeStyle meters


• FreeStyle Flash meters


• FreeStyle Freedom meters


• Freestyle Lite test strips, for use with:


• FreeStyle Lite meters


• FreeStyle Freedom Lite meters

TRUEtest test strips
TRUEresult meters
TRUE2go meters

Smiths Medical:

Abbott Diabetes Care Freestyle test strips, for use with:
CoZmonitor blood glucose module (for use with the Deltec Cozmo Insulin Pump)
Insulet:
Abbott Diabetes Care Freestyle test strips, for use with:
OmniPod Insulin Management System

FDA study: Insulin pumps linked to injuries, deaths in teens

According to investigations by the FDA they might be. But really it is more about the use/convenience of pumps have resulted in circumstances stemming from mis-education and carelessness that bring about such events.

“Parents should be vigilant in (more…)

Diabetes Hand Foundation and TuDiabetes/OneTouch Partnership

Big announcement from our friend Manny Hernandez from TuDiabetes.com on exciting new developments, projects and partnerships. Mainly the creation of the Diabetes Hand Foundation and partnership with OneTouch:

“The Diabetes Hand Foundation is (more…)

Happy Friday everyone. Here are some cool thinking happening in the Diabetes world as well as some interesting resources:

The New OneTouch UltraLink Wireless Meter

For those who don’t already have one or haven’t heard of it yet:

“The NEW OneTouch UltraLink Meter wirelessly sends your test results to your MiniMed Paradigm® insulin pump, making bolus dosing easier and more accurate.

Some advantages of the UltraLink:

• Wireless communication of test (more…)

Yep! I just learned about the Glucoboy today.

From their web site:

The Glucoboy is the first blood glucose meter that has been designed specially for kids, adolescents and the young at heart.
...
In addition to a stand-alone blood glucose meter, the Glucoboy contains 2 full length video games and a mini-arcade. To access the video games, the Glucoboy must be inserted into the cartridge slot on a Nintendo Game Boy® Advance System, or into the Game Boy® cartridge slot on a Nintendo DS.
...

Seems like an interesting incentive, if you ask me… However, it would be amazing if it gave you credits too for running or other physical activity, since playing games will not precisely help with your blood sugars.

If you want to chat with others about Glucoboy and other diabetes-related matters, join TuDiabetes.com – a community for people touched by diabetes.