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Diabetes Bingo

Recently, I reconnected with a long-lost local PWD (person with diabetes) named Ryan. Last time Ryan and I saw one another we were talking about diabetes goal-setting and dealing with wicked bouts of burnout. And this week I received an email from him with a brilliant idea about how to stay motivated towards setting — and reaching — diabetes-related goals.

“I’ve had this ‘pyramid’ for about three months now. Just something that I keep near my desk to keep me focused on my diabetes. After completion of the pyramid, I have no clue what I will do but some kind of celebration will be in order,” he wrote, and attached a slide to his image. And when I opened it, I was like “whoa.”

He had created a pyramid of his diabetes goals. Tangible goals — real-life goals — that are both achievable and ambitious, all at once. I thought this was so clever because it is a constant but non-threatening reminder of what diabetes goals are most top-of-mind for him. (Also, having a celebration at the end of that pyramid completion sounds like a quality idea. Perhaps a Fudgy the Whale?)

I’ve been working towards gaining better control of my diabetes (and overall health) lately, and I love the idea of something I can print out, stick to my fridge, and remain inspired by. I liked the idea of a pyramid, but I kept picturing a huge bingo hall in my mind, with a whole bunch of PWDs sitting at the tables with glucose tabs and bingo markers at the ready. But the trick wasn’t getting four in a row, it was filing the whole card.

I thought about my own personal goals and created this:

Diabetes bingo.  Have at it, Google.

There are a few not-necessarily-diabetes-related goals on there (like “lose 6 pounds,” which is because I’m still trying to de-flump), but there are a lot of diabetes goals that aren’t unique to my particular circumstances. Since I’m trying to emerge from some diabetes burnout, my goals aren’t as tight as they were a few months ago (i.e. the slow progression from an A1C over 8 to one under 7.5). But these are real, and I’m hoping to fill the card within six months. Thanks for the fun idea, Ryan!

What would be on your bingo card?

*This blog post was originally published at Six Until Me.*

A Chia Pet For Diabetes?

Like swallows returning to San Juan Capistrano in the spring, Chia Pets begin appearing every December on late-night television and in the gift aisles of many stores. (Full disclaimer: I bought one for the Yankee Swap at Harvard Health Publication’s annual Christmas party.) Water these ceramic figures and they sprout a green “fur” from seeds embedded on the surface. Silly? Sure, that’s why they are such a hit. What you might not know is that the seeds may someday be a real gift for people with diabetes.

Chia seeds come from a plant formally known as Salvia hispanica, which is a member of the mint family. It gets its common name from the Aztec word “chian,” meaning oily, because the herb’s small, black seeds are rich in oils. It was a staple food for the Aztecs, and legend has it that their runners relied on chia seeds for fuel as they carried messages one hundred or more miles in a day. Chia seeds contain more healthy omega-3 fats and fiber than flax or other grain seeds. They are also a good source of protein and antioxidants. Read more »

*This blog post was originally published at Harvard Health Blog*

Sugar Consumption: A “Deliciously Disgusting” Ad Campaign

New York City’s war on sugary soft drinks had to balance evidence-based medicine with a short, simple message that would go viral in the community. Going viral won, according to e-mails of internal discussions between the city’s health commissioner, his staff, and the ad agency that crafted the campaign. The statement that soda would cause a person to gain 10 pounds a year is contingent upon many factors, argued the staff, but the desire to produce a media message with impact overruled the details. One nutritionist called the campaign “deliciously disgusting.”

Chocolate may moderate HDL cholesterol in type 2 diabetics, according to the November issue of Diabetic Medicine. High polyphenol chocolate increased HDL cholesterol in diabetics without affecting weight, insulin resistance or glycemic control. Researchers enrolled 12 type 2 diabetics in a randomized, placebo-controlled double-blind crossover study to 45 g chocolate with or without a high polyphenol content for eight weeks and then crossed over after a four-week washout period. HDL cholesterol increased with high polyphenol chocolate (1.16+/-0.08 vs. 1.26+/-0.08 mmol/l, P=0.05) with a decrease in the total cholesterol: HDL ratio (4.4+/-0.4 vs. 4.1+/-0.4 mmol/l, P=0.04). No changes were seen with the low polyphenol chocolate.

With Halloween, sugar will be on everyone’s mind (and in everyone’s stomachs). To find out how many calories and how much fat that pile of Halloween candy totals, try this interactive module. (New York Times, Diabetic Medicine, ABC Chanel 7 News-Denver)

*This blog post was originally published at ACP Internist*

Diabetes Lessons

As doctors, sometimes the biggest lessons that we learn about disease pathology are those that we learn from the people that have that disease. Diabetes is one such disease.

I recently gave a show-and-tell lecture about insulin pumps to the new interns and residents as well as the 3rd-year medical students on their pediatric clerkship with the inpatient endocrine service. We discussed different types of pumps (point A on the picture) and they got to push the buttons and send a bolus or change a basal rate. They also looked at real time CGM (Continuous Glucose Monitors, points C and D on the picture) sensors used to check glucoses levels every five minutes. Read more »

On The Battlefield Against Diabetes

We.  Are.  DIABETES WARRIORS!

I have no idea how it happened, but yesterday was a crummy day, diabetes-wise. Somehow, early in the evening, I heard the Dexcom singing from the kitchen countertop, and BSparl and I went over to investigate.

“High.” With a long line at the very top of the Dexcom screen.

“Hi to you, jerkface,” I said, pulling out my meter to see just what the greeting was about. And I saw a sticky 451 mg/dl blinking back at me.

What the fern?” I couldn’t figure out how I ended up so high, especially since after lunch I was 174 mg/dl and flatlined on the Dex.

And I was so angry. How does this happen? Did I eat the wrong thing? Take a shallow bolus? Is the pump ferning with me? Could the insulin have spoiled? Did I just lose track of everything and my numbers went berserk on me? Read more »

*This blog post was originally published at Six Until Me.*

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