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The Different Kinds Of High Blood Sugar

High blood sugars come in three different tiers for me:  No Big Deal (NBD), Tricky Little Sucker (TLS), and What The Eff (WTE).

No Big Deal (NBD) highs are the ones I see when I first hear the Dexcom BEEEEEEEP!ing.  They are the 180 – 240 mg/dL highs, where I’m cruising out of range, but not so far outside that it takes hours to correct.  The NBD highs are usually mild in their symptoms (kind of thirsty, sort of tired, maybe wouldn’t have noticed if the Dex hadn’t hollered) are thankfully short in their duration, so long as I’m on the ball about keeping tabs on my blood sugars.

Tricky Little Sucker (TLS) highs are obnoxious pieces of garbage that hang on for hours.  These highs are the ones where you hit anything over 200 mg/dL and just ride there for hours.  HOURS.  Like you can undecorate the Christmas tree and pack up all the holiday nonsense back into the attic and STILL find yourself rolling outside the threshold.  They’re the ones that Read more »

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

Managing Diabetes: Dealing With The Lows

For a good, long time, I ran higher than usual on purpose because of my focus on the baby and my fear of low blood sugars while I was responsible for her care.  In the last few months, I’ve started to lower my blood sugar goals to reclaim a little more control and tighten up that freaking standard deviation.

Which also means that my sensitivity to low blood sugars is tossed out the window once again, along with any whisper of a symptom.  (“Pssssst.  You’re low.”)

So these lows are starting to creep back into rotation.  For a few weeks, it was Read more »

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

Diabetic Deals With Temporary Visual Impairment

Normally, my vision is better than 20/20.  (20/15 is mine, which always prompts my eye doctor to say “Oh, you should be a pilot!” and then I laugh my face off because, really, do you know me, lady?)  I’m lucky not to wear glasses or contacts at this point in my life, especially considering that everyone else in my family needs a little visual help at this point.

I’m grateful that my vision is excellent most of the time, despite a few diabetic retinopathy issues.  But for the last 48 hours, it’s been a little dodgy, and managing diabetes while my eyesight is impaired has been challenging.  Yesterday was the worst day for this latest relapse of the ol’ corneal abrasion, so my vision was very limited in the affected eye (and the other eye was swollen in a lovely, compassionate response to its friend’s injury, so basically I look like I’d been tagged in the face with a baseball – twice.).

My Dexcom graph was next-to-impossible to read. Read more »

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

Dexcom Releases Its First Application For Apple Products

I’m not hooked on Apple products (I refuse to get an iPhone because I’m addicted to my Blackberry), but Chris and I do love that foolish iPad.  And I love seeing apps for diabetes devices stocking the virtual shelves in the iTunes store. Makes me feel like we’re busting in to the mainstream, as a community.

Which is why I’m excited to see the first app from Dexcom.  (And it’s free … as these apps should be, in my opinion.)  While I’m hopeful that future apps include a way for the Dexcom receiver to transfer data to Mac products (because running parallels on my Mac is wicked annoying), this is a great start for people who are looking for introductory information on the Dexcom system. Read more »

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

Woman With Diabetes Experiments With Her Collection Of Glucose Meters

I have several One Touch meters, a Freestyle one, and a Dexcom continuous glucose monitor that I consult on a regular basis.  (Not usually at the same time, but I have been doing multiple checks recently.  More on that below.)  I also have an Agamatrix meter and an Accu-chek one, somewhere in the diabetes cupboard in the bathroom, only without any strips that aren’t expired.

And I have a lot of anxiety when it comes to glucose meters.  The variability of these machines makes me crazy in the head, and it caused me a lot of grief when I was pregnant, because my blood sugar goal range at that point was so tight and so specific, and any variability was huge for me.  (I shared some samples of wonky results in this post.)

In the last few weeks, I’ve been doing some experimenting with my meters, Read more »

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

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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