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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 »

Diabetes Criminals And Diabetes Police

At TCOYD [Taking Control Of Your Diabetes], one of the sessions I attended was about Diabetes Police (Healthcare Providers) and Diabetes Criminals (People With Diabetes). And I was a little taken aback by the title of the session, but we used it to our advantage when we walked into the session a few minutes after it had already started.

“Okay, we see a few late stragglers in here. It’s not like they had to be on time or anything,” Dr. Edelman quipped from the front of the room, giving us a smirk.  

“I’m sorry we’re late. But what do you expect? We’re the criminals, man!” I shot back at him. And the crew of us “criminals” took up the last few rows, our smartphones at the ready to Tweet out the best of the session. (We were the total nerd row.

The charismatic team of Dr. Bill Polansky and Dr. Steve Edelman were running this session, and it was packed with both PWDs [people with diabetes], caregivers, and medical professionals. Bill and Steve took to the white board, asking first for complaints that PWDs have about healthcare providers. Read more »

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

Diabetes And Precision Carb Guessing

A  diabetes-friendly Happy Meal.  :: rimshot ::I keep measuring cups in my purse so that I can measure out my dinners out to be exact. I keep a small food scale in the glove compartment of my car so I am never guessing how many ounces a certain item might be. And I have the Calorie King booklet in my pocket at all times, so that I’m never left guessing. I even sewed pockets into all my clothes, just to bring the booklet around.

(The previous paragraph is filled with lies. Big, fat ones.)

I wish I was a precision carb counter. I wish I had the patience for it, always either eating pre-packaged and factory-analyzed foods or spending my time carefully measuring and weighing any home cooked adventures. But I am not a precision carb counter. I’m a precision carb guesser. Read more »

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

Kids With Diabetes Can “Count Carbs With Lenny”

Medtronic MiniMed has recently released a new educational game for kids and young adults that takes them through an educational tour to learn how to deal with foods when you have diabetes.

A rep for the company tells Medgadget:

Called Carb Counting with Lenny, it’s offered for free download on the Apple iTunes App Store for the iPhone, iTouch and iPad. It’s great for parents (and even adults with diabetes have enjoyed it too), as the app features a guide presenting nutritious food choices with associated serving sizes and carbohydrate values. The other key components of the app are fun, interactive games that help reinforce carb counting skills and keep children engaged. And just in case you are not fully familiar with Lenny the Lion, he is a global ambassador for children’s diabetes education.

What’s more, there’s a contest with prizes for those who can beat Lenny at the app’s carb counting games.

Link: Carb Counting with Lenny!

Contest Rules….

*This blog post was originally published at Medgadget*

More Babies For Diabetic Mommy?

While I was at CBC a few weeks ago, one of the staff members asked me if I was planning on having more children. “I don’t think so,” I said, without hesitation. “I love my daughter endlessly, and now that she’s part of my family, I can’t imagine my life without her, but I can’t lie to you. I didn’t enjoy being pregnant. I wanted a baby, but spending nine months pregnant was very, very stressful.”

The staff member who asked the question looked disappointed. And in that moment, I sort of wish I had lied. “Oh, you look disappointed. I’m sorry! It’s not just because of diabetes stuff. It’s my own personal preference. I don’t want to lie!”

And I won’t lie. The end result of my pregnancy was the most beautiful, smiley baby I have ever laid eyes on, and having her as part of our family has been the greatest joy that Chris and I have ever experienced. Seriously — it sounds like a cheesy Hallmark card, but it’s true. This kid fills a hole in my heart that I didn’t even know existed until I heard her cry and I finally felt complete. But being pregnant, the actual journey of carrying her inside of me, was not an experience I’m looking to repeat. This isn’t entirely a diabetes-based decision, either. 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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