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Diabetes: Be Part Of The Cure

(And no, this doesn’t mean you have to become Robert Smith.)

With more than two decades of diabetes clocked in, my faith in a cure has been shaken with every diabetes anniversary. Each September, I realize that more has been done to improve the quality of life for people with diabetes, but little has been done in giving us the hope that a cure — a real cure — is possible in our lifetime.

Except last year, when I made a trip to Florida to visit the Diabetes Research Institute (DRI), my hope was reignited. The Diabetes Research Institute is functioning solely to provide research for a cure for diabetes. And I have cautious hope that they will be the ones to make great strides in curing type 1 diabetes. If not for me, then for the generation after me.

Which is why I am part of The Cure this month for American Diabetes Month. I made a small donation to the DRI and uploaded my photo to the Cure collage. (You can find me in the bottom left hand corner of that sassy little “E” there.) 

Be part of the Cure!

Camillo Ricordi, Scientific Director and Chief Academic Officer of the University of Miami Diabetes Research Institute, stated in a recent interview on the Huffington Post: “I started this work to cure diabetes. My goal has not changed. I will keep working until I get the job done.”

I can get on board with that.  Be part of the Cure.

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

Why Is Healthcare Reform So Complicated?

A common question that I get as a practicing physician with a public health background is: “Why is healthcare reform so complicated?” I feel that the question of who’s responsible for healthcare payment is not always an easy one to answer. An example from my most recent weekend on call covering an academic pediatric endocrinology practice demonstrates this point:

“Bill” is a 16-year-old African American male on state Medicaid insurance with type 1 diabetes since the age of 10.  He is followed regularly every three months by another colleague in the endocrinology clinic. Review of his last several clinic notes on the electronic medical record reveal that he has been in moderate control of his diabetes on NPH/Novolog twice-daily insulin regimen. Approximately one year prior he was changed to this insulin regimen due to concerns with missed insulin shots on another insulin regimen that provided superior control but which required four shots of insulin daily rather than the two shots daily on his current regimen. Read more »

“The Thought” Of Your Child Having Diabetes

It wasn’t until yesterday that I thought “The Thought” for the first time.

She had a very wet diaper in the afternoon. And even though she had nursed for a long time and even though she seemed (and is) healthy and very strong, I still thought about taking out my meter and pricking her heel myself. Just thought it for a second.

I didn’t follow through, though. I didn’t let “The Thought” stay for more than a flicker, as I immediately finished changing her diaper and started singing her a song about the power of tiny spoons. (Don’t ask — my songs never make any sense.) I shook “The Thought” off the same way I shake off the thought every time I wonder if my niece or nephew might have dipped into my autoimmune grab bag. I don’t allow my brain to go there. It’s not denial, but feels more like a protective measure taken by my mind, protecting my psyche from letting “The Thought” permeate my daily life. Read more »

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

For Moms And Moms-To-Be With Diabetes

Buy this book!For anyone who has been reading my blog since my engagement three years ago, you know that motherhood has been on my radar for a long time. Longer than marriage. That quest for a decent A1C, that desire for a “normal” pregnancy, and that hope for a happy and healthy baby.

Part of the reason I wanted to write about my pregnancy here on SUM is because there wasn’t a lot of information out there about pre-existing diabetes and pregnancy. There was a LOT of information on gestational diabetes (obviously), and type 2 diabetes got some good press, but type 1 diabetes was sort of swept under the rug. Thankfully, there were a few diabetes bloggers who had chronicled their journeys, and I wanted to add my voice to that hopeful chorus.   

But also thankfully, Cheryl Alkon had taken the topic to her publisher, and she penned the first book on managing pre-existing diabetes and pregnancy. And I’m very honored to have been both featured in her book (as a woman preparing for pregnancy) and to have her contributing here on Six Until Me (SUM). Read more »

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

An Artificial Pancreas For Type 1 Diabetes

Researchers at Massachusetts General Hospital and Boston University have reported that an “artificial pancreas” has worked in 11 patients enrolled in a study sponsored by the Juvenile Diabetes Research Foundation (JDRF). The device consists of insulin pumps, glucose sensors, and a laptop with regulatory software. Read more »

*This blog post was originally published at Medgadget*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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