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Managing Your Blood Sugars: Pregnant With Type 1 Diabetes

Yesterday was World Diabetes Day.  While my best friend’s baby shower is this weekend and I’ll be busy preparing for and helping with that event, I know there are lots of events taking place to celebrate the big, blue circle (including the Big Blue Test … more on that later).

But today is just another day in diabetes management, and it happens to be another endocrinologist appointment for me and the ol’ BSparl.  BSparl is getting bigger, as evidenced here: Read more »

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

Diabetes Is A Five Letter Word

… and that five letter word is “guilt.”

At the ePatient conference last week, Sue Rago was talking about diabetes and the complications that can arise.  “But the complications of well-managed diabetes?  None.”

And despite the fact that I met and enjoyed hanging out with Sue, this statement cut right through me.  Well-managed diabetes produces no complications?  So diabetes-related complications are just the result of an inattentive “host,” or “slacking off?”  It’s not the fault of diabetes itself? Read more »

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

Glycemic Load: How To Lose Weight Without Being As Hungry

I’ve written before here about the glycemic index, that measure of how fast a food causes your blood sugar to rise. High glycemic foods, like simple sugars, cause our blood sugars to rise quickly resulting in a pouring out of insulin, a rapid fall in our blood sugar, and we become hungry again soon. Protein in our diet blunts this glycemic index effect, as does eating more complex carbohydrates such as vegetables.

An new concept has emerged that complements the glycemic index, called the glycemic load. The glycemic load reflects how much total carbohydrate is released in your body from various foods. While carbohydrates, sugars and starches, are a core part of our nutrition, we know that eating a lot of them results in more hunger and we end up eating more calories and gaining weight. Low carbohydrate diet plans have shown some advantage over low fat diet plans for losing weight, although both work if the total calories eaten are reduced. Read more »

*This blog post was originally published at eDocAmerica*

Type 1 Diabetes & Pregnancy: What It Feels Like

Do you know how hard it was to not tell you guys I am pregnant?  Sitting on that information for three months was one of the most challenging things I’ve ever done.  There were SO MANY questions I wanted to ask, and so many stories I wanted to share, but I knew it was best to keep my mouth shut until we were past a certain point.  And it is still early in our pregnancy, all things considered, so I shared our news with hopeful optimism and in hopes of some positive thoughts being sent our way.

And holy crap do you guys deliver.  I’ve read every comment on the Dear Baby post, even though I’ve had to take breaks to grab tissues because you made me tear up quite a bit.  My husband, my mom, and my mother-in-law are reading the comments, too.  And they say thanks for the support as well.  🙂

So now you know.  And now I can talk about what the past three months have been like.  (Video to come this afternoon.) Read more »

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

A Letter To An Unborn Child, From Her Diabetic Mom

Dear Baby,

I’ve been thinking about you for a long time.

My doctors told me it would be a challenge to have you.  They said that diabetes would be a tricky hurdle as I planned for you.  They said you might not happen.  There were so many reasons to be scared and so many reasons to doubt, but I never gave up on you, Baby.  I have always wanted you and have worked so tirelessly to make my body safe for you. 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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