Inside the Patient Entrepreneur’s Mind: John Wilcox

Managing a chronic illness is challenging, whether it is your own or a loved one’s. Starting and running a business also poses unique challenges. If you struggle with a chronic illness, have started a business, or want to start a business, this blog series can help guide you. “Inside the Patient Entrepreneur’s Mind” offers key insights into chronic disease and mission-driven entrepreneurship by some of the most innovative patient entrepreneurs in the world. 

John Wilcox is the CEO & Co-Founder of Diatech Diabetic Technologies, Inc. 

As a patient entrepreneur, can you describe your personal experience with diabetes from diagnosis through your current daily management and how this experience drove you to innovate the space? 

In 2005, I was diagnosed on my ninth birthday. I figured the only way to come out on top was to make it a positive experience. Growing up, I really identified with the disease and now use it as an opportunity to empathize with others with chronic disease. I wanted to go to medical school, and still might, but this opportunity came up in college to develop intellectual property—what is SmartFusion today.

I took on the business full-time post college graduation of May 2019. My diagnosis gives me a leg up on how to develop technology to help diabetes patients. As a collective community, we can appreciate when someone with a disease can relate to us and effectively create change. My condition is something that I can share and allows me to connect to people and understand how other people are struggling—it is one of the best gifts that I could ever ask for. I don’t know what I would do with my career without this diagnosis because it has turned into a passion to help others and a lesson on how to make the best of situations.

What makes SmartFusion unique and how does it meet an unmet need of the diabetes community?

SmartFusion is a new infusion set that can more accurately tell you if insulin delivery is actually getting into your body. SmartFusion is unique in the fact that it helps patients understand if they are getting insulin.  Insulin pumps on the market right now are not really meeting the standard of being able to tell patient users if their insulin delivery is effectively working. We noticed the issue of infusion set insulin delivery failures where pumps can have issues with insulin delivery efficacy.

Personally, I have had issues going into DKA because of insulin mis-delivery.  I went to an endocrinologist in college who blamed me for poor A1C control rather than it being a technology/pump failure. I want to provide technology that can deliver alerts before hyperglycemia because it happened to me and it is very dangerous. Fixing this unmet need of pump reliability can take one thing off the list of what patients and caregivers go through regarding issues with diabetes care.

Are there any other unmet needs of the diabetes community that you think take priority in working to address? How are patient entrepreneurs well-suited to meet these needs? 

In the future, I would love to focus on software for pumps. There has been great work on hardware that is safe and effective for patients with diabetes but a real gamechanger could be software that pairs any type of CGM with any type of pump. The diabetes “hacker” community is already pairing their own CGMs with pumps but are not following standards of the industry.

Additionally, there is a lot that needs to be addressed in education, especially how to learn to effectively use diabetes technology for parents of children with the disease.

Where do you draw your inspiration and motivation from to keep forging ahead as an entrepreneur in the healthcare industry?

 My inspiration and motivation comes from talking to people who have the condition. I want to make sure the diabetes community is affected and impacted in a positive way. Stories from patients about issues with diabetes care like insulin mis-delivery keep me up at night.

Lastly, what do you do for fun to manage the stress of running a business as both a person with t1d and an entrepreneur? Do you have any similar advice on work-life-disease management balance to others out there thinking of starting a business to meet an unmet need of a chronic disease patient community?

I love to run whenever I can and I find it a very clearing activity. My goal is to John Wilcox 5k racerun the Boston marathon for the JDRF. In terms of advice for other patient entrepreneurs, we have a disease that can help connect us to other people that have the same chronic illness. However, each patient story is unique so taking the time to recognize that is important. For example, my parents helped me get appropriate care at a young age by providing insurance coverage. How dare I compare my journey to patients I meet now, who are in their twenties, who are still without coverage to get insulin. In a nutshell, know that your story is unique and craft a connection to fellow patients based on that fact.

 

 

New Workout App for People With Diabetes – And Christel is an Instructor!

Have you ever dreamt of working out with a trainer who understands diabetes, who might even live with diabetes, and who gets what it takes to get through a workout without wonky blood sugars?

Well, that trainer could be me!

Today, my 12-week fitness program “STRONGER”, that I developed for GlucoseZone, is available in the GlucoseZone app. I’d like to personally invite you to come train with me. To join me for a program that will push you to be a stronger version of yourself.

Sign up HERE and use the “STRONGER” code to get 30% off your monthly subscription

The beauty of joining GlucoseZone is that you’ll get access to not only my program but to 6 other exercise programs, as well as live workouts, all developed specifically for people living with diabetes. You can do all of the workouts in your own home or bring it to the gym.

Regardless of your fitness level, you can find qualified instructors to take you through the workouts that are right for you, and always with your diabetes in mind.

One of the reasons why I’m so excited about working with GlucoseZone is that it’s the first-ever clinically validated digital exercise therapeutic for people living with diabetes, and it’s endorsed by the American Diabetes Association.

Stronger Getting Started

Sign up HERE and use the “STRONGER” code to get 30% off the monthly retail (You’ll only pay $9.09 per month) when you sign up for the GlucoseZone app.

 

Connect with Christel on Facebook: @DiabetesStrong; Instagram: @diabetesstrong_ig.

Wearing a Diabetes Medical ID On-The-Go!

Medical ID Bracelets

Living life on-the-go can be fun and busy, however, doing so with a chronic illness requires a few extra steps and planning along the way.

 

Hi, my name is David and I have been living with Type 1 Diabetes for 10 years now. I was diagnosed at the age of 11 and let me tell you… I have been through a lot. In living with this disease, I have been able to experience so much and learn from my mistakes. In doing so, I have come to realize that as a diabetic, I am one of those who should wear a medical ID and why it’s important for all life’s experiences.

For years on end, I never wore a medical ID bracelet. I could never find a bracelet that I simply liked or wanted to wear daily. When I became a part of the Diabetic Online Community (DOC) back in 2014, I was exposed to several different people who shared the same struggle. I also saw a variety of amazing brands and companies who understand this struggle and have found ways to make ID bracelets, dog tags, necklaces, and more so much nicer and pleasing to the eye and the patient. I own several different medical ID bracelets, I think when one finds their style with Diabetes, it’s always nice to have options and create your own look, which is why owning multiple forms of emergency ID that go with different looks is a great idea!

I have mentioned several times on my Instagram, @type1livabetic, that when wearing my personalized Paracord bracelet from American Medical ID, I felt so very safe. I felt as though if anything Diabetes related could go wrong, I would be prepared. On my engraved bracelet, my name, condition, and emergency contact information were all located on a small piece of metal, attached to the Paracord bracelet. At a recent trip to Disneyland with a large group of people who also had Type 1 Diabetes that could vouch for me if there were to be an emergency, I still encountered times in which I was alone at the park (walking to and from my car, walking to meet the attendees, or simply stepping to the side to grab a snack), rest assured, I was confident with my Diabetes at the time.

So why is it so important to wear a form of medical alert jewelry for Diabetes? Well, not to get too dark or technical, however, the fact remains that we do have Type 1 Diabetes that does come with some symptoms and consequences. If our blood sugar drops significantly low, we could pass out and become unconscious or go into a coma. Same with high blood sugar, if we are severely high and go into DKA, we could in fact experience some symptoms that could limit our ability to function, which can prevent us from acting in the moment to get help. Say you were in public, alone, and you experienced one of these symptoms, if you were wearing a medical ID, someone nearby would mostly likely come to check for various hints or signs on you if something doesn’t look entirely right and search for an alert jewelry in particular sites on the body: wrists, around the neck, tattoos, etc.

In being diagnosed with any chronic disease and being told you have to take extra care of yourself can be a lot, however, allowing yourself some relief by wearing a form of ID can truly reduce a lot of the stress surrounded by various diseases. One should never leave the house without some form of ID as you never know when these emergencies could happen.

American Medical ID Healthy Packing List

The CDC includes having a form of medical identification such as alert bracelets, necklaces, or wallet cards as part of a healthy travel packing list.

I believe that some may also feel safe in knowing that they have a medical ID card in their wallet as well, for added peace of mind. One should also wear a form of ID at home, just in case. For those who live alone, I understand that it may feel as though you are not in need of wearing an ID at home as you will be alone, but that could just be the very tool that can keep you alive, say you have an emergency, it could be that neighbor walking by and seeing something isn’t right that could barge in and save your life and being able to identify you have a particular medical condition that needs attention.

We each have our own busy lives that takes up so much time and mental focus away from our health, which is why wearing medical alert jewelry can protect us as we are on the move, daily. School, work, the playground, a coffeeshop, wherever you may be, ID is necessary. No matter how old the patient is, whether a child, teen, adult, or elder, wearing a medical ID all the time can protect us from the dangers of our diseases and more.

 

Live well,

David

The Implications of Using CBD for Chronic Conditions: Here’s What We Know

Cannabidiol (CBD), a non-intoxicating compound in cannabis, has become a popular alternative to pharmaceuticals. CBD users can sometimes find relief from their conditions without harsh side effects. 

41% of cannabis users surveyed report swapping out other medications completely in favor of cannabis, while another 58% use cannabis and other medication or alternate between them,” researchers stated in a survey by Brightfield Group

While CBD may be a beneficial alternative for chronic conditions, it’s important to consider the implications of using CBD before changing your current regimen.

Diabetes

Studies have suggested that inflammation has a correlation with insulin resistance. This may be the result of the body not moving sugar from the bloodstream into cells, causing excessively high blood sugar. Obesity-related inflammation particularly limits glucose metabolism, resulting in high blood sugar. 

Researchers still don’t know exactly how CBD improves insulin resistance, but often credit it to the compound’s anti-inflammatory effects

According to a report on Type 1 diabetes from the Diabetes Council, “CBD can save insulin-forming cells from damage so that normal glucose metabolism can occur.”

It’s important to note that most claims being made are based on studies with animals, not humans. Using CBD to treat diabetes without more substantiated research and medical oversight could be dangerous. Until further human studies are conducted, CBD can’t be considered a direct treatment for diabetes. 

However, the anti-inflammatory effects of cannabidiol may be beneficial for managing secondary symptoms from the disease. For example, CBD has neuroprotective qualities and may prevent retinal damage.

Cancer

While there is anecdotal evidence of successfully treating cancer with CBD, no definitive studies can back this up. However, we do know that CBD plays a role in cancer prevention and seems to have anti-tumor effects. In a 2012 report, researchers explained, “Evidence is emerging to suggest that CBD is a potent inhibitor of both cancer growth and spread.”  

The U.S. National Library of Medicine explains that CBD is anti-proliferative, meaning it can stop, slow down, or reverse the growth of cancerous tumors. It is also anti-angiogenic, meaning it does not support the generation of new blood vessels, specifically ones that allow cancerous tumor growth. Lastly, it is pro-apoptotic, which means it induces cellular suicide of cancerous cells. 

In addition to these cancer-specific effects, CBD may help patients dealing with pain related to cancer treatment, such as pressure on the organs and nerve injuries. Patients with cancer are commonly prescribed opiates to manage pain, but managing pain with CBD may be just as effective with fewer side effects.

Unlike opiates, which mimic our bodies’ natural endorphins, CBD actually encourages the production of natural endorphins by interacting with a neurotransmitter called anandamide. As a result, CBD is a non-habit-forming pain-reliever. 

It’s important to consider the legal implications before using CBD for cancer, or any other chronic condition. Hemp-derived CBD is legal across the United States, with specific guidelines per state. Idaho, Nebraska, and South Dakota have strict, conflicting rules regarding CBD, so caution should be taken if you live in those states. 

Whatever state you’re in, be sure to get high-quality CBD from producers who follow the guidelines of the law. 

Multiple Sclerosis

According to Neurology.org, “inflammation occurs in the brains and spinal cords of people with a specific kind of MS called relapsing-remitting MS.” CBD has been shown to protect against this harmful inflammation

In a 2011 study with mice, researchers found that CBD diminished axonal (nerve) damage and inflammation. CBD also reduced microglial activation, an inflammatory process that occurs in the central nervous system and is attributed to conditions like MS, Parkinson’s, and more. 

CBD may help users get relief from their MS without causing the sometimes intense side effects that come with pharmaceuticals. Still, CBD may cause some side effects that users should be aware of. Side effects may include:

 

  • Anxiety
  • Changes in appetite
  • Changes in mood
  • Diarrhea
  • Dizziness
  • Drowsiness
  • Nausea

Anxiety and Depression

The hippocampus, the most widely studied portion of the brain, is responsible for the regulation of memories and emotions. Researchers believe the hippocampus plays a major role in depression, and have found that this region of the brain can shrink or decay in those with depression.

Fortunately, the shrinkage does not have to be permanent. The brain is very regenerative and can bounce back as new neural connections are made. This process is known as “neurogenesis” and is an important process to target for antidepressants, contrary to the prior belief that they just work to increase serotonin. 

Where does CBD come in? Research has shown that cannabidiol signals a serotonin receptor called 5-HT1A. This receptor is responsible for controlling many neurotransmitters, and is also the target of some anti-anxiety medications, like Buspirone. Activating this receptor can encourage neurogenesis, and potentially relieve symptoms of anxiety and depression. 

While each individual case is unique, anxiety and depression tend to go hand-in-hand. CBD may encourage the neural regeneration necessary to find relief from either or both conditions. 

Inflammatory Bowel Disease

Inflammatory Bowel Disease (IBD) is caused by — you guessed it — inflammation. A 2009 study found CBD was beneficial for colitis, a form of inflammatory bowel disease. Researchers induced colitis in mice and tracked their gut inflammation, finding that “cannabidiol, a likely safe compound, prevents experimental colitis in mice.”

Another review found “this compound may interact at extra‐cannabinoid system receptor sites, such as peroxisome proliferator‐activated receptor‐gamma. This strategic interaction makes CBD as a potential candidate for the development of a new class of anti‐IBD drugs.”

If you’re considering using CBD with other medications, consult your doctor first. Much like grapefruits, CBD inhibits the cytochrome P450 enzyme, which can prevent drugs from metabolizing properly. 

CBD could also negatively affect the liver by increasing liver enzymes. A 2014 review of CBD saw changes in the liver function of 10% of the subjects, and 3% had to drop out of the study to prevent further damage. Again, consult with a doctor if you want to use CBD for a chronic condition like IBD but are worried about the effects on your liver.

The Bottom Line

Americans spend around $1,200 on prescription drugs each year, which is more than the residents of any other developed country. The price of pharmaceuticals has risen without any improvements or innovation, according to CNBC. This makes CBD an exciting avenue as a potential alternative to standard pharmaceuticals.

It’s important to remember that the effects of CBD will vary by person, and that a lot of the claims we hear about CBD are in relation to animal studies and not humans. It’s also important to be as informed as possible before diving into the complicated world of buying CBD.

Still, many people find success with CBD for their chronic conditions. 

 

Macey Wolfer HeadshotMacey is a freelance writer from Seattle, WA. She writes about natural health, cannabis, and music.

To End The Weekend In A Perfect Way

The human body is an incredible thing. Yes, it can fall apart and let you down, but it also holds amazing minds that dream up things like insulin and glucose pills that can save someone’s life and help you work around the parts of your body that can’t keep up anymore.

Weight isn’t everything — health is. I grew up battling an eating disorder and now that my focus is on health, and not weight, I feel much more connected to my body. It’s like meeting an old friend I haven’t talked to in a long time (and we have a lot to catch up on). Having to count, track and balance every bit of food or drink that goes in my body is definitely a trigger for me, but I’m getting to know what food makes my body healthy now.

It’s okay to be sad and let go.

There is no perfect health zone. There will be days when I can’t “beat” diabetes no matter what and there will be days when I need to treat myself and not focus on only eating things I know I can control well. Life needs little moments like that to stay sane and right now, the only path to staying happy I can see is one that embraces ups and downs and doesn’t try to turn them into a perfect straight road.

Last and most importantly: LIFE CHANGES. It is important to remember. Life looks and will not look the same even though we have a disease that will need the same type of treatment.

15 Ways to Thrive With Type 1 Diabetes

By: Yerachmiel Altman I achieved 57 years of living with type 1 diabetes this year! I was diagnosed just one month after my 2nd birthday and have logged half a million hours of living with type 1 to this day! I want to share with you the tips and knowledge I’ve acquired through my top 15 tips living and working with diabetes. Hopefully you find these as useful as I have. Remember that everyone has a different way of treating their disease so don’t worry if some of these tips don’t apply to you!

1. Put your mind into it.

If you focus on what’s important to your health, it opens up wider possibilities than thought before.

2. Don’t judge yourself

3. Don’t compare yourself to others.

4. Its not your fault.

You didn’t choose to have diabetes, it chose you!

5. Make smart choices everyday

Diabetes self-care is all about choices. Human minds create over 35,000 choices about every five seconds.

6. Don’t wait for the cure.

Ever have someone talk about the “cure in five years” ? Do your best to control diabetes to best of your ability.  Monitoring your diabetes will only lead to better health and a longer, happier life with hopefully less complications. This will help to leave you in improved conditions to be eligible for breakthrough treatments when they ARE available.

7. No your way or the highway thinking.

Don’t think the way you are doing it is the best or only way.  Always read, research and try (under medical supervision) different ways of treatment, wellness, and care. Listen to those around you.

8. Know thyself and thy diet.

Always learn as much as possible about your own self.  Everyone has certain foods that for themselves don’t follow the standard “curve” (and/or standard “carb count”).

9. Find your niche and your system.

Each person has to find the system or methods that work best for them.

10. Get Techy

Technology has given us many many modern inventions which aid in our control and understanding of diabetes – you have determine which of them works best for you and which ones aren’t as helpful.

11. Find a mentor. Find a community.

Vitally important to have others who are type 1 and similar in length and type of diabetes as well as and other life factors.  It is also important to have a “mentor”; someone else to ask questions of.  Having another person to ask or to bounce ideas off of can many times resolve issues before they become problems.  Additionally long term use of equipment gets us into habits  –  having others to ask may open doors we didn’t even know existed.

12. Pay it forward: spread your knowledge to others!

It is very important once one has learned enough to help others.  It is both really helpful for the other people AND very good for yourself.

13. Surround yourself with love

Always have family and friends who lift you up, and help guide you through the tough times that come with being a T1D patient. There is always hope!

14. Open up

Diabetes doesn’t have to be a secret, share with others about your disease. Sometimes it can be hard to talk about your chronic illness but with more awareness comes more acceptance. However you always know how much is safe or okay to disclose,you are never obligated to tell people or only focus on your disease. You’re a multidimensional person!

15. Enjoy Life!! You CAN live a joyous and fulfilling life with diabetes!

Top Five Wellness Tips We Learned From Lauren Bongiorno!

At Lyfebulb, we’re SO lucky to have Lauren Bongiorno on our T1D Lyfebulb Ambassador Team! Her expertise in countless areas related to self empowerment, fitness, nutrition and health is what makes her such a great influencer. We can all learn a thing or two from Lauren’s expertise!

Today we’re highlighting some of Lauren’s best wellness tips from  IG to share with you today. Her advice is relatable to everyone living with a chronic illness, T1D patients, or  even those interested in creating a well-balanced life.

Check her out at LaurenBongiorno.com !

TIP 1: PENCIL IN VACATION WORKOUT SESSIONS TO KEEP BALANCED

TIP 2: ENJOY YOUR VACATION: DON’T THINK ABOUT “EARNING YOUR MEAL”

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HERE’S THE TRUTH: I aways work out on vacation so I can be less strict about what I eat. yeeeeeppppp. For me it’s not about burning calories/ earning my meal, but with being able to eat waffles, risotto, pizza, tropical fruit, truffle fries without my blood sugars roller coastering all over the place. Sure it would be easier to cook all my meals in the room or only order fish and vegetables out, but i want the freedom to indulge if that’s what I want. For someone like me with #typeonediabetes, if i’m not working out, eating these foods would spike my blood sugar real fast and it would take hours to get it down. When this happens I feel so tired, moody, killer headache… not fun. I feel 10000x better strategically structuring my workouts to support a little more flexibility on vacation. Also, I had 2 waffles for breakfast, pancakes, eggs, + a croissant and it was 💯. The end.

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TIP 3: PRIORITIZE YOUR HEALTH AND WELLBEING!

TIP 4: BE PRESENT IN THE MOMENT, YOUR BODY, AND LIFE

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part 1/3. New Year Intentions. I should have had multiple burn outs. I’m actually shocked at how all over the place I was last year. I know the only reason I was able to keep moving forward was because I prioritized my health( sleep, food, blood sugars). I heard once that busy isn’t a badge of honor. Couldn’t agree more. December was actually my best, most enjoyable month of the year. I told my best friend Alex it was my month of “yin”, which meant only dedicating time to the things that were absolutely essential, not overextending myself. Towards the end of the month I was so sad it was ending because I felt SO good. But then i realized oh wait i can do this all the time hahah. So that’s what i’m doing. My word of 2019: ESSENTIALISM. My guiding statement: “stay in relationship with what matters.”. Sign: 333 (the number I frequently see which I will use to remind me to trust that i’m on the right path). 2019, we in it. What did you guys set as your intentions? More excited for the next 12 months than I’ve ever been before. Can’t wait to throw these up on a vision board. #yearoftheessentialist

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TIP 5: STICK TO A DAILY ROUTINE

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part 2/3: My 6 new years daily habits💫 Its cool to set intentions in whatever way you’ll feel most successful! For me i’m a lover of checking boxes off + getting real specific. So last week i took some time to map out my 2019 daily habits: 1. Movement: yoga, hiit circuits, weights, pilates, walking. My WHY: blood sugars are best, mood is happy, love a challenge. 2. Tackle the big rocks before 12pm: the things on my to do list that are the most difficult. MY WHY: i have most energy and focus in morning hours. Want to sync up more with sunrise and sunset energy. 3. Be present through listen + feel. MY WHY: i sometimes find myself guessing where convo is going or rushing it to be doing something else. I want to feel a greater sense of connection and appreciation, treating every convo as sacred. 4. Lateral thinking exercise: solve a brain teaser or write down 10 ideas. MY WHY: get outside my box and limitations of habitual thinking patterns. See what blossoms. 5. Study outside my industry of health: book, podcast, documentary, the Economist, become more proficient in SPANISH! MY WHY: expand my knowledge into different areas. 6. Align + Manifest- journaling, card pull, visualization, or meditation. MY WHY: we attract the level at which we vibrate at. Excited for all these! My daily routines were getting a bit stale. What things are you looking to make into habits this year? #newyear #growthmindset

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Real Talk With Dave- HOW TO: THE NEED TO KNOW ON NEEDLES

 QUESTION FOR FELLOW DIABETICS : HOW DO YOU DISPOSE OF YOUR USED NEEDLES?

            This is one of THE MOST asked questions those of us with Diabetes often face.

 MY JOURNEY TO SAFETY:

When I first got diagnosed with Type 1 Diabetes back in 2008, I vividly remember how unaware I was on the topic of safe needle disposal. I didn’t know of the harmful effects of throwing away used needles right into the trash.

Fast forward to one year after my diagnosis, I setup my very first pump at the age of 12! This opened up a whole new world that I never experienced before.

It can be pretty daunting when you’re 12 years old. I learned a whole encyclopedia’s worth of experiences. I learned everything from putting on my pump to how to wear it and even how to actually use it!  I’d like to share with you my top tips for disposing needles safely.

My journey to safety was NOT an easy one! I had lots of trash that needed to be thrown away. A used needle and inserter were among that pile of trash, so without the knowledge I needed, I threw away my used needles in the trash!!!

MY TOP TIPS ON HOW TO DISPOSE NEEDLES SAFELY:

  1. DO NOT THROW USED NEEDLES AND INSERTERS IN TRASH

  2. ENLIST A PUMP TRAINER

    • When I began my new world as a T1D, I constantly threw away my used needles in the trash. My pump trainer quickly caught me in the act of throwing the needles away unsafely and showed me how to break my long-term habit!

 

  1. HAVE ACCESS TO A SHARPS CONTAINER:

    • Unused needles go in a sharps container as well as used syringes, lancets, and any other form of needles.

Today, this is something that I am very passionate about. After  educating myself on the dangers of disposing used needles the wrong way, I made it my goal to always have a sharps container in sight. Whether I am at home following a set routing or creating temporary plans for traveling-I always make sure to dispose safely!

 

  1. LOCATE A SHARPS DISPOSAL ANYWHERE YOU ARE WITH SAFENEEDLEDISPOSAL.ORG

  • I partnered with SafeNeedleDisposal.org to bring awareness on this very important topic. This website allows you to search for drop off locations in your area by zip code and teaches you how to safely store your used needles at home! Some areas even allow disposal in your household trash bin if placed in the proper container. I find that education is so very important since many may not be fully aware of the potential dangers in disposing their needles unsafely. As SafeNeedleDisposal.org states, the bottom line is that safety is the point.

HOW TO USE SAFENEEDLEDISPOSAL.ORG:

  1. LOCATE DROP-OFF LOCATION:
    • Use the site to locate the appropriate drop-off location in your area is so vital and so very convenient.
  2. STORE UP USED NEEDLES:
    • Store up all your used needles for a few months.
  3. DESIGNATE A REGULAR DISPOSAL DAY:
    • Designate a certain day to go out and dispose of your needles at your local drop-off location. You are not only bettering the environment, but your own health and safety as well.

 Let’s be honest ,as Diabetics, we go through lots of needles, daily, weekly, monthly, and so on. Unfortunately, there is no cure for Diabetes yet, so we must insert pump sites, CGM sites, inject Insulin, and prick our fingers daily! Basically, we go through LOTS of needles and they need to go SOMEWHERE at the end of the day. By having designated areas and a great website to help us find those locations, it becomes a great way to dispose of needles both safely and efficiently.

Bottom line, safety is the point.

Live well,

Dave

Poached Pears With Whipped Cream Recipe

POACHED PEARS WITH WHIPPED CREAM

poached pear

An original recipe  from Lyfebulb CEO Dr. Karin Hehenberger, MD, PhD

Interested in more delicious auto-immune diet friendly recipes! Click the link  to learn more about “The Everything You Need to Know About Diabetes Cookbook: Expert advice, plus 70 recipes complete with nutritional breakdowns.”
Pears are delicious, particularly in the fall and winter, and can easily be found in most food markets. This dessert is healthy and looks so yummy.

Ingredients

1 1/2 cups (350 ml) red wine
Juice of 1 lemon
1/2 teaspoon stevia
1/2 vanilla bean(pod) split in half lengthwise and seeds scraped out or 1/4 teaspoon vanilla extract
1 cinnamon stick
5 cloves
1 orange, quartered
4 small ripe pears, peeled
Scant 1/2 cup (100ml)
whipping cream,
whipped, to serve
Serves 4

Instructions

1. In a saucepan large enough to hold the pears snugly, pour in the wine and lemon juice, then add the stevia, vanilla seeds or extract, cinnamon, and cloves, Squeeze the juice from the orange quarts into the saucepan, then add one of the squeezed orange quarters to the saucepan and discard the remainder. Finally, add the pears.
2. Set the saucepan over high heat and bring to a boil. Reduce the heat and simmer, uncovered, for 25 minutes, turning the pears occasionally, until they’re easily pierced with the tip of a knife. Using a slotted spoon, transfer the pears to individual plates.
3. Pour the poaching liquid through a strainer set over a bowl and discard the orange quarter and spices.  Return the poaching liquid to the saucepan, bring to a simmer, and cook for about 15 minutes, or until the poaching liquid is syrupy and reduced by two-thirds.  Let cool a little( you don’t want the syrup to melt the whipped cream).
4. Spoon the syrup over the pears and serve with the whipped cream.
Per serving: 239 kcals, 10.3 g fat (6.3 g saturates), 16.9 g carbohydrate (16.7 sugars), 1.3 G protein, 3.6 g fiber, trace salt

Enjoy!

Real Talk with Dave: All about the Dexcom G6

Many people have been eagerly waiting for the Dexcom G6 to be announced.

Well, it just so happens that it is now FDA approved and available in June. I had the special privilege of being sent a Dexcom G6 to try out and so far, I am loving it. As promised, I wanted to share my open and honest opinion about this device, so I thought what better way to share my thoughts than through a blog.

First and foremost, I want to say how incredible this device is. I had the opportunity to see a mock-up of the device at the JDRF Type One Nation Summit and was even more excited to use this new product! The whole site and transmitter is about 33% thinner than the Dexcom G5. It is much more user friendly and has a longer wear time than the G5. You can now wear your site and get continuous glucose readings for 10 full days before you have to change out your site. You can also view your blood sugar readings on your phone, watch, and receiver that comes with the device.

One really exciting feature is that the Dexcom G6 does not require any fingerstick calibrations, which means you no longer have to prick your fingers for a manual blood sugar check anymore. You can now fully depend on this device to be even more accurate than before and allow you to have even more freedom in knowing what your blood sugars are. I have been wearing the Dexcom G6 for about a week now and have been comparing the G6 to the G5. For the first few days, I was wearing both CGMs just out of curiosity on how much more accurate the G6 really is. From what I observed, the G6 was way more accurate in comparison to the G5. I also would still check my blood sugars manually just to compare the numbers and my Dexcom was very close to the actual reading. It is intended to be 20 points above or below the actual reading, which it has been.

The device also has a new app in which there is a whole new design (similar to that of the G5, only better), and there are now more options for alerts and settings in which you can customize to your liking. Now, when having a low blood sugar, this device will alert you 20 minutes before a predicted severe low of 55 mg/dL, which I think is amazing that it can detect that for you. It truly does give peace of mind in knowing what to expect and when, giving you alerts ahead of time so you can try and prevent a bad low before it hits you.

The part of this device that I cannot praise enough is the insertion. Before, you would have to plunge a big needle into your skin and then remove it, leaving a plastic cannula deep into your skin. Now, all you do is apply to device to your skin, push a button, and within seconds, the device is in your body! When people ask me what it feels like to insert the G6, I like to describe it as “a puff of air hitting your skin, that’s it!”. The first (and only) time I inserted my CGM, I was blown away at how painless it truly was. This is going to be a huge game changer for children who have to wear a CGM as they will not feel a thing when the time comes to insert the device into their skin.

All in all, this device is great. I am obsessed at how this product works and helps me feel as a Type 1 Diabetic. It definitely allows me to live my life and not worry as much as I truly can trust what my readings are and know what is going on inside of my body. If medical technology is this good now, I am even more excited as to what the future holds for Type 1 Diabetes. With the Dexcom G6, Diabetes is not all bad.

Live well,

Dave

Real Talk with Dave: All About the JDRF Type One Nation Summit

Last Sunday, April 22, 2018, I had the amazing opportunity to volunteer at my very first Type 1 event. JDRF hosted their annual Type One Nation Summit in Pasadena as part of the Los Angeles chapter. My goal for this year has been to get more involved in the Diabetic community, so I just knew that I had to reach out and see if I could be a part of this amazing event! I was given the privilege to work with children who also have Type 1 Diabetes, which was such a surreal and eye-opening experience. Also, throughout the day, I was able to meet many new and amazing Diabetics, many of whom I have met through the online community and now was able to meet them in person.

As the day started, I was greeted by some very kind people working the event who helped get me situated and allowed me to find my way around the place. As I walked through the convention center, many different Type 1 brands and companies were there with their very own booths, which allowed us T1Ds to get some more knowledge and have our questions answered. Brands such as Dexcom, Medtronic, OmniPod, Myabetic, and so many others were there with a few very kind reps from each brand. They were all so nice in welcoming quests and helping them find their new favorite T1D brand. I for one was fascinated by the Dexcom booth as they were promoting their latest and greatest device, the Dexcom G6. It was so neat to be able to see the product right then and there as the Dexcom reps were there showing how it works.

As I went to help the children who lived with T1D, I found myself in a room of so many wonderful kids. You would think that these kids would be somewhat down for the fact that they have to live with T1D, but that wasn’t the case at all. The kids I worked with were so happy to be at the event and meet new friends. I would ask them different questions such as how long they have had Type 1 for, what their blood sugars were (and we would compare our numbers with each other), and what devices they use. There was an instant connection with many of the kids as they were so responsive and excited to share. The day went by and they were thrilled to be in this space with each other as they worked on different projects and had different guests come in and talk with them.

Throughout the event, I would go back and forth from the T1D kids to the T1D adults and found myself fascinated with each and every special bond that was formed with one another. I was able to attend a few break-out sessions and listen in on some very interesting panels, some of which I was familiar with the speakers, which made them much more interesting and enjoyable. I must say that whoever put together this event really knew what Diabetes is actually like as they thought of everything to be presented that day. The topics that they talked about were so relatable to people living with Type 1, which made it so special to be a part of. We even got to meet a T1D hero who has been living with Type 1 for 58 years! He was such an inspiration.

As the day went by, more friendships were formed, more amazing T1D brands were discovered with some amazing purposes in the Diabetic community, and all in all, this event was a beautiful space where we could all come together as one big T1D family. Whoever was there was in support of one another and would lift each other up. New people came, but were immediately invited into the group and fit in right away. Many traveled from near and far to be together on this special day for this extra special event, and that right there made me realize how when we stick together as one big T1D family, this disease has nothing on us. We are brave, strong, and true fighters, we won’t give up and we will rise above in times of trouble. Diabetes doesn’t own us.

If you want to get more involved with the T1D community (which I highly recommend, it will definitely change your life for the better), get in contact with your local T1D organizations and be on the lookout for events/meet-ups in your area and just go for it! It just takes one time to get involved and you will be hooked! Being with other Diabetics is contagious and you will want to meet even more Diabetics each time!

 

Live well,

 

Dave

THE MORNING SUGAR: A Window into your Type One Management

I lie in bed with one eye open, ears still ringing from my poorly selected, overplayed alarm tone. I sit half hunched over my glucose monitor attempting the first blood-drop-to-test-strip co-ordination of the day. Its 05h30, I have fasted for 6 to 8 hours, it’s time to dive into diabetes. My test strip sucks up the drop of blood and counts down to my first glucose reading of the day:

BEEP: 4.6mmol/l (84)

OR

BEEP: 9.6mmol/l (173)

OR

BEEP 16.6mmol/l (299)

The good, the average and the ugly.
These are the 3 general ranges of readings that might greet me at the first finger prick of the day. It’s only one of the many sugar readings that lie ahead, but it is a special one to pay attention to, as your morning glucose reading can provide important insight into your diabetes control.

A fasted reading has a myriad of information which you can choose to ignore, or preferably dissect and investigate for optimum diabetes control. I believe it is vital to ask myself why? Why is my blood glucose this level and what were my preceding actions?

I will take you through my 3 ranges and my general approach to morning sugar readings and how I personally troubleshoot these readings. We each tackle diabetes differently, but hopefully the following brings some insight into your morning sugars or encourages you think critically of those interesting rise and shine numbers!

The “Gem”
My personal values are 3.8-5.6mmol/l

Oh this is a sweet, gem of a reading. It’s the real “roll out of bed on the right side” number.
Perfectly in range, it is still important to acknowledge the formula that achieved this number. We could all do with a little positive reinforcement and mindfully recognize and enjoy our diabetes successes! I always ask myself, “What did I do well?”

This sugar reading generally informs me that I have correctly dosed my long acting insulin as it did not bring me into the clutch of hypoglycaemia when fasting during my sleep. It was also sufficient to meet the cascade of morning hormones such as cortisol and hyperglycaemia it brings along with it. This sugar happily greets me when I don’t snack after dinner and I eat around 3 hours before bed-time. This plan allows for an honest, stable blood sugar reading before bed where my injected insulin has already peaked in activity, and I can expect predictable glucose readings as I sleep.

The “Meh”
My personal values are 6-9mmol/l

It’s a sugar range that is higher than I would like for a fasting blood glucose level, but it’s not remotely the end of the world. To solve this morning glucose and to prevent it creeping higher, I have my insulin dosage for my breakfast plus a dash more insulin to correct. I wait 20-30 minutes for my insulin to start working and bring my glucose down before having my breakfast. I ask my “why?” and make a mental note of how I could improve and act accordingly. If went to bed with a great blood glucose level and I woke up high, it could be various things:

1. Insufficient long-acting insulin: The Dawn phenomenon

When I have my continuous glucose monitor (CGM), the Dexcom, attached, this will be displayed as a nice steady graph with readings in glucose range for the first 2/3rds of sleep, only to find in the few hours before waking my blood glucose slowly and steadily increases. This is due to the get-up-and-go hormones that pump through your body to prepare you for waking and tackling the day. These sneaky buggers include growth hormones, cortisol, glucagon and epinephrine and they increase your insulin resistance, causing blood sugar to rise.

2. Too much insulin: The Somogyi effect

This is an interesting stress response of your body, a rebound effect of low blood glucose while sleeping. If you have too much insulin, long acting or short acting, and you experience a low while sleeping your body mounts a survival response and encourages your body to release sugar back into your blood via adrenaline and cortisol. This low may not be rapid or severe enough to cause a seizure, but sufficient to mount a physiological survival response from your body.

3. Not enough short-acting insulin

This is usually prompted by snacking before bed and eating late. My stomach is still full and has not emptied. My blood sugar will be in range when I get to sleep, but as my tummy works to digest my food, sugar trickles into my blood which I thought I had sufficiently covered by my short-acting. This especially occurs if I eat meals that have a carbohydrate, protein and high fat content. It has even been dubbed “The Pizza Effect”, where fats and protein delay the absorption of carbohydrates from a meal. The most challenging part is that you don’t know when the carbohydrates are going to be dumped into your bloodstream as sugar. It could be more than 5 hours until you feel the true effect of your meal. This could also be a reason for a really high morning blood glucose reading, the one where you would rather turn over and head back to sleep, which brings me to my final morning range, which I like to call the “Lie in Bed for a Few Minutes in Denial”.

The “Lie in Bed for a Few Minutes in Denial”
My personal values are anything double digit

The “Man, I messed up” feels. I most likely did not give myself enough insulin for the previous night’s meal, or I ate complete rubbish, did a massive carbohydrate count guestimate (that’s right folks- guess and estimate can really be combined into one perfect word), it could be “the pizza effect”, or I forgot my long acting insulin.

The alternative explanation is that I woke up with low in the middle of the night and quite passionately, dove into my bedside glucose stash, bathed myself in sugar before falling back asleep in a pile a sweet wrappers. (Yes, I have awoken with gummy sweets melted into my back and bed sheet).

If my sugars are really bad in the morning, there is usually a pretty grand, blatantly obvious reason as to why they are absolutely deranged. I find myself glancing in the mirror, at my poor, hard-done-by face to ask myself why? My expression smirks, “Oh girl, you know why. You know.”

This is where the power of the mind can transform your day. You can switch to victim. You can choose guilt and actively bring yourself down. You can choose to let a number on a plastic monitor define your day or you can free yourself from mental binds, for you are capable, you are strong and you are going to tackle the day.

My go-to plan of action:

1. Massive bottle of water with loads of top ups
2. Small simple, low sugar breakfast (I find waiting for my sugars to come down before eating leaves me more frantic and stressed)
3. More water
4. Add Insulin
Tip: Don’t give yourself 70000 units because you are panicking and desperately want your sugar to go down as quickly as possible (TRACY SANDERS I am talking to you girl). A resultant severe hypoglycaemia does not make it easier to improve the day.
5. Forgive yourself, give thanks to your body for all the other goodness it brings to you and power forward.

Transform your WHY’s into WISE, pay attention to each nugget of information your body and glucometer communicates to you. By building up an understanding of your sugars, you build a stronger relationship with your body and mind. Work closely with your support network, endocrinologist and diabetes educator to make the correct adjustments to suite your body, always ask questions and challenge your knowledge and experience of type one.

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