Life with no sugar
Every day with diabetes is different, not like the other. And what worked yesterday may today. Diabetes Blog weeks after back go back totally going. So that is with diabetes. Actually, I have every day so my special moments diabetes. Positive and negative. About my diabetic highlights from the past 10 months I have right to think a little. Here are a few of my highlights, good moments ... whatever you want to call it.

1. Hello SmartGuard - Bye bye hypos
Side a few months I'm wearing the MiniMed 640G. I have to say, purely visually there are certainly some room for improvement, but the new insulin pump from Medtronic has a feature to which I no longer want to do without. The SmartGuard. An automatic "Before Hypo shutdown". Ok, that was for me almost the end of an era ushered Nutella, Nutella but yes you can if necessary also on breakfast sandwiches smear. Wait ... that was not originally intended eh times?

More about the MiniMed 640G can be found in this review.

2. San Francisco half marathon without hypos
Actually, I had almost given up hope that I would ever create. With the training for the San Francisco half marathon I go anyway a good bit back, and a real plan how I should manage 21 km with the diabetes-Sau, the be entrained carbohydrates, etc., I had honestly not really. All the more I was pleased that the entire race was almost perfect. Perfect in the sense that I was spared from any Hypo. What I have done differently than usual? I've just made less thoughts and just enjoyed the course (and all water 4km + electrolytes drunk). Taken into account without me, diabetes-Sau. Bitch.

3. Meet the Peeps
Again this year, I could be back on many diabetes events and meet many interesting people from the "Diabetes Scene" / #doc to meet people. Such meetings and acquaintances always belong definitely one of the highlights, because everyone carries his own personal diabetes history around with them, everyone has stories to tell, to share tips and experiences in stock.

And that lousy karma?
Och, lousy moments there were certainly many. Blood glucose levels beyond good and evil after dental work, a very bad for me HbA1c inexplicable ups and down ... But to be honest it makes no sense to break up over the head. I prefer to hold on to the good moments and focus on the here and now. In the old lousy values, although I can always change anything, but I can at least learn from them. But if you also once again Cancer t in a motivational deep around here my personal motivational tips for lousy Diabetes moments. Never push the head in the sand. Other people also have problems. But just different. And anyway ...


A day with (team) Novo Nordisk - Changing Diabetes

DIABETES AND SPORT - A SMALL CHALLENGE. Diabetes and sports are not mutually exclusive. Not for Type 1 diabetes and not even for type 2 diabetes. On the contrary, sport and diabetes is actually a pretty cool duo, because sport does not only have a positive effect on the well-being of, but also has the nice side effect to improve blood sugar levels and insulin sensitivity.

For many diabetics, sports / movement is often but a topic that is associated with anxiety and frustration. Frequent hypos, constant carbohydrate refueling, unexplained BZ-rises! With all these things I have to fight again and again, realize, however, the more I occupy myself with my "successes and failures" (OK, the name is perhaps not optimally chosen may sound "experiments and failed attempts not so hard ) properly documented, analyzed and interpreted, and learn from them, the better and more relaxed I can start, for example, in a run. Everyone must find there a little for themselves out what works best for him. Because everyone has a different therapy, and every body reacts to different loads individually different. This is perfectly normal. Would be nice if it would be as a panacea.

Yes, it's a challenge to find his personal best way! But that should hold a by no means thereof, to try it again and again. For me personally it would be a resignation before the diabetes to stick after a few blood glucose levels to head in the sand or to hang the sports shoes on the nail.

A day with (team) Novo Nordisk - Changing DiabetesTeam Novo Nordisk - motivate, inspire AND SELLING
The fact that diabetes and sport in no way exclude that wants to prove the team Novo Nordisk. Together with Sascha from Sugartweaks and Manu secondhand diabetes we were invited by Novo Nordisk this weekend for Münsterland Giro, where the professional cycling team from Novo Nordisk with went to the start.

The team Novo Nordisk is is an international team of cyclists, triathletes and runners with one thing that connects all: Diabetes. Topping the team Novo Nordisk from professional cycling team, the first professional cycling team whose squad consists entirely of athletes with diabetes worldwide, and participates in professional races around the globe. The team was founded in 2012 by Novo Nordisk Phil Southerland us is part of the Novo Nordisk initiative "Changing Diabetes". The aim is to participate 2021 (100 years Insulin) at the Tour de France.

People with diabetes to encourage their dreams hold, and show that sporting excellence with diabetes are absolutely possible, that is the goal of the team Novo Nordisk. The life stories and successes of the team members to other diabetics provide inspiration and show that you can achieve much with the constant companionship of diabetes.

On Friday evening before the race was Simon Strobel, the only German rider in the squad, to answer questions on our interview questions. Simon is relatively new in the professional team (previously Development Team) and had the Müsterland Giro his racing debut on German soil as a professional driver. The interview follows in a separate post.

A day with (team) Novo Nordisk - Changing Diabetes

Diabetes Team
MANY DIABETICS lack the necessary knowledge of sports WITH DIABETES. On Saturday morning we went for us in the Francis Carré to a small "Diabetes and Sport Workshop" at Harald Pohl Maier (Internist, Angiologe, Diabetologist DDG) in the center for diabetes and vascular disease.

Knowledge after the workshop (well, actually, we know it yes): Who wants to have fun on the sports with diabetes should keep a few things and know a few things. And therein lies the rub. When knowledge is lagging behind dramatically in most diabetics. Conventional diabetes education only cover the basic knowledge, which might be enough for a walk around the block, but not for someone who is serious with his diabetes tackles and a little more want than just every now and then the tired limbs in set movement. The sports MUs make sense, as long acts of move how many calories and carbohydrates the body stores on its own initiative, where is the personal threshold between aerobic and anaerobic exercise area, what impact does that have on your blood sugar at which heart rate happens what in the body and so on. Like we had back then "discussed and tested" in Animas Diabetes and Sports Weekend and I find such training is too little offered in Germany. No wonder that most diabetics are frustrated after the first sports try if you among sugars constantly or even have strong blood sugar rises, without knowing why and how you do is push you on the matter. Sport should finally be motivating rather than frustrating.

IM Novo Nordisk TEAM BUS - 600km FOR A 3KM SPRINT
After the workshop we went to the booth of Novo Nordisk on the event's site or to tour / team bus driver where we Meike tree Lindemann (project leader globally for the team NN) and Team Novo Nordisk spokeswoman some impressions mediated got what it takes place at a professional bike team in everyday life and between races. For me personally amazing that drivers spend part up to 600km off Bike to be at a particular race for only 3km (!) On Bike. Professional drivers spend so much time with the right acuh ass on the bus or flyer to get from one point to another point, where they then swing the butt back on the saddle. Either for training, or for a race. So a team bus has somehow what of a tour bus of a rock band and is a bit like a small apartment. Shower, a mini-kitchen, sleeping arrangements. Only there it is ordered and there is probably no more cans of beer Burger, but protein drinks and meet Hypo-Treatment. Funny, I've seen no Nutella ;-).

A day with (team) Novo Nordisk - Changing Diabetes

Novo Nordisk team bus
Pretty ordered it comes to in everyday life of the driver. So every athlete has an established and structured daily schedule, from showers, breakfast etc. Novo Nordisk owns 2 of these buses, one for Europe and one for the United States (supposedly a little more "modern" is. I have since spontaneously to the vehicle from "Meet the Fockers" thinking.

The drivers who are traveling in Asia, be driven with smaller vans to their race. The team will of course supervised by doctors throughout the tour, but every driver still has its own diabetologists. By the way the team is not "owned" by Novo Nordisk, but is only sponsored by the Danish company.

After the race we still had the chance to briefly talk to Simon, who looked pretty fresh for covered 180km and first purely whistled a bun. On that occasion I was able to get rid of times I asked him if there are tricks of the catheter mount. For my catheter each other constantly while running (see. "Nude running without anything"), so I at longer distances (read more sweat) already partly take with a replacement catheter. Simons answer, he uses any extra fixation, then already surprised me a little. Yes, he does not sweat it? Almost all drivers with peristaltic pump wear the catheter Traderjob on my butt. I will experiment again with different locations and tapes. At this point a big thank you to Novo Nordisk for the invitation and this exciting and inspiring day and at the team around.
Photo: Sugartweaks


My diabetes, On mobile
This story came from barcelona, Spain. The family life of Maria L., age 5, years old is shaft type 1 that was diagnosed the girl two years ago diabetes, when in just two weeks thinned alarmingly despite not stop eating and drink fluids. Your pancreas stopped producing insulin, the hormone that metabolizes glucose from carbohydrate eaten, and Mary entered the world of diabetes. An incurable but treatable disease, which requires calculating sugar and insulin needs of every moment, constantly and without error, as would factly pancreatic beta cells that have stopped working.

Must be that endless calculation before and after every meal, to start and end an exercise or unusual physical effort in stressful times and sometimes also dawn-, like the extensive endocrine and nutritional training to be acquired who faces diabetes, they are the subject of a frantic offer technological assistance and information through the internet and mobile phones, so abundant that has imposed the need to focus on the rigor and effectiveness.

OPERATING SYSTEMS / Diabetes Unit of the Hospital Sant Joan de Déu, Esplugues, very active in innovation control this insidious disease has posted 1,223 applications (computer programs that perform a specific function), which is accessed from smartphones, designed to help a diabetic manage your metabolism and decide what dose of insulin needed at every hour of the day.

So, calculate how many carbohydrates contains a serving of rice or macaroni, or detect how the user changes the energy when very nervous, among dozens more suggestions. Sound alarms when the owner of the mobile, which has provided all of its biomedical data, is nearing a crisis because it lacks or has plenty of glucose in the blood, and may even tell their families where the patient is, whether the abruptness of episode required.

There are also more than a hundred websites that provide information on this disease, with varying reliability, and three social networks that converge conversations of millions of patients, among which EsTuDiabetes.

OWN CRITERIA / applications are distributed in the four mobile operating systems most used: 252 offered by Android, which is accessed through Google Play; 782 through Apple IOS, BlackBerry 70 and 119 on Windows. Hear and decide are the cornerstones of the information provided by these app (mobile application), which are grouped according to whether your audience will be a child, an adult or a diabetic who does not need insulin.

This bombardment of suggestions, warn endocrinologists, should never replace the judgment of the patients themselves. The management of the metabolism of a diabetic child must master, first, the small with the disease-or their parents, so far, in the case of Mary, even though it serves as calculation speed and resolution of doubts its smartphone offering.

"The app and clinical teams working in hospitals know much about diabetes, but every patient knows his diabetes as anyone," says Marina Llobet, a nutritionist at the Sant Joan de Deu and member of the group of parents and health created at the center to guide their patients under 18 years on the internet offer linked to diabetes.

SELECTION / Those children, the main users of the app of diabetes, should know how to select, experts warn, to choose those made by doctors, a scientific society, a hospital or a university. "Before opting for an app you have to read the warnings when trying to download it to your mobile, small point, because there has to inform the use that will give your medical data," Llobet alert. This is because, to be effective, the app asks diabetes have all the parameters of the individual's illness trying to access it, information that hospitals guarded, high security and legal requirement of confidentiality in medical records . "Many children enter their medical data in the app without reading the fine print, unaware of the possible future, commercial or any use," says nutritionist.

Jordi L., the father of Maria, drew on internet when their daughter was diagnosed: "The doctors never give you all the information you think you need, and just entering Google. There I found bloggers about their experiences, as elnendesucre, sick of Girona, 19, or jaimemidulceguerrero,

writing the mother of a diabetic child in Florida (USA). " There is already a huge gap between how an adult manages his diabetes sick and how does a teenager or a child of 10 years. In any case, keep the old you, the diabetic is a person prepared to make tough decisions, said Llobet. "A teenager who suffers a crisis of hypoglycemia (less than 60 milligrams of glucose per deciliter of blood) will cost you thinking, have blurred vision and feel groggy, but he will decide if you take insulin or asks for help, and it will ".

By Angels Gallardo, Barcelona


When Diabetes Changes My Life

The stories tell us who have had diabetes, we may sound trite. But think of them as people who were once healthy, they could eat without worrying about the amount of carbohydrates consumed, and they assumed that they had pretty feet and hands, and a beautiful rosy skin color, do not put on weight when coming Christmas because not yet suffering from insulin resistance, and had never experienced a diabetic coma, foot amputation, loss of sight, loss of a kidney and whose families could live their lives without being busy with them all the time, whether in a hospital or at home caring for a diabetic in a wheelchair.

"Like most people who have undiagnosed diabetes, I did not believe that I could spend my horrible nightmare that I lived a year ago. Because of my family background, my brothers told me often to review me, I could bring high sugar, but answered that I did not want to know if he had diabetes, he preferred to live in peace .. First I inflamed foot after using boots that I had a little tight, but I thought it was going to remove the inflammation and did not go to medical care, despite all the symptoms pointed to diabetic neuropathy.


It is colorful - new patch pump from Kaleido
After the myLife Omnipod previously was the only patch pump on the insulin pump market, this now seems to have company. At the EASD the Kaleido patch pump is currently presented. Let's inject some color, so the slogan of Kaleido. The Dutch manufacturer relies on Color and metallic design. I personally like to talk quite well. The Kaleido patch pump remembers at least not equal to a medical product and is available pretty much every color of the rainbow. Or will be available. Supposedly it is first launched next year in the Netherlands and UK, then in Germany.

The reservoir of the pump holds 200 units of insulin, the pump itself is obtained with a battery "alive". The battery lasts however allegedly only 2 days, so confirmed at least the two Kaleido-staff, with whom I spoke at the booth at the EASD in Stockholm. The dimensions of the pump be 12mm x 35mm x 50mm.

Patch Pump
Once the battery is empty, is (logically with full battery) changed to a 2. pump. However, it is not recommended to the stöpseln Unopened reservoir of the first pump in the alternating pump. I personally find quite a waste. If the matter of the 2 days true battery life, I would consume a maximum of 100 insulin units and must carry the rest in the bin. Seriously? Well, but between "Recommended" and "I'll do it just" is well known, not so much ��
The charging time of a battery is approximately 2 hours.

The Kaleido patch pump consists of three units, as once already Cellnovo (Where is the actually ???). The pump itself (pump + AC) with reservoir, the catheter and the handset (remote control). The pump is fixed with a patch and a thereon Velcro on the body. Means that you can remove the Kaleido patch pump when required, for example for the sauna. At first glance it all looks but somehow a little shaky.

Patch Pump
The remote control has compared to the PDM of Omnipods well ahead. Flat, narrow, modern. Looks similar to an iPod and the service is super easy. Unfortunately, the Kaleido patch pump has no "emergency button" to insulin delivery if you've forgotten the remote control or for certain reasons, such as for sports, not necessarily want to carry around.

So completely I'm still not sure what to make of the newcomer, at least optically pure I was not entirely averse. Unfortunately, the look is in a device, which me daily alive probably gets more second only to the functionality.


Freestyle Libre Review - Ulrike is "flashed"!

Therefore, I have not managed to write extensively over flash it. For this we gladly übegeben today the word Ulrike Thurm, who has also getest ausbiebig the system ... and in detail about it reported. Very detailed. Here we go…

Wow, after nearly 30 years type 1 diabetes suddenly a life without blood glucose measuring, which is to be possible? OK, those who know me longer to know that I since 2008 CGM - time wearer am, but CGM is here once exceptionally not be an issue. Because Flash glucose monitoring, ie the unit that I just "flashes", has nothing to do with CGM, except the commonality that a sensor located in the subcutaneous fat, but that then hear the similarities almost because Flash glucose is no competition the CGM, but is designed to be a replacement for the annoying blood sugar fairs. Annoying not in the sense of unnecessary but cumbersome, we all know: rausholen meter, strips, lancing device ... and then the bloody Remove waste etc. Well, sometime that's for each insulin injection ends diabetics has become a habit, but in life there is quite nicer habits, than this. So in order to be an end now, says Abbott. Hm, I can not believe somehow, I thought to myself.

As early September then became serious, I was very excited to see what awaits me there. Together with my colleague Anja nondiabetic (including diabetes nurse DDG) So we were of two Abbott employees trained and got the Flash glucose system applied. The setting was really totally simple, the sensor so short and fine that I have not noticed, and that is really sensational, the transmitter is so flat and small as a 2 Euro piece, that it Put just seconds after the has forgotten. One hour, which we then bridged with further launches in the system, we had to wait, we were able to keep the meter over the sensor to scan virtually, and whoosh, the first glucose value appeared on the display. Since the sensor measures glucose levels in subcutaneous fat, this is not the same as the blood sugar.

Abbott Freestyle LibreWow, really goes. On the first day the values ​​displayed in this case were very undiabetisch, is to say, very low. I can after the first few days to now be no major behavioral advice, but would recommend on the first day continued as before to measure the blood glucose levels and learn the device first know each Flash support. After 24 hours, I had the feeling that the system is "found" had, the values ​​were and are really reliable, have today compared with measured values ​​from the laboratory and for that I can only say: Laboratory: 125 mg / dl and the Freestyle Libre: 126 mg / dl - therefore, it could not be better.

But the little one can do much more, it is almost as a small "eggs Wollmilchsau" wants, my, he does not only measure blood sugar, he has also integrated a bolus calculator (similar to Freestyle Insulinx), however, only works with Precision Blood Glucose gauges, which also can be inserted into the device, and, and for me that is a blast, it also measures blood ketones - indispensable for every type 1 diabetic patients, especially for insulin pump users, therefore, a real all-rounder. The real advantage lies not only in the exact measurements, but in the Trend Display: That is for practice, I see not only the current level of my value, but also the direction in which my glucose level just developed, in this case 132 mg / dl slightly (1-2 mg / minute) to increase. That tells me I can sit safely on my bike and ride home, what I should not do (about 2 mg / minute) decreased at 132 mg / dl vertically, at least I would then not come really far in the latter case.

Abbott Freestyle Libre MenüFür Friends of the statistics, the system has a lot to offer: One can its glucose averages to the respective times of day, a diary, the daily graph, continuously over 24 hours if you scan at least every 8 hours once, the values ​​in the target area, daily patterns, number of hypos etc. display on the display. If one reads the data from the device with the software company into a computer (or Mac), the possibilities are even more varied:

The data (profile outpatient glucose) treated equally tidy with the so-called AGP Report, very playful. So now, but enough of the product description, can be each and every look a lot better myself and read on the Abbott website (freestylelibre.de), back to my practice test. So, I have the little ones, of course, subjected to some tough tests: run a long distance, very fast, sweaty spinning, playing football with quite vigorous physical contact (is after all Verbandsliga). Has held, even without additional fixation. So I did not expect - impressive.

Abbott AGP Software
Can you scan the device quite easily by any clothes, even with a thicker jacket therethrough, thereby is extremely unobtrusive and even during long car rides well feasible.

But what really impressed me the most were the reactions of the patient, which I had in the following days to diabetes education and I have the new device, of course, presented immediately. When I had to almost physically fight back so it does not tear off my arm, another was so taken with enthusiasm, emotion, relief, joy about this new quality of life, they must learn so that they at 15 minutes cried piece. Everyone wanted to immediately register on the site to try out the new play from the beginning of October immediately can. Even a really rather technology critical diabetologist, when I trained a few days later, was so impressed by this completely new way glucose monitor that they wanted to have a presentation of your quality circle of family doctors about it immediately. I could not yet deliver her, but that will probably still come, I suspect.

The reactions of people with diabetes, especially those who already make a living for many years together with your diabetes were so moving, so touching that I, against my habit to write something about my own diabetes (I feel much more comfortable when writing have decided by technical literature) me to bring my first impressions on this new system in this form on paper. Because to get a good glucose control suddenly without continuous blood sugar measuring out to get the value as often as you want - now, eliminating definitively the annoying discussion with the diabetologist, how many test strips you can get, then, wherever you want, whether hands are just dirty, wet or icy cold, is already a sensation. For those who have to date never worn a CGM, really an experience that can bring tears to one's eyes, because you can then immediately and permanently look into their own metabolism. This is really poignant. Here's a few live - Comments:

"Wow, yesterday I wanted to necessarily buy the new iPhone 6, am a total Apple - freak and need as always the newest device, but when I see that, forget the iPhone 6, I want to buy flash"

A young couple financially not exactly be described as wealthy, he for many years type 1, came together in the consultation, after they had seen Flash glucose monitoring, she said immediately, without thinking one second:

"You know what, as of 01/10/2014, we both do what our health, I hear to smoke on and from the money we buy then your Flash sensors!"

That's what I call true love!

But I came also another thought, since I already "a little longer, as we have said, nearly 30 years" in the diabetes industry veteran am: As the SMBG came on the market in the '80 years, the outcry was enormous: How one could dare than non-doctors to give patients such an instrument in the hand, which are thus can not deal, which is against medical ethics, etc. But thought leaders such as Prof. Michael Berger has here simply as a visionary on behalf of patients continued to fight. He and his wife Ingrid Mühlhauser have also repeatedly occupied with studies that patients are best adjusted, most measure - so that we have the solution here, and that too without sting, 10-15 times in the Finder must.

Blood glucose history
Even now, some doctors will surely raise concerns: so many levels, postprandial blood glucose, the patients have never seen before, trends and charts are they overwhelm ... ..Sicherlich so many data are used to, but more knowledge applicable in almost all walks of life rather as an advantage, because a disadvantage. Of course it needs for this system a good training, a deliberate and reflected dealing with his diabetes therapy, but the gain in quality of life is already sensational. Therefore my tip: try. I think that Flash glucose monitoring will find a lot of fans, but certainly also people who do not want as much information have, the decision is yes at every diabetics themselves. The price is tempting, the device should be available from the end of October, first for self-payers, but I hope for the prices coffers will take over the whole thing soon. Because the meter will cost a whopping 59 euros and a sensor, the whole 14 days measured, between 55-59 euros depending on order size. So this is exactly the cost of blood glucose monitoring strips for insulin-makers, on the contrary, is even a little cheaper, depending on Messstreifensorte.Ja, Flash glucose monitoring is something completely new. Many people make new things or fear they are very skeptical of changes, but it's also not a must. But all the other I would simply recommend to try it, be times "flash" to leave to itself form an opinion may, if you like this many data trends, the simple scan of values, as often as you want it - an attempt is worth all the time. In this sense, a lot of fun "new Discover of your metabolism". Or:

"The continuous lies down the road under your feet" - goes off - it flashes!


Rigid therapy and pickles - 25 years Diabetes, we celebrate silver wedding

Last week, the Sail took place in Bremerhaven. An event that comes only once every few years in the seaside town, and I regularly visit since the first Sail 1986, provided that it is possible. This year, I have unfortunately not managed in time. The Sail but I associate also diabetes, especially with the Sail 1990. Superb weather, sailing ships, sailors and Elendiger thirst. I have virtually hand over hand me a drink stall to the next. En couple of days later I was in the hospital. Mutti had already reported eimmal about it.

The whole thing is in this month exactly 25 years ago! The Diabetes Sau and I celebrate this month quasi silver wedding anniversary. 25 years a long time. At the time a lot can happen. Who would have ever on the Internet (as we know it today) and smartphones in mind? And what has changed in 25 years Diabetes Therapy? Intrinsic light much, and actually then again little. Well, at least still is no way to control blood sugar and insulin. In 25 years I have been the way to the catapults me already about 83000 needles the body. See for yourself. The times of rigid therapy but fortunately yesterday's news. But healing? Nope. People shoot to the moon? Jap!

Rigid therapy and pickles - 25 years Diabetes, we celebrate silver wedding
Diabetes 1990 vs. Diabetes 2015
Glucometers big as bricks, 2 minutes measurement duration. But a drop of blood was needed, which one also could call drops. When lancing device I had at the beginning of the lancet, I rammed my finger or ear without device. That requires a little practice to the small flat bare metal part not too deep to ram under the skin, because sometimes resembled the blood sugar measuring almost a small Mass Acker. And today? Small glucometers which spit out the result in seconds, virtually pain-free lancing devices and CGM, of course, not to forget.

Diagnosed with diabetes in adolescence
Blu blub, kick kick. On (the) Lake Garda and at the competition. Shortly before the diagnosis 1990 levels. I started then with normal disposable syringes. Needle length 12mm. No idea how much gauge, but the needles were definitely thicker than today, and not so easy flutschten as they do today and hinterließnen a few unsightly holes. Eventually I switched then to a pen (in modern beige), the insulin did not have to be mixed, but that also meant 2x splash. For me, the first pump got it then 2000th

Pickles and sweet cherry tomatoes as a snack for the children's birthday party. A solid meal plan. Fixed amounts, fixed times. Whether hungry or not. 9: 30h and 11: 00h, was the time for a slice of bread and vanilla cloud diet from Dr Oetker. From time to time "diabetic sweets". The not only tasted horrible, but also not very good impact on digestion. I remember Gummi Bears and chewing gum, which fell into crumbly items during chewing. Only the yoghurt chocolate bar from Schneekoppe I found OK. Is there even today. 

Rigid therapy and pickles - 25 years Diabetes, we celebrate silver wedding

At least they were a good alternative to the soybean seeds with pepper seasoning that there was to nibble. I think it was about 1993 when the thing with the diet for type 1 diabetes a little changed, and I can still remember my first Milka chocolate bars I ate after diagnosis. And added, by the rigorous schedule of last year, that was even a little fear associated with my blood sugar could completely fall apart. Of course he did not do. Today there are for us type 1 diabetics no restrictions with regard to the diet. And that's a good thing. For me, good food has a lot to do with quality of life. Refrain does not exist for me. To keep blood sugar under control, it is to try and learn.

Actually, I hate the word. Makes me kinda feel ill. A few times I was in such a "self-help group". But that was actually more for parents. Sometime been there once cooked and baked together. Everything "diabetic friendly" course. Today I take part regularly in a diabetic-Stammtisch. Without sugar-free cookies for me beer and good food and nice by talking shop somewhere in a pub or restaurant. And do not forget, "self-help" will take place today almost exclusively online. Facebook, Twitter, forums and blogs. I would claim that diabetics are informed by the exchange with the diabetes online community far better than it was then about diabetes. The community is always there, day and night. And not just on a specific date once a month. Sometimes these online community meets but also in "real life", such as on the T1 Day, I will also moderate in 2016 again. Save the Date ;-).


San Francisco - 2nd half marathons in 3 days - hypo-free
Ok, a real convenience and one of even one was, but somehow then not again. But times from the beginning. Just over half a year, my sister and I have spontaneously signed up for the San Francisco half marathon. So really spontaneous. You: "Do we want to go along?" I: Joooa why not !? "You:" Ok, then I sign up "I". Ok, I also "A few minutes and a few clicks on, and we were! on the list. Urgs. My first half marathon. And even through hilly San Francisco. At my plan to keep strictly to a training plan I could not fulfill, and so I krebste around one week before the race at 15km various reasons. Granted, I had a little jitters that I rather crawl to the finish (if any) would probably run as. There was also this jet lag and the fact that I'm just not a morning runner, but rather in the evening deny my kilometers through woods and meadows. Just stupid, that the launch of the San Francisco Marathon should fall at 5:30 clock. Not my time. In short, I did not feel adequately prepared. Not at all.

Carb Loading with fries and burgers
For that reason, I was a little unsure about how I should do that at this time the best with the blood sugar. Since indeed play quasi Felt 357469203 matters a role. Fasting blood glucose, the excitement (adrenaline) and the associated increase in blood sugar, the Morgengupf ... Arrrrrr. On the eve before the race there was again tidy carbohydrates. In the American-style course. Burger and Fries at the diner. Said carbohydrates made then also fine night noticeable. Despite Dual Bolus I could not catch the rise in the early morning hours enough and stood at 4:30 with a blood sugar of 260mg / dl on. The foresight that he would rise due to the excitement even further there was a small bolus. The as guessed actually was a dog and the BZ did not change until the start. But that did not matter, because as I felt on the safe side.


3 days with the 640G - The end of an era Nutella?
I'm a little in love. And it was almost love at first sight. Last weekend I had a few other eigeladen and Medtronic insulin pump support to Medtronic Meerbusch to accept the new MiniMed 640G under the microscope and of course to test also.

I must admit, I have a purely external love with me right away, but eventually yes count the inner values. This is not a detailed review, but actually more of a spontaneous cry of enthusiasm, particularly relating to the new feature, namely the SmartGuard.

SmartGuard? SmartGuard: Based on your with the Enlite sensor measured glucose values ​​SmartGuard® can calculate 30 minutes in advance, when you are approaching a low blood sugar and stop insulin delivery then automatically. When your glucose levels are stabilized SmartGuard automatically takes insulin delivery on again.

What first sounds a bit like science fiction, really works. That I was able to test the first night with the pump. In the evening there was a relaxed atmosphere in a few drinks. Alcohol usually ends with me in a nasty nasty Hypo. Not because I did not know how to handle the matter of the sugar, pump and alcohol, but simply because I often forget the basal rate to change accordingly. And so evenings where there is alcohol, mostly nights with several blood sugar checks and Freßorgien.

MiniMed 640G unboxing
But not that night. Thanks SmartGuard the pump has time stopped insulin delivery and let me sleep through hypo free. Hello There? How cool is if you please? At first, it makes a little nervous when the pump announces that they now first stops insulin delivery, but it will be sure to get used quickly, especially if you realize that it works. Of course, this does not mean that it is possible to avoid any Hypo with the SmartGuard, because that of course greatly depends on how much insulin as still "on board" is.

Those who do not just mercilessly miscalculated in carbohydrates and injected vast amounts of insulin, which the SmartGuard can certainly help his hypos reduce a good deal.
Personally, I'm excited to see how the case is in sports and am looking forward on further testing.

If that actually everything still works so wonderful, I will definitely miss my Nutella orgies and the jelly beans beside my bed to eke out a lonely existence and eventually shrivel like dried fruit miserably.


Why I can not be separated from a 20-year-old pants
Diabetics pants ... case one diabetic pants. Well, something like that at least. There are a few things that I can separate difficult. As this öddelige pajama Büx for example. The pajama pants I have already quite a long time. At 20 years, it would almost be. Actually, she is much too large, worn the cuffs and the color no longer has much to do with the original state. Yes I know. No eye candy.

Why it can not be separated from the part of me? She has a decisive advantage to the least pajama pants may have, which can be pretty handy for insulin pump carriers but. Bags! And by that I mean for once no handbags or pockets normal (quite uncomfortable when lying on the side), but in each case a pocket on the outer sides of the trouser legs. It is the insulin pump wonderful place and I can turn around and turn as I want without me somehow einwickle me in the hose or felt lay on the insulin pump.

Actually, I think so absolutely nothing from these pumps clothes that can be found in the network and are equipped with more or less hidden pockets for external insulin apparatus. There are exceptions: sleep clothes and running apparel. 

There are pockets extremely handy for the insulin pump. Because especially while running, it is not so easy to store his whole shebang. My 5 tips to store the insulin pump or CGM while running, can be found here. Just recently I received from Medtronic a super good running shirt with pumps bags. Will I imagine sometimes even in a post. Until then, I'll throw myself further in my baggy Büx. In this sense, good night. Sweet Dreams.
Running on the beach in the morning
I just walk into uncharted territory. And running technique. As I have already said often times (and if not, then I do that now), I am the absolute night-runners. Just stupid that most running events take place in the morning. Running in the morning was always the horror for me, even school sports I then almost hated when he was held in the morning. At a casual drive-lap before the work was never previously thought.

Last week I was on leave, and have the chance taken the tackle with the morning exercise again.
And what the offers better than the Danish North Sea beach just after sunrise? The first task was but to settle the matter with the blood sugar. My fasting values ​​are usually between 90-120mg / dl. Not exactly an optimal value to tear a few kilometers. 

However, I need every morning to Morgengupf which the stand-up phenomenon (attention, not to be confused with the Dawn phenomenon) counteracts.

This I have omitted a precaution on my first morning run time, because sport strengthened as we all know, the insulin action. The pump I have also stored. Insulin free in the morning run virtually.

Beach of  Denmark
My journey started with a 120. At first everything went amazingly well, but then began what I had actually expected. Nausea, heavy legs, general listlessness. Yep, that's why I do not like sports in the morning. That's why! 'M Just not as the Early Bird. In addition, the blood sugar began to rise promptly and leveled off at 190mg / dl, but what was actually Ok.

The nausea read after a short break and a deep breath of fresh sea air after luckily, and I slowed my pace anyway worm-like (beach walking is harder than I thought) a little more and tortured me downright goal.

Rapid increase in blood sugar after running
Even though I was running rather flop as a top, I somehow also enjoyed him in a way. Well, the wonderful setting has certainly contributed a great extent. Beach, wind, sea, waves crashing, seagulls ...! Besides, I have no sport requires MUs, which I found very pleasant.

2 days later I got my second attempt started without any significant improvement. However, my many morning runners have assured that the body needs to get used to it, if he is accustomed normally durchzustarten the evening and the morning otherwise rather runs on the back burner. Well then, hope dies last.

My blood sugar is the way again risen sharply after two rounds. With the increase in blood sugar after exercise I've still struggling, although I've played around a lot. And though I have injected me after each morning run equal to 5 units (which is far higher than the actual insulin deficit by placing the pump), I could not avoid the blood sugar increase to 300mg / dl. Actually, I would give the bolus shortly before the repayment unit, unfortunately I forget but as often.
Diabetes is "no big deal" - right?
Considering the species of pancreatic healthy, so I sometimes have the feeling that they differ in only 2 features. Some are curious and interested. Ask them what it means to have diabetes, why has diabetes, such as the treatment looks like and how it lives with it. I like them.

The other think diabetes is "no big deal". I do not like less therefore. They do not know otherwise. To be honest, diabetes is not a "big deal". But I can only say probably because I grew up with it, a lot of things that you are doing so every day (must do), are already long gone in flesh and blood.

Recently I was professionally a few interesting people. People who live their dream by helping other people here to realize their dreams. What does this have to do with diabetes? A quote of the "Dream Developer", which went something like this:

Just because I do not every day miserable if I do not know again how to pay my next purchases, which does not mean that it's not me busy. I invest my energy only not in the thought of it, but rather use them for something more meaningful.

The situation is similar with diabetes in my opinion. Just because I can not constantly miserable as stressful and sometimes grueling be or it constantly "showcase", that does not mean that everything is super easy and "No Big Deal". It does not help me to let me pull down thereby. The energy I can really use better.

I myself realize it though barely, but increases have diabetes every day a lot of time to complete. Time and effort, which does not implement the "No Big Deal" representatives. Especially the thought of it. Geplane and Gerechne often plagues the diabetes everyday ... Hey, after all, we have to take over the tasks of our diabetic pancreas, which has more or less decided sometime lay down their work. An ordinary day with diabetes looks to me something like this ...

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