Category Archives: Type 1


This new guideline first crossed my eyes in the form of  a **BREAKING NEWS** post on Facebook.

ADA-A1c target-breaking

It was posted by the very organization that made the news. (Does anyone else find that just a little bit self-serving and disingenuous?)

But after getting over my disgust over the misrepresentation of (what should have been) a press-release as a groundbreaking, developing situation, my thoughts shifted from the presentation to the message.

And my reaction to the lowering of an A1C target to 7.5% (from something that, I could only guess was something more than that) was a hearty, passionate…

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My “current” vial of insulin gets stored, wrapped in a paper towel, stuffed in a Ziploc snack-sized bag, and tucked in my emergency/all-purpose pencil-case diabetes travel bag.

That way, it’s always with me, my emergency-supply stays current and unexpired, and it doesn’t shatter if the bag gets smacked around a bit (as it’s prone to do.)

On Saturday morning, I did a combo infusion set/sensor change. With all the trash this process generated (incidentally, Enlite and Mio are the #1 and #2 offenders, respectively, when it comes to destroying the planet), I must have swept my one-quarter-full vial of Novolog in the wastebucket along with all of the other stuff..

I just realized this on Sunday night. That vial is probably sitting out in the can by the curb, nestled comfortably between some eggshells, dryer lint,  and dirty diapers. And unfortunately, that’s where it will stay.

Hopefully, my insurance company will understand.

Awkwardly avoiding awkwardness

My office building is home to probably nine or ten different companies. The cafe on the first floor serves all of them. I had just started my dual-wave bolus and placed the order for my lunch when I felt the unexpected and repeated vibration coming from my hip.

Bvvt. Bvvt. Bvvt. Bvvt…. (I’m not sure how many times, but it was a lot. Also, is that how you spell the sounds of a vibrating insulin pump?)

MotorError_Jan2013When I checked the pump to see what was up, it  turned out to be a Motor Error. It was the first one in a year, I think — I certainly haven’t been plagued with them as I was at an earlier time. Having been through these in the past, I didn’t panic. But I did have a bunch of thoughts go through my mind.

  • Did I bump it or go near any strong magnetic fields lately? (No.)
  • Do I have time to run to the restroom and restart the pump before my food is ready? (No).
  • Could I possibly remember all the variables I just so meticulously calculated into my dual-wave bolus, and then factor in what’s been delivered already, so that I can do it again? (No.)
  • Are the insulin gods conspiring against me in retaliation for filling a medical device with an alcoholic beverage this weekend? (Possibly.)

My thought-process was then interrupted by a voice coming from my right, asking a person behind the counter if he could see the package of whole-wheat wraps. He wanted to check the carb-counts.

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Short & sweet

Life’s been hectic and blogging time’s been scarce, but I’ve got a few moments to share this quick anecdote:

On Monday night, I had pizza for dinner before lacing up the skates to help out at my son’s hockey practice.  The pizza means I had an extended (dual-wave) bolus in action; the skating means I had a reduced temporary basal in effect. I felt kinda foolish, taking such measures which essentially cancelled one another out.  But you know what?

It worked.

(Maybe the message would be more dramatic if I had a photo).

* * *

Meanwhile, please go read Sue from Pennsylvania’s post at Test, Guess, and Go.  You may not think Medicare rules may apply to you, but someday they will. And as more and more private insurers follow a “standard” (i.e. Medicare), this could get worse before it gets better… unless we make ourselves heard! [UPDATE: link to Sue's post corrected!]

Valentine’s day

Valentine’s Day means different things to different people.

Maybe you think about teenage romance and the high-school dance.

Or maybe you see it through more grown-up eyes: sparkling wine, smooth jazz, and/or wild sex.

Some view it as an opportunity to rekindle a fire that has nearly burned out after years of neglect.

Perhaps you’re a cynic, believing that February 14th is simply a fabricated holiday  created to boost sales of cards, chocolate, and flowers. Maybe you feel captive to the holiday, making an obligatory purchase of said cards, chocolate, or flowers, rather than risk a terrible scorn when you get home.

Or maybe it’s a day of sorrow — remembering someone who you’ve loved and lost, or simply trying to find somebody to love at all.

But most certainly, Valentine’s Day isn’t about children, right? How can it POSSIBLY be about the children? The rugrats who always seem to find a way to abort any hope of a romantic interlude? When the term children is used in the context of Valentine’s Day, it often comes with another term: babysitter.

I see Valentine’s Day a bit differently. On the 14th of February in 2007, my life changed forever. On that day, I became a parent.


So, yes. To me, Valentine’s Day is all about the children. It’s about a love, a commitment, and an obligation towards that tiny little life who relies on you for so much.

It’s about those two little eyes that look at you for the first time ever, in complete innocence and complete reliance, saying Here I am. I submit my entire self to you for security, nourishment, and whatever else I need, for I can’t do anything on my own. It’s that first trip home from the hospital – trembling and paranoid that something could go wrong – because the stakes have now been raised. It’s a feeling … a feeling so powerful … that I can’t describe it in words. It needs to be experienced to be understood.

This is what I experienced on Valentine’s Day in 2007. And again, on an ordinary November day a half-decade later.

Now, with all this talk about Valentine’s Day, ten days before the fact, you probably see where I’m going with this (this is my literary pause – the transition from the sappy part to the scary part. Deep breath).

There is always a lingering possibility … a fear … that something could go wrong. That the unexpected happens. And that, when those little eyes meet yours, that you’re unable to respond.

Imagine looking at your child, sick and frail. Helpless. And so are you — also helpless. It must be the most awful feeling on earth.

Imagine knowing that one shot of insulin will make all the difference – at least for awhile. Imagine knowing that the insulin is out there, but you just can’t get your hands on it. Or worse, you can get your hands on it, but you can’t find a syringe with which to inject it. The thought alone scares the hell out of me. The thought of being helpless, powerless, as my child suffers is unbearable to me.

These scenarios happen all the time in nations like Haiti, Kazakhstan, and some others. These are the observations that Dr. Fran Kaufman relayed to us during the Medtronic Diabetes Advocates Forum last month. Often, we hear of it in broad generalizations, describing populations in places we couldn’t locate on a globe.

By now, you’ve no doubt read the Tweet-heard-(and retweeted)-round-the-world.

To me, Spare-a-Rose, Save-a-Child isn’t about putting a “minus-one” on the enormous tally-board that represents how many children fail to survive due to lack of insulin.

It’s about giving a child an opportunity to develop to his or her full potential. It’s about giving parents some hope. It’s giving these Type 1 children a legitimate reason not to give up. It’s about keeping families together. Give them the supplies and the education, and they’ll do their damnedest to learn how to use it properly.

You’ll just have to take that last statement on faith. I can’t back it up and I know there are some parents, in all parts of the world, who don’t show this limitless love for their children. I can’t figure out why — I just can’t comprehend it one bit .  But I truly believe that most people are good people. Some even transcend good, and will want to give the child a loving home in addition to some vital insulin.

I trust you know how it works. Five bucks gives insulin for a month. Sixty bucks lasts a year.

Send the metaphorical twelfth rose to someone who needs it. Plant it. Nurture it. Just as the rose will blossom, so will the child. Just as new flowers will bloom and produce new plants, so too will the knowledge and wisdom of treating Type 1 diabetes permeate through the community.

One bulb can turn a field of dirt into  a beautiful garden. One selfless act can transform a village of despair into a place of delight.

Do it for the children. I love children. Show them some love this Valentine’s Day.

You can participate by clicking the image below.



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