Comments on: Where’s The Activity in Diabetes Self-Management? http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html A gold mine of straight talk and encouragement for people living with diabetes Mon, 13 Feb 2012 01:28:10 +0000 hourly 1 http://wordpress.org/?v= By: Recent Links Tagged With "educator" - JabberTags http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-249800 Recent Links Tagged With "educator" - JabberTags Tue, 14 Oct 2008 09:49:10 +0000 http://www.diabetesmine.com/?p=4986#comment-249800 [...] public links >> educator Where’s The Activity in Diabetes Self-Management? Saved by drumladd on Sun 12-10-2008 Goodwin Tennessee Principal of the Year Finalist Saved by [...] [...] public links >> educator Where’s The Activity in Diabetes Self-Management? Saved by drumladd on Sun 12-10-2008 Goodwin Tennessee Principal of the Year Finalist Saved by [...]

]]> By: Recent Links Tagged With "educator" - JabberTags http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-247362 Recent Links Tagged With "educator" - JabberTags Tue, 14 Oct 2008 09:49:10 +0000 http://www.diabetesmine.com/?p=4986#comment-247362 [...] public links >> educator Where’s The Activity in Diabetes Self-Management? Saved by drumladd on Sun 12-10-2008 Goodwin Tennessee Principal of the Year Finalist Saved by [...] [...] public links >> educator Where’s The Activity in Diabetes Self-Management? Saved by drumladd on Sun 12-10-2008 Goodwin Tennessee Principal of the Year Finalist Saved by [...]

]]> By: Recent Links Tagged With "educator" - JabberTags http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-92827 Recent Links Tagged With "educator" - JabberTags Tue, 14 Oct 2008 09:49:10 +0000 http://www.diabetesmine.com/?p=4986#comment-92827 [...] public links >> educator Where’s The Activity in Diabetes Self-Management? Saved by drumladd on Sun 12-10-2008 Goodwin Tennessee Principal of the Year Finalist Saved by [...] [...] public links >> educator Where’s The Activity in Diabetes Self-Management? Saved by drumladd on Sun 12-10-2008 Goodwin Tennessee Principal of the Year Finalist Saved by [...]

]]> By: Dennis http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-58284 Dennis Sat, 30 Aug 2008 21:50:21 +0000 http://www.diabetesmine.com/?p=4986#comment-58284 Sound nice Gary, but My bet is? Prices will go way up and cost even more (too much) for most of us poor people to afford it..( And a seperate Meter now just for Those takin Insulin? great! that ought to cost Double the other one's and the Test Strips as well ) Repetiton Gets the job done.. Just keep records of before and After and after a few times, you have a good idea of what to do.. As for Carbs vs Insulin? I don't eat anything I don't know the Tot. Carbs.. I'm not one fo those that has to eat all kinds of different things all the time.. and our Disease Dictates this kind of eating.. Sound nice Gary, but My bet is? Prices will go way up and cost even more (too much) for most of us poor people to afford it..( And a seperate Meter now just for Those takin Insulin? great! that ought to cost Double the other one’s and the Test Strips as well )

Repetiton Gets the job done.. Just keep records of before and After and after a few times, you have a good idea of what to do..

As for Carbs vs Insulin? I don’t eat anything I don’t know the Tot. Carbs.. I’m not one fo those that has to eat all kinds of different things all the time.. and our Disease Dictates this kind of eating..

]]> By: Hans http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-56790 Hans Fri, 29 Aug 2008 06:38:03 +0000 http://www.diabetesmine.com/?p=4986#comment-56790 [quote]Since its inception, the American Diabetes Association has proclaimed Insulin/Medication, Food/Carbs, Exercise/Physical Activity and Blood Glucose Monitoring to be the cornerstones of diabetes management. Plenty of attention is given to adjusting insulin based on carb intake and blood glucose levels, so where’s the beef when it comes to adjustment for physical activity?[/quote] The official beef is in sports carbs. Don't modify medication, that's doctor's only! Add carbs when you exercise! That's the official view here in Germany, and I cannot imagine it being any different on your side of the pond. - It is quite effective in keeping type2s from loosing weight :-( Adding carbs can only be part of the game for people with a really high physical profile on a regular to daily basis. But none of the few I know of in that group and whom a random blood exam any time of the day would hardly ever show as diabetic would be able to explain any injection in terms of insulin to carbs to activity ratio that could be programmed into a pump. It's like swimming, is the explanation that seems to come closest. The learner can do everything right - do all the figuring out and weighing and reducing and adding for exercise etc. - and drown. And then after doing it again for days and weeks and even months on end and without any measurable alteration in what he does the same water sort of starts supporting him and he can swim. And from then on it seems like he can do whatever he wants and keep his head above the water line - or his bg within his healthy narrow limits :-) [quote]Since its inception, the American Diabetes Association has proclaimed Insulin/Medication, Food/Carbs, Exercise/Physical Activity and Blood Glucose Monitoring to be the cornerstones of diabetes management. Plenty of attention is given to adjusting insulin based on carb intake and blood glucose levels, so where’s the beef when it comes to adjustment for physical activity?[/quote]

The official beef is in sports carbs. Don’t modify medication, that’s doctor’s only! Add carbs when you exercise! That’s the official view here in Germany, and I cannot imagine it being any different on your side of the pond. – It is quite effective in keeping type2s from loosing weight :-(

Adding carbs can only be part of the game for people with a really high physical profile on a regular to daily basis. But none of the few I know of in that group and whom a random blood exam any time of the day would hardly ever show as diabetic would be able to explain any injection in terms of insulin to carbs to activity ratio that could be programmed into a pump. It’s like swimming, is the explanation that seems to come closest.

The learner can do everything right – do all the figuring out and weighing and reducing and adding for exercise etc. – and drown. And then after doing it again for days and weeks and even months on end and without any measurable alteration in what he does the same water sort of starts supporting him and he can swim. And from then on it seems like he can do whatever he wants and keep his head above the water line – or his bg within his healthy narrow limits :-)

]]> By: Kristin http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-56788 Kristin Fri, 29 Aug 2008 06:37:45 +0000 http://www.diabetesmine.com/?p=4986#comment-56788 Temporary basal rates are WONDERFUL!! They are the MAIN reason that I stay on the pump!!! Being able to exercise without needing to eat extra snacks or dealing with lows makes for a happy, healthy diabetic!! I can't say that I really log my activity level often, but Log for Life does have an option for that available now. You can sign up for the Beta version of this site at http://www.logforlife.com Temporary basal rates are WONDERFUL!! They are the MAIN reason that I stay on the pump!!! Being able to exercise without needing to eat extra snacks or dealing with lows makes for a happy, healthy diabetic!!

I can’t say that I really log my activity level often, but Log for Life does have an option for that available now. You can sign up for the Beta version of this site at http://www.logforlife.com

]]> By: AmyT http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-56597 AmyT Fri, 29 Aug 2008 00:18:03 +0000 http://www.diabetesmine.com/?p=4986#comment-56597 Just for the record, I use several different temp basals for different types of workouts. Don't know what I'd do without 'em... Just for the record, I use several different temp basals for different types of workouts. Don’t know what I’d do without ‘em…

]]> By: Carol http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-56551 Carol Thu, 28 Aug 2008 22:48:58 +0000 http://www.diabetesmine.com/?p=4986#comment-56551 Kevin, I agree with you that gizmo's won't fix the problem if we don't do the work to fully utilize those gizmos. But some of us DO use the tools at hand, and would welcome new guns in our arsenal. I personally use different temp basals depending on type of exercise I'm planning to do. One of my fav pump features is being able to program different basal patterns so I can try to get prepped for a morning run while I sleep. What I'd really like is a tool that would help me to assess the effectiveness of what I'm doing so I could have a more rational appoach to making adjustments to those rates. Granted that would be a complex tool...or maybe I need to sign up with Gary to get some help :) Logging (more specifically NOT logging) and analyzing my own data is my weakest link. Kevin, I agree with you that gizmo’s won’t fix the problem if we don’t do the work to fully utilize those gizmos. But some of us DO use the tools at hand, and would welcome new guns in our arsenal. I personally use different temp basals depending on type of exercise I’m planning to do. One of my fav pump features is being able to program different basal patterns so I can try to get prepped for a morning run while I sleep. What I’d really like is a tool that would help me to assess the effectiveness of what I’m doing so I could have a more rational appoach to making adjustments to those rates. Granted that would be a complex tool…or maybe I need to sign up with Gary to get some help :) Logging (more specifically NOT logging) and analyzing my own data is my weakest link.

]]> By: Kevin McMahon http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-56502 Kevin McMahon Thu, 28 Aug 2008 21:31:44 +0000 http://www.diabetesmine.com/?p=4986#comment-56502 How many people on pumps have ever used the temp basal feature? I suspect the answer is that a very small percentage and then consider that pumpers represent a small percent of insulin dependent persons w D. What if we got more people to use the tools that already exist? Would we would be closer to understanding the next round of advanced tools? The manufacturers went to a lot of trouble to build the temp basal feature into their pumps yet at the end of the day it takes the person who operates the tool to get the most out of it. While there are rules of thumb for activity related temp basal adjustment, there is no substitute for individual experimentation with adjusting basal insulin in advance of planned activity or inactivity. I guess this is where patients linking up with experts like Gary comes into play and that's not something you can easily manufacture. How many people on pumps have ever used the temp basal feature? I suspect the answer is that a very small percentage and then consider that pumpers represent a small percent of insulin dependent persons w D.

What if we got more people to use the tools that already exist? Would we would be closer to understanding the next round of advanced tools?

The manufacturers went to a lot of trouble to build the temp basal feature into their pumps yet at the end of the day it takes the person who operates the tool to get the most out of it. While there are rules of thumb for activity related temp basal adjustment, there is no substitute for individual experimentation with adjusting basal insulin in advance of planned activity or inactivity. I guess this is where patients linking up with experts like Gary comes into play and that’s not something you can easily manufacture.

]]> By: Bernard Farrell http://www.diabetesmine.com/2008/08/where%e2%80%99s-the-activity-in-diabetes-self-management.html/comment-page-1#comment-56429 Bernard Farrell Thu, 28 Aug 2008 19:40:59 +0000 http://www.diabetesmine.com/?p=4986#comment-56429 Great post Gary. Unfortunately most device makers don't really respond all that well to customer's suggestions and requests. It amazes me that they don't all take the time to get review panels around device prototypes...how hard that would be. But pressuring them by requesting these features is certainly I way to start. I'll be sending e-mails to Cozmo and Dexcom over the weekend. Great post Gary.

Unfortunately most device makers don’t really respond all that well to customer’s suggestions and requests. It amazes me that they don’t all take the time to get review panels around device prototypes…how hard that would be.

But pressuring them by requesting these features is certainly I way to start. I’ll be sending e-mails to Cozmo and Dexcom over the weekend.

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