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“Kickin’ D’s Butt”
Welcome2014 Advanced Diabetes Retreat
Texas Lions CampKerrville, Texas
Like “The Power Within by Stephen Ponder MD, FAAP CDE”
www.stephenpondermd.com
Managing “d” well requires…• Comprehending a system with
basic principles/concepts• Adjusting to changing or shifting
conditions/situations• Frequent assessments and re-
assessments
• Driving a car• Flying an airplane• Walking a tightrope• Surfing
#01-01Sensor*/HemoCue Data(29%)
50
100
150
200
27 TueMar 2001
28 Wed 29 Thu 30 Fri 31 Sat 1 Apr 2 Mon 3 Tue
Sensor Vs. HemoCue (Finger) Glucose --- Sensor # 6989 hCDP Output
Gluco
se (m
g/dL)
Average Blood Glucose = 98 mg/dl
* Note: Investigational device. Device not approved by FDA
Appreciate the flux of sugar levels in non-d persons
Remember: Sugar Surfing is all about managing…
FLUXdrift
Diabetes is best approached 1 day at a time
“Life is not a matter of holding good cards, but of playing a poor hand well.”R.L. Stevenson (1850-1894)
Unleashing the “Power Within”
Like “The Power Within by Stephen Ponder MD, FAAP CDE”
These are classic illustrations by a famous graphic artist from the early 20th century. These specific images were taken from a handbook
for new patients with diabetes. Some things NEVER change and never will. Here are 3 priceless pieces of diabetes wisdom…
Diabetes Police?
To unleash your Power Within…
Work to let go of…• Judging• Feeling defective/broken• Shame• Fearing the future• Isolation • Pity• Insecurity/denial
Embrace/cultivate…• Acceptance• Normalcy• Openness• Enjoying the moment• Teamwork• Empowering/supporting• Self-confidence
Diabetes care is about choices
Diabetes care must be individualized
“Chance favors the prepared mind” Louis Pasteur
PatienceConsistencyRe
silie
nce
3 virtues of the well managed
“I haven't failed. I've just found 10,000 ways that won't work.” Thomas Edison
Knowledge alone does not imply understanding
“You can delegate authority but you can’t delegate responsibility”
Do 2 RN’s = 1 kid?
=
Ok? Ok to me!
Concrete thinkers* can’t…
1. Consider a hypothesis2. Consider multiple possibilities in a
scenario3. Systematically solve a problem4. Use combinatorial logic
*Lasts until 15-17 years of age*25% of adults are concrete thinkers.
You CAN influence how long it lasts
diabetes treatment preserves INTERNALLY made insulin
Diabetes, July 30, 2012 - DOI: 10.2337/db11-1625; data interpretation
DX'd 1950-1964
DX'd 1965-1980
Is the future already here?
1964 198050
55
60
65
70
75
Lifespan with type 1 diabetes vs. without
Average American
Linear (Average American)
Type 1 Diabetes
Logarithmic (Type 1 Di-abetes)
1996
DX'd 1950-1964
DX'd 1965-1980
DX'd 1980--??
Five things to remember about T1D1) Diabetes care isn’t a contest. It’s overrun with numbers. Don’t judge.2) Let the remaining guilt (if any) go! NO one is perfect.3) Diabetes care is not an action, it is a SKILL SET. Therefore, it can be
practiced and improved upon.4) Control is the end result of your decisions and choices. This applies to
minute to minute control as well as long term control.5) NO health care provider manages anyone’s diabetes. They never can
and they never will. It’s a self managed condition.
Five practical advanced diabetes care tips
1) Better synchronize your insulin and your meals2) Check blood sugars 2-3 hours after meals3) Correct any out of range sugar you discover (“treat to target”)
4) Work to get morning blood sugars into target range (F-F-F)5) Review/analyze your blood sugars at least weekly
Diabetes Family Teamwork and Teens: What is Success? 11:30-12:00
Anderson
Road to the Artificial Pancreas 11:30-12:00
McMahon
Common diabetes emergencies 1:00-1:45PMSchreiner
Sugar Surfing with a CGM 1:45-2:30PMPonder
Advanced Pump Features 2:45-3:30PM
Anderson
Q&A Open Forum 3:30-4:30PM
Ponder
You McMahon
Schreiner
Anderson Anderson
In diabetes, you want to play with your food 9:30-10:15AM
23%221
Anderson
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“Kickin’ D’s Butt”