There�s still time to get a health plan for 2016

Consumers have until Jan. 31 to sign up for a health plan for 2016 coverage. People who do not have a health plan for 2016 face a penalty on their taxes of 2.5 percent of their income or $695 per person, whichever is higher. Read more about the tax penalty.

If you are still looking for a health plan, you check our state�s health insurance exchange, Washington Healthplanfinder to find out if you qualify for financial help, including tax credits that may lower the cost of coverage. 

If you do not qualify for help with your health insurance, you can contact an insurance agent or broker directly to find out what your plan options are. You can look at the 2016 individual plans and rates on our website.

Read some tips from us about things you should consider when shopping for a health plan.

After Jan. 31, you�ll have to qualify for a special enrollment period to sign up or make a change to your plan, or wait until the 2017 open enrollment period.

Questions? You can contact our consumer advocates online or at 1-800-562-6900.

My POV: The 2015 DiabetesMine Innovation Summit

The holidays made for a crazy schedule. Here are my thoughts on at the 2015 DiabetesMine Innovation Summit.
I�ve followed the DiabetesMine Innovation Summit online since it's inception, and this year (thanks to receiving a scholarship from DiabetesMine,) I was able to fly cross country and attend the 2015 DiabetesMine Innovation Summit, on November, 20th, 2015.  

The summit brought together all the key game changers in the diabetes world in all dimensions. Patient Advocates who live with D 24X7, �designers of current and future devices, clinicians, R&D, Pharma Marketing, regulatory, groovy tech gurus,and more!
The agenda was jam packed and much of the focus centered on the major challenges of living with diabetes (see amy�s slides,) and usability factors being KEY. 
I LOVED that D patient challenges and usability in design took center stage!
Topics addressed harnessing the creativity of patients; behavioral aspects of living with a D 24X7, patient life hacks, design aspects of D products, industry embracing the patient experience, getting the FDA onboard, and D tech, just to name a few. 
So much was discussed in what seemed like a very short amount of time and my head was spinning and still is, but in a great way!

And as the day flew by, my mind went back to the original Roche Diabetes Social Media Summit in 2009 - and how industry was hesitant to engage with patients and all things Social Media.

Now, 6 short years later, things have changed dramatically and for the better. 
Patients and industry are working together and our diabetes voices are being heard! 

Some of the Speakers many talking points that have stuck in my head long after the conference ended, include: 

 Chief Technology Officer of the U.S. Department of Health and Human Services, Susannah Fox�s key note speech focused life hacks and usability, and the patient as collaborator and expert.
 When Susannah stated �the expert to any condition is the person who has the condition,� and talked about patients creating life hacks out of necessity because what they wanted and needed didn�t exist, everyone in the room living with a chronic illness could relate. When she talked about different patient communities working together to become the change, I kept thinking: YES, she gets it!  

Speaking of life hacks and patient voices being key - the Patient Voices Life Hack winners submissions (of which I was one,) where damn creative!   

SamePageHealth�s, Paul Ciechanowski discussion on the mental aspects of diabetes and treatment to help patients successfully change behaviors and thought patterns, struck a chord. When Paul talked about the emotional mind trumping the rational mind, aka,
"I know what I'm supposed to do, but I don't do it,� every person in the room living with diabetes felt understood.   
Open Notes: Eileen Hughes presentation on Open Notes, a program that allows patients across the country to have access to their clinicians notes on them, enabling them (us,) to become active co-partners with their HCP through an online portal.  
Leading patients to become more active participants in their disease, overall healthcare, and treatments. Open Notes is a GAME CHANGER! 
Sidebar: Last year, my cardiologist�s notes on yours truly were transcribed wrong, and my file mistakenly said I had a medical condition that I didn't have.  
If I hadn�t asked for a physical copy of my notes to be mailed to me, (and followed up that request with a phone call,) the error never would have been discovered and my medical records would still be wrong.
Once I notified my medical team of the error, it took a week to correct  because the Doctor, Nurse Practitioner  and transcriber all had to be consulted. 
Open Notes would have made both the detection and the correction of the error so much easier and less time consuming.  

Toronto�s Dr. Joseph Cafazzo, of the Centre for Global eHealth Innovation presentation "How the Industry is Embracing User Experience," had me nodding my head with virtually everything he said, including how insulin pump interface is annoying and how pump design re: buttons and control must be designed to be more user friendly. 
Another example he mentioned was redesigned of the Target pill bottle by Deborah Adler, whose designed focused on highlighting drug name and instructions, thus making it more easy for the patient to read/access medications at a glance, instead of the focus being on the pharmacy�s name.   
That example brought home one of his key points re: the importance of empathy in design - and I agree. After all, empathy is key in our lives and it�s key in the design of technologies that allow us to live our lives with diabetes. 

Jessica Floeh�s presentation successfully articulated something I�ve been bitching about for years - having a chronic illness shouldn�t mean that we should be forced to wear ugly diabetes accessories - My pancreas is busted, not my sense of style.  
Of course, Jessica expressed herself more eloquently and professionally, pointing out that insulin pumps are only designed by middle aged men who are OK with wearing black clips on their pockets or belts and right next to their iPhones. 
She also stated that device designers must include women with diabetes, who actually wear insulin pumps, test their glucose, wear CGMS, etc. 
Women have diabetes. Women wear insulin pumps, so why aren�t we included? 
Back Story: Jessica is quite the  Diabetes Designer herself. Creator of the HankyPancreas (which was also a past DiabetesMine Innovation Summit submission,)and former designer at Intel - wants designs for medical devices to be more inclusive - representing all the humans wearing/using those devices - not just the ones designing them. Hallelujah! 

VitalCrowd: Very Cool platform designed by t1 Anna McCollister-Slipp,  that will engage patients and researchers to comment and make suggestions on existing research projects/designs and come up with new ones - I can�t wait for it to go live! 

The Diabetes Mine Usibility Innovation Award winners and runners-up included names that everyone living with diabetes are familiar with because their products and services make our lives easier. Checkout the winners, HERE. 

YYES, the Diabetesmine Innovation Summit was eye opening, informative, and incredibly validating as both a person with diabetes and a Diabetes Advocate and I am so incredibly thankful that I had the opportunity to attend. 

My thanks go out to Amy and the DiabetesMine team for hosting the summit and for the scholarship, and every person who attended and presented at the Summit. 

Fore a more comprehensive look at the conference with links to the speakers and slides, read Amy�s article, HERE.   For pictures of the event, Click HERE.

Wednesday is the deadline to get a health plan for Jan. 1

Consumers have until Dec. 23 to sign up for a health plan through Washington Health Benefit Exchange for coverage that begins on Jan. 1. The last day to get health insurance for 2016 is Jan. 31. People who do not have a health plan for 2016 face a penalty on their taxes of 2.5 percent of their income or $695 per person, whichever is higher. Read more about the tax penalty.

If you are still looking for a health plan, you can look for one at our state�s health insurance exchange, Washington Healthplanfinder and find out if you qualify for financial help, including tax credits that may lower the cost of coverage. If you do not qualify for help with your health insurance, you can contact an insurance agent or broker to find out what your plan options are.

Read some tips from our office about things you should consider when shopping for a health plan.

Questions? You can contact our consumer advocates online or at 1-800-562-6900.

Is there a drone on your shopping list? You might want to talk to your agent or broker

The Federal Aviation Administration (FAA) estimates more than one million drones will be sold this holiday season. Everyone from photographers and farmers to law enforcement and hobbyists are using drones.  Whether for personal or commercial use, there are a number of insurance issues to consider ranging from personal injury and property damage to privacy concerns.

Drones present a significant risk to property and life on the ground in the event of an accident. Drones can crash due to faulty and inappropriate operation, mechanical defects and component failure. Losses and damages could involve bodily injury to humans and animals as well as buildings and structures.

Using a private drone as a hobby is generally covered under a homeowner�s insurance policy�and subject to a deductible--which typically covers radio-controlled model aircraft. This also applies to a renter's insurance policy. Look at the contents section of your policy, or talk to your agent to see if your drone will be covered if it is lost, stolen or damaged. If your drone falls onto your car, damage to your car may be covered if you have a comprehensive coverage auto policy.

A larger concern is liability for an accident caused by your drone. If your drone crashes into someone else's vehicle or a person. If you have a homeowner�s or renter's policy, generally the policy will cover liability for an accident caused by your drone if it is determined that you were negligent and at fault. Check with your agent or insurer to verify your policy contains this important coverage. You can also read a story about drone insurance that was recently posted on the Insurance Journal�s website.

Drones are defined as remotely piloted aircraft systems and the FAA says pilots of unmanned aircraft have the same responsibility to fly safely as manned aircraft pilots. In addition to FAA regulations, state and municipalities may have their own laws regarding drone use.  The FAA has issued these guidelines for drone hobbyists:

  • Don't fly higher than 400 feet and stay clear of surrounding obstacles.
  • Keep the aircraft in sight at all times.
  • Stay away from manned aircraft operations.
  • Don't fly within five miles of an airport unless you contact the airport and control tower before flying.
  • Avoid flying near people or stadiums.
  • Don't fly an aircraft that weighs more than 55 pounds.
  • Use caution when flying your unmanned aircraft.
  • With some drones weighing up to 55 pounds, a fall from the sky can cause significant damage to property or bystanders.

Recently, federal regulators announced that recreational drone operators will soon need to register their aircraft. This will allow authorities to trace a drone back to the owner, which means it's vital that you're in compliance with laws and regulations and have the appropriate insurance coverage.

Health Care and Throat Nodules (Nodes)

Do you know anyone who has suffered from nodes or nodules on their vocal chords? Typically it comes from overuse of the throat and vocal chords by singers, public speakers and others who do a lot of talking or singing for a living. Many performers deal with it as part of their hazardous vocal needs. Sometimes it is called "Screamer's Voice."

According to the American Academy of Otolaryngology (AAO), the term vocal cord lesion refers to a group of noncancerous (benign), abnormal growths (lesions) within or along the covering of the vocal cord. Vocal cord lesions are one of the most common causes of voice problems and are generally seen in three forms; nodules (nodes), polyps, and cysts.

The AAO says that vocal cord nodules are also known as calluses of the vocal fold. They appear on both sides of the vocal cords, typically at the midpoint, and directly face each other. Like other calluses, these lesions often diminish or disappear when overuse of the area is stopped. More details are found at their site: .

Nodules and polyps, according to the American Speech-Language-Hearing Association, cause similar symptoms:
         A "rough" voice
         A "scratchy" voice
         Shooting pain from ear to ear
         A "lump in the throat" sensation
         Neck pain
         Decreased pitch range
         Voice and body fatigue

If you have experienced a hoarse voice for more than 2 to 3 weeks, you should see a physician. A thorough voice evaluation should include:
         a physician's examination, preferably by an otolaryngologist (ear, nose, and throat doctor) who specializes in voice,
         a voice evaluation by a speech-language pathologist (SLP), and
possibly a neurological examination.

The team will evaluate vocal quality, pitch, loudness, ability to sustain voicing, and other voice characteristics. An instrumental examination may take place that involves inserting an endoscope into the mouth or nose to look at the vocal cords and larynx in general. A stroboscope (flashing light) may be used to watch the vocal cords as they move. Much more detail on vocal nodes is located at this site: .

A doctor makes the diagnosis by examining the vocal cords with a mirror or a thin, flexible viewing tube (laryngoscopy), according to Merck Manuals. Sometimes the doctor removes a small piece of tissue for examination under a microscope (biopsy) to make sure the growth is not cancerous (malignant).

Treatment is to avoid whatever is irritating the voice box (larynx) and rest the voice. If abuse of the voice is the cause, voice therapy conducted by a speech therapist may be needed to teach the person how to speak or sing without straining the vocal cords. Most nodules and granulomas go away with this treatment.

Granulomas that do not go away can be removed surgically but tend to come back. Most polyps must be surgically removed to restore the person's normal voice. More info can be found at this website:,-nose,-and-throat-disorders/mouth-and-throat-disorders/vocal-cord-polyps,-nodules,-and-granulomas .

According to the British Voice Association, if you have symptoms that suggest you may have vocal nodules:
         Seek a medical opinion from a Laryngologist experienced with voice problems. The best solution is to ask your primary care doctor for a referral to a multidisciplinary voice clinic.
         Whenever possible rest your voice and avoid speaking against noise, shouting or coughing violently.
         Inhale steam to soothe irritated and swollen vocal folds.
         Keep well hydrated and avoid inhaled irritants, such as smoke.
         If you are a singer discuss suitable warm up exercises with your singing teacher and do not try to sing high and quiet � you will be doomed to disappointment until the nodules have resolved.
         If your Laryngologist refers you to a speech and language therapist take up the option and work hard on the exercises you are given. Voice therapy is like physiotherapy or Pilates for the voice and may well be all you need to resolve the nodules.
         If your Laryngologist suggests surgery, do not panic! It may well be the quickest and most effective way to deal with the problem. Ask your Laryngologist to explain exactly what they will do at surgery and why they feel it is the best treatment option. Discuss any worries you have openly.
         Don't beat yourself up about it! Vocal nodules are not a crime or even necessarily the result of "bad technique". They are an injury, much as a marathon runner might sustain during training or a race.

Although vocal nodules remain a problem for professional voice users and may cause some cancelled shows, delays in training, a lot of hard work and inevitably some anxiety, they are very unlikely to herald the end of a career. More details are located at this site: .

Having nodules or nodes on your throat should not be taken lightly. Seek professional medical advice to help your situation. Your doctor can prescribe treatment or suggest more advanced options for care. Don�t continue to ignore the symptoms, and do what the doctor says!

Until next time.

Colgate Total's #30DaysOfLOL - It's A Wrap!

As ColgateTotal� and The American Diabetes Association�s  #30daysofLOL comes to an end, I�ve had a lot of fun  - and I�ve also been continually reminded of certain constants re: living the D life, and learned a few important lessons in the process. 

The Constants 
Humor: Coping with diabetes is a lot easier when you can laugh - Humor is what keeps me sane when diabetes is on the edge of driving me bonkers.
Community: The DOC (Diabetes Online Community,) is who keeps me sane when diabetes is on the edge of driving me bonkers.
Type 3�s matter: People who love someone with diabetes (Type 3s,) lighten our load and make us smile.
Every Diabetes Voice Matters: Keep using yours! 

The Lessons
  1. Sugary snacks are not the best for our teeth - OK, I already knew that - but I tend to selectively block that fact out every now and then and for many reasons, namely chocolate and caramel 
  2. People with diabetes are at twice the risk for developing gum disease. 
These facts scare me because I worked in a Dentist�s office for a time and I saw things that brought the above facts to life, and I want my teeth and gums to stay healthy for two reasons
  1. Vanity, maintaining my healthy smile
    B. My overall health, knowing I am at a higher risk for serious gum problems because of diabetes. 

3. I brush my teeth a lot  - I even carry my own toothpaste - but I didn�t know that brushing for two minutes at a 45 degree angle, every time we brush our teeth is important

4. Also, I didn�t know that 2 minutes worth of brushing is about the length of a pop song (SEE VIDEO,) or that t3 Joey Fatone�s Dad has diabetes. 

Sidebar and FTR: Joey Fatone still has mad Robot, groovy dance moves. Again - SEE VIDEO.

So to all those who participated, posted, liked, tweeted, retweeted and shared in the #30DaysofLOL fun - THANKS from the bottom of my busted pancreas!

ColgateTotal� and The American Diabetes Association thanks you too!

ColgateTotal� has created the #30DaysofLOL Word Game graphic below so you can continue getting your silly on~

When You See A Blue Candle Posted On Facebook - Consider The Family & Practice Empathy~

I know people get scared when they see blue candles - I do too. 
But please, lets remember to consider the family whose loved one the blue candle is being lit for - they are going through hell right now. 

Their hearts are broken and their lives will never be the same. Talking about a tragedy is one thing - talking is OK, but publicly judging and public speculation re: the tragedy is another. 
You're words matter, use them wisely and with compassion and empathy, in real life and on Social Media. #######
When "diabetes complications" are listed as the cause of death in a person's obituary, it is highly insensitive and inappropriate to leave questions like, "did she have a CGM, or did she wear a pump,"
on the obituary link, Facebook pages,groups, and the likes there of. 
Lets keep in mind those grieving parents might actually be members those pages/groups. 

At this point in time, it is no one's business. The family is trying to make funeral arrangements, say goodbye to a daughter and sister, figure out and process how they are going to live as a family of three instead of four. 

Her sister is now processing that she is an only child. 

The family needs privacy and empathy, not  pointed questions, they have enough of their own questions to fill volumes of books.

And in time, there's a very good chance the family will go to Facebook for comfort -and those questions and the tone many of those questions were written in, will not give them comfort.
I've had people say tell me: But I want to know so it won't happen to my child/loved one - and I get it. 

But honestly, it's not about you or me and what we need to know to calm our own fears.
It's about a  family who has lost someone they love dearly and what they are going through right now, including the shock of loosing  someone they love  - they need to go through the grieving process and they need our support. 

I've had people tell me: You don't understand, your child doesn't have diabetes - you're not a parent.
You're right, I'm not a parent or a parent of a child with diabetes, but I am a former child with diabetes - and I lost a sister to diabetes complications in 1991 - I saw how my parents suffered, I experienced my own suffering - and we as a family experienced scrutiny re: my sister's care. 
I know what that family (for the most part,) is going through and what they are going to go through in the 12 months, and I wouldn't wish that on anyone. 

Public speculation, scrutiny, and questions like the ones I mentioned (and especially like the ones I've chosen not to repeat,) place blame on the family and the person who passed away. 
That's not right, that's not kind, and that shows a lack of compassion and empathy.

To quote a wise woman, "The thing about wanting to know so that you can avoid it implies that there is something that could have been done. We all do our best to care for our kids, and I am sure she and her family did as well. Technology and diligence may provide some protection but they are not a guarantee... why we need a cure!"

When the family is ready, they may choose to share the how and the why...or not.
But until that time, lets give the family space,  and send them boatloads of our love, support, empathy, compassion, and prayers. 

Dear Lady At The Christmas Party

Today's blog post is actually posted over at IwishPeopleKnewThatDiabetes, and I hope you'll click HERE and give it a read -and if you feel like leaving a comment there - great!

What's the post about? It's about the diabetes police and being judged in a place that�s supposed to be filled with holiday cheer - and that�s effed up.

Clearing My Head & Getting My Walk On

For a while now, I�ve been doing my best to get my walk on
Not everyday, but I�m trying. I don�t get my walk on to focus on my blood sugar, (I mean I do, for as much as I have  to re: my bgs/temp basal rate to actually go for a walk,) and I don�t focus on losing weight - though I�d be lying if I said it wasn�t a goal.  

I don't want to focus on what getting my walk on does for me physically, because then it feels like another diabetes box to check off on my 'diabetes to-do' list. 

I get my walk on to clear my mind and enjoy my surroundings. 
I get my walk notice the little things and the big - I smile at people I see along the way and now there�s few people I see who always wave hello. 
Sometimes I walk for 30 minutes and other times over an hour - music blasting in my headset and I may or may not and some dance moves to my walk . 
Getting my walk on Saturday meant going to the beach and capturing this coolness~
I  take pictures of interesting finds and and the end of the walk I feel really good. 

I get my walk on during lunch, and sometimes I work through lunch and head out a little early to walk before the sun goes down - and the colors of the sky blow me away. 
I�m working on getting my walk at 6am walks - and we shall see.

And not so surprisingl,y on the days I walk and well into the next day I take less insulin and have better bgs. 

So, how do you get your walk on? 

No health insurance for 2015 or 2016? You may be facing a tax penalty

If you can afford health insurance but you choose to not enroll in coverage for 2016, you may be required to pay a fee when you file your 2016 federal income taxes. The fee is also called a penalty, fine, or the individual mandate.

A few facts about the individual mandate:
  • The fee is calculated one of two ways. The fee for not having health insurance if you can afford it is $695 per person in your household who doesn�t have health insurance or 2.5 percent of your income � whichever is higher. has a guide to estimate the fee you�ll have to pay if you don�t have health insurance. 
  • The fee for 2015 is lower than for 2016. For 2015, the fee for not having health insurance if affordable insurance is available to you is $325 per person or 2 percent of your annual household income � whichever is higher. The fee is calculated based on the number of months you, your spouse, or your tax dependents went without qualifying coverage, such as an employer-sponsored health plan, Medicare, Medicaid or coverage through Washington Healthplanfinder.

    In some cases, the fee may be higher than buying health insurance through Washington Healthplanfinder. You can look at plans and find out if you qualify for help at
  • For some people, exemptions from the fee are available. People with very low incomes and individuals who meet other specific conditions can receive an exemption from the requirement to have health insurance and will not have to pay the fee. Additional information about exemptions and a tool that helps you determine if you qualify for an exemption is available on 
If you need health coverage and want to avoid the fee for 2016, the deadline to enroll in a plan is Jan. 31. If you don�t enroll by then, you could have to wait another year to get coverage and may have to pay the fee when you file your 2016 income taxes. If you want coverage that starts on Jan. 1, you need to enroll by Dec. 23.

More information about the individual mandate on the Internal Revenue Service's (IRS) website.

Health Care and Diabetes

One of the most difficult health care management issues today is controlling the rise in cases of diabetes. Chronic disease management costs and care have increased substantially with the disease over the past decade.  The medical community has declared diabetes to be an epidemic within current society, and it appears to be getting worse each year.

However, in a sign that Americans may finally be turning the corner in the fight against diabetes -- and possibly obesity -- federal health statistics released this month show that the number of new cases of diabetes has dropped for the first time in decades and reported by HealthDay News. The decline wasn't sudden or dramatic. But, the number of new diabetes cases went from 1.7 million in 2009 to 1.4 million in 2014, according to the U.S. Centers for Disease Control and Prevention.

The CDC report offers some encouraging indications that Americans may finally be adopting healthier lifestyles. For example, fewer whites are now being diagnosed with diabetes -- typically type 2 diabetes, by far the most common form of the disease. But, blacks and Hispanics haven't seen significant declines in diagnoses even though a downward trend is starting to emerge, the CDC report showed. Educated Americans also have seen improvements in diabetes diagnoses, while the less educated have only seen a flattening in the number of new cases, the report found.

Today, diabetes takes more lives than AIDS and breast cancer combined -- claiming the life of 1 American every 3 minutes. It is a leading cause of blindness, kidney failure, amputations, heart failure and stroke. Living with diabetes places an enormous emotional, physical and financial burden on the entire family. Annually, diabetes costs the American public more than $245 billion, according to the Diabetes Research Institute Foundation.

Just what is diabetes? To answer that, you first need to understand the role of insulin in your body. When you eat, your body turns food into sugars, or glucose. At that point, your pancreas is supposed to release insulin. Insulin serves as a �key� to open your cells, to allow the glucose to enter -- and allow you to use the glucose for energy.

But with diabetes, this system does not work. Several major things can go wrong � causing the onset of diabetes. Type 1 and type 2 diabetes are the most common forms of the disease, but there are also other kinds, such as gestational diabetes, which occurs during pregnancy, as well as other forms. Much more information about this disease is located at this site:

According to the American Diabetes Association, the following symptoms of diabetes are typical. However, some people with type 2 diabetes have symptoms so mild that they go unnoticed. Common symptoms of diabetes include the following:
         Urinating often
         Feeling very thirsty
         Feeling very hungry - even though you are eating
         Extreme fatigue
         Blurry vision
         Cuts/bruises that are slow to heal
         Weight loss - even though you are eating more (type 1)
         Tingling, pain, or numbness in the hands/feet (type 2)

Early detection and treatment of diabetes can decrease the risk of developing the complications of diabetes. Significant material about this health care problem is found at this website: .

Metformin is the standby drug for millions of people with type 2 diabetes, but a new study finds that adding it to insulin therapy won't boost blood sugar control for overweight teens with type 1 diabetes, according to HealthDay News.

In type 1 diabetes, which comprises about 5 percent of diabetes cases, the body is unable to produce the insulin it needs. So, supplemental insulin is a must for people with the disease. The new study was led by Kellee Miller of the Jaeb Center for Health Research in Tampa, Fla. As her team explained, young people with type 1 diabetes are at even higher metabolic risk if they become overweight or obese, especially in adolescence.

That's because both obesity and puberty may cause the patient to require higher levels of supplemental insulin, complicating blood sugar control, the researchers said. However, prior studies of how Metformin might affect blood sugar control in teens with type 1 diabetes have been inconclusive, Miller's team noted. More details on this news is located at this website:

Managing diabetes is a challenge every day. There are so many variables to keep in mind -- food, exercise, stress, general health, etc. -- that keeping blood sugar levels in the desired range is a constant balancing act.

Men and women whose underlying biological clock does not match the sleep hours imposed by modern work schedules have metabolic risk factors that may predispose them to a higher risk for type 2 diabetes and heart disease, according to a new study published online in November in the Journal of Clinical Endocrinology and Metabolism

The work is the first to link so-called "social jet lag" with increased metabolic risk in middle-aged adults. Social jet lag refers to the disconnect between a person's natural circadian rhythm and the restrictions placed on it by social and work obligations. So, even your work habits can affect the possibility of contracting diabetes.

According to eDocAmerica, recent statistics also indicate that people with type 2 diabetes mellitus have nearly twice the risk of developing Alzheimer's disease as people without diabetes. While the exact reason for this is still being investigated, several interesting findings connecting the two diseases have emerged.

The American Diabetes Association reports that in 2012, 29.1 million Americans, or 9.3% of the population had diabetes. Of these, 90 to 95% have Type 2 diabetes. While both Type 1 and Type 2 diabetes are characterized by high blood sugar, the mechanism for the development of each type is very different. Type 1 diabetes is considered to be an autoimmune disease in which the cells within the pancreas that produce insulin are destroyed, resulting in a deficiency of insulin.

Without insulin to move sugar from the bloodstream into the body's cells, blood sugar rises. Type 2 diabetes, on the other hand, is considered a disease of "lifestyle". Poor diet, inactivity, and obesity are major reasons for its development. In type 2 diabetes elevated blood sugar levels are initially due to the body's inability to use insulin effectively. This is known as "insulin resistance" and is associated with higher than normal insulin levels.

In addition to significantly increasing one's risk of heart attack and stroke, Type 2 diabetes mellitus is associated with a number of other medical complications including:
         Blindness from diabetic retinopathy
         Reduced blood flow in the feet and legs requiring amputations
         Kidney failure
         Nerve damage and ulcerations of the feet

If these problems weren't enough, add in the recent findings that Type 2 diabetes may also contribute to the development of Alzheimer's disease.  More details about this subject are located at this site:

Diabetes is a disease that still is being researched on a daily basis, and new issues are discovered on a regular basis as to the cause and treatment of it. There are varying degrees of health care issues with the disease, and management of it is serious. If you or someone you know has diabetes or may be symptomatic, see your doctor for a medical protocol. Don�t ignore its affects on your life�it can be deadly if left untreated.

Until next time. 

Take 2: You, Me, Colgate Total, The American Diabetes Association = #30DaysOfLOL Twitter Chat on 12/8, 8PM-9PM, EST

If you're on twitter or Facebook, you know that last Wednesday's Colgate Total &  American Diabetes Association's special #30daysofLOL twitter chat was postponed due to the tragedies in San Bernadino,CA and Savanna, Georgia that occurred on the same day.

The Colgate Total & American Diabetes Association's special  #30daysofLOL twitter chat has been rescheduled for tomorrow, Tuesday, December 8th from 8pm - 9PM EST. 

I think we all could use some laughter and friends to to laugh with - and I hope that you will participate tomorrow's the #30daysofLOL convo.  

I can't wait to hear what you have to say, laugh at all the crazy stuff related to diabetes with you, and pick up a few tricks of the diabetes/oral health trades in the process.
Follow and use the #30daysofLOL hashtag and your gracious hosts; @diabetesalish (a.k.a., me,) @Colgate Total, and the @amdiabetesassn and join in the conversation tomorrow at 8PM, EST. Also, by participating in the chat, not only will you learn and share, you'll have the chance to win a year's supply of Colgate Total� Toothpaste ;)  

Tomorrow, 12/8 from 8pm until 9PM EST., together we laugh at diabetes and
learn about good oral health!

Of Weekend Work-Outs, Beautiful Weather & Mostly 'Bitchin' Blood Sugars~

Because this weekend I worked out both days and outside - and it was incredible. 
The weather was amazing and yep I'll say it, it was exhilarating. 
I didn't do a hardcare, kick-my-ass-to-the-curb, workout - One 3 mile mile walk yesterday and a 3.3 mile today. 

Temperatures felt more like late October than December - until the sun started going down, then there was no doubt that it was December. 
And those workouts contributed to the best multi-day blood sugars in... well,.. I don't know, because I'm not quite sure, but like a while. WHATEVER.

And now yours truly is ready to go to bed because fresh air + working out = sleepy time. 

But because of DIABETES throwing a bitchswitch, and even with my insulin pump's temporary basal rate reduced by half for most of the afternoon and all of this evening, my blood sugar is now 80 with 1.10 units on board. 

But Im not going to stress - I'm going to do.  
I'm going to knock back the rest of my juice, then eat a cheese stick, wait for my numbers to go up, and hit the sack. 
And I'm going to be thankful because I don't feel like being in bitch mode.
I don't feel like getting mad or frustrated - I'm not in the mood. 
 Today was a good day and I'm thankful for the beautiful weekend; the workouts, the sights and the mostly bitchin blood sugars. 

12/2 @ 8PM: You, Me, Colgate Total & The American Diabetes Association = #30DaysofLOL Twitter Chat

I'm working on the Colgate Total and American Diabetes Association�s  #30daysOfLOL campaign and really enjoying it - hope you are too!
#30daysofLOL twitter chat - BE THERE !
    I enjoy finding the funny in diabetes and the Colgate Total/American Diabetes  #30daysofLOL because: 
  1. IT KEEPS ME SANE (Ok, more sane) 
  2. Learning about diabetes and oral healthcare keeps me healthy
  3. Laughing, learning, and discussing diabetes with others who live with D is empowering and it makes me feel empowered 
  4. I'm incredibly stoked to announce that I�m part of the Colgate Total, American Diabetes Association's #30daysofLOL hour long twitter chat that occurs tomorrow, Wednesday December 2nd, from 8 to 9pm, ET. 
    From the bottom of my busted pancreas, I hope you'll follow me (@diabetesalish,@Colgate Total, @AmDiabetesassn, and the #30daysofLOL hashtag, join in the convo and dish about diabetes/oral health and all the stuff that has the potential to drive us bat crazy if we didn't laugh about it!

    Plus, I'm looking forward to what you have to say and all of us picking up a few tricks of the diabetes/oral health trades! 

    Also, by participating in the chat, not only will you learn and share, you'll have the chance to win a year's supply of Colgate Total� Toothpaste ;)  

    ****Wednesday night on the twitter from 8pm on, is going to be a fantastical night in all dimensions for people with diabetes! 

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