Diabetes: 3 Nights Of Bitch Lows In A Row

Because when multiple nights of middle of the night Blood sugar bitch lows happen - 
and I am reminded once again that diabetes is indeed a fickle bitch and being prepared isn't just for boy scouts. 
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There were three nights in a row last week when severe lows had me sleeping with, and drinking from a 48 ounce bottle of Apple and Eve�s Apple juice by my bed.
I was out of juice boxes and after stumbling to the kitchen the first night, I improvised and made sure I was prepared. 
3 nights of sweat stained sheets sans the kind of fun I would prefer when it comes to sweating between the sheets. 
3 nights of thinking WTF. 
Three nights of doing my best to breathe deep, and remain calm. 
3 nights of consistently lowering temp basal rates.
1 night of thinking that my blood sugar might not actually ever come up.
3 morning where morning came to quickly and not quick enough and all rolled into one.
3 mornings where coffee was key. 
1 morning of waking up with a crazy high rebound, 2 mornings of waking up to textbook blood sugars and being surprised.
2 mornings waking with the meter next to my head.
1 morning of looking down and seeing my meter sticking out from under my bed.

On the fourth night everything was fine and the crazy lows left.
Still, I slept with a bottle juice by my bed for the rest of the week - because it made me feel better. 
3 nights of lows in a row doesn�t happen to me often, but when it does... it does... and reminds me that I always have to make sure I'm covered. 
There�s the less than pleasant bottle of orange glucose tabs in my driver side car door holder (I don�t know the technical motor-head name for it, but I�m calling it a car door holder,) that stays there in case I run out of my preferred Tropical Fruit, glucose stash I keep in my second car cup holder. 
There are those moments when I see movie size SweeTarts or Mike&Ike's on sale and buy them - hoping that I won�t need them to treat a low, but always relieved when I find them in the pantry during one. 
My suitcase always has a ziplock back filled with 3 infusion sets and 3 reservoirs, and my travel toiletry case always has an extra box of test strips and lancets - just in case something happens to my carry-on traveling pharmacy of diabetes supplies. 

I make sure I know where the gift shop and vending machines are in every hotel I stay in - and I boy a bottle juice for my the night stand in my hotel room - just in case. 

Same goes for always carrying a spare infusion set and KIND bar in my handbag  - because you never know. 

We make adaptions to our world when it comes to living with diabetes and being prepared.
Being prepared helps us to be independent, it it seems like it�s second nature and it makes us feel safe - until a crazy low (or a stubborn high,) leaves us sweating and scared. 
Waiting those 15 minutes for 15 carbs to kick in seems like the longest 15 minutes in the world because they are. 
But we do it - and we keep plowing through life and we get back up after the lows and the highs because we are resilient.   

We take the Boy�s Scouts motto to heart and make it our own - and we do our best to be prepared - and we keep praying that we will continue to get back on and plow through. 

Tonight I'll buy a couple of 48 ounce bottles of juice, a pack of juice-boxes, and a couple of bottles of glucose tabs, because I�m going away on Thursday and won�t be back until Sunday and don�t want to come home to a fridge without juice, a pantry with out juice-boxes, and a nightstand or carry-on sans glucose tabs. 


What about you? 

Health Care and Your Gallbladder

The gallbladder is a 4-inch, pear-shaped organ. It�s positioned under your liver in the upper right section of your abdomen. The gallbladder stores bile, a combination of fluids, fat, and cholesterol. Bile helps break down fat from food in your intestine. The gallbladder delivers bile into the small intestine. This allows fat-soluble vitamins and nutrients to be more easily absorbed into the bloodstream. If you have problems with your gallbladder, you can feel very sick and not know exactly what�s going on until you get medical attention.

According to Every Day Health.com, the gallbladder releases bile, via the cystic duct, into the small intestine to help break down the foods you eat � particularly fatty foods. Typically the gallbladder doesn't cause too many problems or much concern, but if something slows or blocks the flow of bile from the gallbladder, a number of problems can result. Most gallbladder symptoms start with pain in the upper abdominal area, either in the upper right or middle. Below are common symptoms of gallbladder conditions:

         Severe abdominal pain
         Pain that may extend beneath the right shoulder blade or to the back
         Pain that worsens after eating a meal, particularly fatty or greasy foods
         Pain that feels dull, sharp, or like cramps
         Pain that increases when you breathe in deeply
         Chest pain (angina)
         Heartburn, indigestion, and excessive gas
         A feeling of fullness in the abdomen
         Vomiting, nausea, fever
         Shaking with chills
         Tenderness in the abdomen, particularly the right upper quadrant
         Jaundice (yellowing of the skin and eyes)
         Stools of an unusual color (often lighter, like clay)

Some gallbladder problems, like simple gallstones that are not blocking the cystic duct, often cause no symptoms at all. They're most often discovered during an x-ray or CT scan that's performed to diagnose a different condition, or even during an abdominal surgery. More detailed info is located at this website: http://www.everydayhealth.com/gallbladder/symptoms/.

Gallstones form when substances in bile harden. Rarely, you can also get cancer in your gallbladder, according to the National Institutes for Health (NIH). Many gallbladder problems get better with removal of the gallbladder. Fortunately, you can live without a gallbladder. Bile has other ways of reaching your small intestine. More details are found at this site: https://www.nlm.nih.gov/medlineplus/gallbladderdiseases.html.

According to HealthLine.com, any disease that affects your gallbladder is considered a gallbladder disease. Symptoms of a gallbladder problem may come and go. However, you�re more likely to develop a gallbladder problem if you�ve previously had one. While gallbladder problems are rarely deadly, they should still be treated. You can prevent gallbladder problems from worsening if you take action and see a doctor. More info is found at this website: http://www.healthline.com/health/gallbladder-problems-symptoms#3.

Some problems associated with the gallbladder are gallstones, gallbladder attack and gallbladder disease. Gallbladder pain is usually caused by biliary colic, gallstones, cholecystitis, pancreatitis and cholangitis, according to LiveScience.com. Gallstones in particular are troublesome, and they are solidified particles of substances in the bile. They are made of a combination of bile salts, cholesterol and bilirubin. 

Gallstones can be as small as a grain of sand or as large as a golf ball. Gallstones can block the gallbladder ducts so that bile cannot reach the small intestine as effectively, which may prevent the gallbladder from doing its job and can lead to other gallbladder diseases. And, while most gallstones pass on their own, some require a minor procedure or even surgery.

According to the Mayo Clinic, factors that contribute to the risk of gallstones include obesity, high-fat or high-cholesterol diets, diabetes and taking medicines with estrogen. Women, people over 60, Native Americans and Mexican-Americans are also at a higher level of risk. Symptoms of a gallbladder attack may be similar to those of a heart attack and other conditions, so it is important to consult a doctor for a correct diagnosis. More info about the gallbladder is located at this site: http://www.livescience.com/42965-gallbladder.html.

Gallbladder problems are more common than you may think. Gallstones affect more than 25 million Americans with 1 million new cases diagnosed annually, according to the American Gastroenterological Association. And there are other things that go wrong with the gallbladder besides just gallstones, according to GallbladderAttack.com. People can go for years with digestive symptoms and never realize that they may be related to a gallbladder problem.

That's because they are so interwoven with other digestive symptoms such as indigestion, gas, bloating, constipation, diarrhea and nausea. Much more detailed material is located at this website, including some naturopathic options for treatment: http://www.gallbladderattack.com/gallbladdersymptoms.shtml.

Because gallstones are related to diet, particularly fat intake, the incidence of gallstones varies widely among nations and regions. For example, Hispanics and Northern Europeans have a higher risk for gallstones than do people of Asian and African descent. People of Asian descent who develop gallstones are most likely to have the brown pigment type, according to the University of Maryland Medical Center (UMMC).

Also, having a family member or close relative with gallstones may increase the risk. Up to one-third of cases of painful gallstones may be related to genetic factors. Studies indicate that the disease is complex and may result from the interaction between genetics and environment. Some studies suggest immune and inflammatory mediators may play key roles.

The UMMC reports as well that people with diabetes are at higher risk for gallstones and have a higher-than-average risk for acalculous gallbladder disease (without stones). Gallbladder disease may progress more rapidly in patients with diabetes, who tend to have worse infections. As well, being obese or overweight is a significant risk factor for gallstones. In such cases, the liver over-produces cholesterol, which is delivered into the bile and causes it to become supersaturated.

Men are also at increased risk for developing gallstones when their weight fluctuates. The risk increases proportionately with dramatic weight changes as well as with frequent weight cycling. For a significant in-depth study of gallbladder health issues, visit this website: http://umm.edu/health/medical/reports/articles/gallstones-and-gallbladder-disease.

If you have gallbladder disease, your gastroenterologist may recommend removing your gallbladder, according to the Florida Medical Clinic. You may need a referral from your family doctor if you don�t already have a specialist in this area of treatment. The surgical removal of the gallbladder is called a cholecystectomy. Gastroenterology is the study of the normal function and diseases of the esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. More details are found at this site: https://www.floridamedicalclinic.com/recognizing-the-symptoms-of-a-gallbladder-attack/.

If you feel you may be experiencing symptoms of a gallbladder attack, get to your doctor or a medical facility as soon as possible to rule out other possible health issues. Get an action plan to deal with your pain and for any treatment that is recommended. The short and long term effects of getting a proper diagnosis and follow through is critical to reduce pain and suffering.

Until next time. 

Because Even When It's Not About Diabetes, D Is Like: Look What I Can Do!

It�s been an interesting couple of days involving lots of cursing and me hobbling around on crutches after tearing my right quad muscle on Sunday afternoon. 

 It happened after a workout, near my car. I was turned a weird way, my boot got caught in the sidewalk, I twisted, heard a loud pop, landed on my left hip (which was fine,) and my right thigh felt like it was on fire. 
It hurt like hell and I screamed the word F^CK  in secession and at a rapid fire pace! 
I have a high tolerance for pain and I knew I was in trouble when I put my right foot on the gas peddle and screamed, because while my foot felt fine, it seriously felt like some one was slicing my thigh. 
I called my friend, she came to where I was parked and drove me to the ER.  

The Annoying News: It hurts when I stand up; when I sit down, when I unexpectedly flex my leg or move it wrong. 
I'm not nor have I ever been a contortionist, so the whole "elevating my thigh above my heart while icing," was excruciatingly comical. 

I can�t move the quad past certain points and holding my right ankle in a quad stretch is impossible.

When it first happened, every time I tried to lift my thigh, it felt like 50 lb weight was attached to it - now it feels like a 25 lb weight.

Sidebar: I didn't realize how low to the ground my toilet was until Sunday night. 
And I never realized how low to the ground many cars are until Sunday night or how much you have to stretch your quad to get in to a high vehicle. 
And it was less than pleasant when I realized that you used your quad muscle to shut the car door, put on your socks, not to mention your pants and shoes. 
So yeah, GOOD TO KNOW. 

The Good News: It�s fixable and the pain is much better than it was on Sunday, and much more tolerable today than it was yesterday. I can drive, 
I'm using the crutches less and less - which is what the Ortho demands and I agree. USE IT OR LOSE IT.
PT (Physical Therapy,) officially starts on Friday - and unofficially started yesterday when myOrtho showed me some quad stretches to do in a chair or while standing.  
I�m traveling a lot in the next couple of weeks, so if you see me in real life, - I�ll be doing PT exercises mid conversation - and I will most likely curse like a sailor  when I stand up and or sit down. 

How does a torn quad muscle relate to diabetes? 
Technically, tearing my muscle had nothing to do with diabetes - but diabetes still managed to come front center and shout: Look what I can do!
And then I was like: SHUT UP DIABETES, this isn't about you!!
Pre 'pop goes the muscle' and post workout (thank you decreased temp basal rate,) my blood sugar was 120. 
I was happy with that. 

When I arrived at the ER 25 minutes later and checked it again, my blood sugar had shot to 172, then 200, and stayed between 200 and 202 for several hours.  
I knew the adrenaline was causing the increase and I didn�t worry about it, but it was interesting to see it play out. 
My blood pressure also shot up because of the adrenaline and the pain - that upset me. 
The ER staff was less than thrilled, and they continued to watch it. 
Luckily for me it went down by the time they were giving me my exit paperwork. 

I'd be lying if I said I wasn't worried about not being able to do daily cardio, I am. 
But I�ve also decided that I will workout like a boss in PT - and walking will also be a part of of the PT, hence part of my cardio.
And I know the PT will hurt - not thrilled about that. But I also know that if I don�t do it, I will suffer later - so yep, I'm going to do it.


Shit happens in all of our lives, diabetes or not - and we pick ourselves up by our bootstraps, even if it hurts like a bitch and we are less then steady on our feet. 

We do what we must and "we get by with a little help from our friends." 
Friends who keep us steady, dry our tears, force/go with us to the ER, drive us to the pharmacy and make us laugh and smile - And we keep forging ahead with gusto. 

After Almost 9 Months Have Gone By, I'm Giving A Left Side Ab Infusion Site A Try ~

After almost 9 months have Gone by, I'm giving a left side ab infusion site a try.
I'm incredibly patient... until I'm not. 
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After almost 9 months of giving the left side of my abdomen a break from any and all infusion sites, this afternoon I decided to give it a try. 
Circumstances weren�t optimal - first day into Day Light Savings time and like the rest of the nation, I was a bit wonky, as were my numbers, not to mention that I�m using an extended temp basal rate of 116% because of a scratchy throat. 
My previous infusion site had officially crapped out, my morning bg was 164 (higher than normal,) and my lunchtime blood sugar was 214 - again, higher than normal - I knew that it was time to change my site. 
but I was hungry and on the verge of hungry = which never helps
I switched out my site and after much trepidation, dared to venture to the left side of my abdomen.
After all, it had been almost 9 months since I�d let an infusion site touch that part of my body - I was trying to let the scar tissue lesson if not heal completely - surely the one week shy of not using that side of my abdomen for 9 months mark, had done the trick... right?  
The infusion needle went in easily and without pain, I filled the canula and double checked that I still had time on the clock for my temperory basal setting of %116. 
Then I did a lunch/correction bolus of 4 units, waited 20 minutes and before I downed a Wild Blueberry Maple Hill Creamery Yogurt (my latest yogurt obsession, made from grass fed cows, low in carbs, tasty, and on sale at my local grocery for 99 cents, so I bought 10 bucks worth, I digress,) and crackers, and then went about my afternoon. 

BG 20 minutes ago was 220 with a 0.20 unit correction. 

I increased my temp basal rate to 118%, because scar tissue or not, I needed to up it. 
And now I wait it out and see what happens - if it works, great. If it doesn�t, at least I�ll know. 
Scar tissue - one of the gifts of living with diabetes long term. 
But we figure it out and work with what we have.  

Finding ways to work around and give that part of our body a rest - in the hopes that new skin will regenerate and give us new real estate to work with while getting along with the business of living our lives. 

Sidebar: BG ten minutes after publishing this post was 159 and I'm feeling a bit more optimistic, but cautious none the less~ 

Health Care and Head Trauma

From a simple bump to a concussion to death, getting a quick diagnosis for head trauma is critical. Brain dysfunction can be caused by an outside force, usually a violent blow to the head, and can result in many serious side effects. Brain injury or trauma often occurs as a result of a severe sports injury or car accident.

According to the Merck Manuals,
in the United States, about 13 in 10,000 people sustain minor head injury, and about 3 in 10,000 sustain severe head injury each year. In the United States, from 2002 to 2006, about 1.7 million civilians had traumatic brain injury (TBI) each year. About 1.4 million were treated and released from emergency departments. About 275,000 were hospitalized and discharged alive, and 52,000 died.

TBI (traumatic brain injury) is responsible for about 33% of all deaths caused by injuries of any kind. About 5.3 million people have permanent disabilities due to head injury. About 25% to 33% of people in the United States who have a severe head injury die. More information is located at this site: http://www.merckmanuals.com/home/injuries-and-poisoning/head-injuries/overview-of-head-injuries.

About half of head injuries result from motor vehicle crashes, and head injuries occur in more than 70% of severe motor vehicle crashes. Other common causes are falls (especially in older adults and young children), assaults, and mishaps during sports or recreational activities. Mishaps in the workplace (for example, while operating machinery) and firearms also cause head injuries.

Often, injury is caused by direct impact. However, the brain can be damaged even if the head has not been hit. For example, violent shaking or sudden deceleration can damage the soft brain as it collides with the rigid skull. In such cases there may be no visible injuries to the head.

According to the Mayo Clinic, Most head trauma involves injuries that are minor and don't require specialized attention or hospitalization. However, even minor injuries may cause persistent chronic symptoms, such as headache or difficulty concentrating, and you may need to take some time away from many normal activities to get enough rest to ensure complete recovery. Call 911 or your local emergency number if any of the following signs or symptoms are apparent, because they may indicate a more serious head injury.

Adults:
         Severe head or facial bleeding
         Bleeding or fluid leakage from the nose or ears
         Severe headache
         Change in level of consciousness for more than a few seconds
         Black-and-blue discoloration below the eyes or behind the ears
         Cessation of breathing
         Confusion
         Loss of balance
         Weakness or an inability to use an arm or leg
         Unequal pupil size
         Slurred speech
         Seizures

Children:
         Any of the signs or symptoms for adults
         Persistent crying
         Refusal to eat
         Bulging in the soft spot on the front of the head (infants)
         Repeated vomiting

Keep in mind that even a minor head bump can cause a large swelling. And the speed, momentum and size of the people (full-grown adolescents versus young children), and the forces involved (such as impact with a concrete floor or other hard surface) may increase the possibility of serious injury. More information about head trauma is found at this website: http://www.mayoclinic.org/first-aid/first-aid-head-trauma/basics/art-20056626.

There are several types of brain trauma, according to Family Doctor. The following categories should be treated immediately by medical professionals:

A concussion is a jarring injury to the brain. Most of the time it doesn't involve a loss of consciousness. A person who has a concussion may feel dazed and may lose vision or balance for a while after the injury.

      A brain contusion is a bruise of the brain. This means there is some bleeding in the brain, causing swelling.

      A skull fracture is when the skull cracks. Sometimes the edges of broken skull bones cut into the brain and cause bleeding or other injury.

      A hematoma is bleeding in the brain that collects and clots, forming a bump. A hematoma may not be apparent for a day or even as long as several weeks. So it's important to tell your doctor if someone with a head injury feels or acts oddly. Watch out for headaches, listlessness, balance problems or throwing up.

It's normal to have a headache and nausea, and feel dizzy right after a head injury. Other symptoms include ringing in the ears, neck pain, and feeling anxious, upset, irritable, depressed or tired. The person who has had a head injury may also have problems concentrating, remembering things, putting thoughts together or doing more than one thing at a time. These symptoms usually go away in a few weeks, but may go on for more than a year if the injury was severe. More details are available at this site: http://familydoctor.org/familydoctor/en/diseases-conditions/head-injuries.html.

Sport�s professional participants sustain severe brain injuries at far higher rates than the general population, according to the New York Times. They also appear to confirm what scientists have said for years: that playing football increases the risk of developing neurological conditions like chronic traumatic encephalopathy, a degenerative brain disease that can be identified only in an autopsy. An article reporting the link between concussions and long term health problems is found at this site: http://www.nytimes.com/2014/09/13/sports/football/actuarial-reports-in-nfl-concussion-deal-are-released.html?_r=0.

Head trauma, or traumatic brain injuries (TBI), result in permanent neurobiological damage that can produce lifelong deficits to varying degrees. The impact on a person and his or her family can be devastating.   More info is available at this website: http://www.traumaticbraininjury.com/.

Head trauma should be treated without delay. Always check with your doctor or a health care professional if you or a loved one suffers an injury or accident to the head. Although many blows to the head may not cause any difficulties, it�s always best to take an extra measure of preventive medical care to rule out the possibilities of any long term problems.


Until next time.

Most colonoscopies should be covered 100% by your insurance

The Affordable Care Act (ACA) requires that insurance companies cover 100 percent of the cost of preventive colonoscopies for adults older than age 50. Of course you�ll need to see a provider who is part of your plan�s provider network.

However, despite this new reform, we do hear consumers who�ve had a routine preventive colonoscopy only to have their insurer process their claim as �cost-shared diagnostic care,� which is subject to their annual deductible and coinsurance.

We also sometimes hear from consumers who receive a substantial surgical bill when a polyp is discovered and removed during a preventive colonoscopy. The Affordable Care Act and other federal guidelines protect consumers from extra charges for polyp removal during a preventive colonoscopy. If you receive a bill for polyp removal, you should file a complaint with us and we�ll help you get those charges reversed.

If you are diagnosed with colon cancer, any previous related symptoms may result in your provider processing the cancer screening as diagnostic and not preventive. In that case, your treatment would not be covered as preventive care and you�ll likely have additional costs. If you have any questions, check with your doctor.

Be aware that if a procedure or treatment is not a recommended preventive service, it may be subject to your plan�s deductible and cost-sharing. Also, if a medical recommendation or guideline regarding a preventive service does not specify the frequency, method, treatment, or setting for that service, your insurer may limit your coverage.
Here are some important tips to remember:

Protect yourself from Medicare fraud

The Insurance Commissioner�s Statewide Health Insurance Benefits Advisors (SHIBA) program is Washington state�s Senior Medicare Patrol (SMP). A federally funded and volunteer-based program, SHIBA/SMP volunteers provide education on how to prevent, detect and report Medicare fraud.

Medicare is the national health care plan for all U.S. citizens age 65 and older. It also covers people younger than age 65 who receive Social Security Disability Income and people who are diagnosed with certain medical conditions.

In Washington state, SHIBA/SMP volunteers help protect seniors and fight health care fraud, leaving more money in the system for everyone. Our state�s volunteers educate beneficiaries on how to avoid becoming victims of health care fraud, and how to report abuse or fraud, related to their Medicare benefits.

We all pay a price for Medicare fraud, waste and abuse, which contributes significantly to rising health care costs. There are three things you can do to help fight Medicare fraud:

  1. Know your rights. As a person with Medicare, you have certain rights and protections designed to help protect you and make sure you get the health care services the law says you can get.
  2. Protect your identity. Identity theft happens when someone uses your personal information without your consent to commit fraud or other crimes. Keep this personal information safe:
    • Your name.
    • Your Social Security Number (SSN).
    • Your Medicare number (or your membership card if you�re in a Medicare Advantage or other Medicare health plan).
    • Your credit card and bank account numbers.
  3. Get involved with other seniors with the Senior Medicare Patrol (SMP). The SMP educates and empowers people with Medicare to take an active role in detecting and preventing health care fraud and abuse.
You can find more Medicare fraud tips on our website. If you suspect Medicare fraud or have questions about your bill:

Sometimes I Forget & One Day Of Being Surrounded By People WithDiabetes Reminds Me~

Sometimes I forget the physical feeling of being surrounded by others living with diabetes, and what a high it is. 
And there are moments I forget what it's like to be new to the diabetes life, because i've lived with diabetes, longer than I haven't.

And then I spend one day at a diabetes event and I am immediately reminded of how it feels... and how much I need it.
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Sometimes I forget how difficult and scary diabetes can be when you or you�re loved one is newly Dx�d - no matter how old they are. 
Unexpected curveballs in life are just that - out of the blue and hard to make contact with - and out of the blue curve balls can be scary. 
Parents want to protect their children with diabetes and make it it go away -  so things can get back to �normal.� 
But they can�t. There�s a new normal - it�s not a bad one, it�s just different - and it takes some getting used to. Also, once you think you�ve got D figured out - it changes on you - just because it can. 

Children with diabetes, while incredibly resilient (and who more than likely handle that they live with D better than those who love them,) want to protect their parents from worry and feel guilty for the stress they see their parents going through - stress that they know is because of their diabetes DX. 

Spouses, family and friends of newly dx�d adults want to support and protect - even if they aren�t sure what exactly happened -and that's a hard thing.
Newly dx�d adults want to be stoic - which is nobel - if we're talking about a character in a Dickens novel. 
But stoic is overrated - being stoic is neither healthy or realistic when we�re talking about real life. 

Lets face it, most of us are terrible when it comes to change, myself included - even when the change is welcome and very much wanted. 
CHANGE. IS. HARD. And the changes that diabetes brings are frustrating, scary, unwanted, and hard to accept at times - no matter how long you�ve lived with it.
Whether you're newly diagnosed with diabetes or old hat and an old timer - you need support and you need to surround yourselves with others who are walk on the D path. 

Why am I writing about this? 
Last Saturday I attended the JDRF Greater Chesapeake/Potomac Chapter's  TypeOneNation Summit in Bethesda last Saturday. 
I meet people newly dx�d and those that had been living with diabetes for over 50 years. 
I watched teens help one another to �figure stuff out,� when it came to living and dealing with diabetes - and watching those teens helping one another blew me away.
I listened to sessions on living with diabetes, the D family dynamic, I learned more about Tidepool, t1 software and data talking to one another across the board - SO DAMN COOL. 
I ran into longtime D friends and Advocates named Joe Solo and Gary S, learned about I heard a talk on  Beta Cell Cncapsulation from the Doctor who is actually doing it. 

I had lunch with a group of adult t1s, including one of our DOC friends ( I'm talking about you, STEPHEN) and the majority I'd just met for the first time - and they were awesome. 

I�m writing this post because if I need reminding, I bet you do too. 
And I want to remind you that if you're newly diagnosed or approaching your 50th diaversary, get out there and find your tribe online and off - at conferences, get togethers, meet-ups, meetings, wherever and whenever you can.

It's good for your heart and your head - and it doesn't doesn't hurt your diabetes, either!  


On Saturday I saw people who walked into the summit at the beginning of the day with a sense of fear and trepidation. Those very same folks left the summit smiling, empowered and happy - And that my friends is a beautiful thing~  

Have a quick question? Try our new live chat

This week is National Consumer Protection Week and the OIC is one of the many government agencies that helps protect consumers from financial harm.

A huge part of the work we do is helping and educating consumers about all things insurance, from answering questions to looking into complaints against insurance companies, providing help with filing appeals for claim and coverage denials and everything in between.

We recently launched a live chat feature to help consumers get answers to their quick questions about insurance and their rights. Consumers can chat with one of our consumer advocates Monday through Friday from 10 a.m. to noon and from 2 p.m. to 4 p.m. If your question needs more attention, we will direct you to the right place to get the help you need.

Consumers can reach us:




Helping Washington consumers is our mission

This week is National Consumer Protection Week and the OIC is one of the many government agencies that helps protect consumers from financial harm.

Consumer protection is part of our mission, which is reflected in the way we do business. Our consumer advocates can help:
In 2015, our consumer advocates fielded 6,130 consumer complaints and helped recover more than $9.1 million in insurance billings, refunds and other claims-related issues for Washington citizens. Read more about the ways we helped consumers in 2015.

We share information of interest to insurance consumers on this blog and through our social media channels. Many of our blog posts are generated by questions our consumer advocates receive from Washington citizens.

More resources for consumers:

3/5/16: JDRF Greater Chesapeake & Potomac Chapter's 2016 TypeOneNation Summit In Bethesda, MD.



Hey Greater Chesapeake & Potomac DOCERs and beyond - If you�re in or around the MD/DC/Northern VA area on Saturday March 5th, I encourage you to attend 
the JDRF Greater Chesapeake & Potomac Chapter�s TypeOneNation Summit at the Bethesda North Marriott Hotel, in lovely Bethesda, MD. 
I�m looking forward to attending; being a part of, learning and getting to spend the day with others who �get� diabetes :) 

I�m also looking forward to facilitating a teen session at 9:45 on Saturday morning!

If you�re anywhere in the area - come join in the fun! 
The Summit is free, starts at 8:30 AM & ends at 3PM - here's a link to the schedule.
 In a nutshell, the day includes presentations re: all the latest and greatest in diabetes care and research,  Children's� program for ages 5+, a Teen Track for ages 13+, programs for t1 adults,and family sessions. 

There�s also an exhibit hall filled with vendors in the areas of D tech, resources, and research.

Complete details can be found HERE
Registration is free, is still open & I'm looking forward to seeing there!

New Medicare cards are coming starting in April

The Centers for Medicare & Medicaid Services (CMS) will start mailing redesigned Medicare cards to beneficiaries in Washington state aft...