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Welcome to our Ask John column. Here, we'll be posting questions from visitors that John has answered. These questions cover a wide range of topics, including insulin pumps, infusion sets, continuous glucose monitors, and medications. If you would like to send John a question, visit our contact page to post them. Please note that any advice given should be discussed with your physician before you try them.
Some of you might be reading this from a place where shorts and T-shirts prevail and the concept of layering to keep warm is more or less vague. We had eighteen inches of snow fall yesterday just a few blocks from the mighty Atlantic Ocean in a small one-square mile town on the New Jersey coast. Every so often we get hit with a winter nor’easter similar to a summer master-of-the-universe hurricane.
The race is on in diabetes technology. Looping or shooting or some combination? Bigfoot or Beta Bionics or enriched MDI? Will you prefer a closed loop insulin pump using one of several CGM options combined with an algorithm that coordinates glucose readings and insulin doses? Will control be enhanced by combining insulin with glucagon, amylin, or a GLP-1? Might you inject insulin from a smart pen connected to a CGM that offers an enhanced dosing advisor?
Well, what about us! The “us” I am talking about is the growing number of T1D’s who have lived full, rich lives with diabetes, over a lifetime of many years. Sure, the diabetes world has been moving forward at a fairly snappy pace. Innovative technologies, creative tools and tricks, more accessible education and widespread social media connections have brought enrichment to many PWD’s. The battle for Medicare coverage of CGM’s for seniors has been won, thanks to warriors like Dr. Nick Argento of Maryland and many others who led the fight to win.
A good way to MoTo-Move is to start off each day with tai chi stretches. These movements help loosen us up, awaken our biological engines and sharpen our minds for the activities of the day. The following is a group of movements that can be done daily or whenever you need to unwind, relax, stretch and chill out.