Diabetes - Living with an invisible disease

I write this in clear text. In general I find that one can live with diabetes today quite well. There are meanwhile all sorts of technical possibilities, which allow us to make everyday life with the illness more pleasant and more easy peasy. But we all know, and I have already written about it, diabetes goes far beyond blood glucose meters and insulin syringes.

Sometimes, when I walk through the streets, I wonder how many diabetics are likely to move around in my environment (I admit, sometimes I catch people just gagging their ass, just to see if there is an insulin pump In the bag, but in most cases it is cigarette packs, not much better). Or I wonder how many people are on the road with diseases you do not see. Just like diabetes. Diabetes is invisible. And that makes it so difficult for the outside world to understand what it really means to live with diabetes on the cheek.

LOOK GOOD, BUT FEEL SHIT

High blood glucose values ​​make me feel like pissed. This inner exhaustion, hammering in the head, unbearable thirst, laziness, just a crappy feeling and a situation in which I often just want to sleep for my bed and a cap.

On the outside, I do not even notice it, or hardly at all. Except maybe people who know me well. Perhaps also a little, because I have learned over the years to overshoot everything. Diabetics are masters. In such a moment to say, one does not feel well, or could not do this & That just because one is not doing well, often meets incomprehension. You see, finally, blindingly. In the worst case you are also accused, you would not tell the truth. Everything already experienced.

SLEEPLESS NIGHTS

Much blood glucose levels, especially hypoglycemias, it is quite no matter when they skim. Apart from the fact that they can not be used at any time, they like to pass by at night. Nocturnal hypotension is like a 10km run with final sprint for my body. Feasible, but untrained quite strenuous and hard-working. An unpleasant body feeling and having to eat in the middle of the night, even though you are not hungry.

Corrosive! Falling asleep is then difficult for me and the night is traversed by sleep and wax phases and sometimes also nausea and stomach pain. The morning after such a hypo-night I can mostly kink. Often it is hard for me to describe this feeling for people with still functioning pancreas. It's kind of like being sick. A mixture of a light flu, with a shooting circuit and a splash kater. So roughly. Even if the blood sugar is already in the normal range. Externally, I can not be seen this night.

AGAIN THE ASS TORN OPEN

Diabetes never goes according to plan and there are good and bad days. Just like Bad Hair Days. Only Bad D-Days. The bad ones are particularly frustrating for me when I simply do not have a solution for the problem, or have a solution, but this does not show any effect. Having diabetes is one thing to understand it is quite another. And even after more than 25 years, he is often an inscrutable something for me. To constantly break your head and probably still have the feeling to be wrong or to be stupid or simply a bad diabetic , can often go quite well to the substance .

THINK ABOUT THINGS THAT ARE COMPLETELY NORMAL FOR OTHER PEOPLE

This is especially about eating and drinking. Not whether I may or may not. Because diabetics are allowed to eat everything. It's about headwork. While it is completely normal for metabolic-healthy people to use themselves at the buffet, to snap at times here and there what to snacks, easy to eat when and how much you have Bock, begins in my head the large calculation. How many carbohydrates does this and that have? Do I still have active insulin intus? Did I do sports or still have physical activity in the next few hours? Will I eat anything now or in stages? What type of bolus is the right one? Normal, dual or delayed? Do I need extra insulin for fat and proteins? And and and and then you also have crooked BE-factors, Prost meal! Diabetes is headwork. Every day and every bite.

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The origin history of diabetes

The condition diabetes is the diminished version of diabetes mellitus full name. Diabetes mellitus are derived from diabetes Greek word meaning the siphon, to succeed and the Latin meaning mellitus sugary or sweet word. This is because in diabetes surplus sugar is found in blood and urine. It was known in the seventeenth century as "evil pissing".

The diabetes was probably invented by Apollonius of Memphis around 250 BC. Diabetes is first recorded in English in the form of diabetes, in a medical text written around 1425. It was in 1675 that Thomas Willis "mellitus" added the word "the word diabetes. It was because of the sweet taste of urine. The ancient Greeks, Chinese, Egyptians, Indians, and Persians had noticed this sweet taste in urine as was evident in their literature.

History of diabetes of the claim

Sushruta, Arataeus, and Thomas Willis were the early pioneers of Diabetes claim. Greek doctors prescribed the year - best horse to relieve excess urination. Some other forms of therapy applied to diabetes include wine, supercharging to compensate for fluid loss weight, starvation diet, Etc. In 1776, Matthew Dobson confirmed that the sweet taste of the urine of diabetics was due to the excess of a kind of sugar in the urine and blood of people with diabetes.

In ancient times and medieval ages diabetes was usually a death sentence. Aretaeus tried to treat but could not give a beneficial effect. Sushruta (6th century BCE) an Indian healer identified diabetes and classified as "Madhumeha". Here honey means of "madhu" word and the combined condition means fresh urine. The ancient Indians have diabetes determined by looking at whether ants were attracted to the urine of a person. Korean words, Chinese, and Japanese for diabetes are based on the same ideographs which mean "sugar urine disease".

Persia Avicenna (980-1037) provided a detailed description on diabetes mellitus '' In Drug Canon. " He described the abnormal appetite and decline in sexual functioning with fresh urine. It also identified the diabetic gangrene. Avicenna was the first to describe diabetes insipidus very precisely. It was much later in the 18th and 19th century Johann Peter Frank (1745-1821) differentiated between diabetes mellitus and diabetes insipidus.

Discovery the role of the pancreas

Joseph von Mering and Oskar Minkowski had in 1889 discovered the role of the pancreas in diabetes. They found that tocs whose pancreas was removed developed all the signs and symptoms of diabetes and died shortly after. In 1910, Sir Edward Albert Sharpey-Schafer found that diabetes resulted from lack of insulin. He named the Sugar Regulatory chemical blood insulin as the "island" Latin, meaning island, in reference to islet insulin producers in the pancreas.

In 1919 Frederick Allen of the Rockefeller Institute in New York issued "Regulations on Dietary Totals Diabetes Regulation of Request" which introduced a strict regulation of demand for treatment of dieting or starvation as way manager of diabetes.

Insulin Discovery

In 1921 Sir Frederick Grant Banting and Charles Herbert Best repeated the work of Von Mering and Minkowski and advanced to explain that he could reverse induced diabetes in tocs giving them an extract of pancreatic islet healthy tocs. The Banting, Best, and pharmacist Collip colleague purified the hormone insulin in pancreas of cows at the University of Toronto. This led to the availability of an effective treatment for diabetes in 1922. For this, Banting and MacLeod Director of laboratory received the Nobel Prize in Physiology or Medicine in 1923; both shared their prize money with others in the team who have not been identified, in particular the Best and Collip.

The Banting and Best conducted the free patent available so that millions of diabetics worldwide have gained access to insulin. In 1922 January, Leonard Thompson, 14, a charity patient at Toronto General Hospital has become the first person to receive and injection of insulin to treat diabetes. Thompson lived another 13 years before dying of pneumonia at age 27.

Differentiation of type 1 and type 2 diabetes

It was in 1936 that Sir Harold Percival (Harry) Himsworth in his published work has differentiated type 1 and 2 diabetes as different entities.

Biosynthetic Human Insulin

In 1982 the first biosynthetic human insulin - Humulin - that is identical in chemical structure to human insulin and can be produced in series has been approved for market in several countries.

Metabolic syndrome

The metabolic syndrome, diabetes mellitus these is part of was discovered by Gerald Reaven's M. in 1988. Banting was honored by World Diabetes Day which is held on his birthday, staring at the 14 November 2007.

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Eversense - A new CGM of the future?

In Milan the ATTD we were able to take a little look at it, now in Hohenkammern Roche Media Dialogue Social we had the opportunity to take the new CGM of Senseonics extensively examined. The Senseonics CGM system consists of a sensor, the Ever Sense Smart Transmitter and the app. Actually, everything just as in the Decom G5 is planted, only the sensor for 90 days under the skin. What I found pretty cool at first, is then no longer so after several thoughts. The sensor must, of course, after 90 days also get out and that is currently always associated with a small "operation" and thus with a small scar. Although there are already running trials that the sensor may be 180 days in but I think this will take.

The transmitter is a small square box, which still big comes along a little. It needs to be charged, what I would not be disturbing because it characterized the same can renew his patch, which the transmitter is attached to the body every day for about 15 minutes. What I can not understand why the transmitter is not waterproof. On request, the argument was put that one indeed has a mini-USB port on the transmitter.., what !? The GoPro Hero Session camera also has a mini-USB interface and is also 10m Waterproof, so the argument does not apply to me. As already mentioned, the transmitter means of a will patch on the upper arm mounted just above the sensor. This has the following background, supplied to us by the transmitter of the sensor with power and the second, the data via NFC will be sent to the transmitter.

The whole is then sent via Bluetooth to the dedicated app. Unfortunately I could not test the App right, but on the first impression she made a very good figure, what I have seen so.

My conclusion is rather mixed, because I both good find when new technology comes on the market, but then I think to myself every time "Why the engineers do not think it through and ask, for diabetics how to build a device so that it the diabetics also helps..!? " 

Why is not the transmitter waterproof? Especially athletes use a CGM and if that is not waterproof, it brings the athlete nothing. Do I want to 4x a year go under the knife to be removed to my sensor from the upper arm? Yet I see no added value to a Dexcom or Enlite. It's a great approach, but was running in my opinion far moderate. I am excited about what the future holds,

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The longest poem of Diabetes

Ahh, we are flashed. And tidy. Our Free Style Libre contest is over and with this mountain participants we honestly did not expect. Nearly 600 mails we got. Is 600 rhymes about diabetes and blood sugar measuring! Actually we had planned to tinker from all rhymes a big diabetes poem, but that would really blow in length to the frame. Therefore, we simply joined almost a tenth of rhymes times wahrlos here together.  People you are really great. There's really more. Funny, thoughtful, sad, thrilling, super good. Are diabetics perhaps the true poet?

The winner was the way notified by mail. Congratulations Andreas! Our friend Scott from Scott's diabetes has gespeilt Lady Luck and virtually "pulled" the winner. Ok, go get a cup of cocoa and what to nibble. This blog post is long.  Watch out, here comes the perhaps longest diabetes poem in the world?

Blood Glucose Measurement and so..


Measure blood sugar
Will I eat gummy bears,
Do I have to measure the sugar.

My Sugar is a little clown
It's always jumping up and down.

The finger picksen I tired
now so I'll take the "Libre" and saving me dat

I'd like some food, I have to first measure

Sometimes I have to say that diabetes can a plague.
Especially the pricking and fairs, the fingers can eat before.
But maybe that is coming to an end,
- Free Style Libre -
perhaps is the the turn!

Pregnant with diabetes is no picnic,
because one must constantly check the values.

I inject my sugar down.
Because good values ​​make me perk

I pickse purely in the fingers,
sometimes it bleeds like a slaughtered pig.
Measure the sometimes annoying total,
but do not measure would be fatal.

I want the measure Libre,
then I can forget prick soon.

Whether Fruh whether late or at night,
on a summit or a yacht,
rain or shine
blood glucose measuring - that must be.

Stinging and bleeding every day five to eight times -
you get used to it, but it always remains an ordeal!

My sugar goes up and down,
in spite of everything I remain happy and cheerful.
And when it comes to me not so good,
I lose still long not the courage.
And when it comes to me times super great,
then I think "yes wool, JA Woll . "

Roses are red, my pen is blue -
I can rhyme at all. Diabetes, you pig!

Oh blood sugar, blood sugar ... oh. I have to check yourself every day, Oh blood sugar, blood sugar oh ... With you I've signed a Contract! You accompany my life, a new instrument would be nice, my old Nano I have to give up, that would Libre beautifully

Am I tired or limp, makes my heart too fast, shaking my hands and knees or is already bad and I can not quite see a HYPO must be quickly!!!!

I like the diabetes did not like, so I hope it goes very far. The Finn and Ilka, are much sweeter than Milka.

The diabetes was pretty quiet and did not go on the trip. But the Libre is very good and that's why he makes me so keen on it.

Is the BZ again LO
makes the gummy bear me glad.

Again I have to measure my blood sugar, which can make a pretty stressed. Every day I have to check it several times. My fingers have to put away all! Yet recently there is something Great. All diabetics woll'n it! A device that measures the sugar without pricking several times. Freestyle Libre is the device, it brings diabetics better quality of life!

The FreeStyle Libre is awesome,
the lancing devices can me times

Smells good from the kitchen stove,
I measured my blood glucose level quickly.

Blood sugar measure be before jogging must,
or I'll be sent a light in the sub-sugar.

No sting in the finger more,
if I only Halle Berry Please consider,
if I could afford the Libre,
and bout passing the piercing pain Chops.
Luckily there diabeteslife.ga,
as is clear diabetics not so pious.
Constantly measure is just shit,
the solution, I win the Libre and get's on my next trip to Germany.
I eat once a pizza,
I have longer what, for spritza ',
better not measure,
but when next something g'scheites eat.

Life is no bed of roses
Unless you look for Hypo only spots.

Blood glucose measurement every day
at the beginning was quite beautiful arg
but now It's quite good
to just poke a bit of courage
with libre bout again so fine
the prick is quite tiny
if I would win here
I taet cheer loudly and sing!

Between high mountains and the valley,
keeps me bolus and basal

It stings, it drips, it pricks, it measures
- now I finally know how high you are!

Will you pale and still paler
drinking 'nen juice - then it gets better soon!

After each delicious meal,
I have to measure my blood sugar.
I eat sweets with the aunt,
I spray my Insu in the paunch.
If the blood sugar still too high,
I think it's just stupid.

Blood Glucose Measurement with Freestyle Libre is a hit,
hopefully playing with health insurance!

If my blood glucose meter again a Hypo indicating
my filled with wine gums Hypo Party socket already is ready!

Finally I can kip longer,
the sugar you need only scan

The FGM, slut,
measures the sugar exactly
Once the diagnosis came,
the heart slipped into my trousers.
Diabetes is what you have,
it is in life you to load! Before eating you have to measure
it you allowed just not even forget!
After dinner you have to inject,
otherwise there's sugar Curve tips! Accessories there's really a lot -
all with only one goal:
Making life easier one,
but not everything can inspire. The one good, the other girl bad,
hopefully I do not have bad luck!

I wish that FreeStyle libre
-! It's the thing I fieb're
st my blood sugar especially
great. Stopf 'I quickly with Nashi full
(Mama presents then the pump,
so the value remains then still small)

In "low" sugar in "high" the syringe,
because the HbA1c is determined also great!

Christmas starts again the great food,
do not forget to measure Prior to the blood sugar.

Measuring, weighing, syringes, food ...
the order is important, do not forget!
The curve is right, the HbA1c is good,
as is the Diab. cheerfully.
The Libre is to avoid pricking,
which you could only dream of,
very hopeful ...
Nu isser as he sticks to the arm
shows what he can do, will delight anyone!

Measure A couplet about it should be.
That reminds me of a lot more to a.
Whether partying, sports or food ...
as a diabetic you have to always measure.
Values ​​are documented,
corrects the cans so.
One would think - always running's like clockwork .
But there's also days on which wants nothing fit.
From high values ​​to Hypo incl. Süßzeug then en masse.
The diabetes sow grunts loudly "jucheeee"
and from the fairs do a fingers hurt.
But sore fingers soon belong to the past ,
when you can have a freestyle Libre.
Until the assumption of costs probably goes a little time,
d'rum are with us always ready strips, lancets and the meter.

To measure blood sugar I miss too often, on something like the Freestyle Libre I hoped!

Blood drop out drops of blood here. Are we really, at some point the fingers can no longer simple. Man stands and pushes, pushes and curses, nothing else happens, no matter how long you try. There's' ne solution funny, it is even obvious, only the "nice" insurance company has turned away. The Libre is simply a great part, if I would have the "since I went steeply.

Oh just good that everyone knows,
that is my little monster diabetes.

If the blood sugar in the basement, Ilka especially loves her Nutella. ♥

If the diabetes-sow again merrily,
the blood sugar curve goes up and down.

If the sugar suddenly faster,
you do not begrudge immediately a glass of Nutella!

I swear you'd, I money to burn, I always remain faithful to the Libre!

My fingers, which are green and blue to blame: the Diabetes! Every day, no matter the time she says to me: Get ready! Get out the finger and give me blood otherwise you go us soon no longer good! These diabetes-Sau, makes my fingers blue! With their tricks and their quirks what you already can not do against? These diabetes-Sau, yes that is really smart!

It's the new Freestyle Libre scanner
for type 1er full of Renner!

It was a lady of Aalen,
when stinging she suffered great agony,
but with the FreeStyle
skin was whole again,
and happiness they can now shine again.

I fall less often on the face,
since often I measure the sugar

Hey, you've already seen it yourself?
FreeStyle Libre is something of comfort.

For diabetes, our sweet companion,
helping us fine art ever.

A device in which I so much mitfiebre,
it may test the Abbott FreeStyle Libre!

Unobtrusive and easy with no blood to measure glucose,
user-friendly than ever before - which can not be forgotten.

Why stand when you can scan?
So the idea of the pain-free testing began.

Overtime it shows you just so every trend at,
great, what the technology in Flash glucose monitoring system can do.

I wish the cash it pays all, test the blood sugar,
so it would come with us "type all ones" to true joy feasts.

Love Fortuna, you please watch the video on "freestylelibre.de" to,
then you know it, how much better can be testing for us.

With the sensor you see much, much, much more values,
and without pricking what it previously very difficult.

Cake, pie, Kola, juice takes diabetics force. Drum applies: whether large or small, the sugar must be measured!

Is my sugar in the basement,
I notice it now with Libre faster.

In my third year of life, the beast has crept
Into doggedly into my body, and there it remained,
'Will there be, do not want to go, only caused me pain.

Parents panicked, because I, the child,
drink tons of water, and so they ran swiftly,
to the doctor and asked, sir what can it be?
What is preparing the child such 'punishment?

The doctor then said, this can only be one,
your child's pain, which must be diabetes.

We tested Pens and injected,
tested pumps and flitted,
blood glucose meter,
to blood glucose meter.

But the optimum, which we thought until recently,
Although we heard of measuring sensors, but only Abbott, were these myths weight.

And now, 13 years after diagnosis is hope,
hope for improvement,
hope for more accurate measurement,
hopes of winning this raffle.

This is not a new bar code scanner,
the Libre, which is what experts!

I would like to measure hourly,
only with my health insurance, I can forget that.

Is my blood sugar in the basement,
the world turns a lot faster for me.

by: a small part of the world's nearly 366 million diabetics

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How I survived without anything in 90 days

Without insulin? Nope, of course not. Then I would not sit here in front of the computer with security. Without Nutella? Never! As some may already know, I cherish beside my little Nutella addiction also a certain dependency to Diet Coke. Which is better of two now, remains to be seen. But at least I wanted to get away somehow from one of the two consumption goods, or at least limit the consumption.

Whether Cola light (in fact all soft drinks) are really as harmful as claimed, why it should not go here. Healthy you are not sure. And I especially like the good advice of smokers who grimace torch in his hand, but the really want to tell me how dangerous it was Diet Coke for health. Hello? Find the error!

An alternative must be found

How do I get rid of the now so brown, sweet, caffeinated Blubber stuff?  I had already started several attempts to drink at least less of it. Less in my case is a bottle instead of two. Somehow that has never really works.  And somehow I honestly never felt particularly bad or guilty about it. What should you drink as a diabetic already large else that has no carbohydrates and therefore does not require insulin? Because for a drink I would never want to inject something. What now, then? Water? Correct! And what if you do not like water? Nope. I got me anyway always asked the question, how can something like what is virtually tasteless !? So for me, was as long as there is no alternative, as long as I enjoy my Diet Coke.

Start the Odyssey

To my Cola waiver it came faster than I ever thought, what in retrospect was a very good thing. Quasi the minute my colleague a few weeks ago at my table with the 2-liter bottle of it brushed past, and an appropriate comment could not resist. At that moment, which was created "nine weeks without" Challenge. Which meant to me no Diet Coke, for him no cigarettes (yes, such a fact!). So seen as the Challenge was actually more of a bet.

Before we knew it, we had taken, and my eyes fell slightly panicked at the bottle next to me. Urgs!  No matter. No weakness pretend and pretend you have the situation under control. So at least the plan.

The cruel cold withdrawal

The first three days were the horror! Headaches at its finest. Hello caffeine withdrawal.  Incidentally, I have decided to forced masses of water and tea as "Cola replacement". I thought I would have to Deit, Presta and can grab consorts back, but that would have made ​​the matter is certainly not better. Finally, there are also only soft drinks, just not cola. And these drinks irritate me eh absolutely not.

So now passed so minutes, hours, days, weeks and finally months that I spent fed with water Cola. If I am completely honest, as really hard as I had thought it was not. The fact that the Challenge was virtually decided from one minute to the other, I think has helped a lot. So I had no time my thoughts, or even backtracked to make. Most things work anyway best if you push them into the deep end of times. In addition, of course, I did not want to splash out (and do not cook for the whole company, the wager namely).

Done - but something of

Yup! 9 weeks without even a single drop of Diet Coke. There were difficult situations, no question. For example, if the colleagues relish my beloved Fritz sugar free tipped up into the throat, if you were on the road at night and did not like standing at the counter with water, or simply if one of the "sweet and thirst" raided. The way, I have shown, in most cases the cold shoulder, or even satisfied with a glass of Fanta Light, but that was absolutely not satisfactory.

End of the Challenge

I had planned at the beginning of the challenge to make this day a nice ice-cold Diet Coke with pleasure flow through my lips. Which I did. Together with my Diet Coke Buddy Scott (coming namely also not get away from the stuff). But it was not relish. Seriously, I am almost frightened. Not because I found it pretty sweet, but rather that the taste was so terribly evil artificial, which I was never so aware of time. You will probably not believe me, but I have not even drunk my glass.

And now?

Next, I am planning a bathroom in Diet Coke to take to get back on the flavor.  Of course not! But I'm not saying that I will now drink no more Cola also. Because that would be a lie. A Jieper I have occasionally been still on the brown Blubber- shower, but what I find totally OK as long as I do not fall back into old habits returned. 

Because actually it was really just a habit, and the good thing about habits is yes, they can be to unlearn.  By the way, I feel in everyday life no physical changes since I drink water instead of cola. From because of beautiful skin, energy uproot the trees and the whole shebang. Nope.  But I can now at Regal Cola with their heads held high pass...

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Diabetes 2025 - I'll pee cocoa

Could I look into the future, or even close a small little clairvoyance, would remain probably saved me many a faux pas, I always know where I again sipped my keys and much Nutella is really still in the glass. But I can not. But there are a few things that I can imagine for the year 2025, or would like to see. One thing is certain, however. I Futtere still much Nutella at hypos, I'll pee in 2025 certainly cocoa.

Just a few years SPLASH

In 1990, when I got diabetes, you said I only had to inject a few more years and then it would always be a cure. It was, after all, already very close. Very close. Very close. Can this time define "close" anyone? Slowly, I think this consoling sentence with the oh-so-tangible healing every diabetic is palmed in the diagnosis. Therefore, I also also not too optimistic about the year 2025. At least not as far as healing.

Well, I for one am I also believe quite jaded when it comes to such healing News that always pop up again from somewhere and then burst like soap bubbles and disappear again somewhere in the galaxy. Puff, gone and forgotten.

NO CURE - THERAPY OPTIMIZATION YES

Nevertheless, I am confident that the treatment and the optimization of these concerns, at least in 10 years. Or rather say, my hopes are high. I hope commercially available blood glucose meters will disappear from the market and are joined to the exhibition pieces of a museum where my measuring-brick is from the 90s aka Reflolux.

Diabetes Blog Week

CGM asserts itself as a glucose measuring system and is also supported by the cash register. Good, which in turn is naturally first require that the health insurance companies to wake up and see what benefit a CGM has that glycemic control (I write deliberately not HbA1c. And why.) Can improve it and thus consequential damage can be reduced, that is also money can be saved. Quite apart from allowing a person a healthy life.

For the CGM systems I want smaller sensors, if not just a patch which is equipped with sensors, non-invasive → Digital Tattoo. In addition, you will probably drag no longer perceived 4328436 devices around with them and feel have as Lara Croft, but everything can be controlled or retrieve a device. Say your smartphone. Sure, there would have to be relaxed regulations. But I would be quite willing to hand over my therapy as far as possible in the hands of the technique on my part. Keyword Closed Loop. Just have to worry about anything else. This little machine is already's rules.

I decide my therapy

Much more important, but I find first that clinicians, consultants and funds open even more new treatment options. I find it inconceivable that diabetologists and health insurance companies today require more analog guided diaries and, for example, resist Apps. Similarly, there are now actually more doctors have the word CGM or Insulinumpe look first. We have to treat diabetics every day myself and meet several times a day important treatment-related decisions autonomously. Then it should be left to the patient and how and by what means he wants to be treated, and what tools he uses to facilitate the diabetes everyday life and to increase compliance.

REALISTIC STAY

Each of us paints probably the most beautiful things for 2025, which could make life easier with the diabetes Sau on the side. However, one must remain realistic. Feels like a lot has happened in the last 10 years, but more accurately considered again nothing. 10 years appear to us patients insanely long time. In the development of medical devices and drugs 10 years but really nothing. To develop alone a perfectly ordinary blood glucose meter and to bring to the market will take 2-3 years. Development processes, testing phases, studies, CE marking, FDA Approval ... all this takes.

INSULIN FOR ALL

Therefore, we should focus on the here and now perhaps a little more. Try with the things to come clear that we have available. We often whine at very high levels, while today we have an enormous number of gadgets and tools at hand to help us with diabetes to live a fairly normal life. Compared to other countries of the world we are living with diabetes in Germany downright diabetes in Cockaigne. And the most important thing above all, we have the insulin ensures the survival of us daily. This is in many parts of the world not so and people are dying because they have no access to this "lifeblood". We all know that a mini drop of insulin can decide whether we are doing well or dirty. There are a lot of organization and action (insulin for life, # insulin4all, 100Campaign) where you can donate insulin. Uses this opportunity and help other people, hence may look confidently to the future and this in the year 2025th

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My diabetes, On mobile

This story came from barcelona, Spain. The family life of Maria L., age 5, years old is shaft type 1 that was diagnosed the girl two years ago diabetes, when in just two weeks thinned alarmingly despite not stop eating and drink fluids. Your pancreas stopped producing insulin, the hormone that metabolizes glucose from carbohydrate eaten, and Mary entered the world of diabetes. An incurable but treatable disease, which requires calculating sugar and insulin needs of every moment, constantly and without error, as would factly pancreatic beta cells that have stopped working.

Must be that endless calculation before and after every meal, to start and end an exercise or unusual physical effort in stressful times and sometimes also dawn-, like the extensive endocrine and nutritional training to be acquired who faces diabetes, they are the subject of a frantic offer technological assistance and information through the internet and mobile phones, so abundant that has imposed the need to focus on the rigor and effectiveness.

OPERATING SYSTEMS / Diabetes Unit of the Hospital Sant Joan de Déu, Esplugues, very active in innovation control this insidious disease has posted 1,223 applications (computer programs that perform a specific function), which is accessed from smartphones, designed to help a diabetic manage your metabolism and decide what dose of insulin needed at every hour of the day.

So, calculate how many carbohydrates contains a serving of rice or macaroni, or detect how the user changes the energy when very nervous, among dozens more suggestions. Sound alarms when the owner of the mobile, which has provided all of its biomedical data, is nearing a crisis because it lacks or has plenty of glucose in the blood, and may even tell their families where the patient is, whether the abruptness of episode required.

There are also more than a hundred websites that provide information on this disease, with varying reliability, and three social networks that converge conversations of millions of patients, among which EsTuDiabetes.

OWN CRITERIA / applications are distributed in the four mobile operating systems most used: 252 offered by Android, which is accessed through Google Play; 782 through Apple IOS, BlackBerry 70 and 119 on Windows. Hear and decide are the cornerstones of the information provided by these app (mobile application), which are grouped according to whether your audience will be a child, an adult or a diabetic who does not need insulin.

This bombardment of suggestions, warn endocrinologists, should never replace the judgment of the patients themselves. The management of the metabolism of a diabetic child must master, first, the small with the disease-or their parents, so far, in the case of Mary, even though it serves as calculation speed and resolution of doubts its smartphone offering.

"The app and clinical teams working in hospitals know much about diabetes, but every patient knows his diabetes as anyone," says Marina Llobet, a nutritionist at the Sant Joan de Deu and member of the group of parents and health created at the center to guide their patients under 18 years on the internet offer linked to diabetes.

SELECTION / Those children, the main users of the app of diabetes, should know how to select, experts warn, to choose those made by doctors, a scientific society, a hospital or a university. "Before opting for an app you have to read the warnings when trying to download it to your mobile, small point, because there has to inform the use that will give your medical data," Llobet alert. This is because, to be effective, the app asks diabetes have all the parameters of the individual's illness trying to access it, information that hospitals guarded, high security and legal requirement of confidentiality in medical records . "Many children enter their medical data in the app without reading the fine print, unaware of the possible future, commercial or any use," says nutritionist.

Jordi L., the father of Maria, drew on internet when their daughter was diagnosed: "The doctors never give you all the information you think you need, and just entering Google. There I found bloggers about their experiences, as elnendesucre, sick of Girona, 19, or jaimemidulceguerrero,

writing the mother of a diabetic child in Florida (USA). " There is already a huge gap between how an adult manages his diabetes sick and how does a teenager or a child of 10 years. In any case, keep the old you, the diabetic is a person prepared to make tough decisions, said Llobet. "A teenager who suffers a crisis of hypoglycemia (less than 60 milligrams of glucose per deciliter of blood) will cost you thinking, have blurred vision and feel groggy, but he will decide if you take insulin or asks for help, and it will ".

By Angels Gallardo, Barcelona

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