Comments for Challenge Diabetes http://challengediabetes.diabetech.net Thoughts about current approaches to managing diabetes Thu, 11 Mar 2010 06:41:16 +0000 http://wordpress.org/?v=2.6.1 Comment on Steve Ponder MD, CDE - Headliner Extraordinaire by diabetes management http://challengediabetes.diabetech.net/2010/01/22/steve-ponder-md-cde-headliner-extraordinaire/#comment-48986 diabetes management Fri, 22 Jan 2010 23:42:54 +0000 http://challengediabetes.diabetech.net/?p=1098#comment-48986 Sorry I caught this so late, I would really love to have participated. hopefully there will be a podcast available. As a diabetic blogger this sounds like an interesting topic to cover. Strong communication with ones health team is crucial for effective diabetes management and that should be explored because of its importance and why it is lacking in a diabetic's normal self management. Sorry I caught this so late, I would really love to have participated.
hopefully there will be a podcast available.
As a diabetic blogger this sounds like an interesting topic to cover. Strong communication with ones health team is crucial for effective diabetes management and that should be explored because of its importance and why it is lacking in a diabetic’s normal self management.

]]> Comment on Fallen Hero Now a Competitor? by J http://challengediabetes.diabetech.net/2010/01/20/fallen-hero-now-a-competitor/#comment-48845 J Wed, 20 Jan 2010 19:29:00 +0000 http://challengediabetes.diabetech.net/?p=1094#comment-48845 I have to agree when the research funds go to fund private projects -- picking one competitor over another. This is a situation ripe for corruption. I have to agree when the research funds go to fund private projects — picking one competitor over another. This is a situation ripe for corruption.

]]> Comment on Introducing Zip It! for Diabetes on your Cell Phone by Kevin http://challengediabetes.diabetech.net/2009/10/05/introducing-zip-it-for-diabetes-on-your-cell-phone/#comment-48213 Kevin Wed, 13 Jan 2010 01:37:12 +0000 http://challengediabetes.diabetech.net/?p=1038#comment-48213 Click on the youtube video link and it shows you. Click on the youtube video link and it shows you.

]]> Comment on Introducing Zip It! for Diabetes on your Cell Phone by Hilda Tagle http://challengediabetes.diabetech.net/2009/10/05/introducing-zip-it-for-diabetes-on-your-cell-phone/#comment-48101 Hilda Tagle Mon, 11 Jan 2010 19:51:24 +0000 http://challengediabetes.diabetech.net/?p=1038#comment-48101 What is "Zip It"? What is “Zip It”?

]]> Comment on The Sleep Bolus by Jan Christiansen http://challengediabetes.diabetech.net/2009/08/18/the-sleep-bolus/#comment-47741 Jan Christiansen Thu, 07 Jan 2010 03:17:02 +0000 http://challengediabetes.diabetech.net/?p=1011#comment-47741 How did you give the insulin over six hours? I am not familiar with this feature on my sons pump. Did you increase his basal rate? I really would love to learn more about his. My son Luke has had this happen to him too many times. Thank you. PS My son was at camp last year at Lion's and loved it. Hope to see you again this year. How did you give the insulin over six hours? I am not familiar with this feature on my sons pump. Did you increase his basal rate? I really would love to learn more about his. My son Luke has had this happen to him too many times. Thank you.

PS My son was at camp last year at Lion’s and loved it. Hope to see you again this year.

]]> Comment on The Dirty Truth Behind DCCT by Scott http://challengediabetes.diabetech.net/2009/08/16/the-dirty-truth-behind-dcct/#comment-45505 Scott Wed, 09 Dec 2009 19:56:56 +0000 http://challengediabetes.diabetech.net/?p=1006#comment-45505 The DCCT had a number of "dirty little secrets", some of which you've noted. The DCCT is generally believed to have tracked 1,441 randomly selected diabetic participants for a period of 10 years. The truth is that the study began in 1983 with only 278 participants, the first 2 years were devoted to planning and feasibility studies and the DCCT’s full cohort of 1,441 participants was not achieved until 1989, only 4 years before the study ended. Of the original 278 participants, 8 (2.8%) dropped out and 11 (3.9%) died. These sad statistics were caused in large part by severe hypoglycemia. Changes were subsequently made in the eligibility criteria for the full-scale trial to exclude anyone who experienced severe (meaning required assistance from another person for recovery) hypoglycemia during the preceding 12 months. Talk about cherry-picking: the medical journals indicate that the average patient with type 1 diabetes will experience at least 1 incidence of severe hypoglycemia each year. This particular exclusion raises serious questions about the randomness of this selection process. The reality is that the objective of normalizing glycemic control is a lofty theory that does not translate very well into the reality of today's U.S. healthcare system. One has to ask, then, why research dollars are overwhelmingly stacked towards glycemic control rather than disease eradication (meaning cure technologies)? The DCCT had a number of “dirty little secrets”, some of which you’ve noted. The DCCT is generally believed to have tracked 1,441 randomly selected diabetic participants for a period of 10 years. The truth is that the study began in 1983 with only 278 participants, the first 2 years were devoted to planning and feasibility studies and the DCCT’s full cohort of 1,441 participants was not achieved until 1989, only 4 years before the study ended.

Of the original 278 participants, 8 (2.8%) dropped out and 11 (3.9%) died. These sad statistics were caused in large part by severe hypoglycemia. Changes were subsequently made in the eligibility criteria for the full-scale trial to exclude anyone who experienced severe (meaning required assistance from another person for recovery) hypoglycemia during the preceding 12 months. Talk about cherry-picking: the medical journals indicate that the average patient with type 1 diabetes will experience at least 1 incidence of severe hypoglycemia each year. This particular exclusion raises serious questions about the randomness of this selection process.

The reality is that the objective of normalizing glycemic control is a lofty theory that does not translate very well into the reality of today’s U.S. healthcare system. One has to ask, then, why research dollars are overwhelmingly stacked towards glycemic control rather than disease eradication (meaning cure technologies)?

]]> Comment on The Dirty Truth Behind DCCT by Mark Hawkins http://challengediabetes.diabetech.net/2009/08/16/the-dirty-truth-behind-dcct/#comment-44002 Mark Hawkins Thu, 19 Nov 2009 15:06:39 +0000 http://challengediabetes.diabetech.net/?p=1006#comment-44002 I am a medical laboratory technologist from Canada. Do you think that if health reform goes through, it will help patients get better diabetic control. Also, what did you think of the NICE-SUGAR study on Intensive Vs, conventional glucose control in critically ill patients? I think the joint statement from the ADA and the AACE (http://www.newswise.com/articles/view/550381) was well worded. Regards, Mark Hawkins, MLT I am a medical laboratory technologist from Canada. Do you think that if health reform goes through, it will help patients get better diabetic control.
Also, what did you think of the NICE-SUGAR study on Intensive Vs, conventional glucose control in critically ill patients? I think the joint statement from the ADA and the AACE (http://www.newswise.com/articles/view/550381) was well worded.
Regards,
Mark Hawkins, MLT

]]> Comment on Divorce is not a complication of diabetes! by Anonymous http://challengediabetes.diabetech.net/2009/09/04/divorce-is-not-a-complication-of-diabetes/#comment-43358 Anonymous Mon, 09 Nov 2009 18:41:49 +0000 http://challengediabetes.diabetech.net/?p=1029#comment-43358 Good post, nice info. One of my favorite topics, very few good writers out there who are well researched. Good post, nice info. One of my favorite topics, very few good writers out there who are well researched.

]]> Comment on Introducing Healthy Families of South Texas by Steve http://challengediabetes.diabetech.net/2009/10/05/introducing-healthy-families-of-south-texas/#comment-41109 Steve Tue, 13 Oct 2009 01:57:33 +0000 http://challengediabetes.diabetech.net/?p=1045#comment-41109 Membership will not be limited. The initial focus will be on rural areas in the south Texas counties near Corpus Christi. Growth is expected and welcomed. Thanks for asking. Membership will not be limited. The initial focus will be on rural areas in the south Texas counties near Corpus Christi. Growth is expected and welcomed. Thanks for asking.

]]> Comment on Introducing Healthy Families of South Texas by Paulla Cornett http://challengediabetes.diabetech.net/2009/10/05/introducing-healthy-families-of-south-texas/#comment-40588 Paulla Cornett Mon, 05 Oct 2009 22:37:59 +0000 http://challengediabetes.diabetech.net/?p=1045#comment-40588 Dr Ponder is this part of your web visist program or can anyone join this??? Dr Ponder is this part of your web visist program or can anyone join this???

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