Category: Diabetes

Pay us or die

I just went to the pharmacy to pick up my insulin for three months. The price without medical insurance in the Czech Republic where I live? Just over $100. It’s something most of us could afford for lifesaving medication. It’s also the price cap suggested in a bill by the US House of Representatives at…
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Diabetes in the summertime

Several factors affect your blood sugar levels when you’re diabetic, including stress, sleep, and alcohol. This time, it’s the weather. It’s been incredibly hot where I live in Central Europe which makes keeping stable blood sugar levels a challenge. My problem is with the bolus insulin, NovoRapid, that I take at mealtimes. Early on during…
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How long does Tresiba last?

Tresiba is an ultra long-acting basal insulin that according to the manufacturer Novo Nordisk has a duration beyond 42 hours. It differs from other long-acting insulins, such as Lantus and Levemir, which have a shorter duration of up to 24 hours. While Tresiba is taken once a day, many diabetics who take the shorter-acting variants…
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The pizza effect

When you eat a meal that is high in both carbohydrates and fat, blood glucose can spike hours after eating it. This phenomenon is known as the pizza effect when pizza is a prime example of this type of food. You’ll also see this effect after eating a curry with rice or a bowl of…
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Pasta is blood glucose kryptonite

The other day the bear had a large bowl of spaghetti bolognese for dinner and I pestered him into testing his blood glucose before and after the meal. Most of the time I let him carb binge in peace – one of the perks of not having diabetes – but from time to time we…
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How to fix hypoglycemia unawareness

I went through a period recently with a lot of hypos. My basal insulin dose needed adjusting, so many of the hypos were prolonged and happened during the night. The need for insulin doses fluctuates, so what works one day might not work the next. It’s a topic that needs constant revisiting. The result of…
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Never a day off

It’s been three years since I got my type 1 diabetes diagnosis. While it’s not the worst thing that can happen to you, there are days when it’s overwhelming. Diabetes never goes on holiday. There’s not a single morning when you wake up without thinking “What’s my blood sugar?” and pick up the testing equipment…
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Murder by insulin

In reading Neil Bradbury’s A taste for poison: Eleven deadly molecules and the killers who used them I came across an interesting story. It dealt with the first documented murder by insulin overdose. The event took place in May 1957 when Kenneth Barlow alerted the family doctor after finding his wife Elizabeth unconscious in the bathtub late…
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Below 7: High-carb meals

We had leftover duck breast and potato dauphinoise from a dinner party, so I ate the same high-carb meal three nights in a row. I even went as far as adding a dash of cranberry jam which is in essence pure sugar. Here’s a breakdown of the glucose-releasing agents, which also included the carb-rich vegetables…
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Dosing insulin for high-fat meat

For some time, I’ve had a love affair with pork scratchings. They’re carb-free, high in calories, and absolutely delicious. That makes it easy to eat more than just a handful and rather have the whole bag. It might also explain why I don’t lose weight, even though I eat low-carb, follow the 16:8 diet, and…
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