Insulinning

For World Diabetes Day 2018, we made a show you can share with friends who want to learn what type 1 diabetes is, what it's like to care for a kid with it, and how they might offer a little support. We'd love to hear from you. Hit us up with questions or comments at our Contact page (https://insulinning.fireside.fm/contact).

What's it like to wear a CGM? Can wearing one yourself help you understand what it's like for your kid? Alicia tried it and shares some thoughts. Links: Get 10% off at GrifGrips.com (http://r.sloyalty.com/r/vWzmrbxcSnQz) when you use our referral code (http://r.sloyalty.com/r/vWzmrbxcSnQz). (We earn points, too, if you do this.) Josh's estimate of the carbs in a Cinnabon cinnamon roll was a bit high (https://www.cinnabon.com/-/media/cinnabon/nutrition/cinnabonnutritionalguide.pdf). Apologies to the Cinnabon corporation. We'd love to hear from you. Hit us up with questions or comments at our Contact page (https://insulinning.fireside.fm/contact).

The bad news: We see our kid's A1C as our report card. The good news: We got a pretty good grade. Links: * Meet Dot (http://www.kydiabetes.net/images/files/Type%201%20Diabetes%20Ages%202-7%20Mr%20DOT.pdf), a book about diabetes for little kids that Charlie has had a renewed interest in lately. * Wikipedia's page on A1c (https://en.wikipedia.org/wiki/Glycated_hemoglobin) in case our rambling explanation isn't quite doing it for you. :) We'd love to hear from you. Hit us up with questions or comments at our Contact page (https://insulinning.fireside.fm/contact). We might respond on the podcast!

Our game plan for trick-or-treat is coming together. We think we should try a superbolus or two. Links: * Beyond Type 1's candy cheat sheet (http://beyondtype1.org/wp-content/uploads/2015/10/Treats-Without-Tricks-Candy-Carb-Chart1.pdf) We'd love to hear from you. Hit us up with questions or comments at our Contact page (https://insulinning.fireside.fm/contact).

Charlie wants his Dex on his forearm. What could go wrong? Links: * Lipohypertrophy: https://en.wikipedia.org/wiki/Lipohypertrophy We'd love to hear from you. Hit us up with questions or comments at our Contact page (https://insulinning.fireside.fm/contact).

Toddler drool took out our PDM. We fell back to our fallback. Also, we have some tips for doing insertions and shots on kids. Links: * The prescription numbing cream we use: https://www.rxlist.com/emla-drug.htm * The Tegaderm film we use to cover the numbing cream while it works: https://www.amazon.com/Tegaderm-Transparent-Dressing-Picture-Package/dp/B0009Q2OMW/ * Buzzy Bee natural pain blocker: https://www.amazon.com/Buzzy-Mini-Personal-Striped-injections/dp/B004UMOWBM/ * ShotBlockers (bed of pokey things): https://www.amazon.com/Bionix-Shotblocker-Insulin-Injection-Device-3/dp/B00B2GI3TG/ * GrifGrips for Dexcom: https://www.amazon.com/GrifGrips-Sports-Adhesive-Patch-Dexcom/dp/B01BGZ3TNW/ * GrifGrips for Omnipod: https://www.amazon.com/GrifGrips-Medium-Sports-Adhesive-Omnipod/dp/B01N8TPOHI/ We'd love to hear from you. Hit us up with questions or comments at our Contact page (https://insulinning.fireside.fm/contact).

We ate pizza and slept on the same night. Also, baby Sam is T1D-antibody-free. Yay! Links: - Earlier episode in which we discussed dosing for pizza: https://insulinning.fireside.fm/a-little-brain-blowing-up - Alicia's blog post about taking Sam for TrialNet: https://insulinning.com/sams-trialnet/ - TrialNet: https://www.trialnet.org/ - TrialNet Locations: https://www.trialnet.org/about-us/trialnet-locations - The prescription numbing cream we use for sensor and pod insertions: https://www.rxlist.com/emla-drug.htm We'd love to hear from you. Hit us up with questions or comments at our Contact page (https://insulinning.fireside.fm/contact).

We had a rough evening. Then we had a pod fail. Links: - The prescription numbing cream we use for sensor and pod insertions: https://www.rxlist.com/emla-drug.htm

How do you dose insulin for a meal when you don't know how much your kid will eat? Split-dosing, situational awareness, and what we do when we've given too much.

Alicia read some research papers about protein and fat dosing. The papers: Impact of Fat, Protein, and Glycemic Index on Postprandial Glucose Control in Type 1 Diabetes: Implications for Intensive Diabetes Management in the Continuous Glucose Monitoring Era (http://care.diabetesjournals.org/content/38/6/1008.long) Both Dietary Protein and Fat Increase Postprandial Glucose Excursions in Children With Type 1 Diabetes, and the Effect Is Additive (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836096/) The Role of Dietary Protein and Fat in Glycaemic Control in Type 1 Diabetes: Implications for Intensive Diabetes Management (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512569/) Optimized Mealtime Insulin Dosing for Fat and Protein in Type 1 Diabetes: Application of a Model-Based Approach to Derive Insulin Doses for Open-Loop Diabetes Management (http://care.diabetesjournals.org/content/39/9/1631.long)