©

“Kickin’ D’s Butt”

Welcome2014 Advanced Diabetes Retreat

Texas Lions CampKerrville, Texas

Like “The Power Within by Stephen Ponder MD, FAAP CDE”

www.stephenpondermd.com

Managing “d” well requires…• Comprehending a system with

basic principles/concepts• Adjusting to changing or shifting

conditions/situations• Frequent assessments and re-

assessments

• Driving a car• Flying an airplane• Walking a tightrope• Surfing

#01-01Sensor*/HemoCue Data(29%)

50

100

150

200

27 TueMar 2001

28 Wed 29 Thu 30 Fri 31 Sat 1 Apr 2 Mon 3 Tue

Sensor Vs. HemoCue (Finger) Glucose --- Sensor # 6989 hCDP Output

Gluco

se (m

g/dL)

Average Blood Glucose = 98 mg/dl

* Note: Investigational device. Device not approved by FDA

Appreciate the flux of sugar levels in non-d persons

Remember: Sugar Surfing is all about managing…

FLUXdrift

Diabetes is best approached 1 day at a time

“Life is not a matter of holding good cards, but of playing a poor hand well.”R.L. Stevenson (1850-1894)

Unleashing the “Power Within”

Like “The Power Within by Stephen Ponder MD, FAAP CDE”

These are classic illustrations by a famous graphic artist from the early 20th century. These specific images were taken from a handbook

for new patients with diabetes. Some things NEVER change and never will. Here are 3 priceless pieces of diabetes wisdom…

Diabetes Police?

To unleash your Power Within…

Work to let go of…• Judging• Feeling defective/broken• Shame• Fearing the future• Isolation • Pity• Insecurity/denial

Embrace/cultivate…• Acceptance• Normalcy• Openness• Enjoying the moment• Teamwork• Empowering/supporting• Self-confidence

Diabetes care is about choices

Diabetes care must be individualized

“Chance favors the prepared mind” Louis Pasteur

PatienceConsistencyRe

silie

nce

3 virtues of the well managed

“I haven't failed. I've just found 10,000 ways that won't work.” Thomas Edison

Knowledge alone does not imply understanding

“You can delegate authority but you can’t delegate responsibility”

Do 2 RN’s = 1 kid?

=

Ok? Ok to me!

Concrete thinkers* can’t…

1. Consider a hypothesis2. Consider multiple possibilities in a

scenario3. Systematically solve a problem4. Use combinatorial logic

*Lasts until 15-17 years of age*25% of adults are concrete thinkers.

You CAN influence how long it lasts

diabetes treatment preserves INTERNALLY made insulin

Diabetes, July 30, 2012 - DOI: 10.2337/db11-1625; data interpretation

DX'd 1950-1964

DX'd 1965-1980

Is the future already here?

1964 198050

55

60

65

70

75

Lifespan with type 1 diabetes vs. without

Average American

Linear (Average American)

Type 1 Diabetes

Logarithmic (Type 1 Di-abetes)

1996

DX'd 1950-1964

DX'd 1965-1980

DX'd 1980--??

Five things to remember about T1D1) Diabetes care isn’t a contest. It’s overrun with numbers. Don’t judge.2) Let the remaining guilt (if any) go! NO one is perfect.3) Diabetes care is not an action, it is a SKILL SET. Therefore, it can be

practiced and improved upon.4) Control is the end result of your decisions and choices. This applies to

minute to minute control as well as long term control.5) NO health care provider manages anyone’s diabetes. They never can

and they never will. It’s a self managed condition.

Five practical advanced diabetes care tips

1) Better synchronize your insulin and your meals2) Check blood sugars 2-3 hours after meals3) Correct any out of range sugar you discover (“treat to target”)

4) Work to get morning blood sugars into target range (F-F-F)5) Review/analyze your blood sugars at least weekly

Diabetes Family Teamwork and Teens: What is Success? 11:30-12:00

Anderson

Road to the Artificial Pancreas 11:30-12:00

McMahon

Common diabetes emergencies 1:00-1:45PMSchreiner

Sugar Surfing with a CGM 1:45-2:30PMPonder

Advanced Pump Features 2:45-3:30PM

Anderson

Q&A Open Forum 3:30-4:30PM

Ponder

You McMahon

Schreiner

Anderson Anderson

In diabetes, you want to play with your food 9:30-10:15AM

23%221

Anderson

©

“Kickin’ D’s Butt”