Purple Cabbage and Carrot Slaw

This content originally appeared here. Republished with permission.

Summer cookouts are back, baby! And I’m celebrating by cooking all the good stuff, like this purple cabbage and carrot slaw.

It’s crunchy, sweet, lightly spicy, and tangy, so it hits all the high points, and it’s just perfect on a hot summer day. Best of all, there’s almost no work required to make it–just prep the veggies, mix, and enjoy!

Now if you know me, you probably already know I’m a fan of bright side dishes. I make some good ones, too, like my broccoli slawpickled cabbage, or corn salsa, and more!

But today, since I’m grilling pork tenderloin, I’ll be making this cabbage slaw to serve with it. The creamy, tangy dressing goes beautifully with a rich bbq sauce, and the crunchy veggies perfectly compliment the tender meat.

Purple Cabbage and Carrot Slaw

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Purple Cabbage and Carrot Slaw

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This purple cabbage and carrot slaw is a crunchy, tangy, and lightly spicy side dish, perfect for summer cookouts!
Course Side Dish
Cuisine American
Keyword cabbage
Servings 6 servings
Calories 107kcal

Ingredients

  • 1/2 purple cabbage medium
  • 3 carrots medium
  • 1/2 – 1 jalapeño
  • 1/4 red onion thinly sliced
  • 2 cloves garlic
  • 1 tbsp fresh cilantro minced
  • 1 tsp dijon mustard
  • 3/4 cup mayo or more to taste
  • 1 tbsp apple cider vinegar
  • 1/2 tsp salt
  • 1/2 tsp pepper

Instructions

  • Use a mandolin or sharp knife to thinly slice the cabbage. Use a box grater to shred the carrots.
  • Mince the red onion, garlic, jalapeño, and cilantro.
  • Add all ingredients to a large bowl. Toss to combine and mix the slaw well. Season to taste with salt and pepper.
  • Keep the coleslaw covered and refrigerated until you're ready to eat! For best results, let it sit for at least 2 hours.

Notes

To store leftovers: Transfer leftovers to an airtight container and store in the refrigerator for 3-5 days. If using homemade mayonnaise, consume within 4 days.

Nutrition

Calories: 107kcal | Carbohydrates: 12g | Protein: 2g | Fat: 6g | Saturated Fat: 1g | Polyunsaturated Fat: 4g | Monounsaturated Fat: 1g | Trans Fat: 1g | Cholesterol: 4mg | Sodium: 452mg | Potassium: 301mg | Fiber: 3g | Sugar: 5g | Vitamin A: 5935IU | Vitamin C: 46mg | Calcium: 48mg | Iron: 1mg


Please note that the nutritional information may vary depending
on the specific brands of products used. We encourage everyone to check specific
product labels in calculating the exact nutritional information.

Purple Cabbage and Carrot Slaw Recipe

Source: diabetesdaily.com

The Healthiest Choices at the 10 Biggest Fast Food Chains

Fast food: so temptingly convenient, but so fraught with danger. Most fast food joints specialize in exactly the sort of starchy, crispy, greasy food that people with diabetes are supposed to avoid. Nothing triggers those frustrating sticky blood sugar highs like the delicious blend of fat and carbs found in pizza or French fries. And it doesn’t help that they’ve been loaded with lip-smacking sodium, expertly engineered to keep you reaching for more—and why not order a large soda to wash it all down?

There’s no doubt about it, a fast food menu can be a minefield. But despite some notable recent setbacks—like in 2020, when McDonald’s discontinued its salads—the fast food options for healthy eaters are mostly growing. And as diners continue to demand more healthy options, it means you’re less and less likely to get a weird look when you ask for a lettuce-wrapped burger.

We’ve ranked America’s ten biggest fast food chains, from the healthiest to least healthy, and selected the best diabetes-friendly option at each one.

#1 – Panera Bread

Panera Bread must be the only major chain that specializes in food that most Americans would identify as healthy. The chain has grown like crazy in the last decade, proving that we can crave more than just grease and sugar. And while you might not guess it from a restaurant with the word “bread” in its name, it’s also a great option for people with diabetes. There’s a beautiful variety of low- and medium-carb salads and soups, some of which don’t need much customization at all. Skip the pastries—and don’t even think about the mac & cheese bread bowl—and you’ll probably do just fine.

Best choice:

It’s tough to beat a classic Caesar Salad with Chicken. This dose of delicious lean protein only has about 500 calories and 17 grams of net carbohydrates, even with the croutons included.

#2 – Chipotle

Chipotle stands alone in the fast food landscape as an exemplary keto-friendly option. It’s always been easy to customize your order at Chipotle, and as a result the chain has been popular with the low-carb crowd for years. (Double protein? No problem.)

Chipotle has always prided itself on using high quality ingredients prepared fresh on the premises. While doctors may bristle at the characterization of sour cream and slow-cooked carnitas as “healthy,” at least we can be sure that they’re not likely to spike your blood sugar. And Chipotle has embraced the carb-avoiding community to a unique and commendable degree: the latest innovation is cauliflower rice, launched nationally in January 2021.

Best choice:

For easy one-click ordering, choose from Chipotle’s line of “Lifestyle Bowls,” including several different Keto Bowls. Or start with a Salad, which swaps the Burrito Bowl’s white rice for lettuce, and add whichever ingredients you feel comfortable with.

#3 – Subway

It’s very easy to eat low-carb at Subway—any time you can see your food assembled in front of your eyes, it’s going to be easier to control what ends up in your body. Subway has also recently Chipotle-fied their menu and now offer a selection of salads and protein bowls.

Best Choice:

The Black Forest Ham Protein Bowl has only 9 grams of net carbs, and less sodium than other dishes in the category, along with a ton of chopped veggies.

#4 – Wendy’s

Wendy’s has several healthy options, at least as far as fast food burger joints go, and is easily a better choice than the more popular burger chains coming next on this list. The chain offers multiple salads, both as entrees and sides, and savory wraps. (And you can always order a burger without the bun.)

Source: Wendy’s

Best Choice:

The Southwest Avocado Salad is a complete meal that doesn’t require any fuss when you order it. Grilled chicken, bacon, avocado and southwest ranch dressing: all told, it’s 560 calories, and only 10 grams of net carbs.

#5 – Taco Bell

Tortillas everywhere means blood-sugar spiking simple carbs can be tough to avoid here. Taco Bell is one of several joints on this list that have recently de-emphasized salads, but in this case it’s not much of a loss, as the salads here tended to just be tacos and burritos in a slightly different shape. But Taco Bell has always been happy to customize your order, and a newer menu addition has really opened up the possibilities.

Best Choice:

The Power Menu Bowl is Taco Bell’s attempt at Chipotle-style fare, and they want you to customize your order. You can go light on the rice and beans, or omit them entirely, add extra meat: whatever you’d like.

#6 – Chick-fil-A

You might be surprised to learn that the crispy chicken juggernaut, not often associated with prudent dining, has openly courted keto diners. Chick-fil-A has grilled chicken sandwiches and several salad options, and it’s an easier place to find healthy choices than you probably imagined.

 

Source: Chick-fil-A

Best Choice:

Perhaps the single healthiest entry on the entire list, and certainly the simplest, Chick-fil-A’s Grilled Nuggets are pretty much just chunks of marinated chicken breast, served fresh off the grill. Okay, meat on a plate isn’t terribly exciting, but combine with a side salad and some less sugary dressing—try the buffalo or ranch sauces—and you’re in business.

#7 – Dunkin’

Just like Domino’s and its “Pizza”, Dunkin’ has dropped its “Donuts” in a bid to grow its menu and its market share. Good news: that means more options for us. You’ll still want to avoid any donuts, and tiptoe around the rapidly growing menu of super-sugary coffees and teas. But people love Dunkin’s black coffee for a reason, and the newer hot breakfast menu has some diabetes-friendly possibilities.

Best Choice:

Try a Turkey Sausage Wake-Up Wrap. Dunkin’s wraps top out at just 15 grams of carbohydrates, and in addition to the traditional ham, sausage and bacon, you can choose turkey or BeyondMeat’s vegan sausage. They also offer sandwiches on thin multigrain bread—and of course you can ask them to hold the starch entirely.

#8 – Domino’s

Our first real challenge. Domino’s has dropped the “pizza” from its name, but most of the newer entrees remain tricky, like pasta and sandwiches.

Domino’s does have a Caesar’s salad available, but we’ve already recommended two salads, and besides I’m not sure that Domino’s is the first place I’d go for fresh ingredients.

Best choice:

If you’re bored with salads already, try the Chicken Wings. They are dusted with a little starch to make them crispier, but even so don’t pack much of a carby punch. A side of Mild Buffalo Wings clocks in at 260 calories and about 10 grams of net carbohydrates. Some of the other sauces can get pretty sugary—it’s probably best to avoid anything with “sweet” or “pineapple” in the title.

#9 – Burger King

Burger King seems to have mostly removed salads from its menu, which makes healthy ordering a challenge. And while there’s plenty of fish and chicken on the menu, nearly every last scrap of it has been enrobed in breadcrumbs and deep-fried. Grilled chicken may be available at certain locations. Just about the only thing on the national menu within spitting distance of “healthy” is the side of apple sauce—hardly a meal.

Best Choice:

Your best bet is probably to order any Burger with No Bun. The chicken nuggets may be another option—an order of 10 has only 25 grams of carbs. If you’re lucky, your location has Grilled Chicken Sandwiches and Side Salads too, but these are not reliably available.

#10 – McDonald’s

The world’s biggest fast food chain does not make it easy to eat healthy. It was, admittedly, pretty big news in the 80’s when McDonald’s unveiled a line of salads. It was somewhat less noticed more recently when McDonald’s pulled them off American menus entirely. The fast food behemoth no longer has so much as a single side salad on the menu. The grilled chicken was lost to the same purge. It’s slim pickings now!

Best Choice:

Errrr … do we have to pick one? The only really healthy choice at McDonald’s is to eat less instead of more. The simplest burgers, from the Hamburger to the Double Cheeseburger, use a bun with about 28 grams of net carbohydrates. You can manage to put together a keto meal by refusing the bun altogether. Either way, please hold the fries.

Fruit & Maple Oatmeal is a lonely healthy-ish (but high carb) option for breakfast. The Sausage Breakfast Burrito has more potential as a keto option, if you were to scrape the filling off of its tortilla.

Conclusion

In some ways, it’s easier than ever to find healthy and diabetes-friendly fast food. Chipotle has led the way in the protein bowl revolution, and now there are many joints that will dish you up meat and veggies with little or no added starch and sugar. If there’s a single takeaway here, it’s to be wary of the biggest burger chains, which are sliding backwards, contrary to the trends, and making their menus even less healthy. If you choose the wrong restaurant, you might find that there’s no right answer.

Source: diabetesdaily.com

5 Green Salad Recipes: Easy, Nutritious & Comforting

The American Heart Association recommends 4-5 servings of fruits and vegetables per day from a variety of natural food sources. If you’re looking for more ideas on how to achieve this fiber intake recommendation, here are salad recipes you can incorporate into your meal plans. All of these are easy to make; food preparation doesn’t have to be complicated to be healthy.

Avocado Tomato Salad

Avocado Tomato Cucumber Salad

Perfect for warm summer days, this creamy salad uses fiber-rich cucumber, tomatoes, and avocado as the main ingredients. Adding cheese slices will enhance the flavor but optional. The simple dressing can be readily made with red wine, lemon, or apple cider.

Baby Kale Avocado Salad

Baby Kale Avocado Salad

With the number of vitamins and minerals you benefit from a serving of kale, you’d agree why this vegetable deserves its popularity in different dishes. Another good thing about kale is that it can be consumed without much preparation. For instance, in this recipe, all you have to do is toss it with other ingredients, top it with any vinaigrette or low-carb dressing, and it’s good to go.

Spring Salad with Rosemary Vinaigrette

Photo credit: Jennifer Shun

Spring Salad with Rosemary Vinaigrette

With this recipe, you’ll enjoy “crisp, buttery greens mixed with thyme-infused beans, savory mushrooms and tangy cheddar.” You may have to saute the beans and mushrooms but a few more minutes in the kitchen can go a long way in terms of taste and nutrition.

Paradise Poke Bowl

Photo credit: Sarah Severance

Paradise Poke Bowl

Perfect for solo lunches or dinners, this recipe is a feast for the eyes as well as the palate. With spinach, avocado, edamame, cabbage, and green onion in the same bowl, you’re assured that you’re having a highly nutritious treat. Seeing all those shades of green can be stress-relieving too.

Canellini Bean Salad Process

Photo credit: Laura Miner

Cannellini Bean Salad

This may not be a green salad, but the Mediterranean-inspired flavors of this bean recipe are simple but delicious. “It’s got creamy white beans, juicy tomatoes, bright herbs, rich olive oil, and just the right amount of acid from the red wine vinegar,” describes Laura. That’s a lot to say for a dish which can be prepared in five minutes!

What favorite salad do you regularly prepare at home? We would love to read them in the comments!

5 Green Salad Recipes_ Easy, Nutritious & Comforting

Source: diabetesdaily.com

Achieving a 6.0% A1c by Eating 40 Grams of Carbs Per Meal

My 6-Month Experiment

“6.0”. I didn’t think I heard him correctly. I asked my endocrinologist to repeat himself. “I said 6.0%. You’re A1c was 6.0%.” My mouth gaped in astonishment. Practically non-diabetic. The lowest A1c I have ever had in my 10+ years of type 1 diabetes.

How Did I Do It?

Over the past ten years since my diagnosis with type 1 diabetes, I would consider myself a “good diabetic”. That means multiple fingersticks a day, remembering to bolus at mealtimes, and an overall idea of what kinds of foods were entering my body. My A1c hovered between 6.8-7.4% — which my doctors thought was just fine. I had a strong desire to lower my A1c, but nothing in the past seemed to significantly work.

About a year ago, I began medical school and became inspired to take better control of my diabetes. I began doing a lot of reading on the subject and started to toy with the idea of lowering my carb intake. There have not been many (if any) conclusive studies on the effects of low-carb diets in type 1 diabetics, yet I had a hunch that something like that could be my long-desired solution. I decided to perform a six-month-long clinical trial testing the effects of a low-carb diet on a particular type 1 diabetic — me.

The Rules

I recognized that diabetes is a lifelong condition and that any new diet I would undertake would have to be sustainable over a long period of time. Many popular diets only allow minuscule portions of daily carbs, and I knew that would not be maintainable long term. I didn’t want my diet to be unbearable and rebound. I, therefore, decided at the start that my diet was not to lose weight, and was not to start eating healthier. I allowed myself to eat cookies, cake, etc. (although I did naturally end up eating more vegetables in order to stick to the rules of the diet).

The diet consists of just one golden rule, plus 2 common sense rules.

The Golden Rule:

  • Maximum 40g of carbs at one sitting (eating to treat/prevent a low doesn’t count)

The Common Sense Rules:

  • Don’t eat any foods that make my blood sugar go wonky (some examples for me are pizza, bagels, and deep-fried foods)
  • Always try to bolus at least 15 minutes before eating

As part of The Golden Rule, each “sitting” is separated into three-hour chunks. For example, let’s say I eat lunch one day consisting of a hamburger (meat is zero carbs, the bun is 25g) and an apple (15g). Two hours later, I find myself hungry. What are my snack options at this point? Well, since I already reached my 40g maximum and it is within three hours of my meal, I must wait one more hour (i.e., three hours from my lunch), at which point the clock resets. I can then eat a snack up to 40g. However, let’s assume my lunch consists of just a tuna sandwich (2 slices of bread=30g). Two hours later, I find myself hungry. What are my options at this point? I can eat up to 10g of carbs because my lunch was 10g shy of the 40g limit.

I also toyed with the idea of imposing a daily maximum on carb intake, but I later nixed it. As mentioned, I wanted this diet to be highly sustainable long term, and I felt that a daily carb maximum might impede that goal. Also, diabetes diets that impose daily carb maximums are somewhat controversial in the medical field. Some medical professionals believe that such diets could even be harmful to people with diabetes, and I wanted to stay clear of that controversy.

Why Did I Think It Might Work?

Most people who start low-carb diets are trying to lose weight. Although I did lose a few pounds since I started this diet, this was not at all my intention in this endeavor (although truthfully, it was nice to finally fit into my wedding suit again). The reason I began doing this is twofold:

Reason #1: The Post Prandial Spike

Following a meal, there is inevitably a spike in blood glucose. The size of the spike is proportionate to many things (the types of carbs eaten, the timing of insulin injection, etc.). However, my personal experience has shown that for me, the spike is most directly related to the number of carbs I eat. Therefore, fewer carbs = smaller spike. (Similarly, giving at least 3 hours between meals allows time for the spike to come down).

Reason #2: The Guessing Hypothesis

Guess how much a single banana would cost you at your local grocery store. Go ahead, guess a price. You may have guessed 15 cents. 25 cents? 50 cents? One dollar? $1.50? The actual price is about a quarter. You may have guessed a quarter (you may have even bought a banana before and this, therefore, was not a guess). Or you may have been off by a bit. You may have even been off by a lot. However, most likely your guess was not off by more than a dollar. Now guess the price of 500-seat Boeing 747. Go ahead, think of a number. A quick Google search priced it at $357 Million. Was your guess off by a couple million? The point here is clear: when dealing with larger values, our estimates tend to have larger ranges of error. By keeping the carbs low, we are giving ourselves a better chance of correctly estimating our carb intake.

Conclusions

My main goal was to achieve better control of my blood sugar and somewhat lower my A1c. Yet, since the start of my diet, I’ve reaped numerous benefits and gained far more than I could have expected. My A1c has dropped a full percent, a stark reduction to a degree I had not anticipated. My day-to-day blood sugar has become much more predictable, and those horrible whacky-blood-sugar days that all people with diabetes experience have become much less common. Additionally, my average daily insulin usage dropped from 50.2U a day to 40.8U – almost a 20% decrease! As a nice fringe benefit, I lost a few pounds and really feel better overall.

One thing that people often ask is if my lower A1c came at the expense of more frequent hypoglycemic episodes. When I started this diet, I did indeed see a slight increase in hypos along with my tighter glucose control (however, I cannot quantify this with an exact number because I don’t have records of my hypo occurrences prior to starting this diet). Once I began noticing that my lows were becoming more frequent, I made a conscious effort to keep an eye on my CGM (Continuous Glucose Monitor) and be more aggressive in preventing them. Following that adjustment, I believe I have been having just as few hypos as I did before I started this diet.

I want to point out that my 40g maximum per meal is a completely arbitrary amount. It’s an amount that is feasible for me and is also fewer carbs than I was normally eating per meal. If you are reading this and thinking that you could never manage on such a meal plan, I would suggest coming up with your own maximum-carb-per-meal formula and giving it a try. Every person with diabetes is different, and this plan may not be the solution for everyone looking to gain better control of their blood sugar. However, this diet has had huge advantages for me, and I believe that there are aspects of it from which every diabetic can gain.

This article is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition.

Source: diabetesdaily.com

Losing Body Fat with Type 1 Diabetes The “Right” Way

Within 5 minutes of reading any diabetes blog or perusing through any Diabetes Facebook group, you will probably find more biased, scientifically unsupported diet advice than a poorly thought out midnight infomercial.

“Keto is best!”

“No, plant-based is best!”

“Wrong, apple cider vinegar and intermittent dieting is best!”

With so many opinions and biases, how, as people with type 1 diabetes, can we decide on the “right” diet?

Let’s get this out of the way quickly—there is no one golden way of easy results for everyone. Why? Because everyone is different with different goals and value sets and needs to achieve their individualized quality of life.

So when you are searching for the “right” way, just make sure that you are considering what is right for you in the sense of being able to adhere to it for a long period of time, making sure that it doesn’t make you miserable, and assessing the effectiveness toward your goals. The right way will accomplish those three things for you as long as you continue to put in the work.

The “Right” Blood Sugars

As people with diabetes, we can probably all agree that there are effective and ineffective blood sugars. We can’t be hypoglycemic before an activity as that will likely put us in danger and being hyperglycemic can reduce performance, affect function, and become dangerous as well. So, when it comes to fat loss, is there a “right” blood sugar?

Yes and no.

Of the hundreds of people with diabetes I’ve helped to lose thousands of pounds total, blood sugar management comes first.

If you are chasing blood sugars constantly, your diet will reflect that and your training will likely suffer, resulting in a negative cascading effect, leading away from progress.

I’ve found that we can tend to brush off the importance of getting better with our blood sugars (I’m also talking to myself here), because we want to lose fat and show people how hard dieting is, and prove our dedication to other people. But by skipping blood sugar management, we essentially toss all our hard work into the wind and hope for the best.

If you truly want to progress your physique and performance, you have to start asking the right questions:

  • How is this activity going to impact my insulin sensitivity?
  • Am I checking my sugar enough, especially when I start a new diet or exercise program?
  • Am I taking into account how much insulin on board I have before I exercise?
  • Am I talking with my diabetes management team to make sure that my insulin needs are adjusted with my diet and activity levels?

When things change, things need to change yet we tend to fall into the same rut of diabetes management.

Make sure you take into account your new level of intensity and duration and exercise as well as your caloric intake and specific nutrient intake to make sure that your insulin needs are optimized toward the new stimulus you are giving your body by starting a new exercise or diet program.

Here is a chart from JDRF PEAK showing the different blood sugar trends around varying types of exercise. This can help you plan your management accordingly.

Image credit: JDRF

The “Right” Nutrition Plan

All successful diets in terms of fat loss share one pivotal concept—burning more calories than you consume. For you to optimally lose body fat, you have to be in a calorie deficit regardless of whether you are eating keto, vegan, Whole30, or the “broke college kid diet”. It’s not opinion either, it is just the law of thermodynamics.

In abundance, you gain. In deficit, you lose.

So, the right nutrition plan puts you in a moderate caloric deficit where you aren’t starving or medically unsafe but you are also not eating enough to maintain your current weight (after all, what would be the point of that?).

Now, the right plan also has to account for adherence and not making you miserable.

If you truly enjoy carbs and you can manage your sugars well on a moderate- or high-carb diet while still in a caloric deficit, most likely a keto diet will make you miserable and will not be the right fit for you. While both a high-carb diet and a keto diet could be equally effective at losing body fat when equated for calories, we also must consider the real-life implications of quality of life during dieting.

The right diet is something that you can adhere to while also managing your blood sugars and at the same time putting you in a moderate caloric deficit so that you can continue to progress.

You can individualize your nutrition so that you can adhere to whatever kind of eating preferences you like, as long as you can maintain your blood sugars simultaneously.

Some people prefer low-carb, so that it minimizes blood sugar fluctuations.

Some people prefer high-carb and can still manage blood sugar fluctuations.

Regardless of what you choose, the fact remains that you have to stick with it consistently and you have to follow the rules above.

The “Right” Workouts

Personally, I love lifting heavy weights. Also personally, I hate when a coach tells a client that they have to work out the same way that they do.

There are many successful ways I have helped people with diabetes incorporate new workout programs:

  • Walking and progressing to walking with weights
  • Sprinting and high-intensity interval training (HIIT) workouts
  • Bodyweight and resistance band training
  • Water aerobics
  • Olympic weight lifting and bodybuilding
  • Walking your dog and doing 10 Squats every 5 minutes during that walk
  • Working out does not have to mean going to a gym. You can work out exactly where you are, even if you’re in an office just by standing up and sitting down a few times, despite maybe looking a little awkward.

There are three aspects of working out that are considered important and I try to encourage every person to incorporate each of these aspects into their program to have a more well-rounded approach:

  • Resistance training (added weight or bodyweight exercise)
  • Cardiorespiratory training (walking, jogging)
  • Flexibility (stretching yoga, etc.)

So whether you go to the gym and lift weights, or pick up a gallon of water and press it over your head, walk your dog every day and finish up with some stretching, if you use these three concepts and incorporate movements or activities that you like, you’ll find yourself doing the “right” workouts.

Now, extremely successful workouts involve a concept called progressive overload— that simply means that whatever you’re doing will eventually stop working if you keep doing the same thing over and over without any change or progression.

So my advice? Progress. If you walk 20 minutes every day maybe next week walk 25 minutes one of those days or even add five minutes to every day. If you constantly do the same exercises maybe change up the exercise or add weight or change how many repetitions that you do.

Change requires change.

Progression requires progression.

FitMeT1D Challenge

A Free Solution That Might Be Just “Right”

Over the last four years, I have worked with hundreds of people with diabetes and I found a creative way to build a community for free of just people with type 1 diabetes all working together towards a four-week fitness challenge called the Fit Me T1D challenge.

I provide our hundreds of members a modifiable exercise plan with an easily individualized and adaptable nutrition guide as well as a bunch of extremely helpful tips and tricks around diabetes management.

All of this happens in a private Facebook group and your fellow T1D members help you every step of the way.

It’s fun.

It’s challenging.

And hey—it’s free.

I feel like it’s my duty to give back to my fellow type 1s so if you’re interested in joining, we have our next challenge starting March 22nd. Feel free to sign up for free on FitMeT1D (more info at the link as well).

Source: diabetesdaily.com

Upcoming Apple and Android Watches to Include Glucose Monitors

In 2015, when Apple first launched its smartphone “watch”, or “smartwatch” people all over the world flocked to the new device, but it clearly became evident that the most popular feature (besides telling time), was health and fitness tracking. Suddenly, literally within arm’s reach, users had the ability to not only track their steps and mileage but to track floors climbed, standing time, moving time, heartbeats per minute (HBM), electrocardiogram monitoring, and even check for atrial fibrillation (AFib), among other things.

Apple CEO, Tim Cook, had initially suggested that they would be cautious in adding medical tracking to the watch, as approval from the Food and Drug Administration (FDA) could slow innovation.

“We don’t want to put the watch through the FDA process. I wouldn’t mind putting something adjacent to the watch through it, but not the watch because it would hold us back from innovating too much, the cycles are too long. But you can begin to envision other things that might be adjacent to it, maybe an app, maybe something else,” Cook said.

But customer demand for health tracking proved unmatched, and the company decided to change its mind, slowly adding more and more health tracking capabilities with every new version of the watch.

It should come as no surprise that according to a report out of South Korea, the newest Apple Watch, the Series 7 as well as the newest Samsung Galaxy Watch 4 (both of which are slated to launch later this year) will feature continuous glucose monitoring, developed in partnership with MIT, as people with and without diabetes alike are finding a constant watch on their blood sugars to be extremely beneficial to one’s health.

Both watches promise a “no-blood sampling method” to detect blood glucose levels using an optical sensor, and the feature will be advertised to those with and without diabetes. Unlike popular continuous glucose monitoring devices like the Freestyle Libre or Dexcom, these watches will rely on non-invasive detection of blood glucose levels, which can be achieved via infrared sensors.

Since this technology would be truly groundbreaking, it would be all but impossible to launch without FDA approval, which means that both watches would have to face several clinical trials before being available for public consumption. Clinical trials take a lot of time and money and can mean delays in a launch, especially if the glucose-sensing technology is non-invasive (which has not been seen yet, especially for people with diabetes who rely on this technology to successfully manage their diabetes).

There are many doubters, including the CEO of Valencell, an optical heart rate sensor company, who stated in 2017 that non-invasive blood glucose tracking “would never happen”.

“It is completely impossible to have a truly non-invasive glucose monitor,” Valencell CEO Steven LeBoeuf said.

Additionally, unleashing this kind of technology for mass-consumption could have unintended consequences: Will high demand for the product raise or lower the price? Will people with diabetes be priced out of their lifesaving durable medical equipment? Will blood sugar monitoring become the newest “it” thing? Will companies like Abbott and Dexcom go out of business? Will test strips eventually be a thing of the past? Will health insurance companies be mandated to cover smartwatches eventually? Will smartwatches eventually loop with insulin pumps for automatic insulin delivery? Will this be a good thing or a bad thing for the diabetes community? Is it even possible to have reliable blood glucose readings without invasive technology, interstitial fluid, or blood samples?

Can two of the leading technology companies prove all of the doubters wrong? Can people with (and without!) diabetes finally be able to track their blood sugars without invasive tactics, and achieve better control, all through a smartwatch? Can Tim Cook and Samsung CEO Ki-Nam Kim prove everyone wrong? A lot seems to be in store for the latter half of 2021, so we will just have to wait and see!

Do you monitor your blood sugars from a smartwatch? How would having your smartwatch double as a continuous glucose monitor (CGM) help you? Do you see any negatives to such a device? Share this post and comment below; we love hearing from our readers!

Source: diabetesdaily.com

Homemade Sugar-Free Ketchup

This content originally appeared on Low Carb Yum. Republished with permission.

Ketchup is an important part of so many classic American foods. Who doesn’t enjoy this condiment with their hot dogs, burgers, or fries? Before I was eating low carb, I used to love these meals!

Now, I’m much more conscious about the impact that food has on my health. I still enjoy these classic combinations, but in ways that are much better for me. That’s why I love making this homemade sugar free ketchup!

It’s perfect for dipping my jicama fries or to slather onto one of my eggplant burgers on a keto bun. And I can enjoy it all without the guilt.

homemade sugar-free ketchup

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Homemade Sugar-Free Ketchup

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This keto sugar-free ketchup is made in minutes with just 3 main ingredients plus spices. It’s perfect for burgers, hot dogs, low-carb fries, and more!
Course Condiment
Cuisine American
Prep Time 5 minutes
Cook Time 25 minutes
Total Time 30 minutes
Servings 28 people
Calories 7kcal

Ingredients

  • 28 ounces canned whole tomatoes drained
  • 2.5 ounces tomato paste 70 grams
  • 1 tablespoon apple cider vinegar
  • ¼ teaspoon garlic powder
  • ¼ teaspoon onion powder
  • ¼ teaspoon ground cloves
  • teaspoon ground allspice
  • teaspoon ground cinnamon
  • teaspoon Spanish paprika
  • ¼ teaspoon sea salt crystals or to taste
  • 1 tablespoon Sukrin Gold optional

Instructions

  • In a sauce pan over low heat, pour tomatoes, tomato paste, apple cider vinegar and spices. Stirring regularly for 10 to 15 minutes.
  • Using a stick blender (immersion blender), purée whole tomatoes. Add sea salt to taste and opt to add Sukrin Gold. Continue over low heat and stir regularly until sauce thickens, about 5 to 10 minutes.
  • Cool and transfer in an airtight container. Store in the refrigerator for 1 to 2 weeks.

Notes

It’s best to seed the tomatoes as well. You can watch a video on how to seed canned tomatoes for the process I use.

The low carb brown sweetener (Sukrin Gold) helps enhance the flavor. A small amount of any low carb sweetener can be used as well.

Nutrition

Serving: 2tbsp | Calories: 7kcal | Carbohydrates: 2g | Protein: 1g | Fat: 1g | Saturated Fat: 1g | Sodium: 81mg | Potassium: 79mg | Fiber: 1g | Sugar: 1g | Vitamin A: 76IU | Vitamin C: 3mg | Calcium: 10mg | Iron: 1mg


Please note that the nutritional information may vary depending
on the specific brands of products used. We encourage everyone to check specific
product labels in calculating the exact nutritional information.

Homemade Sugar-Free Ketchup RECIPE

Source: diabetesdaily.com

Tech on the Horizon: Where Will Automated Insulin Delivery (AID) be in 2021?

This content originally appeared on diaTribe. Republished with permission.

By Albert Cai

What AID systems are currently available, what can we expect in the next year, and where is AID technology headed?

Want more information just like this?

As we enter 2021, we’re taking a look at what’s ahead for automated insulin delivery (AID) systems. Because the COVID-19 pandemic delayed many clinical trials and FDA reviews in 2020, several companies are expecting to launch new AID systems in 2021. This list covers many of the most notable upcoming products, but there are likely others on the horizon – if you know of a system you think we should track, please let us know.

Click to jump to a product, organized by expected launch date. You’ll find detailed descriptions and possible launch timelines for each, reflecting US availability.

What is automated insulin delivery (AID)?

Automated insulin delivery has many names – artificial pancreas, hybrid closed loop, bionic pancreas, predictive low-glucose suspend – but all share the same goal: combining continuous glucose monitors (CGMs) with smart algorithms to automatically adjust insulin delivery via an insulin pump. AID systems aim to reduce or eliminate hypoglycemia, improve Time in Range, and reduce hyperglycemia – especially postmeal and overnight.

When thinking about the development of AID technology, it’s often helpful to think in stages.

  • Stage 1: The most basic AID system might shut off the insulin pump whenever the user’s CGM readings drop below a certain number, such as 70 mg/dl, to reduce time spent in hypoglycemia and help prevent severe hypoglycemia.
  • Stage 2: The AID system could predict when glucose is going to go low and automatically reduce or stop insulin delivery to further help prevent hypoglycemia.
  • Stage 3: The AID system may be able to automatically adjust basal insulin delivery depending on whether the user’s glucose is trending up or down, and taking into account other factors, such as insulin on board. This adjustment of basal insulin would aim to increase Time in Range (TIR), and help prevent both high and low glucose levels. At this stage, the user would still have to manually give meal boluses and correction boluses.
  • Stage 4: The AID system will be able to deliver correction boluses when glucose values are high. These small adjustment boluses would be a further step in improving TIR, with less time with hyperglycemia.
  • Stage 5: The systems will be able to detect meals and automatically deliver a system-calculated meal bolus to reduce postmeal high blood glucose levels. With the elimination of manual meal bolusing, the system is considered to be a “fully closed loop” System.

Currently available products are in stages 3-4. By the end of 2021, we may have multiple stage 4 systems available.

Medtronic MiniMed 670G and 770G – already available 

AID

Image source: diaTribe

Now available for people over the age of two.

What is it? Medtronic’s MiniMed 670G has been available since spring 2017 and was the first stage 3 AID system to be cleared by the FDA. Prior to the 670G, Medtronic released stage 1 and stage 2 systems (Medtronic MiniMed 530Gand 630G, respectively). More recently, the MiniMed 770G system was cleared in the US in September 2020. Both the MiniMed 670G and 770G systems use the same insulin adjustment algorithm, which adjusts basal insulin delivery every five minutes based on CGM readings, targeting 120 mg/dl. The target glucose level can be temporarily raised to 150 mg/dl when low blood sugar (is a concern, such as during exercise or sleepovers for children. Both systems come with Medtronic’s Guardian Sensor 3 CGM, which has seven-day wear and requires two fingerstick calibrations per day (although four are recommended). See our article from 2016 for a full breakdown on the MiniMed 670G and from September for more on the 770G.

What’s the difference between the MiniMed 670G and 770G? As mentioned, both the MiniMed 670G and 770G systems use the same insulin adjustment algorithm and the same CGM. However, the newer MiniMed 770G has an improved pump: the 770G pump includes Bluetooth connectivity and can be paired to the MiniMed Mobile smartphone app (available for the iOS and Android) for users to view their CGM and pump information without pulling out their pumps. The app also allows users to share their data with others in real-time. Note: users can only view information but cannot control the pump (e.g., deliver a bolus, adjust basal rates) from the app. Bluetooth connectivity also means the system’s insulin adjustment algorithm can be updated. Medtronic has promised current MiniMed 770G users a free upgrade to the MiniMed 780G when that system becomes available (more below). Finally, the MiniMed 670G is only cleared in the US for people over the age of seven, while the MiniMed 770G is cleared for people over the age of two.

Medtronic management recently shared that algorithms will become an increasingly important part of the diabetes ecosystem, and presumably, a key differentiator for companies – lots of exciting times ahead with AID, that is for certain.

Tandem Control-IQ – already available in US

AID

Image source: diaTribe

Now available for people six years and older.

What is it? The Control-IQ system from Tandem was cleared by the FDA at the end of 2019 and launched to customers in January 2020. It’s precursor – Basal-IQ – was cleared in 2018. The Control-IQ system uses Tandem’s t:slim X2 pump, Dexcom’s G6 CGM which requires no fingerstick calibrations, and the Control-IQ insulin adjustment algorithm. In addition to automatic basal rate adjustments and predictive insulin suspension, the Control-IQ system is the only AID system with automatic correction boluses: when it predicts glucose to be above 180 mg/dL in 30 minutes, the system will deliver 60% of the correction bolus needed to reach a target of 110 mg/dL. Control-IQ targets glucose values between 112.5 and 160 mg/dL, though users can turn on or schedule “Sleep Activity” mode to achieve 112.5-120 mg/dL by the morning. This past summer, Tandem launched the t:connect smartphone app (for iOS and Android), which allows users to check their pump and CGM data on their phones.

What’s next? With the current t:connect smartphone app, users can view information but cannot control the pump (e.g., deliver a bolus, adjust basal rates). Tandem has already submitted an updated app with pump control to the FDA and expects to launch that functionality in 2021. Tandem has also mentioned enhancements to the Control-IQ algorithm that are expected in 2021. While we haven’t heard many specifics, we believe it’s likely that these enhancements will focus on improving glycemic outcomes, personalization, and usability of the system.

Insulet Omnipod 5 – expected early-to-mid-2021 

AID

Image source: diaTribe

FDA submission is likely coming soon (if it hasn’t occurred already), and Insulet aims for a “limited” launch in early-to-mid 2021. Insulet has completed the clinical trial for Omnipod 5 but has not shared the results.

What’s new? Omnipod 5 is Insulet’s AID for its popular Omnipod disposable pumps, also called patch pumps. If you’ve been following the field, you’ll know that Insulet previously called the new system Horizon – same system, new name. Omnipod 5 uses Dexcom’s G6 CGM, and Insulet expects to launch the system with smartphone control capability; users can still opt for a dedicated controller device, since smartphone control will be available for Android users first. Insulet is working on an iPhone version for Omnipod 5, though that will not be available at launch. Insulet is also working with Tidepool (more below) on an iPhone-based AID system. Omnipod 5 will have adjustable targets between 100 to 150 mg/dl. Because the Omnipod pump will store the algorithm and communicate directly with Dexcom G6, the system will work even without the smartphone or pump controller nearby.

Medtronic MiniMed 780G – expected mid-2021

AID

Image source: diaTribe

Pivotal trial completed for 780G and presented at ADA 2020. Medtronic aims to submit the system to the FDA by January 2021 with launch coming around mid-2021 for adults (either ages 14+ or 18+).

What’s new? The MiniMed 780G will be Medtronic’s second AID algorithm and a significant upgrade over the MiniMed 670G and 770G systems. In addition to automatic basal rate adjustments, the MiniMed 780G will include automatic correction boluses and an adjustable glucose target down to 100 mg/dl. The system will also have fewer alarms and simpler operation with the goal of further increasing Time in Range. The MiniMed 770G and MiniMed 780G pumps are identical, meaning MiniMed 780G users will also be able to use the MiniMed Mobile smartphone app for viewing pump data, uploading pump data wirelessly, and updating their pump wirelessly. As the pumps are identical, Medtronic has promised that those who purchase the MiniMed 770G now will be able to wirelessly upgrade to the MiniMed 780G for free when 780G does become available. Finally, the MiniMed 780G will use the same Guardian Sensor 3 CGM as the 670G and 770G, which requires two fingerstick calibrations per day and has a seven-day wear time. As a sidenote, an improved CGM sensor is in development by Medtronic, but isn’t expected to be available when MiniMed 780G launches.

The MiniMed 780G is already available in many countries in Europe, and data from a clinical trial was presented at the ADA 2020 conference. On average, the 157 participants in the study (ages 14-75) saw their Time in Range improve by 1.4 hours per day (69% to 75%) while using the system – that’s particularly notable given the low baseline of the A1C. Speaking of A1C, the A1C improved by 0.5% (7.5% to 7%) after using the system.

Beta Bionics insulin-only iLet – expected mid-to-late-2021

AID

Image source: diaTribe

Pivotal trial underway with completion expected in the first half of 2021. Launch expected mid-to-late-2021, though this is subject to change.

What’s new? Beta Bionics is a Massachusetts-based startup developing an AID pump and algorithm called iLet. iLet will work with Dexcom and Senseonics’ CGMs (and possibly others in the future) and is designed to be especially user-friendly. diaTribe founder Kelly Close participated in an early Beta Bionics trial (2013!) and raved about the system and how easy the pump seems. At set up, users only need to enter body weight (no insulin-to-carb ratio, sensitivity factor, basal rates, etc.), and the system will learn more over time. To bolus, users will use icons to describe meals as containing more, less, or the same amount of carbs as usual (no carb counting). The insulin-only clinical trial for iLet began in the summer of 2020 and is expected to wrap up in the first half of 2021. Beta Bionics aims to launch iLet mid-to-late-2021, though this could be delayed as the FDA continues to prioritize COVID-19-related devices.

What’s next? Beta Bionics’ iLet is unique from the other pumps on this list, because it is designed to work in either insulin-only or insulin-and-glucagon configurations. With glucagon, Beta Bionics believes the system can reduce hypoglycemia while maintaining stable glucose levels and potentially even better-than-average, lower glucose levels due to availability of glucagon. Currently, there are different views on using glucagon in an AID system – in addition to the potential for improved glycemic management, there are uncertainties around glucagon pricing and availability. Regardless, the insulin-and-glucagon version of iLet is still a few years away.

Tidepool Loop – launch timing unclear

AID

Image source: diaTribe

Online observational study completed, and launch timeline depends on FDA progress.

What’s new? Unlike the others in this list, Tidepool is a non-profit and is working on the AID algorithm only; Tidepool does not have its own insulin pump or its own pump and CGM combination (like Medtronic). About two years ago, Tidepool announced plans to submit the do-it-yourself (DIY) Loop app to the FDA to become an officially supported app available on the Apple App Store, compatible with in-warranty, commercially available pumps and CGMs. For now, DIY Loop is a free, publicly available, open-source, non-FDA-approved AID system that works with Dexcom and Medtronic CGMs and old Medtronic and Insulet pumps. Read about Adam Brown’s experience using DIY Loop here. For those who are very interested in the project, there is a great deal to learn from notes that Tidepool shares about its communications with FDA – the latest notes are from a mid-2020 meeting.

Initially, Tidepool plans to launch with Insulet Omnipod and Dexcom G6 compatibility. To set it apart from the DIY-version, Tidepool Loop will have different colors, guardrails around certain settings, and a built-in tutorial for new users. A 12-month, completely virtual study was performed with Loop users and will support Tidepool’s submission of Loop to the FDA. The six-month data was presented at ATTD 2020 showing a Time in Range increase of about 1.4 hours per day (67% to 73%) with Loop. Tidepool also announced in November, 2020 that its human factors study had also been completed – this is another required step of the FDA submission. Much of what Tidepool is doing is unprecedented, so the launch timing is unclear.  In an update on January 8th, Tidepool shared that it has now completed FDA submission of Loop.

Source: diabetesdaily.com

Teenager Builds T1D1 App After Diagnosis with Type 1 Diabetes

T1D1 (which stands for type 1 diabetes from day 1) is an app that was created by a newly diagnosed 13-year-old, Drew M, to help people better manage their condition. Determination coupled with being well-versed in coding led Drew to create this app almost immediately after diagnosis.

I thought it would be nice to hear Drew’s story and how he took his new diagnosis as an opportunity to help others.

Hi Drew, thank you for taking the time to speak with me. I know you were just diagnosed in September of this year. What signs were you showing and what made you see your doctor?

The only reason I went to my doctor was because we noticed I was losing weight while growing. I had lost more than 10 pounds and had grown over an inch over a three month period. I went to my pediatrician and they drew some blood. We left the office and before we even got home, my mom got a call from them and they said, “pack a bag and go to the ER at Children’s National right now!” My blood sugar level was 529 mg/dL and I apparently had large ketones in my urine test.

Drew recovery

Photo credit: Laura Mendelow

I know you were hospitalized, did you get a good education on how to manage this condition?

Yes – I think the diabetes team at Children’s National Hospital was awesome! They had a whole team of people that kept coming in to visit with me. Because of COVID, all group classes were now given one-on-one, so I got a great education.

Although I missed school when I was in the hospital, I still felt like I had math class because there was so much to learn about calculating my numbers and carbs. It felt like a lot to take in, but they did a great job explaining it to me. They taught me how to calculate my insulin doses and count carbs and I practiced on a sponge.

My grandma was diagnosed with type 1 about 10 years ago, when she was 61, so I was pretty familiar with seeing her managing it. That also helped me a lot knowing someone who has T1D so I wasn’t as scared when they told me that I had this disease.

I know you have a passion for coding and had just finished taking a summer course. At what point did it dawn on you that you were fully capable of creating something like this?

We were joking around about it with the nutritionist, Alex, that morning in the hospital. She was showing us some apps to help us out and said it was annoying that there wasn’t one app that did everything. My dad said jokingly, “Don’t worry, Drew will build you one.” When we got home I started looking at different ways to build apps and there are so many platforms now to choose from. I started playing around with it that same day and realized I had enough knowledge of coding that I could actually do it!

The stuff I was doing over the summer was just for fun because my soccer camp and my overnight camp got canceled because of COVID. Basically, I was bored and taught myself how to code using YouTube videos and a few classes that my dad shared with me. I learned how to code video games using Unity, but nothing like this app! I figured I knew enough about how to code that I could figure out how to build an app. It was like a cool challenge to take on.

My dad is a programmer but he had never built an app before either. But I figured if I got stuck, he could help me out. But, he really didn’t know anything about the program I was using, so a few times I got stuck and my dad was like, “I have no idea how to help you with that one, you’ll just have to google it.” So I did.

The platform I was using was limiting, like I couldn’t create a drop-down menu so I would have to learn how to go around the system to create some of the functions I wanted. I just kept teaching myself new things online until I found things that worked.

Drew with his father in the hospital. Photo credit: Laura Mendelow

I know the doctors at the Children’s hospital expressed a desire to create an app that was different than those that already existed. What was their wish list?

Well, they wanted a few things. First, it had to be simple and easy to use. And, it had to be something that a person could use from day one of diagnosis. There are so many apps out there but they may require you to have a CGM or a pump or they’re just too much for someone who is recently diagnosed and too complicated for kids to use. They wanted an easy way to calculate your insulin dose and also log your glucose levels.

People who are newly diagnosed are asked to call in every day after diagnosis for about 2 weeks and report their numbers from the last day (e.g. blood sugar, carb count, insulin taken for every meal, snack and at 2 am). So having a feature where you could email your logs straight to your doctor was a big request as well.

Then, they had more detailed ideas like the option to round to the nearest half or whole number. I didn’t even know some pens have half units and others only have whole units. The doctors knew what people needed, and I knew what I wanted as a person who was newly diagnosed, I just had to figure out how to program it on the app.

Your app has become quite a success! Now available on Android and iPhone, T1D1 has over 9,000 downloads already. What sets your app apart from the rest?

I think people like that the app is simple, yet does everything that they need right from the beginning of being diagnosed and has some cool features (like different settings for different meals) that other apps don’t have. Plus it’s completely free and has no annoying ads or any kind of in-app purchases.

Also, I think they like that it was created by a kid and not a big company, so they know I’m not out to make money or collect their data. I’m new to the T1D community but I can already see that people get annoyed when they see companies using their disease to make money off of them.

How long did it take to create this app and can you tell us a little bit about the beta testing process?

The first version took only about a week, but it was super simple. It was basically just a calculator with a few changeable settings. We then showed it to Dr. Marks and the diabetes team at Children’s and they came up with some suggested features. I would build in the features and then send it back to them for review.

Once we had a few features like a bolus calculator and an insulin log, we then reached out to online diabetes communities to see if anyone would volunteer to help us test the app. My dad reached out to groups on Facebook and Reddit and asked for volunteers. I remember that night, my dad was overwhelmed with how many people wrote back offering their help.

At that time, it was only being tested for Apple and we had about 70 beta testers. After a lot of testing, the app got published in the Apple Store on Halloween. So, that was about a month and a half after I started working on it. Then, a few weeks later we were able to get it published in the Android Google Play store.

I know you have received both national and international attention (Fox News, NPR and the Jerusalem Post to name a few!), how does that make you feel?

Honestly, I was so surprised at how it took off. It makes me feel really good knowing that the app will now reach so many more people. One of my main goals is to make the app accessible to as many people as possible and this publicity really helps me achieve that goal. Anyone who has T1D knows how tough it can be to manage this disease 24/7. Hearing stories about how I’ve really helped others, makes me feel so happy and helps me get through the tough moments. And, these stories keep me motivated to continue working on the app to make it the best I can.

Drew with family. Photo credit: Laura Mendelow

I know you are hoping to keep this app payment-free and ad-free. How can people help support you?

If people want to support the app, they can donate on the “support us” page on the IOS version of T1D1 or through the website T1D1.org. All donations are used to keep the app live and make enhancements. All profits get donated straight to JDRF. Another huge way to support us is to spread the word to their diabetes team and by posting about it on social media!

You are clearly an ambitious young man with a ton of determination! Do you see yourself doing more things with coding and diabetes? What do you think you would like to do when you are all grown up?

This opportunity to make an app really helped me to see the possibilities of being a programmer or developer when I grow up. It’s been really cool to talk with other organizations like Tidepool to learn how they integrate technology into improving people’s lives with diabetes. It’s awesome to think that I can use my coding skills to continue to help others with T1D. I now have a pump and am amazed by the pump technology. Who knows what others will create in the future. I’d love to take part in creating that new technology with them to help make all of our lives easier.

Thank you so much for taking the time to speak to me. You are a perfect example of someone who took an unfortunate situation and took the opportunity to help others.

I wish you much success and look forward to watching you thrive in both your future professional endeavors and managing your type 1 diabetes!

Source: diabetesdaily.com

Want to Try Continuous Glucose Monitoring?

This content originally appeared on diaTribe. Republished with permission.

By Eliza Skoler and Albert Cai

The Hello Dexcom 10-day sample kit includes a Dexcom G6 continuous glucose monitor, instructions for set up, and guidance for getting the most out of your glucose data. Ask your healthcare team to order the device for you in the US or Canada.

Have you heard about continuous glucose monitoring (CGM) for people with diabetes, but aren’t sure if it’s right for you? Dexcom’s new CGM sample program, Hello Dexcom, allows people with diabetes who take insulin to try out the Dexcom G6 CGM for 10 days in the US or Canada. Through Hello Dexcom, healthcare professionals can provide people with a free one-time sample of the technology, along with full instructions for set up and information on using and understanding their glucose data. All packaged in one small box, the program is designed so that people can start using the technology and interpreting their glucose levels on their own and from their home.

Continuous glucose monitors measure the body’s glucose (or sugar) levels in real-time by sensing the glucose present in tissue fluid under the skin. The Dexcom G6 CGM measures glucose levels every five minutes – this means that you can get 288 glucose readings a day without fingerstick blood sugar checks.

Dexcom G6

Image source: diaTribe

We got a sample in the mail and checked it out for you. Here’s what the Hello Dexcom kit includes:

  • A G6 CGM sensor, transmitter, and applicator
  • Easy-to-follow instructions on how to insert the sensor
  • Simple instructions for downloading the Dexcom G6 and Dexcom Clarity apps
  • An online portal with support and Frequently Asked Questions
  • A digital “10-day journey of empowerment” to teach you about the features of the G6 and to help you interpret CGM data. The 10-day course involves:
    • logging events and becoming familiar with the G6 and Clarity apps
    • adjusting alert settings
    • learning from meals
    • reviewing data through Dexcom Clarity
  • A printed guide to using your G6, with information alarms, treatment decisions, troubleshooting, and more
  • Note: the kit does not include a separate sensor reader, so only people with a smartphone (Apple or Android) can use this program.
Dexcom G6

Image source: diaTribe

Eliza got to try out the new product – here’s what she thought: All in all, I opened the box, read the instructions, and activated the online portal in less than ten minutes. The step-by-step set up instructions were straightforward and included illustrations, and I felt quite comfortable going through the process on my own. After I downloaded the Dexcom G6 app and made a Dexcom account, there were videos to help me insert the sensor and activate the transmitter.

If you’re curious about CGM, ask your healthcare professional if you can get Hello Dexcom – you can send our article their way. Healthcare professionals can learn more about the program and order Hello Dexcom sample kits here. To learn more about CGM – how it works, its benefits and considerations, what the data means, and stories from user – check out this CGM pocket guide.

For more try-before-you-buy diabetes technology, learn about the free Omnipod DASH insulin pump trial.

Source: diabetesdaily.com

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