Showing posts with label sugar surfing. Show all posts
Showing posts with label sugar surfing. Show all posts

Wednesday, June 11, 2014

Sugar Surfing with Dr. Ponder

Last Saturday, we attended a Sugar Surfing seminar with Dr. Ponder.  It was wonderful!  So many things to learn!  I tried to take notes, but there was so much information.  I can't wait for his book to come out so that I'll have the information in front of me at all times.

Big things we learned:

1) Sugar surfing is Dynamic Diabetes Management (DDM).  It isn't a set of rules, it's a way of thinking and  responding to individual situations.
2) Diabetes care MUST be individualized.  One size does NOT fit all.
3) Even non-diabetics do not have a straight-line CGM graph.
4) Start small.  It takes years of practice and patience.
5) Control exists "in the moment."

He explained new vocabulary (flux, drift, nudge, shove, turning a curve, taking the drop) all related to watching your graph and responding appropriately.  You can learn to pre-empt a spike or a drop if you are paying attention.

Micobolusing and microcarbing were 2 techniques he talked about for making small changes based on what the graph is telling you (and of course confirming numbers with a fingerstick before making a correction).

He also talked about finding the balance between alarm fatigue and infomation/BG awareness, in reference to setting high and low alerts on your CGM.  I thought this was important.  Sometimes I think my guys have their high alert set too high, but hearing the high alert stresses them. They have it set to a level where they will take action, not the top of their desired range.  That range can be changed over time as they become better sugar surfers.

After it was over, I asked the guys what they thought.

Seth said, "What he said made a lot of sense.  I do some of those things already."

Jason said, "I'll try it!"

So, I think it was a great way to spend a Saturday morning.  I highly recommend Sugar Surfing, if you have the opportunity to attend!  It's another way to help us KDA!


Isn't this what we wish it could always look like?

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