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Diabetes Update 96: The Future of Pumps

July 1, 2006

By David Mendosa


Rock Squirrel

Rock Squirrel
Taken by my friend Tim Kline and used with his permission

My most recent articles are:

  • The Future of Pumps
    “The Future of Pumps” is closely connected with the future of continuous blood glucose sensors and with scientific findings that even good fingerstick test results and great A1C level are not enough to prevent diabetes complications. Even apparently excellent A1C levels can mask a lot of highs and lows, which the scientists call glucose excursions. But now for the first time we are getting insulin pumps that work with continuous sensors to minimize glucose excursions. When the editor of Diabetes Wellness News asked me to write about what was on the horizon for insulin pumps, I reported that the horizon was very near. I wrote about “The Future of Pumps” in the July 2006 issue of Diabetes Wellness News. The article is also available online at http://www.mendosa.com/pumps.htm.

  • The Year of the Meter
    This may well go down in history as the year of the meter. Not since Tom Clemens patented the first blood glucose meter in 1971 have we seen such significant advances. These advances include both traditional meters and continuous sensors. And the year is only half over. My article originally appeared in the July 2006 issue of Diabetes Health and is now also online here.

  • My Diabetes Blog
    It’s too hard to keep up with blog content without subscribing to RSS (Really Simple Syndication) feeds. An RSS feed aggregator makes it very easy to keep track of blogs you want to read on a regular basis. I use Bloglines to keep up with the blogs that I like to read.

    My new blog entries for June are:

    • The Wave 1 Meter. The new Wave 1 meter from AgaMatrix is very fast and takes very little blood. But even more important is that it is extremely accurate.

    • Byetta and Paralyzed Stomach. When you take Byetta your stomach empties slower. Gastroparesis does that too, but there is a huge difference.

    • Two Pills You Can Skip. It now looks like neither policosanol nor chromium will help us.

    • The GlycoMark Test. This test has a tremendous advantage over the A1C. It zeros in on your blood glucose spikes after you eat.

    • Good News about AGEs. AGEs may be worse for us than aging. But there are ways to minimize the damage they can cause.

    • Testing without Pain. By the end of the year we will probably be able to buy the Pelikan Sun lancing device. It is even possible that within a year or two we will be able to buy one of the four non-invasive meters presented at the 66th Annual Scientific Sessions of the American Diabetes Association in Washington this month or one of the others under development. When we can use one of these devices, we can test without pain.

    • Byetta and Its Cousins. Byetta and its closest cousin, the long-acting release (LAR) formulation, made big news at the June convention of the American Diabetes Association in Washington, which I attended.

    • New Time to Test Glucose Levels. We know now that people with either type 1 or type 2 diabetes reach a peak 72 minutes after eating with a variation of 23 minutes either way. Maybe that’s the time you will now want to check your blood glucose.

    • Byetta’s Distant Relatives. Amylin’s Byetta and its forthcoming long-acting release were the stars of the American Diabetes Association show this June in Washington. But they aren’t the only GLP-1 analogs. Another one, Novo Nordisk’s liraglutide, was also impressive.

organizer

By Gina Barbetta and Valerie Rossi

New Books:

  • Many of us who have diabetes are in denial, at least at first. Fortunately, that is usually just a transient stage. Eventually, we determine to control our diabetes instead of the other way around.

    This new planner and record-keeper is just the thing to help you gain that control over your type 2 diabetes. It has 12-month checkup charts, nutrition plans, exercise advice, emergency wallet cards, a diabetes team directory, a medications log. And lots more. You can customize the book to your particular needs.

    The authors are Gina Barbetta, who is both a registered dietitian and a Certified Diabetes Educator, and Valerie Rossi, a naturally organized person who started working on this to help her family members get better control of their diabetes. Val write me that her co-author is looking into developing a similar book for parents of children with type 1 diabetes.

    This book will be available in bookstores in September 2006. North Hill Publishing in Westport, Connecticut, will offer My Diabetes Organizer for $24.95. The hardcover book is 86 large pages plus a 64-page booklet. The ISBN is 0-9773122-0-8.

New GI Application:

  • The GI/GL calculator is an outstanding web application that uses a database of glycemic index, glycemic load, and other measures to calculate their totals for entire meals. Since it has an application-like user interface with a tree-view and a free-text search option, it is quite easy to use, despite its capabilities. On the average home computer it is also really fast, since the database is downloaded to the browser when the application starts. The URL is
    http://www.menialtools.com/GI_calculator.php

Announcements:

  • This Newsletter
    Diabetes Update keeps you up-to-date with new articles, Web pages, and books that I have written about diabetes.

    I list and link most of these on my at Diabetes Directory and in the site’s menu at the upper left of all my Web pages.

    From time to time Diabetes Update may also include links to other Web pages of special interest.

  • HTML Format
    I send out Diabetes Update e-mail in HTML format, which all Web browsers and most modern e-mail programs can display. HTML has live links to all the sites named in the text so that with a simple click of a mouse you can connect to the site you have just been reading about.

  • My Guarantee
    This newsletter:
    1. Is and will remain free.
    2. Will never include advertising (except targeted Google ads at the bottom of the web page and not in the email newsletter).
    3. Nor will I ever sell, rent, or trade your e-mail address to anyone.
    4. I will link sources of information.
    5. I will disclose any conflict of interest.
    6. If and when I learn of any errors of fact, I will correct them.

Archives:

I now send out Diabetes Update once a month. Previous issues are online:

  1. Diabetes Update Number 1: Diabetes Genes of December 10, 2000
  2. Diabetes Update Number 2: DiabetesWATCH of December 18, 2000
  3. Diabetes Update Number 3: Starlix of January 3, 2001
  4. Diabetes Update Number 4: Native Seeds/SEARCH, Tepary Beans of January 17, 2001
  5. Diabetes Update Number 5: Insulin Makes You Fat of January 31, 2001
  6. Diabetes Update Number 6: Available and Unavailable Carbohydrates of February 15, 2001
  7. Diabetes Update Number 7: Dates of March 1, 2001
  8. Diabetes Update Number 8: Quackwatch of March 15, 2001
  9. Diabetes Update Number 9: The Cost of Insulin of March 30, 2001
  10. Diabetes Update Number 10: Sof-Tact Meter of April 2, 2001
  11. Diabetes Update Number 11: iControlDiabetes of April 16, 2001
  12. Diabetes Update Number 12: Cinnamon, Tagatose of May 2, 2001
  13. Diabetes Update Number 13: Glycemic Index of May 15, 2001
  14. Diabetes Update Number 14: Eat Your Carrots! of May 31, 2001
  15. Diabetes Update Number 15: Glycemic Load of June 21, 2001
  16. Diabetes Update Number 16: Homocysteine of July 2, 2001
  17. Diabetes Update Number 17: Chana Dal Tips of July 15, 2001
  18. Diabetes Update Number 18: Lag Time in AlternativeLand of August 2, 2001
  19. Diabetes Update Number 19: Fiber of August 15, 2001
  20. Diabetes Update Number 20: How Diabetes Works of August 30, 2001
  21. Diabetes Update Number 21: Insulin Resistance of September 14, 2001
  22. Diabetes Update Number 22: Trans Fats, Honey, CU of October 1, 2001
  23. Diabetes Update Number 23: Pedometer Power of October 15, 2001
  24. Diabetes Update Number 24: Is Glycerin a Carbohydrate? of October 31, 2001
  25. Diabetes Update Number 25: Kill the Meter to Save It of November 15, 2001
  26. Diabetes Update Number 26: Protein, Fat, and the GI of December 1, 2001
  27. Diabetes Update Number 27: Insulin Index of December 14, 2001
  28. Diabetes Update Number 28: Fructose of January 4, 2002
  29. Diabetes Update Number 29: Aspirin of January 14, 2002
  30. Diabetes Update Number 30: Stevia of January 31, 2002
  31. Diabetes Update Number 31: Gretchen Becker’s Book of February 19, 2002
  32. Diabetes Update Number 32: The UKPDS of March 4, 2002
  33. Diabetes Update Number 33: Financial Aid of March 18, 2002
  34. Diabetes Update Number 34: Pre-Diabetes of April 1, 2002
  35. Diabetes Update Number 35: More Glycemic Indexes of April 15, 2002
  36. Diabetes Update Number 36: Gila Monsters of April 30, 2002
  37. Diabetes Update Number 37: Is INGAP a Cure? of May 15, 2002
  38. Diabetes Update Number 38: Native American Diabetes of June 3, 2002
  39. Diabetes Update Number 39: FDA Diabetes of June 19, 2002
  40. Diabetes Update Number 40: Diabetes Support Groups of July 1, 2002
  41. Diabetes Update Number 41: New GI and GL Table of July 15, 2002
  42. Diabetes Update Number 42: Diabetes Sight of August 1, 2002
  43. Diabetes Update Number 43: DrugDigest of August 18, 2002
  44. Diabetes Update Number 44: Hanuman Garden of September 3, 2002
  45. Diabetes Update Number 45: Guidelines of September 16, 2002
  46. Diabetes Update Number 46: Trans Fat of October 4, 2002
  47. Diabetes Update Number 47: Nutrition.Gov of October 16, 2002
  48. Diabetes Update Number 48: Our Hearts of October 31, 2002
  49. Diabetes Update Number 49: Our Kidneys of November 15, 2002
  50. Diabetes Update Number 50: A1C<7 of December 2, 2002
  51. Diabetes Update Number 51: Diabetes Searches with Google of December 16, 2002
  52. Diabetes Update Number 52: e-Patients of January 2, 2003
  53. Diabetes Update Number 53: Email News of January 16, 2003
  54. Diabetes Update Number 54: Third Generation Meters of January 31, 2003
  55. Diabetes Update Number 55: Hypoglycemic Supplies of February 14, 2003
  56. Diabetes Update Number 56: Food Police of March 1, 2003
  57. Diabetes Update Number 57: Vitamins of April 1, 2003
  58. Diabetes Update Number 58: Lancets of May 1, 2003
  59. Diabetes Update Number 59: Accurate Meters of June 1, 2003
  60. Diabetes Update Number 60: Chromium of July 1, 2003
  61. Diabetes Update Number 61: Traveling of August 1, 2003
  62. Diabetes Update Number 62: My Book of September 1, 2003
  63. Diabetes Update Number 63: Hot Tubs of October 1, 2003
  64. Diabetes Update Number 64: Home A1C Testing of November 1, 2003
  65. Diabetes Update Number 65: Detemir of December 1, 2003
  66. Diabetes Update Number 66: Erectile Dysfunction of January 1, 2004
  67. Diabetes Update Number 67: Acidic Foods of February 1, 2004
  68. Diabetes Update Number 68: Net Carbs of March 1, 2004
  69. Diabetes Update Number 69: Glycemic Index of April 1, 2004
  70. Diabetes Update Number 70: Dreamfields Pasta of May 1, 2004
  71. Diabetes Update Number 71: Cholesterol of June 1, 2004
  72. Diabetes Update Number 72: Meter News of July 1, 2004
  73. Diabetes Update Number 73: Pill Splitting of August 1, 2004
  74. Diabetes Update Number 74: GlucoMON of September 1, 2004
  75. Diabetes Update Number 75: Coding of October 1, 2004
  76. Diabetes Update Number 76: Sleep Apnea of November 1, 2004
  77. Diabetes Update Number 77: Keynote Address of December 1, 2004
  78. Diabetes Update Number 78: Mangosteen of January 1, 2005
  79. Diabetes Update Number 79: Noninvasive Dream of February 1, 2005
  80. Diabetes Update Number 80: Pelikan Sun of March 1, 2005
  81. Diabetes Update Number 81: Medtronic Monitors of April 1, 2005
  82. Diabetes Update Number 82: ExtendBars of May 1, 2005
  83. Diabetes Update Number 83: GlycoMark of June 1, 2005
  84. Diabetes Update Number 84: My British Book of July 1, 2005
  85. Diabetes Update Number 85: Disintegrating of August 1, 2005
  86. Diabetes Update Number 86: Meter Research of September 1, 2005
  87. Diabetes Update Number 87: Evaluating Meters of October 1, 2005
  88. Diabetes Update Number 88: When to Test of November 1, 2005
  89. Diabetes Update Number 89: Blogging of December 1, 2005
  90. Diabetes Update Number 90: RSS Feed of January 1, 2006
  91. Diabetes Update Number 91: An Uncommon Doctor of February 1, 2006
  92. Diabetes Update Number 92: More Blog Entries of March 1, 2006
  93. Diabetes Update Number 93: Talking Meters of April 1, 2006
  94. Diabetes Update Number 94: Navigating of May 1, 2006
  95. Diabetes Update Number 95: Measuring Sweat of June 1, 2006
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