Darryl

Jonah that is very interesting, thank you. I will try it again. Really had enough of looking at the CGM in the morning and seeing overnight #'s between 100 and 120 with no alarm.

Hey Darryl, I was thinking about how calibrating 20 mg/dl lower wasn't working and it occurred to me- you'd need to calibrate a percentage lower and calculate it that way in order to have it be consistent, not an absolute number lower. The G4 does its calibrations with a best fit ratio based on the latest three calibrations (which are matched to SG from fifteen minutes before the calibration- I think), according to their published data.

Thanks for the encouragement with the CGMS. It is a learning curve, and I wish it were more accurate, but I hope I can get the hang of it soon! Thanks again for answering my questions. :-)

Thanks for the help Darryl. I appreciate it.

Thanks Darryl, so how often do you change out the sensor, seven days? Do you just "trick" the pump into accepting it by making it think it's a "new sensor?"

I'm not entirely clear on what macrovascular complications include, but I think the answer is no.

P.S. Blood pressure is often cited as a risk factor but I think it may actually simply be a symptom of complications (ie atherosclerosis) rather than a cause- but maybe not. It may be that lowering blood pressure is why ACE inhibitors help prevent development of diabetic nephropathy.

Darryl, in response to your question about knowing what, other than good control, affects longevity in diabetics, I thought I'd point out that there are a half dozen genes known to affect risk of microvascular disease in diabetes (look on OMIM) as well as HLA combinations known to strongly affect risk of developing nephropathy (one of higher risk gene combinations for type 1 diabetes is also strongly protective against diabetic nephropathy- which means that about 20% of all type 1s almost can't develop kidney disease, and another 20% are partially protected). Smoking is the biggest modifiable risk factor that still stands out as a big risk factor after control for A1cs, in terms of developing circulatory problems- it triples risk of amputation.

Hi Darryl!! Just wondering what a good range of ratio for the BG to ISIG should be. What is defined as a bad ISIG? Is there a formula?

Thanks!

Things really are going very well. I was disappointed our A1C didn't move, and some of the evenness comes and goes, but the curve of her bg is a million times different than how it used to be. There are good and bad days, but there are reasons for them we can figure out. Everything makes more sense. I truly think that narrowing the range and addressing leaving it faster has made a huge difference, and I think we just had a harsh transition time, because after a few weeks we don't get those wild jumps down anymore. It really shows in how she feels, I think we've even seen some developmental leaps. Thanks again, and hope all's going great with you guys.

Just a quick note since I dragged you into a couple threads, we're doing really well with the new range and habits, once I gave it a good chance it has really panned out well. Thanks.

Thanks Jonah - it's not one of those things we like to read about, but something we all must know.

Darryl, I located a study I couldn't find when we were talking about hypoglycemia a while back. It is a case study in which somebody died of a hypo while hooked up to a CGMS and it includes the CGMS graph. http://www.ncbi.nlm.nih.gov/pubmed/19833577

Hi dad!!!:D

Hi dad.:)

Luv U!!!

Thank you for sharing your experiences. I learn a lot, even if we use different systems. Have a great weekend.

Just wanted to say I appreciate your posts, and usually skip over any drama. The more experiences people share the better.

Hi Darryl,
Hope you are all doing well!! Hope to see you in Milford this summer!!!

Hi Darryl, it's been awhile. How is Leah doing?

Darryl - I received the book today! Thank you so much. I can't believe that I haven't read that book yet, and have been managing (or trying to) Tylers diabetes for 3 1/2 years now.
Thank you again!
Jen