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For many children living with type 1 diabetes, school nurses play a pivotal role in diabetes management. Many children are not able to manage their glucose levels without assistance, especially those who are newly diagnosed or not developmentally able to do so. Additionally, it would be difficult for most caregivers to manage their children’s diabetes while they are at school. Whether it’s helping with a low glucose or lunchtime dosing, school nurses are there to help. What school nurses can do: School nurses or other trained staff should be able to do the following based on federal law: Monitor glucose […]

Now that many people with diabetes are using time in range (TIR) versus HbA1C as a benchmark for risk of complications, diabetes researchers and clinicians are starting to ask whether pushing further to “Time in Tight Range” (TITR) will be the next indicator used for diabetes care. As discussions continue, there are debates on the use and impact of such a metric. Defining Time in Tight Range (TITR) The metrics for time in range currently are 70-180 mg/dL (3.9-10 mmol/L), and time in tight range would be 70-140 mg/dL (3.9-7.8 mmol/L). Researchers who argue that utilizing TITR is beneficial tout […]

Another month, another international conference for the CWD Team this spring. After spending a week in Amsterdam for ATTD, the team visited Bangkok, Thailand, for the International Diabetes Federation conference. This conference happens every three years and tends to cover broader topics in diabetes than ATTD. On the first day of the conference, Dr. Chantal Mathieu presented about using CGMs to screen for diabetes. Based on the latest research, Dr. Mathieu suggests that the nomenclature regarding diabetes is shifting to help include those with only one positive antibody, which is still a gray area. She presented data that showed using […]

The CWD Team had the opportunity to attend the Advanced in Technologies and Treatments in Diabetes (ATTD) conference again this year, and it did not disappoint. Here are some of the important updates for the T1D community, many of which were presented in the ATTD Yearbook session. Automated Insulin Delivery (AID) System Improvements AID systems were front and center for discussion at ATTD. There were a few areas of focus this year: Infusion set research and development – detection of infusion set failure, detecting ketones, and reducing inflammation at the infusion set are all on the horizon. Algorithm improvements – […]

Hormonal changes are common throughout the lifespan. Puberty is typically humans’ first major hormonal shift in early adolescence. This shift causes all kinds of changes, which impact diabetes management quite significantly. Another very common hormonal shift is menopause, which occurs in people with a uterus. And, of course, menopause is affected by and affects diabetes management. Menopause basics There is a phase right before menopause called perimenopause, which can last up to a decade for some women. During this phase, hormones start to shift, and menstruation becomes irregular. Once menstruation has been absent for one year, you’ve transitioned to menopause. […]

Traveling with diabetes requires some preparation but shouldn’t stop anyone from enjoying what they want to experience. Whether you’re a road tripper or a jet setter, these travel hacks may help make travel a little easier. Time Zones When traveling across time zones, it’s not always as simple as updating the time on your insulin pump and hoping for the best. Depending on how many time zones you are crossing, it can be beneficial to adjust the time incrementally. For example, if you are traveling somewhere 6 hours ahead of your home time zone, you could change the pump to […]

Everyone has an opinion about diabetes. They also love to share their opinions with people who live with diabetes. Between the questions we get from family, friends, random people, and our healthcare team, it can be exhausting feeling the weight of stigma. So, if you love someone with diabetes, or care for people living with diabetes, here are a few tips for talking to people about diabetes. Even people without diabetes do not have blood sugars in range 100% of the time, so how can we expect people WITH diabetes to have glucose levels in range all the time? As […]