“Kickin’ D’s Butt”

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© “Kickin’ D’s Butt”

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Welcome 2014 Advanced Diabetes Retreat Texas Lions Camp Kerrville, Texas Like “The Power Within by Stephen Ponder MD, FAAP CDE” www.stephenpondermd.com

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Managing “d” well requires… Comprehending a system with basic principles/concepts Adjusting to changing or shifting conditions/situations Frequent assessments and re-assessments Driving a car Flying an airplane Walking a tightrope Surfing

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Appreciate the flux of sugar levels in non-d persons

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Remember: Sugar Surfing is all about managing… FLUX drift

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Diabetes is best approached 1 day at a time

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“Life is not a matter of holding good cards, but of playing a poor hand well.” R.L. Stevenson (1850-1894)

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Unleashing the “Power Within” Like “The Power Within by Stephen Ponder MD, FAAP CDE”

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These are classic illustrations by a famous graphic artist from the early 20th century. These specific images were taken from a handbook for new patients with diabetes. Some things NEVER change and never will. Here are 3 priceless pieces of diabetes wisdom…

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Diabetes Police?

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To unleash your Power Within… Work to let go of… Judging Feeling defective/broken Shame Fearing the future Isolation Pity Insecurity/denial Embrace/cultivate… Acceptance Normalcy Openness Enjoying the moment Teamwork Empowering/supporting Self-confidence

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Diabetes care is about choices

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Diabetes care must be individualized

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“Chance favors the prepared mind” Louis Pasteur

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Patience Consistency Resilience 3 virtues of the well managed

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“I haven't failed. I've just found 10,000 ways that won't work.” Thomas Edison

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Knowledge alone does not imply understanding

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“You can delegate authority but you can’t delegate responsibility”

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Do 2 RN’s = 1 kid? = Ok? Ok to me!

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Concrete thinkers* can’t… Consider a hypothesis Consider multiple possibilities in a scenario Systematically solve a problem Use combinatorial logic *Lasts until 15-17 years of age *25% of adults are concrete thinkers.

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You CAN influence how long it lasts diabetes treatment preserves INTERNALLY made insulin

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Diabetes, July 30, 2012 - DOI: 10.2337/db11-1625; data interpretation DX'd 1950-1964 DX'd 1965-1980

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Is the future already here? DX'd 1950-1964 DX'd 1965-1980 DX'd 1980--??

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Five things to remember about T1D Diabetes care isn’t a contest. It’s overrun with numbers. Don’t judge. Let the remaining guilt (if any) go! NO one is perfect. Diabetes care is not an action, it is a SKILL SET. Therefore, it can be practiced and improved upon. Control is the end result of your decisions and choices. This applies to minute to minute control as well as long term control. NO health care provider manages anyone’s diabetes. They never can and they never will. It’s a self managed condition.

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Five practical advanced diabetes care tips Better synchronize your insulin and your meals Check blood sugars 2-3 hours after meals Correct any out of range sugar you discover (“treat to target”) Work to get morning blood sugars into target range (F-F-F) Review/analyze your blood sugars at least weekly

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Diabetes Family Teamwork and Teens: What is Success? 11:30-12:00 Anderson

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Road to the Artificial Pancreas 11:30-12:00 McMahon

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Common diabetes emergencies 1:00-1:45PM Schreiner

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Sugar Surfing with a CGM 1:45-2:30PM Ponder

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Advanced Pump Features 2:45-3:30PM Anderson

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Q&A Open Forum 3:30-4:30PM Ponder You McMahon Schreiner Anderson Anderson

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In diabetes, you want to play with your food 9:30-10:15AM 23% 221 Anderson

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© “Kickin’ D’s Butt”