Published Apr 28, 2020

#329 Denying Diabetes

Julie opens up about her daughter Abby's unexpected type 1 diabetes diagnosis and the family's emotional journey from denial to acceptance, emphasizing advocacy, personalized diabetes management, and the crucial role of family support in overcoming school and social challenges.
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Episode Highlights

  • Insulin Strategies

    Julie shares her journey in managing her daughter's type 1 diabetes, highlighting the importance of personalized insulin strategies. She emphasizes the effectiveness of low-carb diets and the use of insulin pumps, which have helped maintain her daughter's blood sugar levels within a healthy range. Julie's approach involves being aggressive with insulin, a stance that initially concerned her husband but proved successful in managing their daughter's condition 1.

    The right amount of insulin at the right time is crucial. When there's a need, you need to meet it with insulin.

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    Julie also discusses the challenges of dining out and the adjustments needed for high-fat meals, which require extended insulin boluses 2.

       

    Tech Impact

    The impact of diabetes technology, such as continuous glucose monitors (CGMs) and insulin pumps, is transformative for Julie's family. The Dexcom G6, which eliminates the need for finger sticks, allows for real-time glucose monitoring and informed insulin dosing decisions 3. Julie's daughter initially used a t

    pump but switched to the Omnipod due to its tubeless design, which offers greater freedom and less anxiety 4.

    The Dexcom G6 provides the data needed to make insulin decisions based on actual blood sugar trends, not guesses.

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    This technology has significantly improved their ability to manage diabetes effectively and adapt to lifestyle changes.

       

    Family Dynamics

    Diabetes management in Julie's household involves a collaborative effort between her and her husband, despite his initial fear of insulin. While Julie takes the lead on insulin dosing, her husband is actively involved in other aspects, such as changing the pump and Dexcom 5. Their teamwork is crucial, especially when making quick decisions about insulin dosing for meals outside the home.

    You need to be able to say, look, I have a specific situation. Let's all put our heads together for a half a second.

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    Julie notes that having a CGM has made these decisions more manageable, reducing the need for constant communication and allowing her husband to gain confidence in managing their daughter's diabetes 6.

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