The Jagged Edge

A Change

2010-07-26T11:53:00.002-04:00

Okay, I've made a jump to a new site located here:
The Jagged Edge

Please let me know what you think of it.
Take care!

Mark

Pasta!

2010-07-19T10:28:00.006-04:00

Growing up with diabetes is challenging. I was constantly reminded how deadly going too high or too low (in terms of blood sugar) can be, especially at bedtime. Over the years, I've focused on tips and tricks to manage my bg numbers when eating pasta or pizza. Frankly, I love both. Pizza will always be a staple in my diet. That said, being on MDI (multiple daily injections) has cramped my pasta eating abilities.

While on the pump, I could set a small temporary basal before bed to account for the carbs in pasta. Guess what? On MDI you can't do that. I had a wonderful baked ziti dish for dinner last night. Complimented with fresh baked garlic-buttered bread. My bg before bed (11 pm) was a respectable 118. This morning, much to my dismay, I jumped to a disgusting 257.

Thankfully I had my bottle of Novolog ready for the correction, and now I'm sitting at a 130 (even after breakfast). As soon as the hot, sticky summer heat is past, I promise to go back on the pump. Believe me, I can't wait.
Enjoy the summer!

Mark

Predictability

2010-07-15T10:48:00.007-04:00

Yes, predictability - intransitive verb - to make a prediction. For our purposes today, to ably predict how much insulin we need for food.

My inner child spoke. "Okay, yesterday for breakfast you had a 1/2 bagel with two slices of cheese and a diet coke. Your post meal bg was 150 which fell to a 68 before lunch. Today, you had the identical same breakfast and your post meal bg is a 248. You took the same insulin. You had nearly identical morning bg numbers (129). What gives?"

(My life...sometimes)

I've heard that diabetes loves routine; it loves predictable moments. However, I don't believe it. Better yet, I am doing the same thing today as I was doing yesterday. So, my inner child asks a very good question. What gives?

Our life equations go something like this:
A(x) x B(x) x...= God only knows

Bg numbers, food, possibly exercise, stress, hormones, other illnesses, can all play dirty. There is no predictability about them. I ate the same food, took the same amount of insulin, and halfway expected around the same post meal bg. But no, that didn't happen. It's this unpredictable disease that takes a toll on us.

Nothing like a little insanity to begin my day. :-)

Medtronic STAR 3 Trial

2010-07-14T09:10:00.002-04:00

I saw the original headline from Diabetes Health, so I can't take credit for finding this. However, I've become more and more fascinated with studies using a continuous glucose monitoring system (CGM).

Alas, Medtronic has conducted and published their study here:
STAR 3 (website)
STAR 3 (pdf)

I have argued this point before, so I'll do it again. I believe the CGM is probably the most significant and vital product of our time. And arguably, more important than the insulin pump.

Why?

At the end of the day, our blood sugar levels determine the functionality of our lives. Damage to our bodies can occur if we are not in control. I'll be the first to admit that I didn't take care of myself for many years and it led to minor complications. I'm better now, but only because I try to keep my sugar levels in control. I have my good days and my not so good days. I test myself approximately 8 times a day. Do I plan on using a CGM in my near future? Sure do!

And in other news...
This diabetic is taking a break from pumping this summer. I've tried everything just short of duct tape to keep my infusion set on in this heat, and I can't make it stick. I usually apply Mastisol, and generally it works great, but for some reason my sweat is dissolving it. Strange, but true. Going back on shots hasn't been too bad though. It has made me think twice about whether to eat a snack. Hello weight loss and more time in the pool! When given lemons, make lemonade...sugar-free preferably.

Keep strong!

Mark

When Diabetes Just Works Out

2010-06-16T10:26:00.005-04:00

Imagine a possible worse case scenario:
You are a type 1 diabetic, who wears an insulin pump, and who is on a mission trip deep in the mountains of Tennessee. Halfway there, your spidey senses tingle that you forgot something; something important. Instead of worrying about it, you continue onward believing all will be well.

Next, you realize that you need to change out your pump (or pod since I wear the OmniPod) beginning on the second day of the trip. You gather all your supplies and go through the motions, when you realize what you forgot - a new bottle of insulin.

Okay, rule number one: don't panic. I had 110 units left in my old bottle, but I usually fill a pod with 150 units for three days. Thankfully, I had a number of things going for me which made this worse case scenario not so bad.

Thankfully this mission trip involved A LOT of outdoor, physical activity. Next, I tend to eat much less when I'm hot and sweaty. So with pump in hand, I maintained a temporary basal for much of the time on the trip and ate very little carbs. Lo and behold, when we got home late Sunday evening, I was down to 40 units and averaging a 130 bg. Not too shabby. (Just a FYI, I managed to burn 10,000+ calories on each working day.)

And what would I have done if the situation were much worse? Easy. The nearest pharmacy was 10 miles away, so there was no reason to panic. However, even for me it was a reminder that we can never be overly prepared for a trip; for nothing beats a good backup.

Stay adventurous!

Mark

Diabetes and the Desk Job

2010-06-08T10:17:00.003-04:00

Okay I don't know about you, but my 'd' and me have a rough time with having a desk job. Of course I've held a desk job for over 14 years, so this is nothing new. Personally, I am struggling with the lack of activity. Or maybe it's just me in my 'old' age...

My blood sugars do okay, but not as good as if I were physically active. I do try to get up, stretch, and walk around, but we all know how well that works.

Any ideas? I also wonder about those of you who have diabetes and a physical job. How well does a physical job work for you? What troubles do you encounter and how do you handle them?

Friday!

2010-06-04T09:29:00.003-04:00

It's Friday! One word that is particularly coming to mind today: FREEDOM! Ah yes...

So far, we here in Atlanta, Georgia are having a somewhat mild and wet summer. Not that I'm complaining, but after winter I was looking forward to sunny and 90 degree temps. The summer actually began sunny and I started to work on a great tan. But alas, my tan decided to leave me and I've returned to my pasty self. Ugh!

My diabetes also loves summer time. I love being outdoors; hiking, biking, fishing, walking, throwing the frisbee, etc. My blood sugars enjoy the 48 hours of stability.

So, for all you 'd's out there, get active this summer and enjoy the 'fruits' that come with it. (Couldn't help the puns there.)

Have fun!

Mark

A Little Jealousy

2010-06-01T13:42:00.002-04:00

Sometimes I get a little sour of fellow diseases and/or chronic illnesses. For example, while watching the TV last week I saw a public service announcement (PSA) for autism. In the PSA, it mentioned that autism was diagnosed more in children than diabetes.

I'm sure the autism folks weren't specifically picking on diabetes as I believe other chronic illnesses were mentioned. However, I still get a little angry when such a comparison is made.

Of course I also feel a slight (note: very slight) contempt at those who celebrate their defeat of cancer. I love those who do indeed fight off cancer. My wife and I have a very dear friend who went through a year of tests, chemo, more tests and more chemo to successfully beat cancer. Believe me, I am very grateful that she won her battle. And while I understand that many die from cancer, it doesn't lessen those of us who fight diabetes every day and cannot break free from it. (By the way, diabetes is the sixth leading cause of death in the United States; fifth if you just look at diseases.)

Now, not to get anyone in a sour mood but, it puts diabetes in perspective compared to other diseases. And, of course, explains why I sometimes get a little miffed when unjust comparisons are made. Okay, I'll get off my horse now. :)

Fight on!

Mark

Today's Thoughts

2010-05-25T19:26:00.003-04:00

Okay, so I'm seeing a number of d-posts lately talking about a rather "sensitive" subject: carbohydrates or 'carbs' for short.

This particular food group is either your really good friend or your worst enemy. I try to see carbs in a positive light. Our bodies need them for energy, but if your body resembles - say - a russet potato, then there's a problem. Worse yet, I am one of those idiots that can't say no to a good carb in either solid or liquid form. :)

The trouble is, the older I get with my diabetes (my diabetes is over 33 years old, while I am now over 41...AARP card anyone?), the less my body properly digests carbs. Is it a sign of gastroparesis? I don't know and I will get tested. But until then, the less carbs for me, the better.

And in other news...
Had a bummer OmniPod pod removal the other day. I replaced my expired pod with a new one. When I removed the old one, a nice trickle of blood came screaming down my abdomen. Nice. In a matter of seconds, I had a blood stain on my shorts the size of a plum. This was not at all pleasing to my wife or kids. "Dad, it's like you've been shot!" exclaimed my oldest son. Nothing says "diabetes" like a good blood stain.

Finally, yes I am not writing as frequently as I would like to. Even though school is out for our boys and life is starting to calm down, I am still busy. I do keep up with many of the d-blogs out there. So, even though I'm not posting as much, I'm still in the game.

Laugh, live, and love...

Mark

Ugh! Diabetes Moments

2010-05-04T13:20:00.004-04:00

So far, 2010 has been filled with Ugh! moments.
For instance:

1. My OmniPod shutoff without warning only to find out later that it was due to low batteries.
2. I tried unsuccessfully to go back on shots for a day, but after 6 injections to correct highs (!?!), I decided the pump is much, much better.
3. Cortisone steroid shots and diabetes DO NOT play well together. I fought high blood sugars for 4 days - taking over 80 units of insulin per day (when I normally take 35 on average) - and thanking God no one managed to piss me off. My endocrinologist was very sympathetic and steered me in the right direction.
4. Why is it every time I try to eat less, I end up eating more... Less gut, less butt. It's very simple.
5. Number 3 was to repair the trigger ligament in my left thumb. Cortisone shots FAILED. Now having surgery next week. Thankfully, the surgery is very minor.
6. And speaking of OmniPod, Insulet has been promising some combination of pod/CGM for over a year now (may be 2?) without even the slightest hint of what it will look like or functionality. Hey Insulet! Throw us a bone, would ya?
7. Last, but not least... The more I aim for perfection, the less likely I will ever get there.

Love and be loved,

Mark

The Hardest Day of My Life

2010-04-09T14:30:00.009-04:00

It's been over 4 hours now since I gave our oldest dog, Chloe, to God. We had her for 15 wonderful years. She was more than just a dog to me; she was my daughter.

To make a long story short, I physically rescued her when she was just 13 weeks old. An irresponsible person left her in a car in over 100 degree heat. I freed her and fought for her in court and from there on my wife and I became her parents.

Chloe loved our two children from the day they were born. She became a herder to them. On many times she prevented them from getting hurt. The boys would often cuddle on her soft fur and she would be patient with them. She loved to lick their faces to make them giggle.

Chloe loved the outdoors. I fondly remember watching the cool spring air run through her long hair. As for a samoyed, she was cunning and very fast. She would often bring me adult blue jays or an occasional chipmunk.

She also made the best guard dog anyone could ever ask for. Her 'wolf-like' features were formidable for visitors at the door. I once told a delivery guy that if she didn't approve of you, she would let me know.

I will miss my smiling girl, but I know without a doubt, that she is in a much better place.

Chloe, enjoy the wind of Heaven and the new love you have found...

Too Late?

2010-03-01T21:52:00.003-05:00

I suppose it's too late to wish everyone a Happy New Year... Ugh.

What have I been up to? Well, considering that I've fought off two infections in the last month, caring for sick family members, caring for a family (who are very, very, very good friends) who are going through hell on earth, and trying to keep my diabetes on track is just the start of my life. I sometimes feel that God has made me a member of his personal "Army Rangers", and I'm on-call 24x7. Yes, life has been that challenging.

I am blessed though that I am alive and, as I gaze out our kitchen window to 2 inches of snow, know that I am loved.

To me, that's what life is all about; to love and be loved.

Health Update

2009-12-03T09:52:00.004-05:00

Thank you all for your kind words and encouragement during this trying time. Here is the latest...

I have forced myself to cut wayyyyy down on caffeine. For as long as I can remember, caffeine has been a very close friend of mine, e.g. everywhere I went, I made sure there was a caffeinated soda or coffee in my hand. Now, Sprite Zero, decaffeinated coffee, and water are the norm. (I'm actually drinking decaf coffee right now. Oh the humanity!) It's been tough, but when your health is on the line, you learn to adjust.

In addition to caffeine, I'm eating less milk chocolate. I know, I know... "diabetics shouldn't eat chocolate any way...", well that thinking is sooo 1950's. Now let's move along.

I am drinking more water than ever! Sometimes I think there's got to be something better, but it's really good for me and my IBS. In addition, I'm eating smaller meals and try (emphasize, 'try') to stay away from high fat, greasy meals. Occasionally, the bloating and other yucky stuff that comes with IBS happens. BUT, I just deal with it.

The worse part of this whole ordeal is the not knowing. I'm still discovering what foods are good and what are bad. For instance, I used to love eating snack crackers. After having some, they cause me severe intestinal cramps. This is just an example. Again, I may not understand all that is happening, but I need to deal with it.

I welcome any advice from those of you who suffer from IBS and diabetes.

A Medical Hurricane

2009-11-23T09:30:00.004-05:00

I haven't posted in a while, because I simply needed a break. However, I have a confession to make: I have Irritable Bowel Syndrome or IBS. It's painful and uncomfortable and the list goes on. I've been fighting it for a awhile, but really didn't want to tell anyone. My IBS is brought on by stress. A combination of work and family stress, along with an irregular diet and lack of regular exercise, caused the equivalent of an internal hurricane.

And this hurricane put me down for several days last week.

Sadly, I couldn't stop this hurricane; I could only alleviate it. I ate little and drank lots of fluids. Even as I write, the last of the hurricane is rumbling through. In addition, you probably are wondering about my diabetes. How did I manage through this storm?

I was constantly testing my blood sugar and adjusting as necessary. Yes, I had many highs and many lows which just added to the storm. Yet, it could have been much worse. Personally, I'm angry with myself that I didn't deal with these issues sooner. I know better, but failed to take action. I hoped that this storm would just dissipate. Clearly, I was wrong.

I know there will be a next time. I know life is going to keep throwing me curve balls. I'm aware of the signs... BUT, I can't promise that I'll handle it any better. All I can do is try to keep my stress down and learn to let some things go.

A Time of Change

2009-10-20T12:29:00.006-04:00

I love the fall season. I love the temperature change to the 60's. I love the sight of brilliant colors. Fall reminds me of change.

In the last 2-3 weeks, I have changed job positions, my diet, and different life routines. For example, my job has become very, very active again. I've gone from a sedentary job - lots of sitting with little to do - to actively solving issues. My blood sugar levels have been very happy with me.

Our family is slowly making a change to an 'organic' diet. We are trying not to purchase foods that have been grown or processed with steroids or chemicals. We made this decision based on how we feel after eating healthier choices. Life is too short and therefore, we must do what is right for us and our children. It's been tough, but so far, so good. (And, no, I'm not giving up a good beer!)

And what does a different life routine mean? Well, I've made the conscious decision to spend less time on the computer (and iPhone), including Twitter and Facebook, and spending more time being active. As a family, we are exercising and spending more time outside.

I am at a point in my life where the more simple I keep things, the better. I'm tired of stressing over, "the little things". I'm not perfect and refuse to live perfectly. But, I do want to enjoy life to the fullest and these changes are helping me do just that.

Enjoy your fall! :)

Where is Mark?

2009-10-13T20:51:00.004-04:00

Just a quick note, I am in midst of changing jobs and life has been very, very busy. That's good for a person like me who loves being thrown in the fire. I'm not afraid of getting my hands dirty. (I'm not afraid of a bar fight either, but I don't do that anymore.) Alas, this comes with a down side; no diabetes OC, no Twitter, etc...

To all my d-friends, I miss you all very much and hope all is well.

Two things... First, my sister (who is also a type 1) and I are looking at getting a continuous glucose monitoring system. I'm too darn old and tired for bg roller coasters.

Second, beginning Sunday, November 1st, I will be training for the 2010 JDRF Ride to Cure Diabetes. My goal is 30 miles, since this will be my first time.

Be Healthy - Have Fun - Enjoy Life

Mark

This Isn't Funny

2009-10-01T13:05:00.006-04:00

One of my favorite muscians are the Dave Matthews Band. I've listened to them since the early 90's and have followed them off and on throughout the years.

If you have time, watch this video and think about how it relates to our lives:

http://www.youtube.com/watch?v=ew8hmVIGKcM

Just for today, this moment in time...

Battling A Cold

2009-09-29T07:41:00.004-04:00

Update:
Just got back from my PCP. No influenza 'A'. Just a virus with a bad cough. Whew! But boy, that nose swabbing is quite the experience. And yet I didn't flinch, cough, or complain... :)

______________________________________________________________

I hate colds.

I hate them, because they throw a temporary cramp in my lifestyle; a kink in my hose. Not that I have a typical runny nose, cough, temperature cold. No, I have a deep cough that just won't go away. Worse, it keeps me up all night. Just when my mind wants to sleep, my body coughs a deep bellow that awakens everyone. Last night, I slept may be 3 hours. Of course I still managed to go in to work. My body feels fine aside from the cough. No achiness. Go figure.

And what about medicine for the 'ol diabetic? Good question. I've been taking Vick's 44 Cough and Cold syrup before bed and Robitussin expectorant during the day. All to no avail (although it worked wonders for my oldest son's and wife's colds). So now, off to my primary care physician to get rid of it once and for all.

Lastly, I can't tell you how many times I've been asked about getting the flu shot. Yes, I will be gettin' it on October 1st (it's through work & you can't beat free).

So...sorry for the bland post. Things will be better in the days to come.
Have hope and keep smiling!

A New Diagnosis

2009-09-23T14:50:00.011-04:00

What if someone you loved very much was diagnosed with diabetes? Maybe not even a loved one, but a friend, an acquaintance, or a stranger? What would
you say?

What if that person was a child?

…a teenager?

…or an adult?

What would you say to the parents of a child, who have just spent several days in a hospital wondering--every waking moment--what the future holds for their child?

And what of a teenager who feels that their life is just starting and now they have to deal with this disease?

Or how about an adult who has tasted a “normal” life and doesn’t understand why?

What would you say?

Could you honestly look in to the eyes of a sleep-deprived parent and tell them, with a straight face, that everything was going to be okay?

When I was diagnosed as a child, with type 1 diabetes, negativity was the norm. There wasn’t much hope for living beyond 21. I was told to prepare for a slow death. Was I encouraged to do well? Sure, but I wouldn’t last with this disease as an adult. Thanks for playing.

My diagnosis was over 32 years ago. I am now 40. I’ve had my share of battles with diabetes, but (and note my words here), I still have the will to win. I still have the will to live a long, awesome life.

When I meet a newly diagnosed patient – especially a child – I ask them one question: What do you want to be when you grow up? Many sheepishly reply, “a doctor, nurse, police officer”, or the occasional “engineer”.

“Guess what?” I tell them with excitement. “You can! And don’t let diabetes stop you from being who you want to be.” Smiles follow and parents are relieved knowing that their precious child can live a long, productive life.

This writing is a gentle reminder that we, too, can be and can do anything we want when we properly manage our diabetes. The only boundaries we have are the ones we place on ourselves.

Properly manage your diabetes and…

...let your dreams take you wherever you want to go.

Diabetes History Quiz

2009-09-17T08:01:00.014-04:00

I am not a physician, nor a medical professional, so please consult them if you have questions regarding your health.

Have fun!

1. Name the tool nurses and doctors used to show newly diagnosed patients how to give themselves a shot and, in some places, is still used today.

2. What is the name of the product used to test sugar AND ketones in your urine?

3. Name the lancet device that closely resembles a guillotine.

(still give me shivers...)

4. Can you name at least two brands of disposable insulin syringes that were available in the 70's?

5. Doctors and nurses taught a key phrase when mixing either Regular with NPH, Regular with Lente, or Regular with Ultra Lente. What was it?

6. Who were the two gentlemen who discovered insulin? (arguably the easiest question here)

7. According to Dr. Francine Kaufman, which country in the world far exceeds the United States in diabetes care for type 2s? Hint: Go to dLife.com and watch this episode.

8. Is it better to wash your hands, with soap and water, before taking a blood test or use an alcohol swab?

9. Can you name the physician who fought for many years advocating tight blood glucose control to prevent diabetes-related complications?

Last, but not least...
10. Name any blood glucose monitor that takes 5 seconds or less for a result to appear.

Answers
1. That tool was, and is, an orange
2. Keto Diastix
3. The Autolet lancet device
4. BD & Monoject
5. "clear before cloudy"
6. Frederick Banting and Charles Best
7. According to the episode, Finland outscores the United States in type 2 diabetes care
8. Either way is preferred, BUT your fingers should be completely dry before testing
9. Dr. Richard Bernstein
10. You name it!

Weekend Wrap Up

2009-09-14T10:01:00.007-04:00

As many of my fellow diabetic or 'd' Tweeps already know, I've been taking care of my sick children and wife. Thankfully, this illness seems to be a bad cold and not the flu. I am very thankful and relieved.

Yet through the colds, we were able to sit in the family room and watch football; college and pro. Here's my college summary report including BG levels:

1. Fresno State vs Wisconsin - Wisconsin wins in double overtime. Being a "born and bred" Badger, I was a nervous wreck. My BGs did great until the end of the game and subsequent OTs. The game, and my BG levels, were on a roller coaster.

2. Notre Dame vs Michigan - As much as I like Michigan, I love Notre Dame more. Arguably, it was a fight to the very end (11 seconds left in the game!). My BG went from 114, with 5 minutes left in the game, to a 236 at the end (with no food in my system). I was a wreck. I quickly made a correction, then moved on to game 3.

3. South Carolina vs Georgia - Okay, I knew this was going to be close, but the total points blew me away. My BGs didn't sway too much, since we Georgia fans come to expect a close game. South Carolina should've won this game, hands down, but our Dawgs prevailed. In my opinion, nothing to be proud of...

4. Last, but not least, catching glimpses of the Mississippi State vs Auburn & USC vs Ohio State games. The Tigers man-handled the MS Bulldogs, while USC pulled out a win (30 seconds left?) over the Buckeyes. I felt bad for Ohio State, but USC is always fast and impressive.

Overall, my BG numbers were really good on Saturday (42,114, 236, 51, 96, 60, 57), with a Sunday morning wakeup of 89. I had pasta, for dinner on Saturday, so I knew my BGs would swing. The 236 came from the Notre Dame game (boo!). Many of my 'lows' came from excitement and not over-corrections. Go figure!

(Oh, and for you 'Huskers and 'Bama fans, I was catching highlights from these games as well.)

Ah life... It's great!

Uncle Vinnie

2009-09-02T08:13:00.005-04:00

I have an alter ego, if you will, and his name is Uncle Vinnie. To get an image, think of the great Paul Sorvino in a dark suit, doing the Zaxby's commercials (or in Good Fellas, whichever comes to mind). Uncle Vinnie appears whenever some uneducated person makes a wisecrack or pushes their way in to my diabetes life.

For example, if I'm at a restaurant with my family and I want a glass of wine. The waiter/waitress notices me take my blood sugar. They realize that, yes, I'm a diabetic. But then they attempt to assert their "knowledge" on me by questioning my drink choice:

Waitperson: "Um, since you are a diabetic, um, isn't it bad to be drinking alcohol? I mean my great aunt Bertha died from diabetes 20 years ago. She had every appendage lopped off before she died."

Me as Uncle Vinnie: "I'm really sorry about your great aunt. However, I try to take care of myself and make sure my blood sugar numbers are in good shape. Now, if you don't mind, please bring us our chardonnay." I would snap my fingers, but I try to have some decency. :)

Our drinks usually appear within 2 minutes of said conversation.

But, there are some times Uncle Vinnie has to get rough with some folks. Another example, insurance companies who "think" they know what's best for you, but don't:

Insurance person: "Mr. Mansheim, you are only approved for 150 test strips a month."

Me: "I understand, BUT I test between 8-10 times a day. The math is approximately 240 strips. Could you please..."

Insurance person: "Well, you will need to consult your doctor before..."

Me as Uncle Vinnie: "Excuse me, NO, please contact the doctor and get the job done. Understand?"

Pharmacy calls me 10 minutes later with my test strips all ready with a nice ribbon around the package. Side note: Blue Cross, Blue Shield of Georgia did the opposite. They did all the work, including a call to my pharmacy, and followed up with a phone call to me. Now THAT was service.

However, yesterday's blog post from Kerri Sparling at SixUntilMe, really had me reaching for my black suit. Please read the post and the forum at TuDiabetes to get a better understanding. Essentially, a fellow diabetic was asked to remove her pump while swimming for fear of contaminating the neighborhood pool. The guilty party? Her home owner's association forced her to do it.

Uncle Vinnie ain't happy.

Uncle Vinnie is supposed to be in Jacksonville sometime mid-October. This woman, "Shipaddict", lives only 3 hours away from Jacksonville. Guess what Shipaddict? If this issue isn't resolved by the time I come to Jacksonville, I will make a visit and deal with the matter "personally". No one threatens a diabetic and gets away with it. Nobody.

Aside from that, Uncle Vinnie rarely has to show "his self". I try to handle situations with respect and patience. Even though it is 2009, there are still many people who simply don't understand this disease.

Then again, there are days I don't either...

Friday Thoughts

2009-08-28T09:32:00.009-04:00

A week in review with thoughts mixed in like a bowl full of chili...

(Yes, that's UGA!)

1. Fall brings thoughts of cooler weather and college football. Can't wait!

2. My trip to San Francisco was wonderful. The cool weather brought on the thoughts of #1.

3. My OmniPod behaved well albeit a "communication" error at 35,000 feet, mid-flight, coming home. I had backups, so problem was resolved.

4. Just as I was having a "low" on flight home (47), flight stewardess says to me, "Peanuts, pretzels, or cookies?" Beautiful timing...the pretzels did the trick nicely.

5. I gained 2 lbs on aforementioned trip and feel "heavy". Haven't exercised in 5 days. That, my friends, stinks!

6. Can't wait to have dinner with "D" friends on September 15! Woohoo!

7. Contemplating eating low-carb, low-protein foods. Any thoughts?

8. Contemplating continuous glucose monitoring, e.g. Dexcom or Navigator. Any thoughts?

San Francisco was fantastic from a visitor's point of view. The weather never got above 65 and there always seemed to be a breeze. Sadly, I would never live there since the cost of living is so rediculously high and the houses are too close together. Otherwise, I really enjoyed my time there. Enjoy the photos taken not too far from my hotel...

Food!

2009-08-20T18:59:00.012-04:00

Food is my biggest enemy. It really is. Pizza is my FAVORITE food.

(from Mellow Mushroom, one of my favorites)

But...

My diabetes says, "no thanks." It alarms me when I set foot in Italian, Mexican, Italian-Greek, Greek, American, Chinese restaurants, buffets, and anything in between. Okay, so I exaggerate. Whether you are a type 1 or 2 diabetic, you understand the possible dilemmas that can occur. Namely, how do you count for carbs without seeming like an idiot?

For instance, there are many restaurants that don't (nor probably can't) tell you exactly how many carbs, in that plate full of angel hair pasta, are swimming in that ocean of rich bolognese sauce. Add warm, soft, sourdough bread and your favorite beverage and...

your diabetes is screaming louder than a young teenage girl at a Jonas Brothers concert.

(Nicholas as seen here on dLife)

Traveling can also add a kink in the proverbial hose. I recently visited an Italian-Greek restaurant, in Minneapolis, that had plate-fulls of pasta, yellow rice, couscous, etc. I had to rely on old school measurements, e.g. 1 cup of angel hair pasta is approximately 30 grams of carbs. (Did I even get that right?) All I know is that my insulin handled the approximations well. It doesn't happen all the time.

Sometimes I bottom out 30 minutes after dinner or a yucky 280. Oh the joys of food and guess work. Here are a few tips for all of us to follow:

1. When ordering at a restaurant, ask for a carb-count list.

2. If the 'mood' doesn't call for asking, half the portion size and take the rest home as leftovers.

3. Try to order in 'half' sizes. Many restaurants will cut the portion size in half and charge you a few dollars less. This is great for us travelers.

4. Split the meal with someone.

5. Try to keep the carb count low. Then again, this is coming from a guy who loves pizza. Go figure...

You may have other suggestions and tools that work for you. Please share away, so that we can help each other. Lastly, enjoy your food! Cheers!

Traveling With Diabetes

2009-08-17T10:34:00.009-04:00

"Mark, how is traveling with diabetes? How do you prepare?"

I get this question asked to me by many diabetics, both new patients and first time travelers. I write this post from a pesonal perspective. Currently, my job has me traveling every other month, so it's only fitting that I write this before leaving for Minneapolis, MN.

Here are some tips and tricks:

1. Carry a backup of a backup of a backup. This includes two BG meters, two vials of Novolog, two vials of BG strips, 2-3 pods, batteries, low BG food, and anything else you could need in case of an emergency. You may think this is overkill. You may think that nothing is going to happen to you. You probably never saw the movie, "Die Hard 2". It's okay. But DO NOT falsely believe that, "nothin' bad's gonna happen to me" garbage. Life happens. Get over it.

Okay, so this is from Die Hard. Don't get caught without your shoes on. :D

2. As a pain as this may sound, test your BG while on the plane and preferably right before takeoff. Why? Your adrenaline is about to take your BGs either high or low. For me, my BG generally shoots 30-50 points higher. (Thank you, liver!) As such, I take an extra unit to correct.

3. Before traveling, it is always a good practice to re-verify flights, car rentals, and hotel stays. As I found out a couple of weeks ago, my hotel reservation was inadvertently cancelled. Something about a "system error". Thankfully they still had my initial reservation and all turned out well.

4. TSA [Transportation Security Administration]. I carry on all of my diabetes supplies. That said, I have NEVER had a problem with a TSA agent/officer. Even with the OmniPod, they have taken very good and considerable care of me. I've had my new PDM through the x-ray and hand scanned (wand). The PDM worked afterward without a problem. As a side story, the Jacksonville TSA folks asked if they could run my new PDM through both scanners. I was honored as a number of TSA personnel observed. It was nothing short of being great. They were extremely nice as generally everywhere I've been.

The more prepared you are, the better you will be in case an issue arises.

Oh, and have fun! Your positive attitude reflects to everyone you meet.

Setbacks

2009-08-11T08:05:00.004-04:00

On Tuesday, August 4th, while on our camping trip, my endo called me with my blood results. "Mark, your A1c was a 6.8, up from a 6.4, but still in good range. I'm happy with all the results."

As much as I love my new endo, I was not a happy camper anymore.

6.8? Whaaaa? How? Why? Ack!

Suddenly, the eeeevil diabetic side of me chimed in. "Remember all the times you decided not correct when you were a 150? Yeah, those times 'cause you thought you were gonna do something that might cause your sugars to plummet? Do ya? What about the handful of potato chips I caught you with? What's your excuse this time?" I began to hang my head.

Then the more calming, angelic diabetic side chimed in, "Mark, snap back man! Okay get a grip and don't let this setback hurt you. You are better than this. Just think of all the great things that you are now doing like the OmniPod, the frequent exercise, volunteering with the JDRF, and losing 15 pounds. Your size 36 pants fit you again! You've had to purchase new undies! Yaaaaay you!"

I smiled. Okay so a 6.8 isn't all that bad, but it's a reminder for me to try my best every day. I'm gonna have bad days. Yet, it's how we handle these days that define us. (Wait! Haven't I said that before. Hmmm...) So today, laugh at your diabetes or tell the "evil" side to back off. You can do it. We, I mean, "I", believe in you.

Camping with the OmniPod

2009-08-05T08:43:00.016-04:00

Disclaimer: I am not a doctor, nor a member of any medical profession. This post references what works/worked for me and may not work for you. Please consult your physician before attempting any changes to your routine. Thank you. Now please stay tuned...

What comes to mind when you think of camping? Tents or cabins? Really roughing it (e.g. hunt/fish for your own food) or semi-(e.g. bring food, but find a way to cook it)? Or...

How am I gonna survive this with my diabetes?!? (Cue Mission Impossible theme music.)

We all know that no matter the circumstances, we need our supplies. In this case, my OmniPod PDM, extra pods, bottles of blood strips, bottles of Novolog and Lantus, syringes, and granola bars. I also carry a box of Ziploc sandwich bags (the double closure kind) for waterproofing purposes.

We (my sons, brother in-law, and his son) journeyed to Lake Blue Ridge in Morganton, Georgia for a 3 day camping trip. Complete with a large tent, coolers of food, and fishing poles, we ventured in to the woods. As a PWD and a person who has had survival training, I was ready. The weather was perfect: daytime highs in the upper 80's with lows in the high 50s's/low 60's. Fabulous!

So, how did me, my diabetes, and OmniPod do? Well, my BGs never went above 120. We fished, hiked, and played around. I went low once, but handled it with a granola bar. And the OmniPod? It worked like a champ.

As a person who has troubles keeping infusion sites stuck to my skin, I use Mastisol to keep my pods secured. Here is a post camp photo of my pod:

(the black is leftover Mastisol with dirt, ewww...)

Mastisol has been a life saver. Since my workouts tend to be for hours, I sweat a lot, so the poxy works very well. Mastisol comes off with Detachol or finger nail polish remover (without Acetone). After applying the Mastisol, I let it sit for a minute before placing the pod. I then secure the adhesive tape and I'm good to go. Pod changes generally last ten minutes or less.

Okay, back to the camping part. We all had a wondeful time and I look forward to doing it again soon.

Here is a list of camping and diabetic hints that work for me, pending the situation:

1. Keep your insulin out of the sun and preferably in a cooler, but not directly in contact with ice. Sudden temp changes to insulin cause problems, e.g. extreme hot to extreme cold. So, buffer/protect your insulin from these conditions. Survival tip with keeping insulin cool in the wild: Dig a hole, in the ground, about 4-6 inches deep and place your insulin container in it. Cover it with leaves or sticks. Mark the spot with a standing stick and brightly colored handkefchief or rag. The ground will keep your insulin cool.

2. Food: Natural granola bars, nuts, and trail mix are the ultimate "survival" foods. They tend not to spoil too much with temp changes and provide carbs, fats, and proteins that the body needs for fuel. We had coolers of food to cook, so none of us really suffered. (Did I mention a small bonfire, hotdogs, and smores?) :D

3. Water: Bottles of water are fine, but cumbersome and wasteful. Many camp sites have potable water spickets. The key is to stay hydrated, no matter the temperature. (Please boil your water, if you feel there is a problem.)

4. Expect the unexpected: Always prepare for the worst (carry several backups) and hope for the best. A good attitude and laughter go a long way.

5. Enjoy and have fun.

(after being in the woods for 3 days, ewww...) :D

Men, Women, and Diabetes

2009-07-30T08:27:00.009-04:00

In the world of diabetes management, who has a harder time: men or women? Let's face it, we all have our daily challenges. As I wrote this post, I just finished raising a 55 mg/dl blood glucose reading. Not fun, but not too troubling.

So, who really has it harder? Get ready for a laugh and learn session.

Ask any guy who has had this disease for awhile and they should tell you that women (yes, women) have a harder time managing this disease. Why? Duh!

Let's look at a few of the challenges women with diabetes have to face:
- Hormones, beginning from the "tween" age to well in to the golden years, reek havoc. They cause a beautiful blood sugar level to go from a 100 to a 310 in minutes. Men? Don't our hormones begin to level off at around 40 years of age? Oh, wait a minute... I'm 40!
- In addition to hormone havoc, emotions are tied in to this mess (hormones and irregular bg levels, cause emotions). Men can, and usually are to blame, but we won't discuss that here.
- Stress. Everything from school, peers, family, work (lather, rinse, & repeat), lions, tigers, and bears can cause BG levels to drop or soar. Do men really have this problem?
- And let's talk about family for a moment. For working women (single, married, and or married with children), the challenge to maintain normal BGs are a huge responsibility. If the word, "deadline(s)" causes your sugars to rise, then I'm sorrry. Really, it stinks.
- Oh, and let's not forget mothers who take care of diabetic childen! Face it, we men are sometimes CLUELESS (hello!) of all the work these wonderful women do. Talk about LOTS of responsibility and they make sure our undies get cleaned. Oh my!
- Food and exercise! In addition to all the other things diabetic women experience, they work very hard to take care of their health. Maintaining good BG control is paramount. Men? Yeah, we workout, too, but there's always time for a light beer (or two, or...) and a few pretzels.
- Lastly, the other health issues women face compared to men. I ain't touchin' this one. Nuh, uh. You can't make me. Men just don't belong in this particular point. We would lose miserably. (Some of you guys are gonna shake your heads in disbelief at this one. Okay, why don't you ask any mother what child birth is really like and see if you can pass that test. Hmmm?)

Special note: If you're not laughing, nodding you head in agreement, or smiling in the least by now, YOU need to get with the program. End special note.

Okay, take a deep breath. Yes, we diabetic men have our problems, too. When our BGs are high, we get angry or disappointed. When having a low, we open the fridge and eat everything in sight without much regard for our loved ones. We, too, hate stress and cry shed a tear during a great action movie. Other than that, the list is pretty small compared to women.

Truth be told, we all share much of the pain and joy that comes with this disease. We are all a part of a community that weeps and laughs together, and cares for each other with hopes of living long, fruitful lives.

By the way, are you smiling yet? :)

When We Fail

2009-07-28T12:29:00.003-04:00

Persons with diabetes are prone to our own, “failures”. Do any of these sound familiar?
- Forgetting your insulin shot/bolus with meal or even before bed
- Forgetting to take a blood test before said meal and shot/bolus
- Forgetting diabetes care supplies when doing whatever you do
- Forgetting some form of quick acting food when exercising
- Forgetting, or postponing, quarterly endocrinologist appointment
- Or just plain forgetting (non-selective, mind you)

We often call any one of these (and more), the big FAIL:
- For
- Again
- I
- LOSE!

Diabetes is one, big, never-ending reminder that we are personally responsible for our choices. We cannot just leave our diabetes home, for the day, and expect everything to work out right. We’ve come to expect the unexpected (Why is my insulin taking soooo darn long?) and prepare for trouble (What? I’m low? Now?!? Time for sugar...).

Lastly, it’s how we handle the “fail” that defines us. Those of us who are long time diabetics know to pick ourselves off the floor, dust off, and get right back in the game. Thus the “fail” becomes a reminder, a lesson, that we are not perfect…

But we long to be. :)

Friends With Diabetes

2009-07-22T09:14:00.006-04:00

By a blessing, my job had me travel to Minneapolis, MN, home to the U of Minn--Golden Gophers and...

Scott K. Johnson, fellow type 1 diabetic and blogger extraordinaire. Scott and I managed to break away, from our busy schedules, and have lunch just north of Minneapolis. Many of you probably want to know what Scott is really like, being the well known writer and all, and very good friend to fellow diabetic, George Simmons.

Well...

Scott is fun, authentic, kind-hearted, very intelligent, and all-around great guy. BTW, this is the short list. :) Amongst many of you whom I consider family (in the diabetes-world), Scott is a brother-in-arms who knows full well the daily frustrations and joys of being a diabetic. We laughed and bantered about our frustrations surrounding diabetes management. We long for that day of being truly free.

Lastly, we spoke of our love for writing and how much we appreciate the diabetic OC. Although our time was short, I truly believe I've made a friend for life. I look forward to meeting Scott again, hopefully very soon.

Okay, here are ALL the PWDs mentioned in a little less than 2 hours. Ready?

Tim Brown and Alison Finney

Nicole Johnson

Jim Turner

Shauntaye Williams (fellow member & good friend on dLife)

Howard Steinberg

And all you d-Tweeps out there! You guys rock! :D

Retinopathy Update

2009-07-15T11:08:00.007-04:00

As mentioned here, I've been battling proliferative diabetic retinopathy for almost two years. I've experienced the trauma of near blindness and the seemingly countless laser surgeries to stop the bleeding. In January, I almost went totally blind in my left eye. For a brief moment, I thought my life--and all the wonderful things about it--were about to go away. I was fed up. I was tired. Physically, emotionally, and spiritually, I was drained.

In my 32+ years of living with diabetes, I was at a new low. Mind you, I've done a lot of great things as a pwd (person with diabetes). I married the love of my life. We have two awesome sons. I have a college degree. I am a martial artist of 25 years. I have tandem parachuted. I have repelled 100+ foot cliff sides; the list goes on...

But moderately cared-for diabetes threatened to take that away. I had become lazy. Ultimately, I had two choices: 1. keep doing the same-'ol, same-'ol or 2. get my butt moving. At the low point of my semi-depression (late January), my wife and I spoke of my choices. She knew the decision was entirely mine; consequences and all. After many tears, I chose #2 knowing I would have a fight on my hands.

Fast forward to my most recent retinal checkup. After months of exercise, eating much better, and being more d-proactive, I'm happy to report that my eyes are healing very, very well. So well, that I don't need to see my specialist again until December. I will always have retinopathy, but I feel much better about my overall state of health.

To this day, I've lost 15 lbs. Eat many more vegetables. Met lots of wonderful people experiencing the ups-and-downs of diabetes. And proven to my family that the good choices I make today, carry forward for a better tomorrow.

Never give up!

Squash

2009-07-14T08:27:00.004-04:00

My sons and I have recently taken up the sport of Squash. We really enjoy it and, after playing for hours, gives us a great workout. I used to play competitive racquetball--many years ago--so this is a nice alternative.

I suggest giving this lovely game a chance. And by all means, have fun!

Cheers!

The Hassles of Diabetes

2009-07-13T12:04:00.002-04:00

Sometimes diabetes can be filled with good hassles. For example:

Exercise - Whether I exercise for 30 minutes or 6 hours (like I did Saturday), controlling BG afterward, can be a hassle. I haven't been above 120 since...Thursday? I've suspended my pump 4 times in the last 4 days. How have I been treating the lows? Orange juice and granola bars.

Lows (hypoglycemia) - As mentioned above, when working out and suddenly see the dreaded, "spots", I know to stop, test, and treat. Whenever and wherever I exercise, I make sure I have juice and bars at the ready. I also carry Sport Beans for emergencies.

Insulin - When constantly exercising, insulin usage becomes a guessing game. I don't dare suspend my pump for a long time (longer than 1 hour), so I generally set a temp basal rate. Now add food to the equation and...well you get the picture.

Well, sorry for the short post, but off to exercise land... :D

Great Friends; Great Places

2009-07-09T07:37:00.003-04:00

Even though I just met Tim and Alison, over at Shoot Up or Put Up, I feel as though I've known them for a long time. They are much like close family who you wish you could see every day. Yes, we are also diabetics who enjoy humor while having good discussions on living with this darn disease.

Tim is located in Edinburgh, Scotland, [Note: it's not pronounced, "edinburg"] while Alison is in Liverpool, England.

Diabetes isn't just an "American" disease or a United Kingdom disease. No, there are diabetics all over the world. I've met diabetics as far away as Egypt!

Please visit Tim and Alison's blog and enjoy the goodness.
Cheers!

The Lows and Highs

2009-07-07T10:17:00.002-04:00

This past Sunday afternoon, I had a rude interuption of the hypoglycemia sort. In my opinion, "lows"--as we diabetics like to call them--are more manageable than "highs" or hyperglycemia. Case in point: my BG was a 43. I immediately suspended my insulin pump (for 30 minutes) and ate a handful of mountain trail mix to get a boost. Twenty minutes later and I'm sitting at a comfortable 130.

Not that the low slowed me down, but, it was recognizing the low that kept me out of trouble. You see, we were starting our way home from a family member's house when the "drunken master" reared it's ugly head. Before getting in to the car, I handed over the keys to my wife, sat in the back seat next to my youngest son, and tested. He announced the results to my wife. Thankfully, we were only 5 minutes from home and I really did not want the Sour Patch wormy thingies my sons wanted me to eat. Give me chocolate or give me death! Nothing else will do. (Okay yes, other things will do, but I prefer chocolate. :) ]

Highs, on the other hand, just simply suck. Imagine taking anywhere from 30 minutes to 4 hours to combat high blood sugar. No thanks, I'll take a low any day! Sure, both come with their own set of "baggage", e.g. energy drain, headaches, various bodily pains, but I'll take the ability to eat/drink to treat a low than not with a high (hyperglycemia is usually treated with insulin first, then you can do as you please).

All in all, neither prevent me from enjoying life, especially with an active family. Diabetes is an active disease. We can't pause it, stop it, or will it to go away. So, we must stay on it and do our best every day.

"Dad, are you sure you don't want a sour gummy worm? They're a little warm from being in the car..."

"Uh, no, really, I'll be just fine..." Yuck. :D Our boys are truly awesome...

It's the End of the World

2009-06-29T09:37:00.006-04:00

As a type 1 diabetic, I sometimes find it dismal to search the latest headlines on diabetes. If I stare long enough, I'll find articles that relate to information that could easily cause depression. Not something I particularly want. I'm mentally unstable enough as it is. :D

So in light of the goofy diabetes-related headlines, here's a little video for you:
R.E.M. - It's the End of the World as We Know It (and I feel fine)

Friday Wrap-Up

2009-06-26T07:55:00.004-04:00

It's time for a Friday wrap-up!

1. A BIG congratulations to Team Type 1 for winning this year's Race Across America. The 8-man squad finished the 3,021-mile race in a record time of 5 days, 9 hours, and 5 minutes. Talk about a great inspiration for all of us living with diabetes. Way to go Team Type 1!
2. Had dinner last night with volunteer members of the Atlanta chapter of the JDRF. We shared stories and similar experiences. I always find it amazing to meet great people who are doing their best to manage this disease.
3. I'm honored to meet (in person or vitually) a number of diabetics who write almost every day of their experiences with diabetes. I highly enjoy their blogs for inspiration with a dose of humor. They are:

Kerri Sparling author of Six Until Me and dLife Editor
George Simmons author of The Born-Again-Diabetic Blog

There are many others in the d-world that I would love to virtually meet as well (or in person if you're ever in Atlanta). If you get a chance, try these sites:
dLife
Diabetes Mine
Tu Diabetes
Diabetes Daily

Have a great weekend!

New OmniPod PDM Review

2009-06-23T08:49:00.003-04:00

Since putting on the OmniPod some two months ago, I'm completely sold that tubeless pumping is the only way to go. I really enjoy (love?) it! However...a new "device" has entered my life (cue sexy jazz music).

Oh yeah...the new color OmniPod PDM. Albeit a few shortcomings, e.g. turning on the PDM before taking a BG, being a little loud, and still no vibrate feature, this PDM is easy on the eyes with very clear step-by-step instructions. This PDM is much slimmer than the old one, lighter, and easier to grip. The battery life is about the same. I've been asked by co-workers and strangers if it's a Blackberry. ;-)

I'm interested to see what OmniPod will do next, especially with the tide turning to continuous glucose monitoring systems (CGMS). Rumor, and I do emphasize rumor, has it that OmniPod and Dexcom are trying to manufacture an all-in-one Pod with built-in CGMS. I am not yet a fan of CGMS, BUT, I am looking forward to seeing this device.

Anyway...if you are already an OmniPod user, and are contemplating the new PDM, my advice is to get it if you can. One last note:

You can believe that both MiniMed and Animas are working on a tubeless pump solution. The numerous improvements will cause pump manufacturers to become more innovative, which in turn, should benefit us.

Have a great day!

Learn to Adjust

2009-06-15T09:49:00.004-04:00

The heat here in Georgia can, at times, seem tropical. For instance, mix high 80 degree temperatures--with high humidity--and you get the tropics, but without the coconuts. It's this type of weather that my insulin pump and I do not get along. Due to my skin type and the heat, the pump insertion, aka "pod", keeps popping off.

I have Mastisol [skin adhesive] which works very well, but it leaves my skin a little battered. So, for at least two days, I have gone back on shots. I'm not happy about it, but adjustments are sometimes necessary when different conditions arise. [I'm playing in a couple of softball games--first base--if you should know. :) ]I've interacted with a number of diabetics who have experienced similar situations. One in particular, goes back on shots every summer, and returns to pumping in the winter.

I'm open to suggestions/recommendations if anyone has any.

Have a great day!

Mark

Diabetics and Diabetes in the News

2009-06-11T19:37:00.004-04:00

Needless to say, it's been a freaky week of diabetes-related news. Consider the following:

Sotomayor breaks ankle...

Bret Michaels injured at the Tony Awards...

Missing companion dog crosses two counties...

(You're probably wondering about the above link. Trust me, it's a good read.)

Monster cupcake attacks diabetic

(Okay, not really, but pretty funny if you ask...)

And yes, I am contemplating video blogging or aka, "VLOGging". I think that's right, but not absolutely sure. Have a great week!

Mark

2009-06-03T09:08:00.004-04:00

Sorry I haven't posted in a while...

Here's the latest health update:
My new OmniPod is working great. I've had a few very minor speed bumps, but otherwise the pump works wonderfully. A big "thank you" goes to the OmniPod support team at Insulet. They are always kind and patient dealing with my troubles.

I haven't been able to cycle much, due to family activities, e.g. constructing a landscape area for a fire pit complete with pavers. Am I nuts? Yes, but that's beside the point. I have two boys who need to experience the goodness, and safety, that comes with a fire. We purchased a fire pit, at Lowes, and have had a blast making smores. No, I don't eat them, but watching my family have fun is good enough for me.

I am still losing weight, but gaining muscle mass as I do different exercises. I stationary bike 3 times a week [40+ minutes], but run or play with our boys the other 4. I put on a pair of 38 size jeans yesterday and they fell down around my ankles. I've had to tighten my belt another notch to prevent "wardrobe malfunctions". Co-workers want to know my secret. It's called, "sweat". I tell my wife and boys that if you don't sweat, during a workout (other than swimming), then you're not working out hard enough. Thank you, Jack Lalanne!

My oldest son and my wife are now exercising daily and eating differently. My son is taking it so seriously, that he is sad when he forgets to exercise. He doesn't realize that swimming, for 4 hours, is a great workout. I can't wait to see our "new" family in the coming months.

Big kudos to the new Wii game, Active Personal Trainer. My family loves it! I highly recommend this product. In my opinion, it is much better than Wii Fit.

Final words:
Diabetes is a give-and-take disease that must be watched with careful diligence and determination. I personally admire diabetics that want to live longer, healthier lives. Many of these people I've encountered on dLife.com and here around Atlanta. We have our good days, and not so good, but overall this disease won't conquer us. We must never give up hope that one day there will be a cure. We must never give up.

Have a great day!

Mark

Stuff Happens

2009-05-08T07:55:00.004-04:00

Okay, just a few ramblings for a Friday...
1. It's no secret that I'm working my butt off to get my diabetes under better control. I've lowered my A1c to 6.4 and I workout every day. But darn it if I go to bed last night, with a 150 BG, and I wake up with a 233. Why?!? I didn't snack. UGH!
2. Why is it when you're in a hurry to get home, and while trying to be a very responsible, patient driver, someone lets out all the freakin' idiots on the road?
Note to the Georgia driver I almost ran off the road: The posted speed limit was 55, not 35, and you were driving in the fast lane with very little traffic. Sorry to pull the James Bond-like manuever on you, but you deserved it. :D
3. This is for all the teachers out there who believe dumping a ton of useless, God-forbidden homework on students, just before summer break, is the right thing to do. Studies have shown that returning students only retain approximately 25 percent of what they learned during the previous school year. It doesn't take a genius to understand that piling on the homework, before summer break, is wrong.
4. One final note: Ladies and gentlemen, if you're at a restaurant and you see a guy taking a little device, poking his finger, and putting a drop a blood on another device, try not to look shocked. It's 2009 and 98 percent of the world's population has heard of diabetes at one point in the lives. Please don't freak out. In fact, it's okay to engage and ask questions. As my friends can testify, I'm really a nice guy.

Okay, enough rambling. So, in the immortal words of Porky Pig, "That's all folks!" Have a great weekend!

Mark

Accident

2009-05-04T14:54:00.002-04:00

Accidents are bound to happen. Especially if you drive 50+ miles roundtrip every day. Last Thursday was my turn.

First of all, this is my third vehicle that I've been fond of, but the first where I could carry our entire family without worrying about safety.

I was the lead in a 3-car bash. Not fun. The kind gentlemen, who caused the melee, totaled his car. The poor woman, in the middle of it all, received severe damage to both front and back of her car. My car? The bumper? Gone. The swing door? Gone. Spare tire? Gone.

Thankfully, everyone involved was very kind and patient. I was particularly blessed by both the Fulton County Police officer, who was already on-scene with another accident, and the Georgia State Police officer who showed awesome professionalism throughout the ordeal.

Now comes the hard part: the repair work... Ugh!

2009 Roswell Criterium

2009-04-29T07:58:00.010-04:00

On Sunday, April 26th, I and our boys went to the 2009 Roswell Criterium in the city of Roswell, Georgia. For those of you new to cycling, a criterium is a road race which takes place in a small amount of space, e.g. town square.

My intent for going was twofold: 1. For our sons to experience a bike race and 2. To hopefully bump into members of the pro cycling team, Team Type 1. This pro cycling and triathlon team, is comprised of members who live with insulin-dependent diabetes [type 1s & 2s].

The weather was beautiful, but slightly warm. We parked at the city of Roswell government building and walked over. During our walk, we witnessed the boys 16-18 year-olds racing. Man, those kids were fast! It was truly amazing what they could do.

Seeing as lunch time was approaching, we ate at our friends' restaurant, The Fickle Pickle. The food was awesome, especially for two boys who were starving at the time. :) We sat right in front of the Start/Finish line and watched the cyclists go by. Every time the announcer mentioned the sprint, on the last lap, both boys jumped from the table to the fence to see the finish. Very, very cool.

We stayed almost 4 hours, but due to a prior diabetes-related engagement, we left before Team Type 1 showed. :( Oh, well. We'll try to see them in the near future. All in all, we had a great time and developed a deeper appreciation for the riders. Both boys now want become bike racers some day... We'll see.

Have a great day!

Mark

It's a Beautiful Day

2009-04-21T07:50:00.004-04:00

Mondays are never good. I spent my weekend having a blast [especially at one little boy's b-day party :)] albeit seasonal allergy complications with our oldest son. However, we still managed to enjoy a beautiful weekend.

Mondays can suck the "fun" right out of me. I want to be outside having fun: playing with our boys, riding my new bike, etc, etc. But alas, I'm updating projects, tuning systems, creating documentation, and (sigh) attending meetings.

All workdays must, and I do mean must, come to an end. As soon as I get home, I embrace my family, strip off the business clothes, and change in to my "fun" clothes for an hour of non-stop playing. I even got to ride my new bike for a little while. It was truly awesome!

It was a beautiful day...

Thoughts on my 40th

2009-04-14T12:40:00.004-04:00

Today, I was born 40 years ago and as I reflect on my life, I know that I am a truly blessed man.

If someone were to have said to me--back when I was a sarcastic teenager--that my life would one day be filled with special people, filled with love and joy, I probably would've scoffed. If someone were to have said that surviving through the trials and tribulations, I would be a much better, stronger person, I would've laughed.

But here I am, on this my 40th birthday, with more optimism and motivation than ever before in my life:
- I am married to the woman of my dreams; my best friend and forever love
- I am blessed with the two most adventurous, loving boys
- I am surrounded with lots of loving family and friends
- I have experienced the triumphs and challenges of managing a disease [32+ years with diabetes] with hope for a cure
- I gave my life to God, through His Son, who watches over me and our family everyday. His love endures forever

God willing, I am hopeful to see another 40 years and witness a great future. There is hope today for a better tomorrow.
God's love to you all,

Mark

Victory!

2009-04-01T13:01:00.005-04:00

Well, close enough...

I received a call from my Insulet service provider, late yesterday afternoon, with great news. The OmniPod pump is headed my way!

Yeah, baby!!!

We (Insulet and I) conquered the trials and tribulations with acquiring this thing. We encountered miscommunication, faxing, re-faxing, doctor calls, and constantly hounding insurance companies to move forward. All of this just to get an insulin pump!

If there's anything to be said, it's this: Don't ever give up. Don't stop fighting to take care of yourself. Believe that you have the ability to accomplish great things. Live for others so that they may understand and help find a cure for diabetes.

Never give up!

Surviving

2009-03-25T09:13:00.002-04:00

Many of you know that I suffer from diabetic proliferative retinopathy. I have an exam every 3 months to check on any new capillary growth and how well my eyes are healing. Yesterday, I had a 3 month follow-up appointment to examine bleeding that occurred in my left eye back in January.

The good news is that the healing is going extremely well. A vitrectomy was not needed, nor was a laser surgery. I can't thank you all enough for your thoughts and prayers. The prognosis was also hopeful with the slight chance of future bleeding. But my doctor was very confident that if bleeding did occur, it would only help in the healing. I know this sounds weird, but I have faith in my retinal opthamologist.

Now the bad news. For the last two days, my blood sugars have been like a roller coaster. This is due to all the stress I've been under since early Monday. Stress such as the eye appointment, project deadlines [work], and employee-personnel changes [work] have killed my blood sugar levels. Even as I write this, the anxiousness hasn't worn off; I can feel it affecting me.

Thankfully, I am monitoring my sugars every 2 hours and making adjustments as I go. The OmniPod insulin pump can't come here soon enough...

UGH!

2009-03-18T13:12:00.002-04:00

This morning was "unofficially" my first full month of riding my exercise bike every morning. YEA!

But, like every twist and turn in our lives, something went amuck. My stationary bike's speedometer crashed. I had to stop riding at the 5 mile mark, since the squeeling noise was so bad and the speed kept bouncing from 10 mph to 40. Not good. Needless to say, I was severely bummed. Especially since I was sooooo excited to work out this morning. :D

Alas, I will continue my trek after I make a few adjustments/repairs...

OmniPod Status

2009-03-15T20:46:00.004-04:00

UPDATE:
Just learned that everyone is now communicating and I've been pre-approved for the OmniPod. Yea! More to come...
___________________________________________________________________
In the past, diabetics had to constantly fight for their care, e.g. battle insurance companies for coverage, battle doctors for more supplies, battle both to play nicely with each other. In many cases, this similar activity goes on today.

My parents had to fight for insurance coverage for me. And God help me if my diabetes prescriptions ever changed. Personally, I have fought insurance companies and some doctors for increased blood glucose strips, long before the DCCT [Diabtes Control and Complications Trial] was ever published.

In 1999, I successfully fought for an insulin pump. And yet throughout the years, I've learned to communicate very well between different parties. Right now, I'm communicating between three parties: my doctor, my insurance company, and the Insulet Corporation--makers of the OmniPod.

The great news is, the insurance company and Insulet are getting along very well. Strange news is, my doctor's office and Insulet are miscommunicating. I find this strange due to how strongly my doctor wants me on a pump, but the office just can't get things right with the pump maker. Go figure, right?

Guess who now has to steer the ship? Yeah, another day in our lives as diabetics. However, the fight goes on...

I'm Not Perfect!

2009-03-12T08:48:00.003-04:00

So, here I am having a streak of awesome blood sugars, when WHAM! I get hit with a 290 after breakfast.

Why?

'Cause I wanted pancakes for breakfast. The all-mighty carb breakfast. All I wanted was that delicious taste of butter and sugar-free maple syrup on a wonderfully hot pancake. Is that too darn much to ask? I even thought I gave myself enough insulin to cover...

I guess I didn't.

Too many bad carbs...bad, bad carbs. Bad me for wanting too many bad carbs. At least I caught it in time.

I should've had the slice of rye toast, with turkey on it, like my wife suggested. I know...I know, I'll get over this. :(

Staying Motivated

2009-03-11T10:42:00.011-04:00

When I began planning my exercise routine, my wife and I agreed that the time of day to exercise was critical. Why?

1. I drive 25 miles each way to work everyday; out at 6:30 am, in by 5:30-6ish pm.

2. After I get home, I help my wife with either the kids' homework or cooking dinner (yes, I cook and everyone is still living)

3. Intense exercise before bedtime is NEVER a good idea (waking up at 2:30 am with a 25 blood sugar is not cool)

4. In the past, my body always did better with morning exercise

Before my stationary biking venture, I awoke every morning at 5:30 am and was out the door at 6:30. Now, I am up at 5 am (or sometimes 4:45 am), test, use the potty, drink a little water, then bike.

So, how do I stay motivated even though my body sometimes screams for more sleep? In addition to prayer, music, and writing, I search for articles and blogs on the web that motivate me. Such sites as dLife.com, Team Type 1, Jay Hewitt, and Triabetes.org are just a few. These sites offer so much valuable information on diabetes, exercise, and diet.

Being motivated to take care of my disease is a step closer to preventing further complications. Staying motivated means that I don't live in fear of what is around the corner; be it further retinopathy, neuropathy, heart disease, or cancer.

Keep well and...

get motivated!

Mark

Bad Diet / Bad Results

2009-03-09T07:21:00.007-04:00

Sometimes I get the urge to eat something really bad.

Okay, not really, really bad, but you get the point. And, hey, I've been doing very well on my stationary bike! I deserve a couple of greasy meals, right?

Sooooo, let's just say a double-cheeseburger, chicken philly, and an order of fries made their way into my diet this past weekend. No, not in one meal as some of you might believe. :)

Ye ole blood sugar did very well. I managed to keep it tight amidst my greasy binge. My body though, did not appreciate the intake of said foods. Let's just say, it immediately flushed out my foolish choices.

Ah yes, my body is feeling much, much better now.

Back to yogurt and salads...
Eat well!

Mark

Exercise: Day 12

2009-03-05T07:44:00.004-05:00

Today, I switched up my routine.

I noticed yesterday that I wasn't sweating as much when riding my typical 10 miles on the stationary bike. Sexy, isn't it? [Yeah, I don't know if I mentioned this, but I began riding 10 miles on February 18th]

Today, I decided to ride 15. The ride went fantastic and no small creatures were injured... :)

In preparation for this increase, I lowered my Lantus to 18 units at bedtime and Novolog to 1 u. per 15 grams. My blood sugar levels have not been above 130 in 3 days. However, I have had my share of lows, which is why I lowered my insulin intake.

In other news...
If you haven't signed up already, the Atlanta Diabetes Expo is on March 21st at the Georgia World Congress Center. This is a good opportunity to attend symposiums and see displays of diabetes-related information.

Stay well!
Mark

My Diabetes Life: A Short Story

2009-03-03T12:18:00.010-05:00

I wrote this back in 2006 as a series of blog posts. I have made updates along with repairing grammatical errors.

My Life as a Diabetic: A Short Story of My Diagnosis, Life, and Encouragement for Others
by
Mark Mansheim

Preface
On December 19th, 2008, I celebrated having Type 1 insulin-dependent diabetes for 32 years. I will turn 40 in April. I am reminded every day how truly blessed I am to be living with a treatable disease. In addition, I was diagnosed over a year ago with proliferative diabetic retinopathy. This "disease" hit me without warning. Thankfully, my opthamologist has done terrific work with my eyes. I have hope that, with proper eye care and diabetic treatment, my eyesight will be fully restored.

I have recently started stationary biking 10 miles a day to get back in shape; for both diabetes and body-wise. The effort is paying off. I am losing weight and feeling fantastic.

Lastly, never give up. Don't succumb to a negative attitude. Don't let fools steer you off course. Find support from people who understand. Lastly, please know that there is a God who loves you, not as you're supposed to be--because you will never be perfect--but as you are.

Chaper 1: The Wrong Diagnosis

This series of stories details my diagnosis and life with insulin-dependent diabetes. In short, I’ve been a diabetic for almost 30 years. I will be celebrating my 30th year of diabetes in late December of this year. My diagnosis is almost 30 years old, so the details are a little fuzzy. I will do my best to recall what happened.

In early December, 1976, I was a seven year old boy living in Monroe, Wisconsin. I was in the first grade. As I recall, I began feeling as if I had the flu. I began vomiting and couldn’t stop. My parents tried everything they knew to control this “flu”, which included drinking broths and clear fluids. My pediatrician believed I had the flu as well, and recommended more fluids. It would just have to run its course.

The vomiting didn’t stop; it got worse. I couldn’t even keep water down. I recall my parents taking me to the emergency room of St. Clare Hospital in Monroe.

Immediately, the ER personnel must have seen that I was dehydrated and administered an I.V., which probably contained some form of glucose. I subsequently went into a coma.

Now I could go into details of what happened to me while I was in the coma, including a near-death experience. But I’ll save this for another day. Yes, I was briefly in Heaven. No, God wasn’t ready for me at that particular time.

During this time, my pediatrician was baffled as to what was happening. I was unresponsive and my veins had collapsed. The only thing he knew to do was to contact an old friend of his, who was a pediatric specialist, at the University of Wisconsin. (Go Badgers! Sorry... I had to get that in.)

This doctor came straight from Madison, went over to my bed, smelled my breath, and immediately knew that I was in a state called, “diabetic ketoacidosis”. My parents witnessed this firsthand, so that is where I get most of this account.

I pulled out of the coma during a surgical cut-down on my vein, in my right ankle. I still have the 3” scar to prove it. According to the doctors, they had me awake briefly during the procedure to monitor my consciousness. It was here that I experienced my second “heavenly” encounter, but the details can wait. All in all, I was in a coma for almost a week.

The specialist who diagnosed me with diabetes told my parents that the insulin producing cells, in my pancreas, were gone. He was going to try a new procedure, by injecting large amounts of insulin in me, in an attempt to revitalize some insulin production in the pancreas. Suffice to say, it didn’t work. But, the insulin worked wonderfully.

For the next five days, I was poked, prodded, and forced to eat foods that would gag a bear. The blood testing occurred every 15 minutes including vial draws every hour. For a meek 7-year old, this was very traumatic. I wailed, constantly. My parents told me that everyone, including the Catholic priests that prayed over me, wept and often left the room in distress. I was being raped by a disease that no one could take away.

The blood draws happened in the early morning hours as well. Two nurses would come in and hold me down while another drew blood. I was in hell. There are really no words to describe the actual pain and horror that took place.

After a week of this testing, I finally stabilized. I met with my diabetes specialist and dietician to begin understanding this disease. Basically, I would now need insulin to keep me alive for the rest of my life. My diet would need to change as well. No more sugar sodas or sweets. Life was better for a time. I became more tolerable to the pain and even met Santa Claus while in my hospital bed. You can only imagine what I wanted for Christmas.

It was now December 23rd and a crucial decision had to be made: Christmas was just two days away and my doctor spoke to my parents about letting me go. But first, they had to learn to give me insulin shots.

I remember a nurse handing my father a syringe and an orange to practice administering insulin. He was very distraught. I told him it was going to be all right. After his practice on the orange, I was next. My father is one of the toughest men I know. This was the first time I saw him weep. My dad passed the test to allow me to go home. Two days later, I celebrated Christmas in my home.

Chapter 2: Encounters with Diabetes

I believe children with diabetes encounter more personal battles, than adults with diabetes do. I had my fair share.

When I was ten, my parents and I learned the difficulties of the flu virus. The flu and diabetes do not get along. In 1980, there weren’t too many diabetic ‘tools’ to help keep it under control with the flu (portable blood testing or small insulin pumps). And, therefore, I would dehydrate and wind up in the hospital.

On this particular occasion, we were living in Denton, Texas and I had two (not just one) excellent pediatricians. It was late February and my parents were taking me to the emergency room for fluids. I was cramping really bad, due to the high blood sugars. To alleviate the pain, the ER physicians gave me codeine through my IV.

Unbeknownst to all of us, I was highly allergic to codeine. I broke out in hives and began vomiting all over again. Needless to say, I had to spend the night in the hospital to stabilize.

During the night, I was told my regular pediatricians were out of town and they had just hired a new doctor to join their group. He came into my room, introduced himself, and wanted to give me a large dose of Regular insulin to cover my last high uring sugar readings. His nurse already had the syringe drawn up.

By this time in my short diabetic life, I knew I was a little sensitive to Regular insulin. Large doses were NOT recommended to me. So upon hearing that this new doctor wanted to give me a large dose, I disagreed with him and I requested to call my parents (who had already gone home for the evening).

In short, my dad did not take this news kindly at all. He informed the new doctor of my insulin sensitivity and told the doctor that I should be given a smaller dose. The doctor, apparently wanting to show his authority, argued with my dad. Not a good move on his part. My dad told the doctor that he was coming back to the hospital and they would discuss the matter further. According to my mother, this was my dad’s way of saying, “I’m coming to kick your butt, so you better watch out.”

As you can tell, I didn’t receive the large dosage and had a great blood sugar reading the next morning. I went home afterwards. Subsequently, the new doctor was severely disciplined for his behavior and told never to treat me again.

Diabetics face battles similar to this one every day. But ignorant doctors aren’t the only trouble-makers. Insurance companies and school nurses can cause just as much, if not more, trouble for insulin-dependent diabetics.

Chapter 3: Insurance, Nurses, and Diabetes… Oh My!

Before the “Americans With Disabilities Act”, diabetics were told they wouldn’t be covered by insurance companies due to their, “pre-existing condition”. This verbiage says that, since you were born with this disease, we can’t nor won’t help you treat it. Depending on what state you live in today, insurance companies can still turn you down using the pre-existing condition clause.

It’s 2006 and you would think insurance companies would give just a little, right? The “Americans With Disabilities Act” allowed states to override insurance companies who turn you down. The state of Georgia is one of those. However, the state cannot set the costs to the patient. So, insurance companies can rake you for your disease. As a diabetic, I can be charged as much as $5,000 a month for insurance coverage. Sad, isn’t it?

Insurance coverage is a strange beast. They can be your best friend or your worst enemy. One minute you’re covered, the next you’re dropped faster than a brick off a bridge. Coverage can mean paying enormous co-payments for necessary diabetes supplies or paying very little. Lack of coverage can mean a person cannot ably manage their diabetes. Therefore, this may cause complications in the future.

Let’s move on to school nurses, shall we? School nurses are wonderful for treating a child’s minor cuts, scrapes, and bruises. They can even contact parents if a child is experiencing a fever or stomach virus. But add “diabetes” to their daily grind, and they run into trouble.

Back before the days of diabetes education, thanks in large part to The American Diabetes Association and Juvenile Diabetes Research Foundation, school nurses wanted NO responsibility in taking care of a student with diabetes. It was like having the plague. (Mark, can your disease spread?) And if school nurses made a big enough stink, they got their way.

There were a few school nurses, especially in high school and college, who were very gracious and helped me whenever I needed it.

Many states now have legislation giving protection to students with diabetes in schools. Now, school nurses MUST offer help to diabetic students. This isn’t always the case as every now and then I read an article, where a school nurse refuses to care for a diabetic student.

I’m sure students, who suffered from cancer, food allergies, dyslexia, asthma, or epilepsy, received the same lack of treatment. Battles can leave gaping wounds that take time to heal. As I became older, I relied less on school nurses and more on my ability to take care of my disease. I knew my body and disease better than anyone. My friends have all by been very supportive and sometimes enjoy the humor 'behind' having diabetes.

Chapter 4: The Insulin Pump

Throughout my active teenage and adult years, I’ve had troubles controlling my diabetes. In 1987, I began taking 4-6 shots a day to get under control. Then in 1999, I finally took the dive and went for an insulin pump.

Insulin pumps have come a long way since their inception. They used to be larger than an adult’s shoebox. The original was so large it had to be carried on the person's back. Now, they’re as small as a pager. I’ve been asked if mine was a new form of a Blackberry.

The insulin pump works similar to an intravenous pump. A small plastic needle, or canula, is inserted into my abdomen. I receive a constant flow of insulin during the day and take extra amounts when I eat a meal. I change the insertion site every 3-5 days. The only complications I have are when I swim for a long time or profusely sweat; then the insertion comes out. All in all, it beats taking 4-6 shots a day.

My A1c, or average blood sugar levels, have improved as well. I range from 6.8 to a 7.0, which is personally fine for me. I don’t hold firm to the belief that a lower A1c is the best, e.g. A1c levels below 6.0.

I use a Medtronic Minimed Paradigm 511 and generally take 35-40 units a day. When my blood sugars run low, I temporarily suspend the pump. And speaking of blood sugars, I test my blood sugar 5-7 times a day. I use a Lifescan OneTouch Ultra as my blood machine. It only takes 5 seconds.

Every now and then I’ll meet someone wearing an insulin pump and talk them about it and their diabetes. Many diabetics are very conscious of their pump and are quiet about it. I have known a few diabetics who, out of fear, don’t want their disease made public. As much as I find this sad, I understand their choice.

What does the future hold for insulin pumps?

Word has it that Medtronic Minimed is working toward an insulin pump AND blood machine together. I don’t know if I particularly care for this type of machine, but I’m impressed that companies, like Medtronic, are trying to make the lives of diabetics better.

Chapter 5: Bitterness and the One Who Saved Me

In my late teens and early twenties, I experienced deep bitterness toward my diabetes. I had friends and family who understood my resentment. I mean, how do you really console someone with a disease?

As a young adult, I wanted to be a police officer or federal agent. I wanted to be someone who made a difference in society and fight the bad guys. But, alas, it wasn’t meant to be. There were too many restrictions against diabetics at that time. (Not anymore.)

I was also short and stocky. I had to work out double-time to get in shape and try to prevent low-blood sugars (hypoglycemia). The martial arts were a big help in this area.

However through all this (family, friends, and exercise), I was still bitter. I had even met other diabetics, who said my diagnosis was unique, and they completely understood my bitterness. As much as I loved their friendship, I was unwilling to let bitterness go.

Not only was I bitter, but angry as well. I could get angry very fast. During these troubled times, it didn’t take much for me to go over the edge. I was irresponsible and sometimes, uncontrollable. If someone were to chide me or start trouble, I would finish it.

Thankfully, I’m not that way anymore. So, what happened to me that relieved the bitterness?

Easy, I met Jesus the Christ.

I met Jesus through my oldest son (who was almost 3 at the time) and long story short, I laid my bitterness at His feet. Now when I have a bad day with my disease, and occasionally I do have them, I try to calmly take care of it and let the anger go.

God, and His Son, understands me better than I do myself. I believe God works wonders everyday that we fail to see. He alone gives me the ability to be a loving and honorable husband, and loving, grace-filled dad.

Diabetes is still a priority in my life. I take my health seriously. I still love a good double cheeseburger, bratwurst, and a bite of chocolate, but not as often as I would like. I believe in moderation, not overconsumption. I love Diet Wild Cherry Pepsi, Diet Mountain Dew, and drink 60 ounces of water a day. I’ve learned to love cycling and what it does for my body.

Chapter 6: Words of Encouragement

In my almost 30 years of diabetes, I have met diabetics from all over the world. I've seen how most people handle their disease with great attitudes.

I have seen…
- Fellow diabetics do great things, e.g. local and federal law enforcement, tri-athletes, and adventurers
- Babies with diabetes, grow to be teenagers who are very, very responsible with their disease and do great things
- The tragic results of complications due to neglect. Most have blindness, heart disease, and amputations

For every story of neglect, there have been stories of triumph: Stories of people with diabetes climbing large mountains, winning Olympic medals, becoming great physicians, or great parents. There is no end to the possibilities.

Lastly, I’ve counseled a number of folks initially diagnosed with diabetes. I’ve been to hospitals so many times, that I don’t care to remember them all. None of those affected me as much as seeing my own baby sister, who was in her twenties at the time, get diagnosed with this disease. She went through a little hell, but all-in-all she’s doing wonderfully now.

After living with diabetes for almost 30 years, I’ve had little complications aside from an occasional infection, flu, or cold. I greatly enjoy watching my oldest son train for his Tae Kwon Do and my youngest son having such an adventurous spirit. My wife is the love of my life. She’s been through many a good and bad day with my disease. She knows that I can become quite ‘moody’ if my blood sugar is too high or too low. Therefore, I do my very best to keep my blood sugar levels under control.

I truly believe that one day diabetics will be able to do anything from piloting the space shuttle to being an elite special-forces soldier. I also believe this disease will be cured. Researchers are getting closer and closer to ending diabetes for good.

But first, stay in control of your diabetes and be responsible for your choices. Do your best everyday and have a positive attitude. Sure, some days aren’t going to go your way. But, there is a tomorrow and there is a better way. Never limit yourself. Don’t ever give up!

Must Keep Going...

2009-02-24T10:17:00.003-05:00

Last Wednesday afteroon, I felt a cold coming on like a freight train. My body ached all over. Yes, I had sinuses, but no temperature nor flu-like symptoms, i.e. the yucky stuff. So, I rested Thursday and Friday, and yet continued to ride. On Saturday, I managed to get through a 5K "fun run".

On Sunday, I finally felt much, much better. I couldn't understand it. But I'm glad to be back in the swing of things.

The only strange diabetes-related stuff happened on Wednesday afternoon. At 4 pm, I tested with an 80. However at 6 pm, I tested a 359 with extremely high ketones. All I ate was a handful of cheddar popcorn! I ran high ketones into mid-day Thursday. My average sugar level was below 130. I spoke with my endo regarding my concern. She believed my body used up all the Lantus, during the day-Wednesday, and crashed. There was nothing I could have done as this was a very rare occurrence. She further mentioned that I took the right measures by frequently testing, adjusting my insulin, and drinking lots of water.

Scary? Yes, but when you keep calm and take the right measures--and contact your doctor--all will be well. Keep going!

Mark

Exercise - Day 2

2009-02-18T13:08:00.003-05:00

My blood sugar went all out of whack since eating dinner last night. Even though I took way too much Novolog, for a small plate of spaghetti, my sugars last night and this morning were high. Gave a correction and biked 10 miles today. Let's just say my bum is numb. :-)

After the ride, I ate breakfast and took my shot. Been at work now for almost 6 hours and my blood sugars still haven't gone above 100. Yeah!

Proving more difficult than I had expected, is the change in diet. First, less caffeine and more water. Second, no chips or cookies or cake or... You get the picture. Third, more natural foods, i.e. green and colored veggies. Fourth, I have no idea, but I'm sure there is one.

Any suggestions on food is much appreciated, especially with the routine I'm on. I am trying to stay away from starchy foods, i.e. fries or pastas. That will likely change over time.

One last note... Johnson Ferry Baptist Church, in Marietta, GA, is having a Diabetes Support Group meeting on Sunday, February 22nd from 4 pm to 5 pm and another one on Monday, February 23rd, from 7 pm - 8 pm. Both in Loft D. Anyone associated with diabetes is welcome.

'Til tomorrow,

Mark

Starting an Exercise Routine

2009-02-17T20:10:00.002-05:00

Woke up 30 minutes earlier this morning and rode 5 miles on my stationary bike. Laugh all you want, but Toto never caught me: :-)

My goal is to return to an exercise routine and, with God's help, loose 15-20 lbs. One day at a time...

The better I treat my body, the longer I live with minimal complications. I already suffer from proliferative diabetic retinopathy. For the last year and a half, I've had numerous laser surgeries. Not fun and, despite what others may think, very painful. I have to be very careful with my activity; not too much motion to my head. That said, stationary biking is my ticket.

As most diabetics will tell you, beginning a particular exercise can play havoc with the blood sugar. Hormones awaken and are released in to the body causing the blood sugar to rise. After the exercise becomes routine, the hormones subside. Subsequently, blood sugar levels drop.

My blood sugar went from a 185, before the ride, to 329 afterward. After an ample correction, I came back down to a 130. An insulin pump would be a big help.

Tomorrow's another day.

Change in Direction

2009-02-16T09:48:00.002-05:00

Yes, I've been away for a little while.
My life has changed for the better...At least, I believe so.

This blog will change to more diabetes and faith related articles. I am researching an insulin pump called, "OmniPod", by Insulet. Due to a job change, and more travel, I need to better manage my diabetes.

After not seeing an endocrinologist for some 5+ years, I am now seeing one. My recent A1c number was 7, which hasn't fluctuated in 3 years. Yet, it needs to be better. I have hope that an insulin pump, with all the new technology, can help me achieve better blood sugar results.

In addition, I am joining a diabetes support group. I used to be against such groups, since they mostly consisted of naysayers. However, my goal is to be a light and to listen and to learn. I've had this disease for over 32 years and, frankly, want to live a long, fruitful life.

Please write me with any pump suggestions or candid diabetes opinion. I am also following Team Type 1 on their ride in California. Good stuff!

May God bless you,
Mark

Wonder Woman!

2008-08-29T13:42:00.003-04:00

Wonder Woman, a.k.a. Sarah Palin, has just entered the Presidential race! Kudos to Senator John McCain.

Things could get really interesting...

Obama's Speech

2008-08-29T07:45:00.002-04:00

A little excerpt from Barack Obama's speech last night:

"We may not agree on abortion, but surely we can agree on reducing the number of unwanted pregnancies in this country. The reality of gun ownership may be different for hunters in rural Ohio than for those plagued by gang-violence in Cleveland, but don’t tell me we can’t uphold the Second Amendment while keeping AK-47s out of the hands of criminals. I know there are differences on same-sex marriage, but surely we can agree that our gay and lesbian brothers and sisters deserve to visit the person they love in the hospital and to live lives free of discrimination."

Aside from the jabs thrown at President Bush and Senator McCain [some justified in my opinion], Obama's speech contained familiar pieces from past Dems such as former Presidents Carter and Clinton. He spoke to the hearts of blue-collar and blue-turned-white collar workers out there. His ideas are strong and well received. There is a lot of work to be done.

Now here's where the rubber meets the road.

Obama got a few things right last night: our leaders in Washington are stale, the war in Iraq has gone on way too long, and we are losing jobs overseas. But he also got a few things wrong. The many new programs he mentioned would require taxpayer dollars. I don't know about you, but after paying for a war, I'm skeptical that neither he nor McCain could move Congress to do something worthy.

Besides, those of us who are old enough to remember the oil problems of the late 70's and early 80's, how can I believe that our Congress will initiate programs to move beyond oil? Both Democrats and Republicans are to blame. I'm tired of rich politicians thinking they know what is best for me and my family, while they cruise around the country in their personal planes.

If Americans are ready for "Change", and many of you say you are, then vote in November. Get rid of ALL [Democrats and Republicans] members of Congress that are old and stale, and vote in new folks who are ready to make a difference.

CNN: SWAT Team Mishap

2008-08-08T08:05:00.004-04:00

From CNN: Mayor wants federal probe after SWAT raids house, kills dogs

While he was being held, Calvo said, he told police he is the town's mayor, but they didn't believe him.

Berwyn Heights has its own police force, he said, but Prince George's County police did not notify the municipal authorities of their interest in his home or the package.

"They didn't know my name. All they knew was my wife's name. They matched that to the registration of the car," Calvo said. "It was that lack of communication that really led to what has really been the most traumatic experience of our lives."

_________________________________________________________________

One of these days an innocent child--or children--will be injured or killed, due to one of these warrants, because of the lack of intelligence gathering and communication. It only has to happen one time and the courts will take away this type of warrant.

I personally own a pure bred black lab and they are not a threatening dog. Pit bulls, yes. Labradors? No. Sorry folks, the Prince George's County SWAT team is at fault here.

The Shack, Brennan Manning, and Me

2008-07-08T09:04:00.003-04:00

Amidst a spiritual crisis in my life, my wife asked me to read William P. Young's book, "The Shack". At the same time, I was blessed to attend a conference led by Brennan Manning, author of such books as, "The Ragamuffin Gospel" and "Ruthless Trust".

To make a long story short, two years ago I believed God wanted me to become a youth pastor. I prayed. I researched. I spoke with family and friends. The journey was going my way. The lights were green. I knew God wanted me to...

But the path became more and more cloudy; cluttered with "what ifs" and "how tos". I stumbled and while feeling alone and abandoned, I resorted back to the same 'ol life. No one had an answer. I prayed. And with each prayer came silence. Soon, I gave up. Did God even care anymore? Why did His signs stop? Why did the path to ministry suddenly come to a halt?

Needless to say, church became mundane. The preaching, from different pastors, was dry. I tried reading the Bible, but I was disheartened. My prayers became stale.

Fast forward...
"The Shack" tells the fictional story of Mack, a person who suffers great loss and finds redemption through meeting the Trinity: God, Jesus, and the Holy Spirit. The story examines God's love through the pain and how He is always present. Eventually, Mack comes to terms with his loss, restores his faith in God, and comes to fully love his family.

Young does a good job portraying God as a loving, sovereign being who understands our pain, loss, and love. Young paints Jesus as God in the flesh and King, while he characterizes the Holy Spirit as a part of the triune God [a little difficult to explain, but worth the read].

Yes, there are parts of the book I didn't quite grasp. For instance, the book doesn't spend time on God's justice [Heaven vs. Hell] or Satan. Instead, it focusses more on love, grace, mercy, and forgiveness. However, I wasn't disappointed that Young chose the aforementioned. I could definitely relate to Young's character, Mack: The feeling of loss, being alone, and disappointed with God.

Combined with Manning's message [a loving God] and Young's book, I finally broke down and spoke to God with a heart filled with grief and longing. I felt like the prodigal who went on his own way only to realize that I need God now more than ever.

As Young mentioned is his book, Mack is restored, but his life isn't perfect and he still has his down moments. Brennan says we are to love like Jesus, not as we should be, cause we will never be as we should be. He [Brennan] believes when we die, we will be asked by Christ one question, "Did you know that I truly loved you?"

I've stopped running after something I am not: A perfect role model for all to see and hear. God knows that and He still loves me.

Here are links to Brennan Manning's website and The Shack.

Peace be with you...

Items to Ponder

2008-07-07T09:07:00.003-04:00

I mentioned some time ago that I was done with politics. The political machine, here in the United States, has become filled with folks who don't hold true to their party nor beliefs. So, I'll be brief:

What has happened to the Republican party? They're spending tax dollars without regard, losing their character [not practicing what they preach], and forget that people are paying over $4 a gallon of gas and milk. Heck, bread is almost $3!

But let's not forget our friends, the Democrats. They are eating their own like a black widow. They can't grasp national security, want to increase taxes, and they too forget that we are getting raked at the grocery store.

Here are a couple of items of concern:
1. Remember the oil embargo? Remember the long lines at the gas stations? Thirty years have passed and we've done very little regarding fuel alternatives. Does it make you wonder?

2. The Iraq war has cost this country in both dollars and common sense. I support our troops, but Congress is not giving the military the support they need to carry onward. We have concerns in Africa that are just as important, if not more than Iraq. Women and children are being slaughtered every day due to the violence there. What are we waiting for?

3. Obama vs. McCain. This country is in need of a huge overhaul not only at the top, but in other areas such as our federal agencies and Congress. We need people who will step up and do what is right, not for personal gain or glory, but the country as a whole. What does this mean for McCain and Obama? Both need to be firm in their beliefs and stand up for what is right. Change is good IF it is for the right reasons and not to appease a particular political party or special interest group.

May God help us...

My Little World

2008-06-24T11:40:00.002-04:00

Yes, it's been awhile...
So here are a few ramblings:

1. Go Georgia Bulldogs! - 'nuff said.
2. The Shack - A really, really good book that I wish the theologians would just leave alone. As a work a fiction, it is just that - fiction. More on this later.
3. The new house - Still unpacking boxes... Did we really own this much stuff?
4. Church - Good news for those who have been praying over us, we are now joining Johnson Ferry Baptist Church.
5. My youngest son - has accepted Christ as his Lord and Savior. Yea!!!

Summer is going very, very well.

Prayer for Chapman Family

2008-05-22T07:52:00.002-04:00

Very sad news yesterday: Daughter of Christian music star killed by car

Please keep the Chapman family in your prayers and may God grant them peace.

On Moving a Family

2008-04-09T08:53:00.002-04:00

"The family that moves together, stays together." Or something like that.

We survived our second move in seven months. Our new home (new to us) is truly a blessing. We managed to live in a 3-bedroom apartment, for a little over six months, and the experience has made us realize that we don't need a whole lot of room to live in. Our needs and wants certainly have changed for the better.

We made it through a lot of stress and multiple illnesses, but we are so much stronger now. If God weren't in our lives, we would be in far worse shape.

Now the hard part... We need to find a church. One that is not too big, or too small; one that is just right. Most important: One that we can worship God in and put Him first. We were attending Johnson Ferry Baptist for a while, but it's way too big.

So, any help finding a church would be deeply appreciated. We are open to community-style churches with family ministries. We are located in the north part of Marietta, Georgia. Feel free to send me an email at:

mmansheim@gmail.com

Peace be with you...

On Faith and Disease

2008-03-26T09:39:00.003-04:00

Sad story from FoxNews. An 11-year old girl, with insulin dependent Diabetes, dies from apparent ketoacidosis because her parents believed the disease could be cured through prayer.

Being a "type 1" diabetic [of over 31 years] and a follower of Christ, I do not doubt that God can cure people of diseases. However, as much as I have witnessed miracle cures of Cancer and the like, I have yet seen a miraculous cure for insulin-dependent Diabetes. Sorry...it just doesn't happen.

Again, I am not doubting God's power. He does His will, not mine. Is it His will for me to be diabetic? No. Is it His will for me to properly take care of myself - my disease -, love with all my being, and live a life to glorify Him? Yes.

So where did these parents go wrong? Why did they fail to care for their daughter? Why couldn't they have taught her to use the disease as something positive - to help others - instead of something God needed to rid?

Only they truly know.

I have faith that God loves me for being His creation. Yes, I have a disease, but it doesn't control my life; I control it. I have done wonderful, great things even with a disease. I live for my Heavenly Father, my wife and children. I live for today.

Live for someone greater than all of us, love yourself, and love others.

Oh, and all you diabetics out there...take good care of yourselves.

Tourney Time!

2008-03-20T08:09:00.009-04:00

It's the most wonderful time...of the year!

I follow college athletics throughout the year, especially my beloved Wisconsin Badgers. I have watched almost every men's basketball game and cheered them through the Big Ten tournament. Arguably, they have the best defense in the nation.

Now it's crunch time. Win or go home. Do or die. Eat or be eaten.

Pick a catch-phrase, it all means the same: There is no room for loosers. You either play with the heart and soul of a warrior or flop. I will be pulling for the Badgers to go all the way. Why not? It's tourney time! Anything can happen.

Side Note: How crazy was that for the University of Georgia to win the SEC championship?

Yes, anything can happen...

Warrick Dunn Released From Falcons

2008-03-03T15:33:00.004-05:00

One of the few reasons I watch the Atlanta Falcons play is Warrick Dunn. He brought excitement to the game, he never gave up, and managed to keep a positive attitude even when the Falcons weren't doing so well. Cue violin...

Today, the Atlanta Falcons announced that they released Dunn in light of their new running back, Michael Turner. I could rant and rave at such a poor move by the Falcons, but hey, they know what's best, right?

Dunn's work will probably be remembered more off the field than on. His charity, Warrick Dunn Foundation, has provided single-parent households with the opportunity of home ownership. Please visit the site.

I know there are other sports figures who are heavily involved with their communities and charities alike, but Warrick stands above. His character on and off the field exude the qualities we should all strive towards.

Warrick, we will miss you...

So You Had a Bad Day

2008-02-27T10:11:00.002-05:00

I'm sure you've all experienced being "chewed" out by a co-worker. Namely, a chunk of your posterior was forcefully removed and now you're wondering how to get it back. Being of sound mind and flabby body, I have learned to allow folks to vent their frustration(s) [to a point], listen with concern, and provide them with some sort of help. Not always an easy task, especially with me who likes to fire back with the ferociousness of a rabid badger.

Why stay frustrated when you really aren't in control...

So, in light of all of us who have had a recent "enlightenment", here's Daniel Powter's song:

What's Now...

2008-02-01T07:50:00.000-05:00

I've been busy... No, make that very busy! My wife and I are looking for a new house. We've been living in an apartment for the last 4 months, and now we are ready for a house. As many of you know, looking for a house in this market is time consuming. There are lots of choices.

So please forgive my lack of writing. It's been difficult on me as well. Here are a couple of tidbits to keep up:

Misawa's a free man...sort of
Bryan Allain, at Burnside Writers, is/was excited that Lost was back on air [personally, I've never watched the show, but Misawa says it's excellent]
As always, Tim's site is a great read

Lastly, a little Muppet entertainment for ya!

True Love

2008-01-14T06:59:00.000-05:00

I'm not much for people watching. I don't like to be watched myself, so why would I stare at others. But the other night, while out to dinner with my family as we celebrated our son's 11th birthday , this married couple--sitting next to us--caught my attention.

Both of them were probably in their late 50's, maybe early 60's. A husband gazing longingly at his wife, occasionally smiling as they ate. She concentrated on her food and occasionally returned the smile. His eyes never left her.

Some time before, she had a stroke. The physical damage was evident: slow to speak and react. However, through the trauma, her spirit was still alive. To her husband, she was--is--still his beautiful wife, to love and cherish until the very end.

When the resturant sang happy birthday to our son, we found out that her birthday was on the same day, too. She congratulated our son, laughed and, for a brief moment, was young again.

As the couple got up to leave, they smiled at us and said their goodbyes. He held her hand and led her toward the door...hand-in-hand like the day he walked with her at the altar.

Mac VS. PC

2007-12-27T08:33:00.000-05:00

Before Christmas, I am generally asked one question: "Which should I buy, a Mac or a PC?"

Now in the old days, prior to 2000, I would have easily said a PC. Windows wasn't the greatest, but Apple didn't have their act together enough to warrant a purchase. I occasionally used a Mac and loved it, but finding ample support for them was like finding a needle in a haystack. But that was before 2000.

Then came Mac OS X in 2001 and everything changed. The computer world seemed a little brighter. I admit that I didn't jump on the bandwagon right away. I was still content with my blue screens of death and enjoyed the memory hiccups every time I opened an application. However, the more I experienced the new Mac OS, the more I loved it.

Then the inevitable happened - I switched my allegiance. I considered the arguments and for the past six years have recommended purchasing a Mac. Why? Performance. The Mac outperforms the PC. Plus, support time for the PC is far greater than the Mac. The cute Apple commercials don't lie.

Those who took my advice have been pleasantly surprised. Sure, there's a little learning curve, but it's pretty much smooth sailing afterward.

Is a Mac right for every one? No, it is not. But I would rather take my chances on a Mac anyday compared to a PC.

To find out more, click here: X

Graduation: A New Challenge

2007-12-18T09:48:00.000-05:00

Saturday, December 15th began with a quiet excitedness in the air. My wife, I, and our boys would soon be meeting our good friends, Misawa and his wife, for lunch. Soon thereafter, we would join Misawa in the celebration of a long-awaited journey. He would be graduating from college with a 4-year engineering degree. There was much to celebrate.

As I have gotten older, I've taken the time to look for meaning beyond what I see on the surface of life. For instance, Misawa graduated not only with fellow students from the United States, but with students from other nations. Yes, there were students who earned their diplomas from such places as China, Kenya, Nigeria, Latin America, and Iran.

I found it wonderfully amazing that these students, from near and far, came here to earn their degree. They came here in pursuit of opportunity; opportunities they probably wouldn't have in their home countries. Yet with their diplomas, they can now pursue opportunities any where in the world. May God richly bless them.

Misawa - You've persevered and finished one of many races yet to come. As one journey ends, another begins. Remember, keep God and family first and don't ever let work embroil your life. Lastly, never lose the love of adventure...

Christmas Movies and Music

2007-12-10T07:50:00.000-05:00

Listed are my favs for Christmas movies/shows and music:

Movies/Shows:
5. A Christmas Carol [classic version]
4. It's a Wonderful Life - Jimmy Stewart was incredible in this movie!
3. Rudolph the Red Nosed Reindeer - "...that's cause bumbles bounce!"
2. A Charlie Brown Christmas - I get teary-eyed every time Linus quotes from Luke...
1. Dr. Seuss' How The Grinch Stole Christmas - both cartoon and Ron Howard's film

Music:
There are only two Christmas albums I listen to over and over again.
2. A Muppet's Christmas with John Denver
1. A Charlie Brown Christmas by Vince Guaraldi

Interview: David Slagle

2007-11-27T12:58:00.000-05:00

I've met a number of pastors in my short 'born-again' life. Very few have the heart like Pastor David Slagle of Veritas Church. For one, he isn't the typical suit-wearin', bigger-than-life, pastor. In fact, David is probably no taller than 5'8" and very personable.

He listens intently and is not quick to judgement. I met David two years ago when Veritas invited author, Donald Miller, to speak. The worship service at Veritas was truly authentic and full of grace.

I consider David a good friend and hope all who visit Veritas Church enjoy the worship.

A Wonderful Light

2007-10-30T08:12:00.000-04:00

A wonderful, thought provoking piece from Holly E. Ordway on her journey to faith.

"The man named Jesus had preached, been crucified, died. That much I accepted as historical fact. But was this man the Son of God? Had Jesus risen from the dead? If that were true, Christianity was true.

This was frightening stuff. I was close, very close, to something life-altering. I knew that if this were true, it would change ... everything."

May God bless you today as this article blessed me...

Updates...

2007-10-26T14:40:00.000-04:00

I've conducted and posted my first interview on faith-love-mercy-action. I had the honor of interviewing my good friend and co-worker Rendell Day, Chaplain, Habitat for Humanity.

Yesterday, I had my third laser treatment on my right eye. The more I have these treatments, the more frustrated I become. I am in constant prayer that God will heal me and lead me to do wonderful things.

If you haven't seen the latest news from my very, very good friend, Misawa, please go here: A Cat-less bag

Have a great weekend! Go Bulldogs, Badgers, and Ducks!!!

A New Beginning

2007-10-22T09:37:00.000-04:00

For some time now God has been leading me to view his work being done in the community. God's children, big and small, are doing wonderful things to show Christ's love to everyone. Out of this observance, I've started this site:

faith-love-mercy-action

I will focus on groups, individuals, and churches demonstrating the light of Christ in the community. I believe we can lead people to Christ by showing his love, grace, and mercy. Please keep those who diligently serve in prayer and those who need to witness Christ's love in action in prayer.

Faith In Action

2007-10-04T10:15:00.000-04:00

If there is anything that brings joy to my heart, aside from my family and friends, it's serving in the community. Want to show the love and mercy of Christ? Serve in your local community. The following links are very personal to me and I encourage you to find a place to show Christ's love:

Habitat for Humanity - Pick a local affiliate and help buid a home. There's nothing like seeing the joy of a person building and earning their own home.

Big Oak Ranch - I personally met John Croyle, a couple of years ago, and his testimony of helping [rescuing] abandoned boys and girls made me weep.

Belmont Foundation - Author Donald Miller [To Own a Dragon, Blue Like Jazz] began this wonderful organization to mentor boys and girls who have no fathers. This constantly pulls at my heart-strings.

The Drake House - Homeless single mothers with children and no where to go. Brings tears to your eyes, doesn't it?

Faith - Love - Mercy - Action
It doesn't take much.

Another Dive...

2007-10-04T09:58:00.000-04:00

This afternoon I go for my next round of laser surgeries, but this time on my left eye. Life still goes on...

In other news, I'm coming to the conclusion that life is too short not to enjoy it. I'm working too much; eating too much; not spending enough time with my family, etc. John 10:10 comes to mind:

"I came so they can have real and eternal life, more and better life than they ever dreamed of." [ The Message]

Real life is now and time is fleeting. Faith is action.
See next post for the meaning...

More on Life

2007-10-01T07:34:00.000-04:00

Life in the last 2 weeks has been so chaotic, that I don't know where to start.

1. We've moved from West Cobb [praise God!] and now reside temporarily in an apartment for 6 months.
2. My right eye is still 'fuzzy' at best, but I believe the laser treatments are working. On October 4th, I will have surgery on my left eye.
3. We just attended a weekend family camp with my wife's, and our sons', school. The best part aside from spending time with my family? Hearing God's voice. We had a community worship service on Sunday and it was truly wonderful. I felt so blessed. [Martha, if you read this, your testimony touched my soul. Keep your faith in Christ strong.]

And for the first time in months, I actually took time to read God's word AND let it speak to me. I read 1 Timothy chapters 1 - 3. Here is what God said to me:
[1 Timothy 3:2-3 NIV]
Now the overseer must be above reproach, the husband of but one wife, temperate, self-controlled, respectable, hospitable, able to teach, not given to drunkenness, not violent but gentle, not quarrelsome, not a lover of money.

The key word is 'temperate" [not quickly angered]. I admit through my frustrations that I've lost my temper at times. I've blown my cool with family, friends, and co-workers. God also spoke to me to seek 'grace' and to understand it. I thought I understood grace, but maybe I don't. If you have any wonderful resources on understanding grace, I could surely use them.

See you soon...

Laser Treatment 2

2007-09-13T18:33:00.000-04:00

This morning I endured 10 + minutes of throbbing laser surgery on my right eye. I'm very sore, but my spirits our high. I wanted to go into the office at noon, but my doctor, wife, and sister (who was with me) were much against it. I guess it wouldn't have been good since I was also sedated.

The only bad news I received was that my doctor is now going forward with laser surgery in my left eye. Yes, I was bummed, but it could be worse...

Sometimes you view these challenges in either two ways: 1. You question God's wisdom and timing and wonder, "Why me?" OR 2. You see opportunity and remind yourself that you are here to serve a great God.

I may be down, but not out. I may be on the jagged edge, but I'm in God's hands, and life doesn't get any better.

More laser treatments to go...hope never dies.

Life...

2007-09-09T21:17:00.000-04:00

A lot of things have been going on in my, and my family's, life lately. We are in the process of selling our house in West Marietta, and moving to a house in North Marietta. All this to be done within the next 3 weeks. But that's not the entire reason I'm writing this entry.

On Friday, September 7th, I was diagnosed with severe proliferative diabetic retinopathy. In English, there is bleeding in my right eye causing me not to see clearly. I can see objects, but nothing clear.

Thankfully, I saw a top-notch retinal specialist (by God's doing, not mine) who will take excellent care of me. We began laser treatments that will run weekly for the next 3-4 weeks. Sadly, I am now unable to exercise or cause my head to even move too much. I can't cause a rise in my blood pressure nor bend over. And yes, there is trouble in my left eye, too. From what I understand, and I could be wrong, blindness may happen over time even after treatment.

I'm trying to stay positive about all this news. The specialist said there was nothing I could've done to prevent this, since I've been a diabetic for over 30 years. Can't seem to accept that as a reasonable answer.

The answer I do know is that I am not going to give up. Every waking moment is now spent burning wonderful images of my family and friends into memory. Smiles, laughter, colors, all the little things we take for granted are being photographed in my mind. My bloodsugar levels are being watched more closely. My eating is much better too.

I have my other senses, my hands and feet. I am very blessed for all this and wonderful family and friends. I have a God and his Son, who are watching over me and comforts me during this trying time. I can't imagine ever going at this alone.

Please keep me, my family, and others who are going through this disorder, in your prayers. Our God is a loving Father who loves us deeply and feels our pain and struggle.

Baptists Bundle Burglar

2007-08-13T07:37:00.000-04:00

Try saying that 3 times...

From the AJC: Trail of bills tips church members to bank robber

First, the moral of the story: If you rob a bank and make your getaway by trying to blend in among church-going folks, you best be ready for some divine intervention.

Blessings Through Hard Times

2007-07-19T19:37:00.000-04:00

As I am writing this, my family (and I) are going through some difficult times. For the past 4 months, we've been trying to sell our home in West Marietta, Georgia. In addition, we've hit a spiritual slumber. It's so difficult to give God any glory at all through trying times. Our lives have been on a roller coaster of turmoil for the last 2 + years.

I sometimes wonder what God really has planned for my life. For now, I simply don't know.

And yet, there are blessings through this fog. Blessings that I praise God for.

* My wife is blessed with her job, as a Kindergarten teacher, at a wonderful Christian school. We couldn't have asked for a better school, and I mean this with all my heart.
* I am blessed with my job, even though it is still in technology, at an awesome ministry. It's not the job that matters; it is the people.
* We are healthy! Through all our trials and tribulations, I am amazed at how well my diabetes is doing. I am inspired every day by my wife and boys to do my best.
* We have been blessed with God's provisions: loving friends and family, a home, food, and much more.

God has given us time to contemplate who we are in him. There is hope in Him and through Him.

Last night, we all watched the movie, "Facing the Giants", for the third or fourth time. [we love it!] In it, the character Grant Taylor tells his football team that they will glorify God no matter what the outcome of the game. Thanks to the movie, I am reminded to glorify God through good times or bad.

This morning, I witnessed the sun rise above a mist covered field and river. The light shown through so beautifully, all I could do was give thanks and praise to God.

I know there are more trials ahead. But God will never leave me nor foresake me. I will praise Him with all my being.

Book Review: The Road to Unafraid

2007-06-19T07:59:00.000-04:00

The Road to Unafraid tells the gripping story of U.S. Army Captain Jeff Struecker, who took part in numerous military operations including the battle of Mogadishu aka, Black Hawk Down. From his early life in Iowa to Fort Benning, Georgia, Struecker provides details on his life and how God has deeply blessed him.

Although a quick read, I thoroughly enjoyed this book and wished for more. I remember when the battle of Mogadishu happened and seeing our soldiers being dragged through the streets. I can also recall when then Chief Warrant Officer Michael Durant was freed. Struecker gives his account of that horrendous battle and the impact it had on his faith.

"The difference between being a coward and a hero is not whether you're scared or not. It's what you do while you're scared." [Ch. 1]

God's Gift: Ruth Bell Graham

2007-06-15T08:05:00.000-04:00

God gave us all a modern-day gift.

Her name is Ruth Bell Graham. She had God's strength and courage to raise 5 children while her husband travelled the world spreading the Gospel of Jesus Christ. She will be remembered not for being just Billy's wife, but a woman who persevered and remained faithful to God.

Joe Lieberman News

2007-06-11T08:06:00.000-04:00

Okay, I 'm not writing as much on politics anymore, but this story rose my curiosity.

From the AJC: Lieberman: U.S. Should Weigh Iran Attack

"We've said so publicly that the Iranians have a base in Iran at which they are training Iraqis who are coming in and killing Americans. By some estimates, they have killed as many as 200 American soldiers," Lieberman said. "Well, we can tell them we want them to stop that. But if there's any hope of the Iranians living according to the international rule of law and stopping, for instance, their nuclear weapons development, we can't just talk to them."

Senator Lieberman doesn't just shoot words from his mouth: He does his research very well. In fact, and I could be wrong, but I believe he has visited Iraq more than any other U.S. Senator.

Now listen to what Bill Richardson has to say:

To deal with Iran's nuclear ambitions, Democratic presidential hopeful Bill Richardson said tough negotiation is called for.

"I would talk to them, but I would build an international coalition that would promote and push economic sanctions on them," Richardson said. "Sanctions would work on Iran. They are susceptible to disinvestment policy. They are susceptible to cuts, economic sanctions in commodities."

Do you know what "tough negotiations" get you? A knife in the back.

Too bad Senator Lieberman isn't running for President...

Mr. Universe WINS In Court

2007-06-01T18:47:00.000-04:00

From Diabetes Health: Charges Against Bodybuilder Doug Burns Dropped

I'm a littl e late in publishing this article, but I'm fighting a nasty cold. Here's an excerpt:

The decision to dismiss the case and not go to trial was based upon evidence from an endocrinologist that Doug was in diabetic shock at the time of the incident and therefore had a viable defense of unconsciousness.

It's nice to see some logic come through. Let this be a reminder to us diabetics that even though it is 2007, not everyone is aware of how to treat hypo- and hyperglycemia.

Doug Burns Update

2007-05-11T19:40:00.000-04:00

From Diabetes Health:
Update On Mr. Universe: Doug Burns Arraigned in Court:

The District Attorney asserts that based upon current evidence, Doug was not in an altered mental state due to low blood sugar, although Doug has reportedly submitted substantial medical documentation to the contrary.

I'm going to watch this very closely. Why? In the past, it has been my experience that emergency and law enforcement officials usually don't know how to treat insulin dependent diabetics properly. They are not trained appropriately.

My hunch: I have a feeling the DA has 'hired' endocrinologists who claim Mr. Burns was just fine during this whole ordeal. Either that or there is something to Mr. Burns' character that I'm unaware of. Either case, this event could've been handled differently.

There's more to come...

Betty Adamski Schunke: Inspiration For All Diabetics

2007-05-04T08:52:00.000-04:00

From Diabetes Health:

After All These Years: Betty Adamski Schunke Recalls Diabetes Icons

In her early twenties, Betty worked as a nurse at Camp Joslin for boys. There she met Dr. Best, famed co-discoverer of insulin. A friend of Dr. Joslin, he’d come to the camp to help celebrate its fiftieth anniversary. “The thing that impressed me most about him,” says Betty, “was that he was just a very down-to-earth person, and he was so excited to see the boys living in a relatively healthy way. He commented over and over again how special that was to him, to see all these boys having fun. And I kept thinking, but it’s thanks to you and your work with Dr. Banting that these boys are here. How do I say thank you to a man who basically gave me life?”

Doug Burns Article

2007-04-24T09:14:00.000-04:00

Great article from Diabetes Health magazine.

Mr. Universe's Police Run-In Becomes a Force for Education

To everyone with diabetes who has read about his recent tribulations, Doug wants to reiterate that although lows happen, it’s important not to feel ashamed or frightened. No matter who you are, if you have type 1, you may crash occasionally. You have to brush yourself off and move forward.

The Trouble With Diabetes

2007-04-03T08:01:00.000-04:00

I've been an insulin dependant diabetic for over 30 years now and I can tell you firsthand that extremely low blood sugar, or high blood sugar, can make you do some crazy things. Mix a case of severe hypoglycemia, with 20 + years in the martial arts, and you can have a potentially dangerous situation.

Doug Burns, the reigning Mr. Universe, who is also a diabetic, ran into this situation.

"Police wrestle, mace, arrest Mr. Universe"

For Burns, though, the fact is he doesn’t recall much between feeling his blood sugar dropping in the Cinemark theater and regaining coherence in the San Mateo Medical Center with mace on his shirt and glucose paste down the side of his face. The time in between are snapshots, he said, of being on the sidewalk in front of the theater unable to speak, hearing officers theorize he was on PCP and hoping somebody noticed either the Medic Alert bracelet on his wrist or a card in his wallet identifying him as the director of diabetes and obesity education for a medical research institute.

Note to all diabetics: Burns was wearing his Medic Alert bracelet. This may save him later. The only downside? He should've been carrying glucose tablets, especially since he just changed insulin regimen. And yes, I have been guilty of this, too.

Two weeks ago, I had a serious morning low. After gaining consciousness, I realized that my wife was speaking softly and feeding me graham crackers. She said I had already drank a large glass of orange juice, but I had no recollection of it. I was weak for the rest of the day.

Sound familiar?
Ah, the trouble with diabetes.

Irena Sendler

2007-03-14T14:05:00.000-04:00

From FoxNews: Poland Honors Woman Who Saved 2,500 Children During Holocaust

"Every child saved with my help and the help of all the wonderful secret messengers, who today are no longer living, is the justification of my existence on this Earth, and not a title to glory," Sendler said in a letter read by Elzbieta Ficowska, who was saved by Sendler as a baby.

Let us never forget the brave actions of persons, like Irena, who risked their lives to protect others during a time of war.

Thoughts on Christians and Christian Music

2007-03-13T20:54:00.000-04:00

As I read Tim Ellsworth's post on the recent Jars of Clay interview, thoughts cross my mind. For example, a stream of Christian musicians such as Derek Webb, Switchfoot, and Jars of Clay, are not the mainstream conservative Christian types, and therefore really don't fit into any current mold.

Is this really a bad thing? I mean as long as their character exudes Christ, is it bad for there to be diversity amongst Christian artists.

Case in point: Let's look at Toby Mac. Have you listened to his lyrics? The man is a singing missionary. He sings to such themes as racial diversity [relationships], homelessness, character, and God's unconditional love. Last I looked, he's no walking poster boy for the Democrats or Republicans either. Is this a bad thing?

Sometimes we become so wrapped up in what one political party is doing over the other, that we forget who we are and our mission:

Then the eleven disciples went to Galilee, to the mountain where Jesus had told them to go. When they saw him, they worshiped him; but some doubted. Then Jesus came to them and said, "All authority in heaven and on earth has been given to me. Therefore go and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything I have commanded you. And surely I am with you always, to the very end of the age."

Stupid

2007-03-08T08:42:00.000-05:00

From the Atlanta Journal-Constitution: Only a crumb would do this

A guy gets drunk and high on drugs and robs a girl scout of her cookies. Thankfully, he's caught.

So, here's a few punishment suggestions for all you judges out there:

1. Order the assailant to dress as a girl scout and sell cookies at a Home Depot. He must explain to everyone what his crime was. If not at a Home Depot, then at a construction site.
2. Make the assailant do 500 hours of community service as ordered by the Girl Scouts. Since he's got so much time to drink alcohol and do drugs, he's got time to do community service. If he balks, then on to number 3.
3. Serve 5 years in prison with no chance of parole.
4. Last, order him into the Marines for a mandatory 20. [Oh, I do like this one!]

If you think these suggestions are too harsh, I have news for you. The typical drunk assailant will not only spend some amount of time in jail, BUT, they will commit the same type of crime again once they're free. Increase the punishment, make them do some hard labor, and just see what happens...

Freedom of Speech

2007-02-22T08:26:00.000-05:00

On many occasions, I believe we take freedom of speech for granted. Yet, here is a FoxNews article on what happens, in Egypt, when one doesn't have that same freedom.

He [Abdel Kareem Nabil] was a vocal critic of conservative Muslims and in other posts described Mubarak's regime as a "symbol of dictatorship."

Now Nabil will be going away to prison for 4 years.

We moan and holler about the price of freedom, when in reality we could all be facing prison time if our country wasn't a Republic Democracy. Men and women fought for our freedoms today and the threat to freedom tomorrow.

Dinosaurs and Noah's Ark

2007-02-21T11:42:00.000-05:00

If you read this article from CNN, you have to look at it from a humorous point of view. Ignore the ACLU for just a moment [it shouldn't be hard to do], and focus on what the student says:

"LaClair says Paszkiewicz told students evolution is less fact-based than the Bible, there were dinosaurs on Noah's Ark, the Big Bang theory of creation is unscientific, and that the Bible has been proven to be literally true."

Either Paszkiewicz [the teacher] doesn't know the Bible well and/or LaClair is exaggerating what was said.

Dinosaurs aboard Noah's Ark... That would be the equivalent of releasing a bunch of Baptists on a buffet lunch after Sunday's service. Ouch!