Managing your diabetes is more than just keeping an eye on your HbA1c. You’ve got to look at your time in range (TIR) too—it's key to steering clear of complications. Let’s dive into how it can help you stay on top of your game!
What’s Time in Range (TIR) All About?
Think of TIR as your diabetes GPS, showing how often your blood sugar sits in that sweet spot (3.9-10mmol/L). It’s a game-changer if you ask me, offering a live snapshot of your glucose levels instead of relying on just numbers like HbA1c.
Why Understanding TIR is a Game Changer:
Real-Time Feedback: Get those instant insights on how your blood sugar’s moving.
Personalized Goals: Set targets that fit snugly with your lifestyle and personal health needs.
Cut Down Complications: Nailing your TIR can seriously knock down the risk of complications.
Digging into Time in Tighter Range (TITR)
TITR takes TIR up a notch by focusing on a tighter target range. It’s there for you if you’re reaching for that extra level of control.
Perks of Keeping an Eye on TITR:
Dialed-in Management: Tunes your diabetes strategies to a finer beat.
Better Results: Tighter control can ward off complications, big and small.
Keep Motivated: Seeing those wins in a tighter range is a boost like no other.
Wrapping it Up
By giving TIR and TITR the attention they deserve, you’re set to make smart choices about managing your diabetes. With a good partnership with your healthcare team, realistic plans, and the power of continuous glucose monitors and automated insulin pumps, you can really lift your quality of life. You’ve got this!
#Diabetesaustralia #diabetestechnology #timeinrange #lifesbetterinrange #diabetestechnology #t1dtech #diabetessupport #t1dsupport #t1dspecialist #unitefortech
It's been a whirlwind week having travelled to Merimbula and Sydney from Canberra but I didn't want to miss on sharing the excellent time i had in Merimbula and the beautiful people I got to meet and support!
I started three pumps while down there. One bridging the gap pump for a lady who has been through a divorce, her blood glucose levels have paid the price of a bad marriage, and focussing on children more. She acknowledged at my last visit that it was time to do something for herself. At that visit she learnt that private health insurance isn't as expensive as she once thought, and she could make it work. She signed up in October and got started on the pump in November.
Another lady has had private health insurance for forever, paying top their, she is 75 and pumps had never really been discussed with her. The endo was happy with her management and she was ageing so it was all fine. Nothing much has changed in her care over the last lots of years (THIS IS CALLED CLINICAL INERTIA).
Another lady who i have shared about already. Who could afford private health insurance. Who has had diabetes for over 50 years and who has numerous complications. She was at her wots end with her diabetes and not wanting to go on. I reached out to some community organisations with some good letters, we raised some money and did some talks, and now she too has an insulin pump and has a bit of hope to go on and less roller coasters.
I supported a lovely lady with her type 2 diabetes. We are starting from scratch with pathology to see where she stands before making any adjustments to her medication.
I supported a lovely man with brain injury from viral meningitis to talk about how his insulin and bg levels interact. He is having lots of lows and finds the incredibly complex nature of t1d and insulin use very difficult to understand, adjust and get right. He is amazing and also adding strength based exercise into the mix which adds another complexity that he doesn't fully underst
New or existing clients - I have some spots available on the 26th of November in Merimbula. I am a nurse practitioner and diabetes educator and I specialist in type 1 diabetes and technology. If you have questions about your diabetes, If your hba1c is above 7%, if you feel over burdened by your diabetes and completely over it, if you haven't had any changes in your diabetes management in the last 5 years, book in and come and have a chat! I have no judgement for whatever way you are doing your diabetes but I do have options that you could consider!
Come and help me make my visit worthwhile, I would love to see you in Merimbula @coworkmerimbula
Ph or text Emma, my receptionist to book in. Please leave a message and she will get back to you as soon as possible!
Diwali, also known as the Festival of Lights, is a time of joy, celebration, and togetherness. This vibrant festival, celebrated by millions of Hindus, Sikhs, and Jains around the world, symbolizes the triumph of light over darkness and good over evil. Homes are adorned with beautiful rangoli designs, diyas (oil lamps) are lit, and delicious sweets and snacks are shared among family and friends.
For those with Type 1 Diabetes, enjoying the festivities while managing BG levels can be challenging, but with planning and mindful choices, it’s entirely possible to have a wonderful Diwali.
Plan Your Meals: Traditional Diwali foods are often rich in carbohydrates and sugars. Try to plan your meals in advance and opt for healthier versions of your favorite dishes. For example, you can bake instead of deep-frying snacks like samosas and pakoras3.
Monitor Blood Sugar Levels: Keep a close eye on your blood sugar levels. Regular monitoring can help you make timely adjustments to your insulin doses if needed.
Healthy Alternatives: Incorporate vegetables, whole grains, and lean proteins into your meals. Foods like chickpeas, lentils, and leafy greens can help keep your blood sugar levels stable.
Stay Hydrated: Drink plenty of water and avoid sugary drinks. Staying hydrated is crucial, especially if you’re indulging in more sweets than usual.
Portion Control: Enjoy your favourite sweets and snacks, but in moderation. Smaller portions can help you enjoy the flavours of Diwali without causing hyperglycemia.
Physical Activity: Try to stay active. A short walk after meals can help manage blood sugar levels and aid digestion.
Alcohol Consumption: If you choose to drink alcohol, do so in moderation and be aware of its effects on your blood sugar levels. Alcohol can cause both high and low blood sugar levels, so it’s important to monitor your levels closely.
Enjoying Diwali Mindfully
Diwali is a time to celebrate with loved ones and create beautiful memories. Remember, th
Medtronic extended wear infusion set change. @medtronicdiabetesaus
InRange news!! **watch with sound on.
Online booking is finally available! Please get on to my website to check this out and feel free to book an appointment of any type! I've got more availability coming up as September opens and keen to get some days filled up! Let me know if you have any questions or if you'd like to chat before booking in!
I'm a Nurse Practitioner and Credentialled Diabetes Educator.
I specialise in TYPE 1 diabetes, have vast experience in the technology available and can help you out with getting on any of the systems or getting your current system upgraded! I can also help you to improve your current diabetes management if you are using injections and can support you to change medications if appropriate or discuss and support you to begin a path to insulin pump therapy.
I can finally reveal some super exciting news!! I am officially and technically a Nurse Practitioner and I am so beyond thrilled!! This has been in progress over the last 4 years and I am so pleased to have completed my masters degree and then to have applied for and gotten endorsement through AHPRA and then to have finally recieved my new provider numbers and my prescriber numbers (which I think is the pivotal point where it all truly felt really real!!). I'm still waiting on my prescription pads arriving so I got some through a very kind friend that was happy to help! Thank you to all the wonderful people that have supported me in my journey to get here, you know who you are and I cannot express my appreciation to you enough! You are some of the best in the diabetes nurse practitioner field and I am so blessed that you were happy to share your experiences and amazing knowledge with me and help me to get where I am now! Also to all of the people beyond nurse practitioners including my family, my colleagues, my friends and my clients that backed me and encouraged me through all of this. I couldn't have done it without you all!
For my clients, this is just icing on the cake for you! On top of the wonderful service you already get 😊, I can now offer a higher calliber of clinical evaluation and guidance as well as diagnostics within my scope, pathology and prescriptions!! These are exciting times my friends!
Grammy speach over! Have a fantastic day!
If you haven't already, update to Glooko. It is a great platform both for phone use and use on the computer and the data is equal to diasend. Diasend will no longer be available soon so it is important to get your glooko account created. If you are linked with a clinic try to use the same login and password.
Some clinics, like me, just use your own login and password to access your account so make the password generic if you are happy to like @Diabetes123. And shoot your clinician an email or message to let them know that you have changed over to glooko and what your login and password are. With your password and login, like with diasend, your clinician will be able to have eyes on your levels and your pumps activity and give you helpful information at your appointments or in between appointments if that is how you and they roll.
If you are using ypso pump and cam aps, when you go in to glooko you have to select "your devices" but all you need to tick is "CamAPS" and it will then be able to work with that and pull the pump and dex info.
If you are working with tslim or omnipod or libre or dexcom you will select both components.
Contact your pump supplier if you have any tech issues swapping over or if you have any questions about the new platform. Or post here and I'll do my best to answer!
Have a great day!
Check out the omnipod insertion speed and cannula with me!
Note: I know this is wasteful to not actually inserting it into me or someone but my pods are expired and I needed to be sure that they would still work.
Super easy preparation. The pod can hold a max of 200 units and a minimum of 85 units (units converts to mls 1:1). The pods should be changed every three days. The pods last for an absolute total of 80 hours. After that time it will beep incessantly at you until you deactivate with the pdm. If something has gone wrong and you can't deactivate with the pdm there is a bit on the back that you can break to stop the madness! I'll do another post on this as I didn't think it was possible and couldn't find the spot but I have found it now!
This is now subsidised by the NDSS in Aus. The total cost a month is $200. If you have private health insurance and don't have a current claim on an insulin pump private health will cover $168 per month of that cost. Like other pumps, you are tied into this subscription for four years. If you are currently still using and have another pump in warranty you can try out the pods anyway but you will be paying $200 a month. There is no minimum subscription time.
Let me know if you have any questions or are in Aus and want to try out the pod system!
Such a good delivery to recieve! @stripped.supply is slowly getting all listed ndss products on their order list but there are a lot of fantastic ones on there already. They started with the most used items!
They've been asked to get the insetts for ypsopump on there if anyone else is looking for them and they have responded positively so hopefully it's not too long before you can add the insetts to your order then you'll only need to go to the pharmacy for insulin!! How cool is that!
Have a fantastic afternoon!
OK ppl! Pay attention because i have just eased my diabetes burden even more and I wanted to let you in on how to do the same if you want to!
STRIPPED SUPPLY is set up by my new best friend, Ash. I don't even know her but I secretly love her. She is already taken by Tristan who has T1d but I reckon I can still have a major crush for what she is doing!
I do not like going to the pharmacy as much as I am needing to these days. One day I realise I am running out of dexcom sensors so I go there to put in an order. 2 days later I get a call to say they are in so I head in to get them. A week later I realise that i am running low on sets and reservoirs so I go back in or call up to order and again I am in there 2 days later after recieveing a phone call saying that they had arrived, but, only one box... then I get a call 2 weeks later saying the other box has arrived so back I go and I'm smart this time because I fill my script for insulin at the same time.. but that is already 3 to 5 times I have been to the pharmacy in 1 month!!! I don't appreciate it and I don't have the time to deal with it!
I have been debating a subscription to Stripped Supply for a little while but today while telling a client about it I made the jump and it felt so good. It's like a pressure is automatically lifted off my shoulders! It is a $12 a month subscription and $6 flat rate shipping but they take your ndss details and your Medicare details and they charge you the same price that you would get charged at the pharmacy for these supplies but it gets sent to your house!!! Hallelujah!!
The dexcom transmitter automatically gets sent every 90 days at no cost and the rest get sent every 60 days so I have ordered two boxes of dexcom sensors and when they get my infusion sets in I will order those as well.
Additionally you can manage your subscriptions so you can top up on test strip's this month and then skip that order for the next delivery. Or you can add in other things when you want.
InRange Diabetes wants to help you better manage your life with Diabetes. For more info or to book an appointment go to http:\\inrangediabetes.com.au
