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Letter from the Editor #484

Sep 2, 2009

Another reason to monitor glucose: Better restaurant service

Over the past few weeks I have started increasing my race walking mileage to prepare for a half marathon in November. Although I don’t have diabetes this increase in physical activities seems to run my glucose low in the morning. While driving to Ocala, I felt kind of tired and decided to stop and get something to eat at a national breakfast chain restaurant. I sat at the table and took out my glucose monitor to check.


The hostess saw me from afar and “ran” over to see if anyone had taken my order, or if there was anything she could get me. My server came within 10 seconds to see if he could get me anything and if I was ready to order. Within a minute of placing my order the manager was at my table to make sure I had been taken care of and my special order omelette was delivered within four minutes, with no extra charge for the ingredients. During the meal I got the best service ever, and right before I left I asked each one of them if they were extra diligent because they saw me test, and all three told me yes. So if your patients need another reason to test this is it.

Two weeks ago we brought you information on the possible problems with glucose testing equipment that uses the GDH-PQQ enzyme. I mentioned that this would probably give our patients a reason not to monitor and that for the majority of them there was no problem. This week we have a special report from David Kliff, Publisher, DiabeticInvestor. Dave has looked at the industry white paper and has put some math to the problem.

To learn what Dave found out click here.

Please note: Many of you wrote or called me to state that our tool for converting insulin was wrong because the words “multiply by 5” were there. Please note that we are multiplying the number of carbs or mg/dl of glucose not the insulin.

To help you understand this, just repeat after me. If 1 unit of U-100 insulin covers 5 grams of carbohydrates then 1 unit of U-500 insulin (5 times as potent) will cover 25 grams of carbohydrate. Makes a whole lot of sense when you say it that way, doesn’t it?

TCOYD Diabetes Conference, September 19, 2009, Milwaukee, Wisconsin
Join the “Taking Control of Your Diabetes” staff and enjoy a whole day of learning about your diabetes. TCOYD will be in Milwaukee, Wisconsin, on September 19. Just go to www.TCOYD.com and register.

dLife: September 6, 7PM ET on CNBC
Find out about a little-known complication that affects over 10 percent of people with diabetes — are you at risk? Plus, a mouthwatering Barbeque Brisket that’s inexpensive and easy to make; listening in on kids talking about diabetes; and a look at how to handle the diabetes police. Sundays on CNBC at 7 PM ET, 6 PM CT, and 4 PM PT.


We can make a difference!


Check out this week’s “Test Your Diabetes Knowledge” question.

Dave Joffe, Editor-in-chief