The Big Lie about Blood Sugar Control

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I talk about various blood glucose control indicators like HbA1c and time in range and how they might me deceiving for type 1 and type 2 diabetics.
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0:00 Which blood sugar graph is better
1:10 Does it matter to have peaks and valleys in the blood glucose graph
2:39 HbA1c
4:09 Time in range
5:59 Standard deviation
7:18 Practical example of how I look at my blood glucose trends and CGM data
9:26 Special gift for you
Watch next:
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5 low carb meals for diabetics that don't spike blood sugar • 5 Low Carb Meals for D...
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Disclaimer: I am not a medical professional and my videos are not medical advice. just share my diabetes journey and my own experience. What works for me might not work for others. Please consult your medical professional regarding your diabetes treatment.
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Used sources: Diatribe articles about time in range and standard deviation
diatribe.org/time-range
diatribe.org/understanding-av...
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4 авг 2024

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Комментарии : 185

@TypeOneTalks 3 года назад

To join as a channel member within the RU-vid platform and get access to bonus content and direct messaging channel click on the "JOIN" button below the video (links to all members only videos are located on the community tab of my RU-vid channel and you will be able to see them after you've joined). To join my Patreon community click here www.patreon.com/typeonetalks

@catbutte4770 3 года назад

I'm not able to join for $7 a month on Patreon, but being able to join here on RU-vid for $2.99 fits my budget! Thank you! 😺

@TypeOneTalks 3 года назад

@@catbutte4770 Excellent. You are most welcome!

@DrHowdyboy 3 года назад

Just a note from Canada to say thanks, Tom. Your videos are great and you have a nice interpersonal style that makes them fun and informative to watch. My 26-year old son was diagnosed about 2 months ago and your videos have really helped us navigate this challenge. He is doing really well, at least in part, thanks to your videos. All the best.

@TypeOneTalks 3 года назад

Thank you so much! I am so happy to hear that. Wishing you and your son all the best to Canada!

@martyfeinstein8197 3 года назад

Great video Tom! My T1D diagnosis was in 1963 and I have always tried to maintain tight control. Severe hypoglycemia unawareness since the late 1960s has resulted in loss of consciousness many times and caused several injuries, includung a fractured ankle. The t:slim X2 and Dexcom G6 with Control IQ have made a big difference, and I highly recommend both. During the last two years, A1Cs have ranged from 5.5% to 6.3%. Last A1C was 5.7% with 94% TIR, so my endo team, and I are pleased. Diabetes is still stressful, even with the best technology. Hang in there everyone, and remember that incremental improvements count.

@TypeOneTalks 3 года назад

Hi Marty. Thank you very much for the great encouraging post! Stay safe and keep up the great work!

@Ligitizzy 2 года назад

This is really useful! After 20+ years type 1, I’ve gotten into some really bad mental habits such as feeling more comfortable running slightly higher as lows give me anxiety. I’m trying to retrain my brain to help me get back to better numbers! Your videos are the most relatable and informative I’ve seen on RU-vid!!

@TypeOneTalks 2 года назад

Thank you so much for your kind words my friend.

@sharonh9242 3 года назад

Membership is cutting edge up and personal....Thanks for beginning the Patreon group. Defining the Metrics was soo helpful. Identifying how peaks and valleys can cause organ damage and how to manage this. Thanks, Tom!

@TypeOneTalks 3 года назад

You are most welcome!

@ayman_khuzundar 3 года назад

Tom you are great, this information about A1C I’ve just learned about it a year ago and it made me better understand my blood sugar and my body’s needs. So thanks for sharing this here

@TypeOneTalks 3 года назад

You are very welcome! Thank you so much for your kind words my friend!

@mightyd463 3 года назад

I love your honesty about not to pre bolus before certain snacks and meals. Your not alone, I also have that same problem!

@TypeOneTalks 3 года назад

Thank you John! It is hard sometimes for sure.

@laurieincali2461 Год назад

Love your videos. I am a type 2 on t slim pump. Try to find sugar free ice cream, or make some yourself using a little Monk sugar. You always have great info,🤗

@Go-zi1py 3 года назад

Hi, My mother has had Type 1 Diabetes for 65 years (from age 16 to 81) she is also considered brittle and has had her thyroid medically destroyed because of Grave's Disease and suffers from Other Tremors Undiagnosed. She's in good health now and looking forward to 82! She is 100% dedicated to a zero sugar and low carb diet and has checked her blood sugar 6 to 10 times a day for over 30 year! She is living proof that if you do the right things you can live a long healthy life with Type 1 Diabetes! Keep up the good work, 81 will be here before you know it!

@Mylo_madness03 6 месяцев назад

❤❤❤❤❤❤❤❤🙏🙏🙏 All the love and prayers to your mom and you

@patriceferguson7340 2 года назад

Tom I love all the videos I have encountered so far. You definitely have a can do spirit and very good way to explain your journey. I thank you for that. I was diagnosed with d2 back in April 2021 this after 5 months being sick with things no one could put a label to prior to that. Needless to say I lost about 15 pounds a month and it fell off fast. I thought I was doing everything right I mean tir was nearly 98% A1c from 13.6 to 5.3 after more testing it turns out it’s T1D. And I am well over the hill and quarter down the dale. It can be done even with oldies like me.

@TypeOneTalks 2 года назад

Thank you so much for your kind words Patrice! And thank you for sharing your story. You are doing fantastic! Wishing you all the best!

@boatman222345 3 года назад

Tom I totally agree with your comments regarding A1c being a poor indicator of overall quality of bG control. A1c tests are just another example of quick and easy Silver Bullet solutions to costly, complex, time consuming, thought processes the medical establishment would rather avoid. Now all the good doc has to do is glance at a single A1c number in order to instantly judge how well your diabetes is controlled! I have been a Type 1 insulin dependent diabetic for nearly 50 years and have been monitoring my bGs throughout the day since 1980. Over the last several decades my lowest HbA1c was 5.4 and my highest was 6.8. While the obvious winner here is the 5.4 it's useful to consider that the cost of maintaining that level was an average of about 360 bGs below 60 mg/dl a year! On a typical day during this period I would take between 15 and 20 fingerstick tests per day and my bG would swing wildly between 55 and 240 mg/dl. As you rightly point out in your video while this might well average out to a great A1c the wild swings were very damaging to my body. Initially I was very hesitant to utilize CGM technology due to negative comments I'd encountered about accuracy. However after watching all your Libre 2 videos I was very impressed with what you had to say and decided to give the Libre 2 a try. For the past 12 weeks I have done so. Overall I have been massively impressed with the Libre 2 system! Time after time after time my fingerstick readings have matched Libre 2 readings within 5 points with only an occasional divergence of more than 10 pts. Using the wealth of information provided by CGM I have gradually fine tuned my protocol in an effort to increase my time in range and decrease wild bG swings. As a result my A1c has crept up a bit from 6.2 to 6.4 but in the past 12 weeks I've achieved 91% of readings in the target range of 70-180 mg/dl, 8% in the 181-250 mg/dl range, and...drum roll please 1% in the 54-69 mg/dl range. According to my AGP Report my average bG is 130, my A1c is 6.4%, and my Glucose variability is 26.1%. I looked for the SD figure you mentioned but can't find one in any of the reports. Is the Glucose Variability (percent coefficient of variation) the same thing as SD and if so how do you convert one to the other? FWIW bolusing for extra carbs might look good in theory but in practice I found it to be little more than wishful thinking at best and an invitation to disaster at worst...at least for me.

@waltwimer2551 2 года назад

Great video all around: good information that aligns with my own experience, and good presentation. And excellent positioning as "I'm not a doctor, consult your own health professional, but here is my experience and what works for me." 👍

@kelliecarlin3084 2 года назад

Love your videos- I’m type 2 but your video on replacing/placing your sensor was so helpful- and your biggest mistakes. Thanks!

@TypeOneTalks 2 года назад

Thank you so much for your kind feedback! I really appreciate it! I’m so glad I could help. Wishing you all the best my friend!

@gigiwong2468 3 года назад

Thanks for the video! It's easier said than done, totally understand that (esp. with icecream 😋). My a1c was lower some years ago, with lots of peaks and valleys. After I tried Libre I tried to reduce the fluctuations but then the a1c increased. Now I'm trying to stay longer in-range , as well as lower the a1c.

@TypeOneTalks 3 года назад

That makes sense. Great job you are focusing on both now! Thank you for sharing!

@herrbenson 3 года назад

I find your videos very helpful for somebody just beginning with cgm measuring. My type 2 diabetes got out of control with an hba1c of 10 and my doctor subscribed me with the dexcom Sensor. Luckily my health insurance covers the costs for a year, so i can try to Come back to a better range.

@TypeOneTalks 3 года назад

Thank you for your kind words my friend. I am sure it will help quite a bit! Good luck!

@belindafernandez5514 2 года назад

Thank you for all your personal information you share with us. I am prediabetic and have been so for 20 years. I find my glucose testing in the mornings after 12 to 16 hours of fast to be 125 and up to the 150. Has this been your experience and if so, what have you personally done to lower the readings. My doctor told me it is directly due to my fasting. Thank you.

@Fanatiqual Год назад

Thanks for showing your bad day graph, so many people feel like they are failures if they have a day like that, i know im one of them. Showing your graph let's me know that we all go through this and not to beat myself up about it unless it becomes a daily habit.

@Dan23_7 Год назад

I’m type 1, are you ? We all have good and bad days, I’ve stopped worrying about it, it’s just how it is, even though you eat at the same time, same carb and insulin, same exercise etc etc but 1 day will be completely different on your BS readings. As I’ve learnt to tell myself “it’s just the change in the weather” But it could literally be that. I’ve been type1 10 years (in June 2023)

@haniffolami5997 4 месяца назад

@@Dan23_7I have been type 1 diabetes for like 3 weeks

@cathydavies3552 3 года назад

I’ve been type1 for 48 years. I do have a few too many peaks and troughs due mainly to disordered carb eating. I never ever get ketones. I’m going to take a closer look at my Libre data now. Glad I just discovered your channel xx

@dwightl5863 3 года назад

IMHO a CGM is the only practical way to get anywhere near decent control. Even if you do finger sticks every 30 minutes 24 hours a day those numbers won't necessarily be accurate due to the stress you'd be under.

@TypeOneTalks 3 года назад

Thanks for sharing! And wishing you all the best!

@TypeOneTalks 3 года назад

@Dwight L 100% agreed!

@fitguy6288 2 года назад

Great video, thanks!

@karenroncone2204 2 года назад

Tom I am enjoying all your videos on type1 diabetes. I want to ask you. I have a Dexcom G6 and I have to put on the new one every 10 days at 1am in the morning which to say the least is so annoying as I have to stay awake until the time and I would rather be in bed and put on the new unit in the morning. How can I do this as the clock on the timer keeps buzzing to tell me that I need to replace the unit on my arm too early in the morning. Is there any way to replace the unit later in the morning say 9 or 10am or am I forever stuck doing this at 1am? I appreciate any help you can give me. Thank you so much Karen

@shirleysvisions 3 года назад

Your videos are awesome ..!!! Loved this video ..! Congrats on your big goal ..!! You definitely deserve it ..!

@TypeOneTalks 3 года назад

Thank you so much for your kind words my friend! They mean a lot! Have a great weekend and stay safe!

@leonardstark4806 3 года назад

Tom, Congratulations on your 30,000 viewer mark---that's great news! I have a question: how soon in advance do you take your insulin before eating? I have those spikes you talk about and I usually take my insulin just before I eat. Do you take your insulin an hour before or several minutes before you chow down? Thanks so much for your help; good luck and God Bless, Fr. Len

@TypeOneTalks 3 года назад

Hi Leonard. Thank you so much. It depends on what kind of food I eat. I don''t prebolus for all kinds. On average I would say 15 mins is my rule of thumb. But I have a separate video on pre-bolusing I made some time ago. You might want to check that one! Good luck!

@highrzr 2 года назад

I'm a T2D, and I set my range to 70-120 mg/dl. I stay with that range 99% of the time. I think that A1c is an important metric, but it one of many that need to be looked at. My A1c is 5.0 - 5.2% now. I'm trying to get the blood sugars to maintain a range of 60-100 and an A1c below 5%. This is proving to be more challenging than I thought.

@master33951 2 года назад

I have been testing on non-diabetic people, and during the day, if they do eat, it can actually get as high as 9 for them also. But then again, it does not go over 10 as far as I have seen. Good video :) I don't count carbs, but I have a "feeling" when I think of how much I normally take and use that as a base to balance it out. Still works for me :)

@MezzoForteAural 3 года назад

Great video. This put into words some of the thoughts I have been having recently. I just got my D2 diagnosis a few months ago and it has been hard getting up to speed with so much to learn. Some questions I haven't really found a good answer for; 1) Is a spike that is higher in sugar but shorter duration better or worse then a spike that is lower in sugar but longer in duration? 2) Do spikes matter much if it is in range? I found your vids a few weeks ago when I got the Freestyle 2 and wanted a vid to apply it. As an aside, I am in the US I kind of regret getting the Freestyle 2. It doesn't have a phone app in the US for some reason. Anyway thanks for all the great content.

@TypeOneTalks 3 года назад

Thank you my friend! I really hope they will make the app available soon. It has been frustrating so many US users for so long now.... I am not a medical professional but in my opinion the worst scenario is big spikes with long duration. Second worst bog spikes with short duration. Third worst small spikes with long duration. And then small spikes (within range) with short duration and/or no spikes. These last two I consider ideal when I look at my graphs:) Just to clarify, I am type 1 insulin dependant so I can control the spikes by taking insulin which I am not sure if that is your case as well. Good luck!

@threegirldad 3 года назад

@@TypeOneTalks In Abbott's defense, I don't think they can do anything more than they already have about the app for Libre 2 in the US. Our counterpart to EMA, the US Food and Drug Administration, is taking forever to review/approve Abbott's request.

@ijazulhaq3696 Год назад

Very helpful and informative vidio.

@uglyelmo5205 2 года назад

I intermittent fast, so I sometimes get large increases in glucose right after I break my fast. I worry more about how long it takes the peaks to get back down to a more normal level. I also found, with the CGM Libre 2 system, I have "Dawn Phenomenon," where my glucose is high right before/after I wake up. BTW: Thanks to your Libre2 video, I asked my doctor to prescribe it for me. I have been using it for 2 weeks and have found many foods I thought were "safe," but which were increasing my glucose by quite a bit.

@8o8andpat 3 года назад

Hi, great video as usual. Where will I find the SD figure on the LibreLink app please?

@TypeOneTalks 3 года назад

Hi Pat. It is not in the LibreLink app but I believe it might be available in Libre View app as I mentioned in the video. Have you checked this one? I am using Dexcom these days so I did not check lately for Libre. Hope this helps- Have a great day!

@loviseheggemo1664 3 года назад

Thank you for a such an informative video. I just want to share something I discovered a few days ago. I was looking at my graphs at tidepool and tried figuring out what I could get out of them. I can see my 1, 2 and 4 weeks average there AND the weekdays! My weird pattern is that my sugars is best on Mondays and then gradually gets higher until it peaks on Saturdays. It might not be weird since we eat Taco on Fridays or Saturdays and on Mondays all the "carby" food is gone. It would be nice to find out what more there is to discover on other sites or apps.

@TypeOneTalks 3 года назад

This is really interesting. Thank you for sharing Lovise! I wish you more Mondays!:)

@elephasltd 3 года назад

Another great video and great advice for those that haven't studied statistics :) Always look at the trend over time - NOT one day. I love your videos - just moved up to Libre 2 and the alarms in the night when they happen make a big difference to time in target. Libre 2 and my new TSLim are such a different world to a metal and glass syringe and only knowing what your blood sugar sort of was yesterday with a clinitest test tablet in a test tube of urine I used in 1978! With the Libre 1 I managed to get to 80% long run time in target - with Libre 2 I'm aiming for 90%. 85% so far. What always messes up the stats is those infusion sets that take FOREVER to start working and then you go from a high to a mega low. Still, after 43 years I guess parts of my stomach find it hard to be an efficient infusion system but then they are never obvious.

@TypeOneTalks 3 года назад

Thank you so much for sharing all the wisdom Colin! And I really appreciate your kind feedback! Wishing you all the best my friend!

@martyfeinstein8197 3 года назад

I remember Clinitest and Tes-Tape days from 1963-1980, and recall that the test tube sometimes got so hot I had to hold it with a cloth to prevent finger burns. Did you use the 5-drop or 10-drop method lol?

@elephasltd 3 года назад

@@martyfeinstein8197 can't remember but I think I added some water to the samples I took to hospital :) So hard to 'balance' with such a system and two injections a day.

@lisanaughton1511 11 месяцев назад

Please include U.S. units for glucose levels in videos whenever possible, thx!

@shehnazshiraz1142 3 года назад

Great video Tom. Absolutely agree with your take on HbA1c results.. I relied on it to gauge how well I was managing my blood sugars, but recently I've focused on time in range instead. I've been 98% TIR lately with less than 2% SD.. Gave myself a pat on the back for a job well done! 😁😅

@TypeOneTalks 3 года назад

This is really well done. 98% and I believe you are on Libre so not looping. This is an excellent result!

@shehnazshiraz1142 3 года назад

@@TypeOneTalks yes libre 1, MM2 & Xdrip.. All thanks to your videos on which I based my decision to go with MM and Xdrip.

@TypeOneTalks 3 года назад

@@shehnazshiraz1142 Excellet!

@geniaguaia 3 года назад

Hey, thanx for The video about Libre sites! Myself and my bf that is type 2 found it really useful. The leg site is the best 👏🏼 As a diabetic myself for 24 years (proud and counting) 😂💪🏼 I would like to know how do you keep on going through the bad days (or maybe weeks) and deal with the burnouts 🙏🏼 Sometimes I just go on, relying on corrections, but sometimes it’s just..too overwhelming to have four-five lows in a row ... esp when I study or exercise

@TypeOneTalks 3 года назад

Hi Eugenia. I feel you. I definitely have my down days as well. You are not alone. Stay strong! Wishing you all the best!

@Dormices 3 года назад

To explain my posting in the chat: I aim [but often fail] to keep bg between 4.2 and 6. I have Temporal arteritis that threatens eyesight & hearing. Keeping bg under control helps keep it under control. Having a 'gun' held to my head is a great incentive! Many thanks for your vidios, they are the best on the net and have been a great help to me - many thanks!

@TypeOneTalks 3 года назад

Thank you for sharing this. I agree that an immediate threat must be a great incentive. I wish I was more responsible in times like last week because clearly it’s been a bit out of control... And thank you for your kind words! I really appreciate it my friend!

@Dormices 3 года назад

@@TypeOneTalks You are young and healthy, your body will forgive you, I am 73 and have a minimum of 10 autoimmune conditions. My body has run out of forgiveness!

@TypeOneTalks 3 года назад

@@Dormices Wishing you all the best! I really appreciate you sharing your story. Means a lot!

@stepinmarket4403 3 года назад

How do I get this graph which tells me at what time it goes high, I do hba1c it only shows me a reading between 1-10 in my state. Is it the free style libre or something else to get such graph?

@pw4092 3 года назад

6-20-21 Wonderful videos, Tom. Wonder if you will ever have comments on the V-Go 20/30/40 daily, fast-insulin delivery type devices on the U S market for type 2 diabetics ? I’ve been on the V-Go 20 patch for ~2.5 years & it helps a lot . . . I ❤️ it. Patrick

@TypeOneTalks 3 года назад

Hi Patrick. I am not familiar with those to be honest. Maybe in the future. Need to do some research of the topic:) Thanks for the tip!

@pw4092 3 года назад

@@TypeOneTalks Hey, Tom, Thanks for the reply & all the he Great videos you do. I’m waiting excitedly for the Freestyle3 you profiled on your recent video. Need to find a GOOD ‘endo’ Doc in U S zip code 44039 for Rx scripts to qualify me for Medicare coverage. Want to try the 90/180 day implant product you reviewed.

@TypeOneTalks 3 года назад

Thank you my friend! Goo luck wih your search!

@Xena9002 Год назад

Hello do you have any advice for a vegetarian/ vegan diabetic to get enough protein and carb?

@sfung7454 2 года назад

Thanks for the in depth information to look beyond the numbers.

@TypeOneTalks 2 года назад

You are most welcome my friend. Wishing you all the best!

@jaxspade356 3 года назад

Another great video. Thanks.

@TypeOneTalks 3 года назад

My pleasure! You are most welcome my friend!

@trelstudios3068 3 года назад

I am going to my daughter's wedding next week and there will be carrot cake. I LOVE carrot cake but never eat it. I will be eating...a little. How do yall feel about going off the reservation or falling off the low carb wagon for special events. I am type 1.5 so I only take long acting insulin. Maybe I should get some fast-acting for those events. Otherwise, I can always abstain like I normally do. I am in range 80-90 percent of the time thanks to this youtube channel. Love the videos!

@TypeOneTalks 3 года назад

Thank you for sharing. I go off low carb from time to time (not only special occasions but when my body asks for it). It's more like I tend to have a couple weeks here and there where I eat more carbs and then I go back. Sometimes it has to do with climate. In hot weather my body always wants carbs... Not sure why:)

@hik4ru 3 года назад

@@TypeOneTalks Your body wants more carbs in hot weather, because it spends/losts a lot more carbs during the day. From my point of view, it is best to adapt the diabete to your life instead of adapting your life to the diabete. More or less... because of course you can't spend your day eating carbs without taking insulin :p But "low carb" or "no carb" diets are easier to regulate blood sugar carb but nor healthier nor fun to follow.

@TypeOneTalks 3 года назад

@@hik4ru You are absolutely right!

@lisamaier9984 3 года назад

My dog Keoni thanks you. Yes, your that good! Keoni has peaks and valleys. Thanks to the Lebre, we have helped him have a more stable graph read out. 👍

@TypeOneTalks 3 года назад

That is awesome! Keoni is welcome to our diabetes community:)

@stevenichols4639 Год назад

Where would you find standard deviation in the libre app

@lucieni 2 года назад

@9:18 Was that a tiny little mouse scurrying along in the background?!! Cute!

@TypeOneTalks 2 года назад

I had no idea this was there. I didn't notice this at all when filming and editing. You have a goo eye!:)

@lucieni 2 года назад

@@TypeOneTalks I like little fluffy beasties!

@lukepodmore7810 Год назад

Big fan Tom 👍🏻 what nationality are you?

@paulvanh1796 3 года назад

Hello Tom, Thanks again for another interesting and very useful video!! Just one little observation on the discount products you mention. They seem all to be shipped from the US or China. With the upcoming new rules starting July 2021 items shipped to the EU will be taxed from the 1st euro and thus delayed : I believe you live in Switzerland , I have friends there who already experience problems of delays.Do you have have distributors in Europe ? May I mention the equivalence of the range you talked about : maximum preferred 10 mmol= 180 mg/l and minimum 3.9 mmol= 70 mg/l . In fact there is an android app is use its called Blood Sugar converter.

@TypeOneTalks 3 года назад

Thank you for sharing Paul. I was not aware of the new rule. Yes, these products ship from US and China. I do not work with any distributors. From my experience local distributors of MiaoMiao for example charge significnat mark-up which might be higher than the tax/custom duty so not sure if this would help in terms of price (maybe as you mentioned it could help with speed of delivery but I am not sure). Wishing you all the best!

@davidedipiramo3458 2 года назад

Very good Tom

@lucieni 2 года назад

As long as we stay grey we’re good. I personally try to stay low carb for the most part as it’s less complicated but as soon as I eat carbs and inject Fiasp things can go a little wild, just a little wild. Not terribly high or low just raised/dippy so I find not complicating things in the first place serves me well, 96% (DG6) over the last 90 days isn’t too shabby!

@TypeOneTalks 2 года назад

96% is excellent! Well done!

@khawlanasser4883 3 года назад

Thanks for everything

@TypeOneTalks 3 года назад

You are most welcome!

@dogcrazy25 3 года назад

Thanks for your honesty. Im surprised you ate so much ice cream with all the sugar in it.

@TypeOneTalks 3 года назад

You are welcome. Lately (past few weeks) I have been struggling with staying disciplined because quite a lot is happening in my personal life and I was not as focused on my levels as I should be.

@ketobygeorge7763 2 года назад

Have you tried low-carb ice cream? 5 minute Mason Jars Ice cream. I'm curious if this type of ice cream will affect your blood sugars less.

@rajendrapandya6948 3 года назад

How can I dilute Humalog insulin. I am using insulin pen

@OmMohamed-fr2ob Год назад

Where can I find SD on libre3

@kelliecarlin3084 2 года назад

Thanks!

@TypeOneTalks 2 года назад

You’re welcome!

@leehemmings4591 3 года назад

Hi I am in Brisbane Australia thanks for your informative videos and the time you put into them. I am pre-diabetic and eat fairly well with a few fuck ups like ice cream and biscuits. Red wine is my friend. I am 70 and a very young 70 and I like to live. I would just be asking you how and what you eat and drink in one day, what you avoid, and what balances your bs👍🙂👌Cheers....Lee

@TypeOneTalks 3 года назад

That sounds like a great topic Lee. Thank you for commenting!

@SP7FM 3 года назад

Very good video, Thank you.

@TypeOneTalks 3 года назад

Glad you liked it Kamil! Thanks for the kind feedback my friend!

@Tamara-oh9ds 3 года назад

Love your videos. My main issue I‘d love to discuss is managing my diabetes „in front of people“. I think it‘s difficult to bring this topic up. I am not ashamed of my diabetes, however I prefer to go to the bathroom for taking insulin in most cases.

@ashleycampbell5569 3 года назад

I feel weird about it too. People looking at me lifting clothing etc. I have an ex-friend who told me I wasn't aloud to take insulin around her because she didn't like needles or the smell. She wanted me to take it later when she wasn't around. Sometimes it's just easier/more comfortable to take insulin in the bathroom. However I try not to do that too often bc diabetics shouldn't have to hide to make others comfortable.

@macfrag574 3 года назад

It's not always easy indeed. I have no problems discussing diabetes and insulin at home, taking it in front of my kids etc, but even at my in-laws I feel weird about it, even though my mother in law is diabetic and takes insulin too. It does feel too intimate. Outside of home I just take it in the bathroom unless I'm completely alone or the bathroom look like it might be a bad idea, hygiene-wise)

@martyfeinstein8197 3 года назад

In 1992, I visited my parents in Florida and had to board Peg, my elderly cat, at a veterinary clinic. Peg developed diabetes symptoms about 3 weeks before the vacation. The vet called on a Monday morning and said that Peg was in a diabetic coma with a BG of 538 mg/dL. Peg also had a chronic gastrointestinal inflammation that required taking Prednisolone, a steroid, so I made the sad decision to have her euthanized. On the flight home to Chicago, I took a pre-meal bolus in my seat, rather than getting up to use the restroom, and noticed the elderly woman sitting next to me staring. I explained that I have Type 1 diabetes and take insulin before meals, and added that my cat had recently developed diabetes and that earlier in the week I had to have her euthanized. The woman asked if Peg caught diabetes from me. I explained that diabetes is not contagious and that cats cannot catch diabetes from their owners. Can you imagine?

@macfrag574 3 года назад

@@martyfeinstein8197 I'm sorry to read that. Truth is, there are a lot of misunderstanding and preconceived ideas about diabetes that it's very hurtful for diabetics still to this day.

@Ligitizzy 2 года назад

I spend my phone teen years going to the toilet… I’m on a pump now so it’s easier but when I became an adult I thought why the hell should I go to the bathroom, and I started to dose discreetly under the table into my leg (I learnt that you could do it through trousers!!!) ignore comments from others, you’re a hero, you’re saving your own life!!

@LAZBY 2 года назад

IF ANY ONE KNOWS an alternate or a cheaper CGM i would be interested-- i was hoping the Apple Watch would be my SOLUTION- but it seems not this year!!! MediCare does not cover a CGM AND i can not stand PRICKING my fingers MORE THAN 1x or 2x per day!! i know the CGM info would help a lot towards my eating issue but $500++ is just too expensive!!! as a pre-type2 i am testing in the mornings around 115 to 125 mg/dl-- so like you i want to steer away from type2 BEFORE i am too deep!! Junk food/SUGAR is my biggest problem!! GREAT Video/Info as usual- i really appreciate the bookmarks- although- i usually watch the entire video the 1st time i view it- BUT when i go back to review certain topics i use the bookmarks! -

@OmMohamed-fr2ob Год назад

How can I participate ?please

@michieidinger8943 2 года назад

Which target range would you advice for someone who was diagnosed in march 7th 2021? :)

@TypeOneTalks 2 года назад

Hi Michi. I would recommend you to discuss this with your doctor. I can not provide medical advice.

@joeswheat 3 года назад

Up until I went on pump, I was always able to hold my HbA1c at a reasonable 6.8 over last 37yrs, with the peaks and valley method. The only reason I ever really cared about it was to avoid a lecture from a Dr.(s) that lacked an understanding of the difference between reality and what the HbA1c was indicating. The unfortunate side of the peak/valley approach is I became tolerant of extreme lows. I don’t notice until dips into 40s or just “LOW” on CGM. Probably missing a large number of 🧠 cells because of it. The pump/CGM/IQcontrol has now made the HbA1c much more representative and relevant of my good BG control and is great for plotting beautiful small deviation graphs in range.

@TypeOneTalks 3 года назад

Hi Joe, I could not agree more with you. I had very similar experience (avoiding the lectures but bouncing a lot). And I agree the technology helped a lot! I feel I have so much more knowledge and I am so much better controlled when using these tools! Thank you for sharing!

@loviseheggemo1664 3 года назад

Same for me. When I finally got my hba1c down to 7 my endocrinologist was so happy with me, while I was crying because all I had was extreme high and lows all the time. The medtronic cgm had alarms all the time and it stressed me out so much, I over compensated just to make it shut up! The change was dramatic after the change to dexcom.

@TypeOneTalks 3 года назад

@@loviseheggemo1664 Thnank you for sharing Lovise. Glad to hear that Dexcom is working well for you.

@Abidosss 3 года назад

Yes! I'm 20 years with type one. My HbA1c was awlays on the good side, the highest 9%......but i get used to very, very low sugars......and I lose not only many brain cells but many friends too. I'm a dentist now I have two kids I can't do this anymore, i'll try a sensor for the first time and i hope no more low, low, low on my glucometer!

@joeswheat 3 года назад

@@Abidosss it will definitely bring better control and less lows as it did for me. Unfortunately, I still can’t sense when I’m going low unless I notice it in my vision. Hopefully you won’t get so many lows and get back that ability to sense the lows, when they do happen. Good luck.

@Safahats 3 года назад

I didn’t well understand the SD which I have it 27 mg/dl with 6.3 HbA1c. Regarding the range I passe 2-3 days sometimes in 100%. Thanks

@TypeOneTalks 3 года назад

Hi Bill. I think I confused you because my TIR and SD numbers were in mmo/l. 1 mmol/l equals 18 mg/dl so 27 mg/dl would be 1.5 mmol/l which is great SD (better than mine in the past 90 days). Hope this helps! Great to hear about your 100% days btw. Keep it up!

@anthonygrodecki7968 3 года назад

Hi don’t want one to one but ice cream is a big no no for me and frozen yogurt is even worse as it’s very high in sugar. I also have had a big delayed high with the yogurt when it had corn syrup instead of sugar. I wish manufacturers were forced to mark this clearly. Good luck will it all. Thank you again for going what you do. I also have have highs and low but this in the main due to exercise.

@TypeOneTalks 3 года назад

Thank you for sharing Anthony! You are absolutely correct!

@SarcoidosisWarrior 3 года назад

I have HBA1C of 40 (5.8) - I am very happy with my control. I am also between 92 and 100% in range constantly. I have to use a lot of long acting and short acting too (Total of 150 units per day) but, I'm happy with everything. I also prebolus by one hour at least to take account of food and drinks.

@TypeOneTalks 3 года назад

You are doing great Andy! Keep it up!

@SarcoidosisWarrior 3 года назад

@@TypeOneTalks Thanks Tom - keep your great info coming 👍

@ahmadazzam8107 3 года назад

Another great video But....Although keeping time in range and the variation both reflect a good blood glucose control..., nearly all the studies done showing they are not related to long term complications ... Only They found the A1c is the indicator that is related to complication

@TypeOneTalks 3 года назад

Thank you for pointing that out! Reading some comments I realize HbA1c (average glucose) is actually improtant too. In addition to time in range and deviation it is great to have low HbA1c/average. I think that was not clear from the video!

@AlbertoHernandezD 3 года назад

30K 👏👏👏👏

@TypeOneTalks 3 года назад

Thank you my friend!

@AlbertoHernandezD 3 года назад

ADVICE TOM 😉for the good of your audience try to say always glucose numbers also in mg/dL ❣️

@TypeOneTalks 3 года назад

You are absolutely right Alberto. I always try to talk in mg/dl but in my country we use mmol/l and I am not able to get my Dexcom Clarity show mg/dl. That's why this video was in mmol/l. But that you for poiting that out! I totally agree! Stay safe!

@macfrag574 3 года назад

Hey Tom, thanks for all the support you gave us through the channel. I'd love to win a conversation with you, one thing I'd like to talk about is... diabetes complications. I've had some severe ones and it has been mentally quite challenging

@TypeOneTalks 3 года назад

You are welcome Martial. Great idea for the topic! Thank you for sharing that!

@TypeOneTalks 3 года назад

You are welcome Martial. Great idea for the topic! Thank you for sharing that!

@skippygatten8572 3 года назад

I try to get as close to 70 as I can at night when I'm sleeping. That way you get good control for a 1/3 of the day, and when your sleeping you don't need higher blood sugar for energy.

@TypeOneTalks 3 года назад

HI Skippy. Thank you for sharing. Much appreciated!

@tikchbila_tiwliwla3869 3 года назад

where can you find SD in freestyle libre ?

@TypeOneTalks 3 года назад

Try to go through the reports in Libre view on your computer. I need to double check but I believe it is there somewhere. In LibreLink app another indirect indicator of SD is how wide the blue range is that is bounding the black line in the “daily patterns” tab. Hope this helps!

@tonytoo9999 3 года назад

don’t think SD is available as such. If you use the LibreView app on a phone, all you have is the blue shading on the Daily Pattern graph as an indication of variability. If you log in to your LibreView.com account and look at the AGP graph, it shows: Average glucose e.g. 7.6 mmol/L Glucose management indicator e.g. 6.6% (which is an estimate for your HBa1c) Glucose variability defined as percent coefficient of variation (%CV); target

@OmMohamed-fr2ob 3 года назад

my son always from time to time hypo he is 9 how can i avoid thus ?

@TypeOneTalks 3 года назад

Test, test, test. And then consult the results and hypos with your medical professional. The more data they have the better advice they can give you! Good luck to you and your son!

@Leopoetess 3 года назад

Darn! I want some ice cream ! I will eat in moderation lol As always, I love your content

@TypeOneTalks 3 года назад

Haha! Thank you for your kind words!

@Leopoetess 3 года назад

@@TypeOneTalks It's totally your fault. Lol I enjoyed myself in cherry walnut ice cream heaven for a few minutes. I had to exercise some very strong self control. I'm ok now. Lol

@TypeOneTalks 3 года назад

@@Leopoetess Excellent. Thank you for sharing!

@mariamsatar4141 3 года назад

Hi Tom ! I’m T 1 for 15 months and I did not touched ice cream cake juice and fresh fruit at all I don’t even know how to bolus for ( ice cream )

@TypeOneTalks 3 года назад

Hi Miriam. Good for you! I am sure this is something you can learn but maybe it is better to stay away from these things (at least for me...). Good luck!

@mariamsatar4141 3 года назад

@@TypeOneTalks I wish you all the best I learn a lot from your channel about Libre Device and I using it for last one year I learned from you I can put the sensor in my chest it’s working absolutely I am so glad I’m following your channel thank you so much for all the hard work you do for your followers all the best and straight CGM

@AlbertoHernandezD 3 года назад

ALWAYS CHECK ✅ GLUCOSE VARIABILITY + TIME ON RANGE 🤠

@TypeOneTalks 3 года назад

Absolutely!

@stun9771 3 года назад

I was under the impression that the HbA1c result was an ‘average’ of your blood/glucose levels over a three month period, as defined by a test using the red blood cells… If your HbA1c result was 6, this would indicate that the highest point would be around 12, and the lowest around 0, surely…showing obviously that you had peaks and troughs….the same result would also occur, theoretically, with someone who kept their levels between 3 and 9… As the average is going to be roughly around the middle of what your peaks and troughs have been… I ma6 of course be completely wrong, but it would bear put your opinion that the degree of peaks and troughs don’t really make that much difference… my own, having had illness and covid following that, when they were all over the place, was 7.1…

@ElectedOfficial1 3 года назад

My A1C was 8 points a year and a 1/2 ago And my PCP never told me what normal blood sugars were supposed to be or even what keto asidosis was when I was in the hospital Practically in a coma ! Thank God I found doctor Richard berntein on RU-vid! He has been a type one diabetic for 70 years and still going with normal blood sugars of 83 mg per desoletor. My blood sugars were around 250 they were going up-and-down all the time and I looked like death warmed over. Now my A1C is 4.6 And my meter is set for 75 low and not over 120 high. Doctor Richard Bernstein is a miracle!

@es2709 2 года назад

I scream, you scream, we all scream for (at) ice cream!

@TypeOneTalks 2 года назад

Haha

@9qpqp 3 года назад

Low GI food causes smooth lines with no spikes

@TypeOneTalks 3 года назад

100% agreed! Low GI food makes things a lot easier. This video goes to show that ice cream does not fall into that category:)

@heilong79 3 года назад

If you eat a burger with a bread bun(carb) your Blood sugar will rise faster than the insulin you inject can catch up so will lead to spikes, not a big deal as long as it is not sustained at the high level. Carbs are what makes it hard to keep stable.

@lorivattes2187 Год назад

I'm sick of taking my blood sugar. Even when I don't eat anything, it goes up and down. And, my monitor congratulates me with an emoji for injecting myself with insulin to keep my blood sugar in control? That's the drug companies that want us to keep buying insulin from them.

@RGH2023 3 года назад

Have you seen this Facebook group? Please check it out. Thank you for all your wonderful videos. The group is called Dexcom and Libre rash.

@TypeOneTalks 3 года назад

R H Thank you for letting me know! I am aware of this group but as I did not have similar issues I have not been very active in this group nor very vocal on my channel about these topics. Wishing you a great weekend!

@khawlanasser4883 3 года назад

R U in instagram Tom?

@TypeOneTalks 3 года назад

Yes. I am @typeonetalks

@reeselozeron 3 года назад

Your bad day is my good day 😣

@TypeOneTalks 3 года назад

I think we are all different at different phases of life. And that's OK. Wishing you all the best!

@ThomasRoeReeb 3 месяца назад

I agree with you that insulin puts the visceral abdomen fat on but your not curing diabetes your putting in remission by not eating at all and who wants to go a week without eating by fasting? No one in their right mind. I'm on mounjaro and it's basically taken away my appetite to the point my sugars been excellent and I'm off the insulin which if your correct I'll soon lose the visceral fat, the metabolic syndrome, and high blood sugars. The fact is though I haven't cured my diabetes I've put it in remission and you as a doctor should realize that if I again begin eating like I was that initiated the diabetes I'll be back to square one where my sugar levels increase significantly and I again will have the high sugar levels that you know are damaging themselves to your body. The point is I haven't been cured and you know it. I'm in remission as if I was cured my sugar levels wouldn't again rise when I increased my food intake.

@daisy3690 Год назад

❤💛💙👁‍🗨🖖

@doubledutch3439 3 года назад

So what Big Lie are you talking about or was that just clickbait? And $7 a month to get access to your secret information? I hate all these RU-vid companies ripping off desperate diabetics.

@TypeOneTalks 3 года назад

Thank you for the feedback on the title! I mean that the HbA1c result can often lie about how good/bad you control is.... The membership is 100% voluntary. My standard content will always be free... The membership does not include sharing "secret information", my apologies if I misspoke. It is for those who want to support my channel with a small monthly contribution and get direct access to interact on more personal level and ask very specific questions. I believe I am completely transparent about that. I am sorry to hear you see this as a "rip off". Wishing you a great day!