Moments of Wonderful

…rather than a lifetime of nothing special. A blog about diabetes and other moments.

...rather than a lifetime of nothing special. A blog about diabetes and other moments.

Sundresses and Swimsuits

With apologies to Karen, I am only partially writing about today’s topic. The prompt had us thinking about our fantasy diabetes device.

When your heart is in your dreams, no request is too extreme. ~ Jiminy Cricket

 

While I don’t think any of my devices are a fantasy (that would be a cure, right?), I think that each of my devices has seen improvements in my nine short years with diabetes.

It seems cynical and maybe even a little critical of the industry, but I think as the population ages and the percentage of people with diabetes continues to increase, diabetes related products will continue to improve in form and function to stay competitive in the market.

Instead of focusing on a fantasy device of the future, I wanted to share an update about an “almost fantasy” I am living in right now.

Way back in late February my warranty expired on my pump. The benefits year for my health insurance is April 1 – March 31 so I had obviously met my deductible for the year. It was the perfect time to make a switch and begin pumping with the Animas Ping.

Except that “timing” was everything. An unfortunate situation with pump settings and the leap year took my desired pump off the market two weeks right before the end of my benefits year. Knowing that it would be several hundred more dollars to purchase a pump in the next benefits year, I was really worried about what to do.

One of the fantasies of great diabetes technology is a company that really cares about its customers. My pump representative called or texted (TEXTED!) me almost daily with any updates he had on the situation, and assured me he was still working on it.

After several days with no end in sight and a rapidly approaching benefits deadline, I received a glorious phone call. They found a solution. The Ping was still not available for sale BUT they could sell me the Animas 2020. Then, when the Ping was available again, I upgraded to the new device.

It seems like such an easy solution – but with insurance companies involved rest assured that nothing is ever THAT easy. There were a lot of people involved with making this happen and I am very thankful to each of them.

Is wearing a pump actually a fantasy for me? No, not really.

But wearing a pump that fits into the life I want to live is as close to a fantasy as I am going to get for a while.

If you looked in my closet a month ago, I would have asked you why you were in my closet but you also would have noticed that there were not many dresses – mostly just skirts and tops.

Now that I can bolus from a remote I’ve found myself spending more time in the dress section of the store. Just this past weekend, I went to my first wedding post-Ping. Usually weddings mean separate pump retrievals for appetizers, the main course, and (most importantly) the cake. I could never store my pump “up top” like some girls, so I always had to excuse myself to bolus. It is a ridiculous “fantasy” to be able to enjoy a wedding without multiple unnecessary trips to the bathroom.

I was looking back at pictures I took at Friends for Life last year and I noticed something interesting about a photo I captured in the exhibit hall. For the caption of this photo I wrote one simple thing when I uploaded it.

I want a waterproof pump (written in July 2011)

I went swimming a few weeks ago and it was such an odd experience to get in the water with everything still attached. If it was weird for me, I can’t imagine how it looked to all the people around me who saw a girl getting into the water with tubes, adhesive patches, and plastic pieces attached to every limb.

Sundresses and swimsuits. That is my fantasy.

Now if I could take my fantasy to the next level, I would ditch my Dexcom receiver and get all my information on one device*.


*without moving to a different country of course

**This post was not sponsored by anyone or anything but my dreams.

Dream no small dreams for they have no power to move the hearts of men. ~ Goethe

Did we cover all your questions?

Today was my quarterly appointment with my endocrinologist, and as has become usual for me, I was armed with my list. I used to carry a small journal to my medical appointments (I have the worst memory EVER!) but now I just use the Notes app on my phone.

According to current insurance practices, I only get about 30 minutes with her so I have to have my bullet points ready to make sure every minute counts.

  • I requested that my vitamin D levels be drawn during my lab appointment because I had read that people with diabetes are deficient. My levels fell in the insufficient range so I have added a daily vitamin to my routine.
  • We discussed the difficulty I have with the current office contact procedures. I am not a difficult patient, so when I call it is about something urgent and I need a timely reply. She gave me a direct extension for the phone right outside her actual office, so that should help.
  • We discussed my possible usage of the mySentry but didn’t come to any decisions yet about how it would fit into my current care.
  • Even though I already knew the answer from speaking with the local rep, I asked if they had any Verio meters in the office. She got me one and a few extra strips while I was for my prescription to be filled (more on that at the bottom of the post).
  • The endo was concerned about the fact that the Verio is not linked to the Animas Ping pump for remote bolusing. We discussed two solutions – one hers and one mine. She wants to make sure I still enter the BG values in my pump so she doesn’t lose that data. I’ll do that as much as I can. The other solution is in my slight back supply of regular OneTouch strips. I figure I will test with those when I anticipate needing to use the remote bolus. I suggested the idea of switching test strip brand prescription type at every three month appointment and she said I could have whatever I wanted. Tested with it for the first time before bed Tuesday night so still early to say.
  • I only had one strip left for my NovaMax Plus blood ketone meter so I needed a new prescription for that. She gave me a box (which by itself will probably last until the next appointment) and wrote the prescription.
  • The sample of Levemir she gave me (for pump failures) expired last month, so she gave me a new sample. She asked if I wanted a vial or pens and since I’ve never actually used pens, we chose the vial.
  • I brought some Dexcom reports (the most frustrating process possible for a Mac girl like me) for her to review and had uploaded my pump data to Diasend. My A1c was drawn TWICE in the past month so she had plenty of numbers to evaluate. We discussed my ever present dawn phenomenon and early morning insulin resistance and some possible basal changes. Both she and I are happy with my current management reflected in my reports and my lab values and that’s all I’m going to say about that.
  • And most importantly, she really liked my headband so I told her about Charming Charlie and how it is the best place ever to get accessories (the whole store is organized BY COLOR!!).

The endocrinologist was starting to get up to leave the room but started to sit back down as she said “did we cover all your questions?” I laughed, double checked the list on my phone, and told her that we were done. We were both laughing as she headed to the supply closet for my products.

The appointment went so well that I almost WASN’T surprised when I got to the pharmacy and found out that they didn’t have any prescriptions for me. Nothing was ready and nothing was even called in. I’m a little confused because I watched them enter it into the system and they even confirmed the pharmacy I wanted. I’m pretty sure it wouldn’t be life with diabetes if there wasn’t some sort of medical issues to sort out.

Insulin. Action.

Whatever happened to predictability?

(and now you are singing the Full House theme song)

I have a “math brain” and have used it to test EVERY setting related to my diabetes. It helps me feel confident about my carb counts, correction factors, basal rates, and every other bit of math we are required to do in living with diabetes.

Except none of it was working on Sunday. I woke up riding my high alarm and stayed there with a few corrections. Then I started eating and ended up riding the blood glucose roller coaster all day. I stayed up way too late on Saturday night, so I knew I needed to get to bed early on Sunday night to be functional at work yesterday. Of course, that didn’t happen.

About an hour before (my already too late) bedtime, I had a snack with a well-thought out matching bolus (that works every other night). Keeping with the theme of the day, as I headed to bed my blood sugar was low. I just wanted to go to sleep so I purposefully over treated the low. I knew I needed to take insulin so I wouldn’t hear the high alarm once I was finally in REM. What am I supposed to do when I know I need insulin, but I don’t need insulin NOW, and I just want to sleep?

The combo bolus.

It’s not just for high fat foods anymore! It gave my body enough time to come up from the low blood sugar but the insulin went into action in enough time to prevent the rebound high.

My six hours of sleep were uninterrupted by my diabetes. Now I just have to figure out a way to go to bed earlier so I can get more than six hours in!

I didn’t think to take any pictures during my Sunday blood glucose battle, but if I’m talking about insulin action time – guess when I took insulin this day?

The phantom site

There are a bunch of different locations where I can put an infusion site or a DexCom sensor. I’ve been known to wear them on the back of my arm, on the side of my leg, on my stomach, and on my love handles.

After using my love handles for both sites and sensors exclusively for many, many months I’ve stopped using that area altogether for a few reasons.

First, I think I was developing some scar tissue in the area because my response to insulin settings that worked in other areas were not working there. The second reason was a concern about insulin induced lipohypertrophy (don’t google it – eww! It is basically the build up of fat around a frequently used injection site). I am battling some stubborn pounds, especially around my love handles, and continuing to inject insulin there just didn’t seem to make sense.

The only problem is that I don’t think my body got the memo. I’ve been experiencing something I can only describe as phantom site pains.

Every so often I will lean a certain way, or my pants will rub a certain spot, or I won’t do anything at all and I will feel a sharp pain in my side. That same pain I used to feel when my clothes would rub a site wrong, when I got my tubing caught on a doorknob, or bumped my CGM against a doorway.

I reflexively reach for my side to adjust whatever device is acting up and remember that there is nothing there.

So here’s my question, it is truly phantom site pains or are there little pieces of metal floating around inside me that every so often try to poke their way out? The nickname for the old Phantom cartoon was “The Ghost Who Walks” so is it possible that it is both?


I started thinking more about this issue after reading Kim’s reflex theory post. We really are an odd bunch!

Process of picking a potential pancreas

The first time I met an endocrinologist was during my DKA hospitalization when I was accurately diagnosed with Type 1 diabetes. I barely had any idea what diabetes was, and I certainly didn’t understand the job of an endocrinologist. I don’t remember a lot about our conversation (can I blame DKA fuzziness?) but I do remember one thing he said very clearly. He asked me if I was good at math and when I told him I was he asked when I would like to start on an insulin pump.

About 11 months later, I understood a little bit more about diabetes and diabetes management. I was struggling with high blood sugars and using NPH (not the actor) successfully, and was ready to try the insulin pump because the doctor told me it would make my management easier.

Once I made the decision to start pumping, the process went very quickly. I was on my dad’s insurance (still in college), and was approved very quickly. Side note: His coverage was better than anything I have had since, and I was only responsible for about $600 of the cost of the pump.

The thing is – I never actually picked which brand of pump I wanted. When I decided to pump, the Medtronic pump was on my doorstep a few days later.

As much as you can enjoy wearing your pancreas on the outside of your body, I have enjoyed wearing the Medtronic MiniMed insulin pump.

Some aspects that I have appreciated over the years:

  • Their customer service has always been exceptionally quick and helpful. Any time, day or night, I have always received the help I have needed. Even away from home, they were quick to overnight me samples to replace forgotten supplies.
  • Also related to customer service, I found the infusion set (Sure-T) that works best for me at the recommendation of one of their representatives. It is the cheapest infusion set that they offer, and it is refreshing to not be up-sold and instead matched with the best product.
  • I think that the MiniMed pump looks the most non-pump like. I’ve enjoyed the fact that it has been mistaken for a microphone pack and a garage door opener.
  • Wearing a pump has allowed me to successfully navigate my unscheduled life. Sleeping in, delaying or skipping meals, and eating fast food all became easier on a pump.
  • I have always been able to use a meter that transmitted blood glucose values to the pump. I don’t underestimate the value of this – especially when the number is in the high 200s. When it changed from the BD meter to a OneTouch meter, I was able to enjoy this linked testing with a $0 copay for my test strips.
  • I used my first (gray) pump for four years. When my warranty ended, I briefly thought about switching to another brand of pump, but there was nothing that motivated me make a change. Except color – I switched from gray to clear. In addition to the color options available for the actual pump, using the Skin-it products I’ve made my pump as plain or as fancy as my mood desired.

old and new (2)
IMG_7501

Then DexCom entered the picture. The DexCom system is the continuous glucose monitoring system that works best for me. Others systems work well for other people. The DexCom is my choice.

As the ending date for my warranty approached, it was time to revisit my pump choice. The MiniMed pump is integrated with it’s own CGM. The Animas and Omnipod pumps are working on integration with the DexCom system. For me, it came down to a single decision – which is more important to me, my insulin pump or my CGM?

Some people don’t like it, but I have grown quite attached (pun) to my tubing. The Omnipod was quickly ruled out as an option. I needed to try out the Animas Ping so that I could make an informed decision.

With the aid of my friendly pump rep (hi Todd!), I was able to wear the Animas pump for about two weeks. There are definitely some features I like and some things I wish were different.

  • Just like the MiniMed pump, you can input the amount of carbs you are eating and your current blood glucose level and it will give you an estimated amount of insulin to take in response. Medtronic has a trademark on the bolus wizard, so with the Animas pump you have to dial in the value instead of simply confirming that is the dose you would like to take. A bit of a time waster.
  • Another trademark? The threaded reservoir. On the MiniMed pump, the top of the reservoir screws into the body of the pump. The other tubed pump companies have to use a luer-lock system. I was worried I would find the extra bump on the Animas pump annoying, but I did not notice it as much as I thought.
  • I am excited that the Ping is waterproof because it is annoying and worrisome to take it off every time I head to the water at the pool and the beach. I live in Florida – that happens a lot!
  • My goodness it is loud! If I held my MiniMed pump up to my ear while it was delivering a bolus, I could hear a faint clicking. I can hear EVERY delivery of insulin on the Animas Ping (even the basal clicks). No sneaking a bolus with that pump!
  • The Ping – the beloved Ping! The ability to deliver a bolus from the meter remote is amazing! I bought the remote with my original MiniMed pump and in eight years I think I have used it less than 5 times. With only a bolus, suspend, and act button you have to be able to hear the beeps or feel the vibrations (depending on your pump settings). Since I had to excuse myself to be sure the bolus delivered anyway, using the remote didn’t save me any inconvenience.

April 19, 2008 - diabetes365 - day 194

  • When the MiniMed pump indicates that the reservoir is empty, there is about another 20 units that will deliver (from the tubing) before you get a no delivery warning. On the Animas pump, no insulin means NO INSULIN and NO DELIVERY. During my trial, there was one dinner bolus that had to wait until after I ate because the bolus I tried to deliver wouldn’t go through because there wasn’t enough insulin in the pump.
  • I didn’t think it would matter to me, but I was able to fine tune my basal settings a little bit more by using the smaller basal increments that the Ping offers.
  • I use the dual-wave/combo bolus feature on my pump quite often. A nice feature of the Animas Ping is that it saves your last settings (percentages and length of delivery) in the combo bolus menu. As a creature of habit, I really enjoyed this feature.

There are clearly pros and cons with every insulin pump on the market. It isn’t a real pancreas so it isn’t going to be perfect. My original pancreas wasn’t perfect, so I guess that doesn’t matter anyway.

The potential integration with my preferred brand of continuous glucose monitoring system is what ultimately led me to the choice to switch to the Animas Ping pump. At this stage of my life, if I was somehow forced to pick between only using an insulin pump or only using a CGM, I would choose the CGM. Since I am able to and can afford to use both, I am choosing the pump with the biggest potential for future technology pay-off. Now I am just praying that it will go back on the market in the next two weeks so I can actually afford to buy it.

P.S. Hopefully I have made it clear that I am not anti-MiniMed – still scheduled for an appointment in about three weeks to hopefully enroll in a clinical trial where I will use their pump and CGM for about 6 months.

Product Review: Telcare Blood Glucose Meter

A few weeks ago I received the new Telcare Blood Glucose Meter. This meter is different from most blood glucose meters in that it in a cellular-enabled glucose meter. The meter wirelessly transmits all blood glucose readings to an individual’s MyTelcare.com account which can be viewed online or in the Telcare iDevice app.

I don’t think I have ever used a meter long enough to change the battery. It was quite a new experience for me to have a meter that needed to be CHARGED before use!

charging the meter

After giving the meter the full 12 hour charge, I used the two control solutions as directed. Speaking of new experiences, I can’t remember the last time I used the control solution provided with the meter. If anyone needs tiny bottles of blue fluid, I’ve got you covered.

control solution

One of my favorite aspects of this meter was the size of the blood sample required. Far less that the swimming pool that the One Touch Ultra strips require.

On the other hand, I really don’t care how much blood a meter requires if it is accurate. Comparing the results to my other meters and to my DexCom graph, it seemed to track accurately.

matching results

Since I am fully integrated into the iCult, I was able to view my results in the MyTelcare app. The reports are very clear and it is easy to review your results by time of day, glucose level, or the average for each tag (before breakfast, after lunch, before snack, etc).

logging in to the appTelcare appa look at the stats

In my early communication with TelCare it sounded like I would receive the meter before my last endocrinologist appointment. Unfortunately that didn’t happen, but as my doctor’s office begins to communicate more online (they asked me for my e-mail address at my last appointment!) I think features like the ability to e-mail the results directly from the app or website will be a helpful communication tool.

TelCare sent me 100 strips for use with the meter, so I am still working through all the bells and whistles but wanted to share some of my initial feedback. I know I enjoyed reading Kerri’s, Joanne and Scott’s reviews and am always interested of the new products entering the diabetes market.

#notbes approves

Things I Like:

  • The amount of blood required for a test is quite small. Brian watched me test with the meter over the weekend and was shocked that a drop he was sure was too small actually produced a result.
  • The color monitor is clear and easy to read. Under each reading is a color-coded chart of the result. There is something comforting about seeing your result in a good range on the chart.
  • The battery life is impressive. I was worried about charging meter, but I think I’ve only done that once for the 70 or so strips that I have used.

Things I Don’t Like:

  • 30 seconds. You have 30 seconds to tag your results. Sometimes I am testing, talking, typing, and taking the first few bites of my food at the same time. If I’m not paying attention, I miss the opportunity to tag my result and that cannot be edited (if you are manually adding results in the app from another meter, those tags CAN be edited).

tagging countdown

  • Can you hear me now? I think I might live in a dead zone. According to the map, I should have had coverage. However, more often than not, my meter was not connected to the mobile network. That alone was not necessarily a problem because I could upload the results later (manually) when the meter could find service. The actual problem was the clock on the meter. I am guessing the time updates automatically on the mobile network (just like our cell phones) so when the meter could not find service the time would not update. I could have waited a few minutes for the meter to find the network, but that doesn’t really fit into my testing lifestyle.

note the time differencenote the time difference
results not sent to server

  • The strips are not currently covered by my insurance company. The preferred brands of strips are available for $0 copay on my insurance so a meter would have to ride in on a unicorn and provide a cupcake with every result for me to pay any amount of money for test strips. You can see the cost for the strips and compare them to your current costs here.

Overall, I like the Telcare Blood Glucose meter and especially the integrated app. If I did not use a insulin pump that stored my results and allowed me to send the results to my doctor, I could see the ease of communication as a large benefit for a person with diabetes and their health care provider. As more meters and meter companies enter the market, it is definitely going to be the value-added features in logging and communication that will determine the success of the product.


Disclosure: I was provided the meter and 100 strips by Telcare for my personal review. I was not asked to write a post and all opinions expressed in this post are entirely my own.

basically the same size as my phone

Numbers

This past week, I feel like I’ve been surrounded by nothing but numbers. I’ve been working on some survey data at work. I’m pretty good at it, but that doesn’t mean it still doesn’t make my brain hurt.

On Wednesday, I looked down at my odometer on the way to dinner and I noticed my car hit an important milestone (*pun intended). I got this car in 1999 with 15 miles on it and hopefully we’ve got many more miles together.

Don’t let this next picture fool you (an example of the difference between a meter and a CGM), I’ve been experiencing consistent highs before dinner and before bedtime no matter how steady my graph was the rest of the day.


I adjusted my basal settings three times in the past week and am now taking what I feel is a significant amount of additional insulin. Whatever it takes though, right? I’m waiting until after tonight to call the new rates a success and I’m still trying to figure out why I needed such significant changes all of a sudden.

This one is no help.


AHHH!!! I am so frustrated. I didn’t eat much on Sunday, keeping an eye on my basals throughout the day. I made it through the previous trouble spot at about 10 pm. I couldn’t sleep so I didn’t head to bed until 3 am. The DexCom had a flat line around 130.

So frustrated!

That spike? 4 am – one hour after I fell asleep! My alarm clock went off at 8:30 this morning and I hit the snooze. As I rolled back over to catch a few extra minutes of sleep, I heard the familiar double beep – the DexCom high alarm. Once I’m asleep, I’m a pretty heavy sleeper. Didn’t hear a single alarm during the night! I was almost 300! What is going on?!

One step closer to a mouse

I hope I won’t end up like the mice in Kim’s diabetes research studies, but I am seriously considering participating in an upcoming study through my endocrinologist’s practice.

I got a flyer in the mail a few days before my doctor’s appointment last week advertising the study. The only requirement listed was that you have Type 1 diabetes and manage it with an insulin pump. I was curious but didn’t think too much about it.

During my appointment, I was discussing a possible pump switch with my endocrinologist and she mentioned the study. It turns out they will be comparing the MiniMed Revel with the MiniMed Veo (currently approved everywhere that does not include the FDA). I think it would be awesome to try out the Veo and hopefully contribute to the research the FDA apparently needs to determine it is safe for use in the US but unfortunately my doctor and I have no “control” over whether or not I am in the “control” group.

So far, I have figured out a few pros and cons about being in the study and I am trying to figure out how important each one is for me.

Pros:

  • There is the potential that I get to try out the MiniMed Veo insulin pump and the low glucose suspend feature.
  • In the control or study group, I would receive a brand new pump and all my supplies paid for during the six month study. That is not a small amount of money.
  • Maybe, just maybe I would be contributing to the research that would help to get a feature on the market in the US that so many people are hoping will keep themselves or their family members safer.

Cons:

  • I currently wear the DexCom CGM system and for the study I would need to switch to the MiniMed integrated CGM system. I have worn it before for trial periods, and found it to be uncomfortable at times.
  • I found out during my follow-up phone call this week that the only insulins that are allowed in the study are Humalog and Novolog. I would need to switch from Apidra to one of those insulins. If I enroll in the study, I will not return to Humalog (trouble with tails), but am considering the switch to Novolog.
  • I could end up in the control group with a pump and CGM I don’t necessarily want, on an insulin I don’t necessarily want to take. Do I then just drop out of the study?
  • During the six month study I would be required to visit the office for once a month appointments. That is not a huge inconvenience as the office is about 2 miles from my current job. I did find out that the first appointment will be 4 hours, as I will be required to drink a Boost meal replacement drink and will have my blood drawn to measure digestion and glucose levels. I already cleared the appointments with my boss, but just because I CAN take time off work doesn’t mean I necessarily WANT to miss that much work time.

Random points of information:

  • Due to some upcoming travel and their appointment schedule, I won’t actually go in for my first appointment until mid-April.
  • They are sending me a packet in the mail with more information for me to fill out before my appointment.
  • They require that I test four times a day during the study (ha! not a problem) and upload my information to Carelink each week (currently would need to be done on my work computer as I am running Lion on my Mac).
  • I forgot to ask if I would have to switch infusion sets during the study. If I have to switch from the Sure-Ts, I am pretty sure I would not be willing to do that and would choose not to participate.

It’s still really early, but I figure all the feedback, support, and information I can get from all of you will be helpful. Plus, I don’t think it’s too often that members of our community have the opportunity to participate in things studies like this so hopefully I can continue to track the process.

Diabetes Product Review (and giveaway) – Stick Me Designs

Stick Me Designs

I went for a walk this weekend. A long walk – diabetes-wise – at over 3.5 miles. Long enough to need some supplies.

  • My DexCom receiver
  • apartment keys
  • True2Go meter (smallest meter/lacing device I own)
  • tube of glucose tables

When the weather is nice and my laundry is done, I typically wear basketball-style shorts with big enough pockets to carry everything. This weekend, I was in yoga pants with no pockets and knew just what I needed from my diabetes supply closet.

In 2007, I found a company that was making diabetes “cute.” In a world of plain black cases, Stick Me Designs was something exciting a different. I purchased a small clutch – the same clutch that I used on my walk this weekend.

Not only are the products cute – they are also well made and survive years of abuse use. This is the picture from the original 2007 post. For me, this wristlet is the perfect size for those times when you need more than just your meter but don’t want to carry ALL your supplies.

When I saw that Stick Me Designs was hosting a “Keep/Try and Giveaway” on Facebook a few weeks ago, I had to enter. I was thrilled to be chosen and quickly chose my favorite design (keep an eye on this blog for the other review).

I’m loving the Lotus Lily pattern that I chose. I like girly stuff as much as the next woman, but am not a huge fan of pink. I wanted something feminine without screaming PINK and this fit the bill.

I <3 this pattern!

The deluxe clutch is little bigger than the wristlet. For me it is the perfect size for a road trip, or when I will be away from home for a while. Let me explain -

As an insulin pumper, I am a bit spoiled. I work close enough to home that all I typically carry with me is my meter and a tube of glucose tablets. Refills, site changes, and any other trouble shooting can happen in the comfort of my home. But (for example this weekend!) when I’m traveling, I’ll pack everything.

In addition to my “normal” stuff, I’ll need an extra tube of glucose tablets, at least one site change (just in my purse the rest in my carry on), a vial of insulin, ketone meter, ketone strips, extra test strips, back-up meter, and who knows what else. The Deluxe Clutch has a place for it all, and it even has an insulated pouch for the insulin.

endless options inside!
insulated pouch!

If you need a great travel bag, or you need to carry more supplies on a daily basis, this clutch is perfect for you.

The founder of Stick Me Designs, Rickina, experienced gestational diabetes during her pregnancy, which is what inspired her to develop her company and she has been a great member of the diabetes community for as long as I can remember. She is the place to go when you need a great product to feel better about the daily hassles of diabetes.

Please check out all the products over at the Stick Me Designs store.

While you are doing that, are you feeling chic? Well, than I have the PERFECT solution!

I am giving away a Deluxe Clutch in the beautiful Scroll Chic design.

Check out this pattern!

I am headed somewhere FABULOUS to celebrate (among other things) my 9th diaversary.

Leave a comment on this post by Sunday February 5th at midnight and I will randomly select a winner from the comments when I’m done celebrating rocking diabetes one more year!

Zing!

First of all, I hope your weather has been as good as mine this winter. Otherwise, please just enjoy this picture.
d365 - January 21, 2012 - day 21

Secondly, I had the best “dinner” a few nights ago. I was practicing for my award-winning lip sync performance through dinner, so I was desperate for food later that night.

There is a chain called Miller’s Ale House that claims to have world famous zingers. Well, the plate platter below had my zingers on it. I forgot to take the before picture, but I will next time – and there will be a next time.

As you may be able to see from the picture, my Zinger Mountain Melt was a platter of breaded boneless chicken wings, “piled over crispy fries and smothered with melted jack & cheddar cheeses, and bacon bits.” I picked honey mustard flavored chicken wings and asked for a side of honey mustard.

I had a horrible DexCom graph the rest of the night and I woke up ready to drink gallons of water but it was all completely worth it.

d365 - January 22, 2012 - day 22