December 31, 2009

FTNW: Late with the news but there is an ezManager Recall

I was cleaning the table and found a recall notice buried under all the junk. Dated Dec 17:

"When you use seven (7) or more basal segments as part of basal program 1, the "Pump Settings Report" incorrectly duplicates basal segment 8 information and displays it as basal segment 7 in the printed report."

Please note: This issue is only occurring in the "Pump Settings Report." The actual settings in the insulin pump itself are not affected by this issue.


There was a URL in the letter but either I can't type (I can't) or the link doesn't work. I didn't see a link off the Animas site.

They sent out a new disk.

http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRes/res.cfm?ID=86454

December 26, 2009

It is not the Holidays without Pyrotechnic Pyrex!

The YDMV crew is having a very merry Christmas.


That means a lot of cooking on my part. The 24th is Mrs YDMV’s birthday. It is the feast of the year at our house. We break out the good china and fancy glass. We do a huge dinner, sing happy birthday, party and build some momentum into Christmas when I also cook like crazy.

The birthday tradition has become dijon rosemary lamb chops. But since not everyone loves lamb I also make a rare tenderloin roast. On the side there are stir fired veggies, roasted dijon with oregano red potatoes (leftovers make KILLER home fires so make extra), fresh salad with a basal vinaigrette, cesar for Blair (he has chowed back so much salad this week I have run through 10 heads of romaine.) Dessert was a variation on bananas napoleon. Creme brulee, chocolate and carmel sauce with bananas, fresh whipped cream and phyllo shaped with holiday cookies cutters, dusted with confectioners sugar to look like snow. (SWAG the carbs on that, I have no idea and I don’t care. It’s mom’s birthday, diabetes can take a pass.)

I cooked two entrees that use radically different oven temperatures in my one oven. 260 and 450. That requires some juggling. Now I have been using a lot of 10/18 stainless this year. One of its many virtues is you can hit to with a quick quench.

Pyrex not so much. If you inadvertently hit a 450 degree Pyrex 9x13 with a shock of cold water, it explodes. Violently. In your sink. Bits go down into the garbage disposal. Some very sharp bits. It is however very spectacular and entertaining it its own right. Like fireworks in your very own kitchen. The key is to minimize the blood / food interaction. Oh and find the allen key that frees up stuck garbage disposals after dinner.

Happy Christmas, Merry Chanukah, have a great New Years and don’t forget the festive blowing up of cookware.

December 22, 2009

FTNW: To Strip or Not to Strip

That is the Question for non insulin using type 2s in Ontario.

From the News Wire: A recent study published in the Canadian Medical Association Journal challenges the need for self testing of non insulin using type 2s. The idea is that multiple daily test of BG of seniors with type 2, who are not on insulin, doesn’t produce actionable information as there is little rish of hypos. Testing may just create stress. The cost of strips is substantial and the report suggest the resources would be better spent on other T2 care alternatives.

None of this applies to T1 or insulin using T2s who risk hypos from injected insulin.

YDMV who would have thought it?

http://www.google.com/hostednews/canadianpress/article/ALeqM5gKgjmhG7ZVn8J-fUL5FhXrpI2NAw

November 28, 2009

Sanofi Go Meals iPhone Ap

My quick review: I gave up.

Go Meals was too something to be useful. The serving size data was inconsistent. Oh and it has a huge restaurant fetish.

When I can't SWAG a number to bolus the kids, I want a fast reference. How many carbs are in a cup of Mac and Cheese? What my world needs is an easy to use food database. This isn't it.

My dear friends across the pond have a great word for this kind of thing: Rubbish.

When it opened, Go Meals wanted to put food on Today's Plate. First it wanted to know if I was cooking or eating out. Seriously it opened by asking if I would like to Restaurant. Apparently Restaurant is something to do.

You are not going anywhere until you pick either Add Food or Restaurant.

You have to pick one or the other. That is the design of the ap. I picked add food. It wanted to be sure that I didn't mean to restaurant 'cause Restaurant Foods was the second option on the add food menu. Before the food store.

You can Always choose Restaurant

Oh and just in case I needed a Restaurant and didn't know where one was, (just a half a mile from the railroad track?) I could hit the Go Meals' Restaurant button on the bottom navigation bar at any time. Like say I was in the food store and couldn't cope with the concept of cooking. Go Meals was ready to help.

I skipped over Restaurant and picked Grocery & Generic Foods. I typically use a blue box. It isn't generic but it is one you may have seen on TV. They have Mac & Cheese shelf space in every food store in the country. It wasn't listed.


I gave up on Mac. How about spaghetti and meatballs? I found that in the Generic Foods the serving size was per "svg."

I don't know how much a "svg." is but SRV to me is Stevie Ray Vaughan. So is that a Stevie Ray Vaughan of pasta by volume or weight?

How Many SVGs in SRV?

Other spaghetti and meatballs came in more traditional volume based servicing sizes. That is good but consistency on serving sizes would be a plus.



I gave up again! I decided to go to Restaurant. One with Golden Arches.

I looked up chicken "Selects" at Mickey D's. I couldn't find just the brand name strips in the ap. I could find a meal (3 pc) with.... With something. I am guessing fries and a Coke. Wonder what serving size fries and a Coke?

I am think way big because this is after all America and extra value means extra food. I know we bolus for a less than that what Go Meals said the carb count is when we do go to McD' for a chicken select meal.

(3pc) with... what?

I gave up yet again and tried to look up an everything bagel from back at the super market. I found pizza three cheese bagels.


I playing with this thing I did add all these foods to my "Plate." Once there, it wasn't real clear how to get them off. So I had Trader Joe's Mac, two types of spaghetti and meatballs, a value meal and pizza bagels. Probably also a partridge pear tree but the serving size of partridge was in SRVs.

I gave up on Go Meals.

In fairness, there are a number of positive comments on the iTunes Ap store.

YDMV.


Other links:

November 27, 2009

Amy’s Restaurant aka Alice on Insulin

Amy's Restaurant: 
A Parody
 for Fight It Friday. With the deepest apologies to Arlo Guthrie. This is for my friend and drinking buddy Chris. GO HERE and chip in a buck or five to help folks who need insulin and don't have insurance.

Oh and a you run across other Fight it Friday bits, how about posting a link to the in the comment section? Thanks.


Amy's Restaurant:

This song is called Amy’s Restaurant, and it's about Amy, and the restaurant, but Amy's Restaurant is not the name of the restaurant, that's just the name of the post, and that's why I called the post Amy's Restaurant.

You can get anything you want at Amy's Restaurant
You can get anything you want at Amy's Restaurant
Walk right in it's around the back
Just a half a mile from the railroad track
You can get anything you want at Amy's Restaurant

Now it all started two Thanksgivings ago, that is two years ago on Thanksgiving, when my friend and I went up to visit Amy at the restaurant, but Amy doesn't live in the restaurant, she lives in the church nearby the restaurant, in the bell-tower, with her husband Ray and Fasha the dog. And livin' in the bell tower like that, they got a lot of room downstairs where the pews used to be. Havin' all that room, seein' as how they took out all the pews, they decided that they didn't have to take out their used strips for a long time.

We got up there, we found all the used strips in there, and we decided it'd be a friendly gesture for us to take the used strips down to the city dump. So we took the half a ton of used strips, put it in the back of a red VW microbus, took sharps and meters and implements of destruction and headed on toward the city dump.

Well we got there and there was a big sign and a chain across across the dump saying, "Closed on Thanksgiving." And we had never heard of a dump closed on Thanksgiving before, and with tears in our eyes we drove off into the sunset looking for another place to put the used strips.

We didn't find one. Until we came to a side road, and off the side of the side road there was another fifteen foot cliff and at the bottom of the cliff there was another pile of used strips. And we decided that one big pile is better than two little piles, and rather than bring that one up we decided to throw our's down.

That's what we did, and drove back to the church, had a thanksgiving dinner that couldn't be beat, went to sleep and didn't get up until the next morning, when we got a phone call from officer Manny. He said, "Kid, we found your name on a prescription at the bottom of a half a ton of used strips, and just wanted to know if you had any information about it." And I said, "Yes, sir, Officer Manny, I cannot tell a lie, I put that prescription under those used strips."

After speaking to Manny for about fourty-five minutes on the telephone we finally arrived at the truth of the matter and said that we had to go down and pick up the used strips, and also had to go down and speak to him at the police officer's station. So we got in the red VW microbus with the sharps and meters and implements of destruction and headed on toward the police officer's station.

Now friends, there was only one or two things that Manny coulda done at the police station, and the first was he could have given us a medal for being so brave and honest on the telephone, which wasn't very likely, and we didn't expect it, and the other thing was he could have bawled us out and told us never to be see driving used strips around the vicinity again, which is what we expected, but when we got to the police officer's station there was a third possibility that we hadn't even counted upon, and we was both immediately arrested. Handcuffed.

And I said, "Manny, I don't think I can pick up the used strips with these handcuffs on."

He said, "Shut up, kid. Get in the back of the patrol car."

And that's what we did, sat in the back of the patrol car and drove to the quote Scene of the Crime unquote. I want tell you about the town of Rocheville, Indiana, where this happened here, they got three stop signs, two police officers, and one police car, but when we got to the Scene of the Crime there was five police officers and three police cars, being the biggest crime of the last fifty years, and everybody wanted to get in the online story about it. And they was using up all kinds of cop equipment that they had hanging around the police officer's station. They was taking plaster tire tracks, foot prints, dog smelling prints, and they took twenty seven eight-by-ten color glossy photographs with circles and arrows and a paragraph on the back of each one explaining what each one was to be used as evidence against us. Took pictures of the approach, the getaway, the northwest corner the southwest corner and that's not to mention the aerial photography.

After the ordeal, we went back to the jail. Manny said he was going to put us in the cell. Said, "Kid, I'm going to put you in the cell, I want your wallet and your iPhone." And I said, "Manny, I can understand you wanting my wallet so I don't have any money to spend in the cell, but what do you want my iPhone for?" And he said, "Kid, we don't want any tweet suicide notes."

I said, "Manny, did you think I was going to hang myself for littering?"

Manny said he was making sure, and friends Manny was, cause he took out the toilet seat so I couldn't hit myself over the head and drown, and he took out the toilet paper so I couldn't bend the bars roll the toilet paper out the window, slide down the roll and have an escape. Manny was making sure, and it was about four or five hours later that Amy (remember Amy? This’s a post about Amy), Amy came by and with a few nasty words about Tim on the side, bailed us out, and we went back to the church, had a another thanksgiving dinner that couldn't be beat, and didn't get up until the next morning, when we all had to go to court.

We walked in, sat down, Manny came in with the twenty seven eight-by-ten color glossy pictures with circles and arrows and a paragraph on the back of each one, sat down. Man came in said, "All rise." We all stood up, and Manny stood up with the twenty seven eight-by-ten color glossy pictures, and the judge walked in sat down with a seeing eye dog, and he sat down, we sat down. Manny looked at the seeing eye dog, and then at the twenty seven eight-by-ten color glossy pictures with circles and arrows and a paragraph on the back of each one, and looked at the seeing eye dog. And then at twenty seven eight-by-ten color glossy pictures with circles and arrows and a paragraph on the back of each one and began to cry, 'cause Manny came to the realization that it was a typical case of American blind justice, and there wasn't nothing he could do about it, and the judge wasn't going to look at the twenty seven eight-by-ten color glossy pictures with the circles and arrows and a paragraph on the back of each one explaining what each one was to be used as evidence against us. And we was fined $50 and had to pick up the used strips in the snow, but thats not what I came to tell you about.

Came to talk about the betes.

They got a building down New York City, it's called the Diabetes Clinic, where you walk in, you get injected, inspected, detected, infected, neglected and selected. I went down to get my physical examination one day, and I walked in, I sat down, I got good and drunk the night before, so I looked and felt my best when I went in that morning. `Cause I wanted to look like the all-American kid from New York City, man I wanted, I wanted to feel like the all-, I wanted to be the all American kid from New York, and I walked in, sat down, I was hung down, brung down, hung up, and all kinds o' mean nasty ugly things. And I waked in and sat down and they gave me a piece of paper, said, "Kid, see the Certified Diabetes Educator, room 604."

And I went up there, I said, "CDE, I want to test. I mean, I wanna, I wanna test. Test. I wanna, I wanna see, I wanna see blood and gore and guts and veins in my teeth. Lick dead calloused finger. I mean test, Test, Test, TEST." And I started jumpin up and down yelling, "Test, Test," and the CDE started jumpin up and down with me and we was both jumping up and down yelling, "Test, Test." And the Endo came over, pinned a medal on me, sent me down the hall, said, "You're our boy."

Didn't feel too good about it.

Proceeded on down the hall gettin more injections, inspections, detections, neglections and all kinds of stuff that they was doin' to me at the thing there, and I was there for two hours, three hours, four hours, I was there for a long time going through all kinds of mean nasty ugly things and I was just having a tough time there, and they was inspecting, injecting every single part of me, and they was leaving no part untouched. Proceeded through, and when I finally came to the see the last man, I walked in, walked in sat down after a whole big thing there, and I walked up and said, "What do you want?" He said, "Kid, we only got one question. Have you ever been arrested?"

And I proceeded to tell him the story of the Amy's Restaurant Massacre, with full orchestration and five part harmony and stuff like that and all the phenome... - and he stopped me right there and said, "Kid, did you ever go to court?"

And I proceeded to tell him the story of the twenty seven eight-by-ten color glossy pictures with the circles and arrows and the paragraph on the back of each one, and he stopped me right there and said, "Kid, I want you to go and sit down on that bench that says Group W .... NOW kid!!"

And I, I walked over to the, to the bench there, and there is, Group W's where they put you if your A1C may not be good enough to join the DOC after committing your special crime, and there was all kinds of mean nasty ugly looking people on the bench there. Mother rapers. Father stabbers. Father rapers! Father rapers sitting right there on the bench next to me! And they was mean and nasty and ugly and horrible crime-type guys sitting on the bench next to me. And the meanest, ugliest, nastiest one, the meanest father raper of them all, Tim, was coming over to me and he was mean 'n' ugly 'n' nasty 'n' horrible and all kind of things and he sat down next to me and said, "Kid, whad'ya get?" I said, "I didn't get nothing, I had to pay $50 and pick up the used strips." He said, "What were you arrested for, kid?" And I said, "Littering." And they all moved away from me on the bench there, and the hairy eyeball and all kinds of mean nasty things, till I said, "And creating a nuisance." And they all came back, shook my hand, and we had a great time on the bench, talkin about crime, mother stabbing, father raping, all kinds of groovy things that we was talking about on the bench. And everything was fine, we was smoking cigarettes and all kinds of things, until the Endo came over, had some paper in his hand, held it up and said.

"Kids, this-piece-of-paper's-got-47-words-37-sentences-58-words-we-wanna-know-details-of-the-carbs-time-of-the-carbs-and-any-other-kind-of-thing-you-gotta-say-pertaining-to-and-about-the-carbs-I-want-to-know-attending-physicians-name-and-any-other-kind-of-thing-you-gotta-say", and talked for forty-five minutes and nobody understood a single word that he said, but we had fun filling out the forms and playing with the pencils on the bench. I filled out the massacre with the four part harmony, and wrote it down there, just like it was, and everything was fine and I put down the pencil, and I turned over the piece of paper, and there, there on the other side, in the middle of the other side, away from everything else on the other side, in parentheses, capital letters, quotated, read the following words:




("KID, HAVE YOU BOLUSED YOURSELF?")





I went over to the endo, said, "Endo, you got a lot a damn gall to ask me if I've nolused myself, I mean, I mean, I mean that just, I'm sittin' here on the bench, I mean I'm sittin here on the Group W bench 'cause you want to know if I'm moral enough join the DOC, lance women, kids, houses and villages after bein' a litterbug." He looked at me and said, "Kid, we don't like your kind, and we're gonna send you fingerprints off to Washington."

And friends, somewhere in Washington enshrined in some little folder, is a study in black and white of my fingerprints. And the only reason I'm singing you this song now is cause you may know somebody in a similar situation, or you may be in a similar situation, and if your in a situation like that there's only one thing you can do and that's walk into the endo wherever you are ,just walk in say "Endo, You can get anything you want, at Amy's restaurant.". And walk out. You know, if one person, just one person does it they may think he's really sick and they won't take him. And if two people, two people do it, in harmony, they may think they're both Twitterers and they won't take either of them. And three people do it, three, can you imagine, three people walking in singin a bar of Amy's Restaurant and walking out. They may think it's an organization. And can you, can you imagine fifty people a day, I said fifty people a day walking in singin a bar of Amy's Restaurant and walking out. And friends they may thinks it's a movement.

And that's what it is , the Amy's Restaurant Anti-Massacre Movement, and all you got to do to join is sing it the next time it come's around on the guitar.

With feeling. So we'll wait for it to come around on the guitar, here and sing it when it does. Here it comes.

You can get anything you want, at Amy's Restaurant
You can get anything you want, at Amy's Restaurant
Walk right in it's around the back
Just a half a mile from the railroad track
You can get anything you want, at Amy's Restaurant

That was horrible. If you want to find a cure and stuff you got to sing loud.

I've been singing this song now for twenty five minutes. I could sing it for another twenty five minutes. I'm not proud... or tired.

So we'll wait till it comes around again, and this time with four part harmony and feeling.

We're just waitin' for it to come around is what we're doing.

All right now.

You can get anything you want, at Amy's Restaurant
Excepting Amy You can get anything you want, at Amy's Restaurant Walk right in it's around the back Just a half a mile from the railroad track You can get anything you want, at Amy's Restaurant

Da da da da da da da dum
At Amy's Restaurant

November 24, 2009

FTNW: DexCom & Continua Boards

DexCom Appoints Nicholas Augustinos as Board Member.

I keep wondering about Continua and the diabetes world. More to wonder about:

From the News Wire -
Source: DexCom, Inc.
On 4:11 pm EST, Monday November 23, 2009

DexCom, Inc. today announced the appointment of Nicholas Augustinos as a member of DexCom’s Board of Directors.

Mr. Augustinos is the Senior Director of the Global Healthcare Solutions business unit at Cisco Systems, Inc., where he leads Cisco’s efforts to develop connected healthcare solutions. Prior to Cisco, Mr. Augustinos was a Partner and Senior Strategic Consulting Expert, Global Health Services, for Computer Sciences Corporation. Previously, Mr. Augustinos served as Vice President of the Care Data Exchange group with CareScience, as Vice President of Sales and Marketing with Healtheon/WebMD, and as Vice President of Administration with CliniShare. “Nick brings more than twenty years of broad-based experience and thought leadership in healthcare. As healthcare delivery and technology evolves and improves, Nick’s vision and experience will help drive DexCom’s future innovations,” said Terry Gregg, President and Chief Executive Officer of DexCom.

Mr. Augustinos also sits on the Board of Directors of Continua Alliance, a non-profit, open industry coalition of healthcare and technology companies collaborating to improve the quality of personal healthcare. The Alliance was founded by Cisco, Intel, Philips, Samsung, Sharp and Kaiser Permanente, among others.

November 23, 2009

FTNW: Sanofi-Aventis iPhone ap GoMeals

Update: I got a copy from iTunes. Played with it a little. I will share thoughts later.

From the News Wire

In one of the latest forays by the pharmaceuticals industry into mobile technology platforms for chronic disease management, Sanofi-Aventis has launched the iPhone application GoMeals, designed to help diabetics make the healthiest food choices.

The food-tracking tool powered by CalorieKing can provide the nutritional content of many foodstuffs sold in grocery stores, or for the meals and snacks offered on restaurant menus. Similar to the weight loss application LoseIt that tracks food intake, physical activity and provides nutritional data for many foods, CalorieKing's database contains information on over 25,000 foods and over 200 menus for US restaurants.


more at:

http://www.independent.co.uk/life-style/health-and-families/health-news/lab-launches-an-iphone-app-to-track-and-manage-diabetes-1826526.html

What's a Buck?

Value Menu. A buck.
iTune song. A buck.
Coffee. A buck.
Coke. A buck.

Insulin Priceless but on Friday - one day one buck.

Black Friday: Help my friend Chris* help someone who needs a hand. Click the banner.


*Yes there is some truth to the rumor he and I managed to get thrown out of a hotel bar and take 20 people and a fictitious stalker with us. But honestly we were all way better off in one of the ladies' hotel rooms anyway. Sadly there may be pictures with circles and arrows and a paragraph on the back explaining how each one was to be used as evidence against us, but that is another story.

Of Mice and Men: Bombay Version

In mice; an implantable glucose bio-sensor develped by the Indian Institute of Technology.

http://www.topnews.in/smart-biosensor-rule-out-pricks-diabetics-2239066

Once injected, the bio-sensor would help monitor blood sugar levels for up to six months using an external hand-held device.

“India is poised to become the diabetes capital of the world. Developing a sensor that is non-invasive is the need of the hour,” said Professor Rohit Srivastava, Department of Biosciences and Bioengineering, IIT-B.

Most blood sugar monitoring methods involve pricking the fingertip to draw blood. IIT-B’s bio-sensor, called a smart tattoo, appears as just a dot in the skin when injected. Using near-infrared waves — which have shorter wavelengths like those used by the television remote control — emitted by the hand-held device, the patient can get his blood sugar count.

“The bio-sensor with a dye-attached glucose receptor will attract the glucose present in the fluid, send signals to the device and record the count,” said Srivastava adding that the device would work for any demographic region and for any type of diabetes.

A four-year effort, the research has reached the animal trial stage and the biosensors are being currently tested on mice.

November 21, 2009

Scott on Insulin

Someone who writes brilliantly (a phrase that here means Scot Strumello) has a new post on inhaled v oral insulin v what the world really needs.

It is sad he posted it on a Saturday night. I feel responsible. Make me feel better and go read it so his use of quality weekend time is not in vane:

http://sstrumello.blogspot.com/2009/11/business-of-diabetes-generex-vs.html