1 2 3

Wednesday, January 6, 2010

[diabetescgms] Digest Number 1773

Messages In This Digest (8 Messages)

1a.
New Navigator Receiver From: Nancy Stopper
2a.
Re: MASSACHUSETTS and area pump support group From: Jeff Nathan, Award-Winning Author
3a.
Re: Waiting Period Between Calibration and Food Intake From: Signe Myhren
3b.
Re: Waiting Period Between Calibration and Food Intake From: Heike
4a.
Re: [CWDP] New Navigator Receiver From: Bonnie
4b.
Re: [CWDP] New Navigator Receiver From: Ted Marshall
4c.
Re: [CWDP] New Navigator Receiver From: Alissa Levenberg
5a.
any DexCom users in the UK? From: rosemaryhumby@aol.com

Messages

1a.

New Navigator Receiver

Posted by: "Nancy Stopper" nancystopper@gmail.com   scrappinlady01

Tue Jan 5, 2010 7:33 pm (PST)



The FDA notice said something about "180 days". When we were discussing it
on CWD, none of us were really sure what that meant, but there is a chance
it meant they had to wait 180 days to release.

I hope not - I really want the shorter startup and the automatic backlight

2a.

Re: MASSACHUSETTS and area pump support group

Posted by: "Jeff Nathan, Award-Winning Author" jeff@incredibleassemblies.com   chucklejeff

Tue Jan 5, 2010 7:43 pm (PST)



Hi, Deb -

I'm hoping to join you, albeit late. I play basketball Saturday mornings but
I'll get there as soon as I can. Thanks for the invite.

Warm regards,

-jeff toll-free: 1-888-967-3386

Award-Winning Children's Author, Jeff Nathan, presents

CurricuLaughs

Curriculum-tied Language Arts Education through HUMOR

"... by far, the best set of presentations I have seen in our school system
."

Dr. Marc Kerble Assistant Superintendent Winchester Schools
Winchester, MA

". a student said it best. "You Rock!" From the mouth of babes, Jeff you
were sensational. Thank you ever so much!"

Kristine O. Murray Media Enrichment Specialist Maghakian Memorial
School Brookline, NH

see these and other raving testimonials at
<http://www.IncredibleAssemblies.com> www.IncredibleAssemblies.com

From: diabetescgms@yahoogroups.com [mailto:diabetescgms@yahoogroups.com] On
Behalf Of debm555
Sent: Tuesday, January 05, 2010 10:18 PM
To: diabetescgms@yahoogroups.com
Subject: [diabetescgms] MASSACHUSETTS and area pump support group

MA Pumpers insulin pumpers support group's next meeting will be on Saturday
January 9th at Baldwin Park 1 in Woburn (directions below) from 9:30 AM til
noon.
Please join us for a chance to meet, chat, share tips about diabetes and
pumping, and have fun with other pumpers. All pumpers, potential pumpers and
support people are welcome. If you've never been to one of our meetings I
hope you'll start the new year by joining us. We are a small, friendly,
informal group. Newcomers are always welcome.
Please RSVP (appreciated but not essential) to me either on this list or
(even better) at dgm555@verizon.net <mailto:dgm555%40verizon.net> . Feel
free to send me an email if you have any questions about our group.
Members come from MA, CT, and NH and vary greatly in experience with
diabetes pumps and cgms. We have members with all major brands of pumps and
all 3 cgm systems so there is a LOT of info and experience in this group.
I wish you all a very happy, HEALTHY, (wealthy would be a bonus, of course)
2010.
DEB555

Directions to Baldwin Park 1 12 Alfred St Woburn From Rte 128: Take Exit #35
(Route 38). Once in rotary, follow signs for Route 38 North - Wilmington.
Take a right at first traffic light (Alfred Street). Baldwin Park 1 will be
on your left. It is the first driveway after the restaurant. Go in the side
door with the Winchester Hospital canopy. We meet in the training room which
is the third doorway on the right after you enter the building. It's
literally seconds from Rte 128.

3a.

Re: Waiting Period Between Calibration and Food Intake

Posted by: "Signe Myhren" jechante17@yahoo.com   jechante17

Tue Jan 5, 2010 7:51 pm (PST)



Though the MiniMed help line will tell you otherwise, my (superb) MM trainer told me it was fine to calibrate and bolus and then wait the 20 minutes before eating, since that's how long it takes for the insulin to work, anyway.

--- On Tue, 1/5/10, Louis Diaz <louis.diaz@gmail.com> wrote:

From: Louis Diaz <louis.diaz@gmail.com>
Subject: Re: [diabetescgms] Waiting Period Between Calibration and Food Intake
To: diabetescgms@yahoogroups.com
Date: Tuesday, January 5, 2010, 9:36 PM

 

Currently, we only calibrate when bg is stable.  Until now I had not heard of waiting to eat after the calibration.  (For the most part, the sensor were very accurate.)  We will start waiting to see if there is an accuracy improvement.  

One question, do people calibrate, then bolus for the meal, wait the 15 minutes, then eat?  The insulin doesn't start working for at least 15 minutes anyway.
Thoughts?

On Tue, Jan 5, 2010 at 4:45 PM, Jennifer McMonagle-Harris <jennifer@jharris. net> wrote:

 

Heike,

 

If it were my child, I would do the
calibration when I start fixing dinner.  Then, if you kid is a consistent eater,
I would use that value to base the meal bolus when the meal is ready.  If they
are not a predictable eater, I'd use that value to give a bolus as soon as the
meal is over.  There are nights when I do this when I'm not sure that I will be
able to finish a meal because of interruptions.   When I was 7 the diabetes
world was a much different place, however if I have to do this with my kids, I
will do my best to allow them to eat when they are hungry, and not to have to
fight over eating more because of the IOB.  This was a MAJOR issue for me as a
kid and the habit learned was not a good one for the rest of my life. 

 

Best wishes,

 

Jennie  

 

-----Original Message-----

From: diabetescgms@ yahoogroups. com
[mailto:diabetescgms@ yahoogroups. com] On
Behalf Of Signe Myhren

Sent: Tuesday,
January 05, 2010 1:05 PM

To: diabetescgms@ yahoogroups. com

Subject: Re: [diabetescgms]
Waiting Period Between Calibration and Food Intake

 

 

--- On Tue, 1/5/10,
Heike Fischer <hef5683@yahoo. com>
wrote:




From: Heike Fischer <hef5683@yahoo. com>

Subject: [diabetescgms] Waiting Period Between Calibration and Food Intake

To: diabetescgms@ yahoogroups. com

Date: Tuesday, January 5, 2010, 12:17 PM

 




Wendy, you made an
interesting comment about not eating for 15 minutes after calibration. Could
you explain that rule, please.  I understand why you calibrate only when
blood sugars have been stable:  You are trying to have a match between
the current blood glucose level and the reading on the CGM which reflects
earlier BG levels.  But why do you worry about changes going
forward?  And how do you determine the BG level before the meal: 
Do you do another BG check?  My 7 year old seems to be either moving or
eating at any given time, the best time to catch him with relatively stable
BGs is right before he eats.  Unfortunately, for us the integrated
CGM/Guardian is not nearly as accurate as for your child, I would never rely
on the CGM for a bolus.

I am curious whether others follow this rule as well.

Thanks,

Heike 


 







 

3b.

Re: Waiting Period Between Calibration and Food Intake

Posted by: "Heike" hef5683@yahoo.com   hef5683

Tue Jan 5, 2010 10:47 pm (PST)





--- In diabetescgms@yahoogroups.com, Louis Diaz <louis.diaz@...> wrote:
>
> Currently, we only calibrate when bg is stable. Until now I had not heard
> of waiting to eat after the calibration. (For the most part, the sensor
> were very accurate.) We will start waiting to see if there is an accuracy
> improvement.
>
> One question, do people calibrate, then bolus for the meal, wait the 15
> minutes, then eat? The insulin doesn't start working for at least 15
> minutes anyway.
>
> Thoughts?
>

For breakfast, snacks and lunch, we try to give the meal bolus ten minutes before my son starts to eat if his BG is 100 or more. If the BG is less than 100 but more than 80, I give the bolus right before he starts eating, otherwise my son would have a low BG before it would start to rise again (even with cold cereal). If he is below 80, I let him start eating and bolus after a few minutes.

For dinner which usually includes more protein and fat, I give the insulin at the beginning of the meal and may even delay the delivery of part of it (dual wave bolus), depending on the food.

My son's endo told me that the time it takes for the insulin to start working varies from person to person. He said it was within ten minutes for my son, based on the CGM data.

Heike

4a.

Re: [CWDP] New Navigator Receiver

Posted by: "Bonnie" bonnieandrachel@gmail.com   bonnieandrachel

Tue Jan 5, 2010 7:52 pm (PST)



Stacey, I knew that I could count on you!!!!! Thanks so much.

Bonnie S.
mom to Rachel, 11, type 1 2/02, celiac 2/04, Cozmo, Navigator, Apidra

On Tue, Jan 5, 2010 at 3:52 PM, Stacey Nagel <mommabagel@gmail.com> wrote:

> gee, where have you been?? we had this discussion months ago...
>
> *P050020/S008*
> *10/29/09*
> *180-Day* FreeStyle Navigator Continuous Glucose Monitoring System Abbott
> Laboratories
> Alameda, CA
> 94502 Approval for a modification to the FreeStyle Navigator Continuous
> Glucose
> Monitoring System receiver software. The primary purpose of the new
> software is to allow users to obtain continuous glucose data as quickly as
> possible after insertion of the sensor. The new
> algorithm changes the calibration time to 1, 2, 10, 24 and 72 hours, with
> glucose data being
> available at one hour. Other changes are the increase to allowable range
> for glucose calibration,
> increase to the allowable glucose rate change and the addition of a
> calibration lag correction.
> Additional changes were made to the Receiver software/User interface; the
> backlight will now
> always be on when the receiver is displaying information, the screen
> timeout will be 20 seconds and there will be no abandon alarm feature.
>
> On Tue, Jan 5, 2010 at 3:00 PM, Bonnie <bonnieandrachel@gmail.com>wrote:
>
>> I just got off of the phone with Abbott. I asked them when the new and
>> improved Navigator (the one with the shorter start up period) would be
>> available. The woman told me that it has been approved by the FDA, but she
>> had no information as to when it would be available to customers. I
>> searched and searched the FDA site and couldn't find the approval date. The
>> woman from Abbott also could not find the approval date. Usually Stacey
>> Nagel knows ALL of that type of thing! :-) I was wondering if anybody in
>> their searches knows the date that it was approved. The reason I am curious
>> is because I figure about 6 months (ish) after approval, it may start
>> showing up in customers hands :-)
>>
>> --
>> Bonnie S.
>> mom to Rachel, 11 type 1 2/02, celiac 2/04, Cozmo, Navigator and Apidra
>> _______________________________________________
>> Children with Diabetes Parents mailing list
>> Parents@lists.childrenwithdiabetes.com
>> http://lists.childrenwithdiabetes.com/cgi-bin/mailman/listinfo/parents
>>
>>
>
>
> --
> Stacey
> Mom to Allison -24, Daniel - 21 and
> Jesse -17 -Dx'd 12/01, pumping with Cozmo 4/03, Navigating 7/08....... :)
>

--
Bonnie S.
4b.

Re: [CWDP] New Navigator Receiver

Posted by: "Ted Marshall" ted@lauramarshallphoto.com   ted_a_marshall

Tue Jan 5, 2010 9:44 pm (PST)



Anyone know what they mean by "there will be no abandon alarm feature"? Are they taking something away like "mute alarms"?

----- Original Message -----
From: Bonnie
To: Stacey Nagel
Cc: parents@lists.childrenwithdiabetes.com ; diabetescgms@yahoogroups.com
Sent: Tuesday, January 05, 2010 7:52 PM
Subject: [diabetescgms] Re: [CWDP] New Navigator Receiver

Stacey, I knew that I could count on you!!!!! Thanks so much.

Bonnie S.
mom to Rachel, 11, type 1 2/02, celiac 2/04, Cozmo, Navigator, Apidra

On Tue, Jan 5, 2010 at 3:52 PM, Stacey Nagel <mommabagel@gmail.com> wrote:

gee, where have you been?? we had this discussion months ago...

P050020/S008
10/29/09
180-Day FreeStyle Navigator Continuous Glucose Monitoring System Abbott Laboratories
Alameda, CA
94502 Approval for a modification to the FreeStyle Navigator Continuous Glucose
Monitoring System receiver software. The primary purpose of the new software is to allow users to obtain continuous glucose data as quickly as possible after insertion of the sensor. The new
algorithm changes the calibration time to 1, 2, 10, 24 and 72 hours, with glucose data being
available at one hour. Other changes are the increase to allowable range for glucose calibration,
increase to the allowable glucose rate change and the addition of a calibration lag correction.
Additional changes were made to the Receiver software/User interface; the backlight will now
always be on when the receiver is displaying information, the screen timeout will be 20 seconds and there will be no abandon alarm feature.

On Tue, Jan 5, 2010 at 3:00 PM, Bonnie <bonnieandrachel@gmail.com> wrote:

I just got off of the phone with Abbott. I asked them when the new and improved Navigator (the one with the shorter start up period) would be available. The woman told me that it has been approved by the FDA, but she had no information as to when it would be available to customers. I searched and searched the FDA site and couldn't find the approval date. The woman from Abbott also could not find the approval date. Usually Stacey Nagel knows ALL of that type of thing! :-) I was wondering if anybody in their searches knows the date that it was approved. The reason I am curious is because I figure about 6 months (ish) after approval, it may start showing up in customers hands :-)

--
Bonnie S.
mom to Rachel, 11 type 1 2/02, celiac 2/04, Cozmo, Navigator and Apidra

_______________________________________________
Children with Diabetes Parents mailing list
Parents@lists.childrenwithdiabetes.com
http://lists.childrenwithdiabetes.com/cgi-bin/mailman/listinfo/parents

--
Stacey
Mom to Allison -24, Daniel - 21 and
Jesse -17 -Dx'd 12/01, pumping with Cozmo 4/03, Navigating 7/08....... :)

--
Bonnie S.

4c.

Re: [CWDP] New Navigator Receiver

Posted by: "Alissa Levenberg" alissa@ufp.com   evlhrb4

Tue Jan 5, 2010 10:36 pm (PST)



I thought that too and this is what someone posted on another list:

The current Navigator has a quirk in the programming so that if the
alarm goes off and no buttons are pushed for an hour, then that alarm
is indefinitely muted until someone wakes up the receiver. Abbot
calls this an "abandoned alarm". This becomes an issue if you use
the one hour mute to silence the high alarm - especially at night.
The timing has to be right for it to happen, but when we were using
the Navigator it happened many times.

So, here is what I remember (we no longer use the Nav so the details
may be a little off). The high alarm goes off, you acknowledge it,
and mute it for one hour. If you stay high, the alarm will go off
again in 15 minutes - but for us it really ranged between 12 and 20
minutes. You won't hear this alarm because it is muted. No button
is pushed because you don't hear the alarm, and the one hour
countdown for the "abandoned alarm" starts. Depending on the
timing of the re-alarms (which you aren't hearing because of the mute)
and the expiration of the mute, the hour countdown for the "abandoned
alarm" could elapse, and then the high alarm is turned off
indefinitely until you wake up the receiver again. For this reason,
Abbott actually recommends that you not mute at night - because you
might accidentally turn off the high alarm. Not a very practical
recommendation, really. Abbott was never able to tell me whether
the low alarm could be "abandoned", but since you can't mute the lows
it never happened to us.

Alissa (ah-LEE-sah) Levenberg
Mom to Samantha (11, dx'd 7/16/05, pumping Cozmo 10/28/05, Celiac
3/8/06, Dexcom 5/18/07, Navigator! 7/20/08, Omnipod 5/17/09)
and Darren (15, quirky but undiagnosable, no impressive equipment to
speak of, unless you count XBox 360)
Happily married to Richard (a certifiable lunatic whom I love almost
as much as Navigator)
CA Bay Area

On Jan 5, 2010, at 9:40 PM, Ted Marshall wrote:

>
> Anyone know what they mean by "there will be no abandon alarm
> feature"? Are they taking something away like "mute alarms"?
>
> ----- Original Message -----
> From: Bonnie
> To: Stacey Nagel
> Cc: parents@lists.childrenwithdiabetes.com ; diabetescgms@yahoogroups.com
> Sent: Tuesday, January 05, 2010 7:52 PM
> Subject: [diabetescgms] Re: [CWDP] New Navigator Receiver
>
>
>
> Stacey, I knew that I could count on you!!!!! Thanks so much.
>
> Bonnie S.
> mom to Rachel, 11, type 1 2/02, celiac 2/04, Cozmo, Navigator, Apidra
>
> On Tue, Jan 5, 2010 at 3:52 PM, Stacey Nagel <mommabagel@gmail.com>
> wrote:
> gee, where have you been?? we had this discussion months ago...
>
> P050020/S008
> 10/29/09
> 180-Day FreeStyle Navigator Continuous Glucose Monitoring System
> Abbott Laboratories
> Alameda, CA
> 94502 Approval for a modification to the FreeStyle Navigator
> Continuous Glucose
> Monitoring System receiver software. The primary purpose of the new
> software is to allow users to obtain continuous glucose data as
> quickly as possible after insertion of the sensor. The new
> algorithm changes the calibration time to 1, 2, 10, 24 and 72 hours,
> with glucose data being
> available at one hour. Other changes are the increase to allowable
> range for glucose calibration,
> increase to the allowable glucose rate change and the addition of a
> calibration lag correction.
> Additional changes were made to the Receiver software/User
> interface; the backlight will now
> always be on when the receiver is displaying information, the screen
> timeout will be 20 seconds and there will be no abandon alarm feature.
>
>
> On Tue, Jan 5, 2010 at 3:00 PM, Bonnie <bonnieandrachel@gmail.com>
> wrote:
> I just got off of the phone with Abbott. I asked them when the new
> and improved Navigator (the one with the shorter start up period)
> would be available. The woman told me that it has been approved by
> the FDA, but she had no information as to when it would be available
> to customers. I searched and searched the FDA site and couldn't
> find the approval date. The woman from Abbott also could not find
> the approval date. Usually Stacey Nagel knows ALL of that type of
> thing! :-) I was wondering if anybody in their searches knows the
> date that it was approved. The reason I am curious is because I
> figure about 6 months (ish) after approval, it may start showing up
> in customers hands :-)
>
> --
> Bonnie S.
> mom to Rachel, 11 type 1 2/02, celiac 2/04, Cozmo, Navigator and
> Apidra
> _______________________________________________
> Children with Diabetes Parents mailing list
> Parents@lists.childrenwithdiabetes.com
> http://lists.childrenwithdiabetes.com/cgi-bin/mailman/listinfo/parents
>
>
>
>
> --
> Stacey
> Mom to Allison -24, Daniel - 21 and
> Jesse -17 -Dx'd 12/01, pumping with Cozmo 4/03, Navigating
> 7/08....... :)
>
>
>
> --
> Bonnie S.
>
>
>

5a.

any DexCom users in the UK?

Posted by: "rosemaryhumby@aol.com" rosemaryhumby@aol.com   rosemaryhumby

Wed Jan 6, 2010 12:37 am (PST)



Hi Holly

I've started on the Seven Plus in England and yes, the version sold over
here does use mmol/L. It's being distributed over here by Advanced
Therapeutics (contact John Hughes). It's a little strange that they seem to know so
little about this in the US - maybe you should ask to speak to a manager at
DexCom about it as you might get further that way.

Hope this helps.

Rosemary
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