Sleep is important!

Especially to teeagers. Especially when a teenager has diabetes.
from this article:

• Teens with type 1 diabetes who are not adherent to their sleep schedules can experience a myriad of behavioral and psychosocial problems.
• Health care providers need to provide proper sleep therapy counseling for teens with diabetes.
• With proper counseling on sleep, teens begin to have a better quality of sleep, longer duration of sleep, and improved average HbA1C levels.

I'm looking for a receptionist/MA

Lauren is going to medical school! And I'm looking for her replacement. Here is the job description:

Solo practice, busy front desk position. You are the face and voice of this practice! Cheerfulness and enthusiasm are a plus.

This job will include: checking in patients, answering the phone, downloading faxes, scheduling patients, answering emails, voicemails and text messages, and preparing materials for billing. Medical assistant services includes prescription and prior authorization preparation, updating patient medical and medication history, vital signs, and teaching patients how to use glucose meters and sensors.You will communicate closely with the doctor, billing service and business manager. There may be more. A detailed training manual is included at the start.

The work week is Mon-Thu, 8:30 to 6:30. Some days are shorter and the hours are made up one Friday morning a month.

Medical office experience or career college certificate is required. Experience with electronic medical records (EMR) is a huge benefit. You can check out the EMR this practice uses at
https://help.practicefusion.com/s/tutorials

Drug test and background check are both required.
Please send your resume with references.

insulin research trial in Reno: are you interested?

If you are an adult between ages 18 and 65 living with type 1 diabetes you may be eligible to take part in the GAZELLE clinical research trial. This trial will look at an investigational fast-acting insulin to see if it works as effectively as an existing fast-acting insulin already being used to treat diabetes. Trial-related medications, procedures, equipment, and supplies will be provided at no cost; health insurance is not required to participate. Ready to learn more? Please read on.

The GAZELLE trial aims to understand if an investigational medication is as clinically effective as a currently-approved fast-acting insulin replacement, with the hope of improving patient access with more options for treating type 1 diabetes.

We are looking for people ages 18 to 65 who, among other things:

  Have been diagnosed with type 1 diabetes for at least six months   Are on a stable once daily dose of basal Lantus or Toujeo injections and multiple daily bolus NovoLog injections for at least 3 months prior to screening

  Have not used insulin pump therapy or any anti-diabetic medications other than trial-approved insulins within the last 3 months

  Have not used animal insulin (such as from a cow or pig) within the last 2 years

  Have not used a regular immunomodulator therapy within the last year

  Are able and willing to self-monitor blood glucose, including up to 7 times per day on selected days

Please contact me if you are interested in learning more about this clinical trial.

Eat for your gut type

I love this name. I have to give credit to Soraya Petroff, specialty sales representative with Eli Lilly.
This concept refers to research showing that it is the bacteria in your gut, not your blood type or personal genetics, that has the greatest influence on how different foods effect you.
You can find out what foods are more likely to work well with you or fight with you by having your gut biome DNA tested. The results will reveal the foods optimal to your health.
If you want to get this done, got to www.daytwo.com   I hope to have a discount code soon for you so you don't have to pay full price.
I am fascinated with my analysis.  Fat content, protein content a portion size play a big role in the score of a food. the food is scored 1 to 10 with 10 being the best on my blood sugar, meaning it will raise my blood sugar the least. A 1 score is the worst, meaning it will raise my blood sugar the most. fore example, both brown and white rice served plain are 1.5 and 1.4 respectively. So much for the brown rice theory being good for me. But if I prepare the brown rice as risotto with mushrooms, this recipe adds cream and cheese which adds fat and protein. Now the score goes up to 7.6.  The calories go up so I have to watch the portion size. This needs to be kept as a side dish, not an entree. a 4 oz serving is recommended. Another example, I was looking at spaghetti carbonara. Scores ranged from 3 to 7. Why such a wide range? The one with 3 was a 12 oz serving, the one with 7 was a 3.5 oz serving. Simple math. Keep it a side dish, not an entree.

New year and the office changes

New face at the front desk: Lauren Bony, who you may know as my medical assistant, is filling in at the front desk for an indefinite time. She did this for a brief bit a couple years ago and it's taking her a moment to get used to it again. Please be patient as we get back up to speed. Since I don't have her as my MA I now have to do more myself and it's taking a little longer for everything to get done, but it is getting done.
Please pass this on to any of my patients so they all know what's going on.

More bad news about pot and T1 diabetes

Study finds higher risk of diabetic ketoacidosis in pot users.

I love my daily diabetes updates- look what I found!

Study shows efficacy of mDiabetes app in reducing A1C levels

A study in Diabetes Care showed that type 2 diabetes patients who used mDiabetes, a smartphone-based app with an individualized diabetes management algorithm, significantly improved their A1C levels and had more significant A1C reductions below the 7.0% threshold after 24 weeks, compared with those who used a paper logbook. South Korean researchers recruited 172 patients, ages 19 to 80, and found that 31.1% of those in the mDiabetes group experienced a drop in A1C levels below 7.0% without experiencing hypoglycemia, compared with 17.1% among those in the logbook group.