tag:blogger.com,1999:blog-16774010.post3858545883702123441..comments2024-01-25T17:58:34.297-05:00Comments on Scott's Web Log: Trials Show BGAT Delivered Online a Success! But Don't Celebrate Just Yet ...Scott Shttp://www.blogger.com/profile/03286529314567223617noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-16774010.post-27118844654179196892009-12-31T16:32:15.617-05:002009-12-31T16:32:15.617-05:00I see this discussion ended in 2008. Whatever happ...I see this discussion ended in 2008. Whatever happened to online BGAT? I still have patients who need training.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16774010.post-56421564823951061372009-04-06T15:58:00.000-04:002009-04-06T15:58:00.000-04:00Hello Scott,I came across your`blog when I was loo...Hello Scott,<BR/>I came across your`blog when I was looking for some additional BGAT information. I am a clinical psychologist and CDE and I specialize in working with individuals who are, among other things, doing poorly with their diabetes self-care. Linda Gonder-Frederick very kindly sent me her BGAT program last year. It would be wonderful to see the BGAT program online but I also think that many individuals with severe hypoglycemia and other problems desperately need face to face interventions and support. <BR/>CDEs generally do not deliver these kinds of programs in part I think because AADE has emphasized the systematic teaching of the 7 self-care behaviors over more interactive and psychologically-oriented approaches. <BR/>I look forward to reading more from your blog.Clare Venus, PhD, RN, CDEhttp://www.diabetespsychologist.comnoreply@blogger.comtag:blogger.com,1999:blog-16774010.post-82327777164536693792008-10-09T18:46:00.000-04:002008-10-09T18:46:00.000-04:00Hi Scott - Ran into your blog. An update - we are...Hi Scott - Ran into your blog. An update - we are meeting next week with a group from ADA. Get in touch with me after that to see if there are any promising updates. Best, LindaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-16774010.post-48450914065012964292008-09-11T09:32:00.000-04:002008-09-11T09:32:00.000-04:00Blood glucose monitoring is a very inexact “scienc...Blood glucose monitoring is a very inexact “science” . . . starting with the patient who performs the test, the error allowed by the FDA and meter companies as meter “standards”, and the drug insulin, which has unique pharmacokinetics and pharmacodynamics for each patient.<BR/><BR/>Sampling error and the results gained by each patient can easily lead to inherent error. For example, patients taking an insulin-analog which is supposed to peak in one and a half to two hours may find that it actually peaks in one hour or two hours. Those results for individual patients may vary considerably, day-to-day. The science behind testing is to take enough tests within the activity period to predict the release curve for any given set of conditions. This would mean that a diabetic, using a fast/sharp-peaking insulin would probably be wise to check bG 6-8 times during any given 2-1/2 hour period. Initially, this insulin resides in a depot, and the release is influenced by size of shot, location of shot, pre-shot activity, nature of food ingested, emotional state and any number of things going on within the biologic system at that time (e.g., disease,drug interaction, etc.).<BR/><BR/>A single bG check—for example, taken immediately before getting into a car to drive—documents your bG only for ‘a moment in time.’ This bG does not tell you whether your bG is on the rise or falling dramatically. Neither does it tell you what your bG will be 15 minutes, 30 minutes, or 1 hour later.<BR/><BR/>The peak of any fast-acting insulin can reduce the bG level more than 100 mg/dl during its activity period. Maintaining bG levels with today’s tight-control paradigm provides inherent danger for all diabetic patients using fast-acting insulins. The reason the ADA, JDRF and many doctors provide leniency in today’s diet for high-carb meals is not to satisfy the need for ‘normalcy’ with other Americans; it’s to provide insurance that the diabetic can cover these fast-acting analogs. I think we ALL would be astounded at the number of diabetics who experience hypoglycemia unawareness. I expect many consumed their “last meal” based on a bG that only reflect a moment in time—and tragically, it was the wrong moment.<BR/><BR/>We NEED our responsible, charitable organizations to get behind (support) the production/marketing of a non-invasive, continuous bG monitor that will be more reflective and provide accurate bG information corresponding to insulin-release data.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16774010.post-27282094518067999872008-09-10T17:52:00.000-04:002008-09-10T17:52:00.000-04:00I am a graduate of BGAT-it really got me in touch ...I am a graduate of BGAT-it really got me in touch with both my hypo AND hyper symptoms. The usual, the not so usual.It's been several years so I've forgotten most of it(no way to review) but I'm glad this will soon be more wildly available.HVShttps://www.blogger.com/profile/05643496443110391440noreply@blogger.comtag:blogger.com,1999:blog-16774010.post-59961109972805639502008-09-10T15:53:00.000-04:002008-09-10T15:53:00.000-04:00"My feeling is that issues such as erectile dysfun..."My feeling is that issues such as erectile dysfunction don't need as much attention as hypoglycemia unawareness..."<BR/><BR/>You said a mouthful and then some! (I am fed up to death with the overload of ED-drug TV commercials and penile-enhancement TV commercials during prime time viewing hours!!!!) I'd lay wager that if you asked an average five-year-old what the primary effect of diabetes was, he'd answer "ED" (in five-year-old language, of course). Despite popular opinion to the contrary, orgasm is not a necessary aspect of life. Blood glucose awareness... is.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16774010.post-7286730889960506382008-09-10T13:22:00.000-04:002008-09-10T13:22:00.000-04:00hi Scott, thanks so much for this. I had no idea a...hi Scott, thanks so much for this. I had no idea about it and I'd love to do it. AND we definitely do think the hypo-unaware need help - I'm affected personally by it way more than I'd like. In our blog, we weren't trying to call out every group that's being left behind, because goodness knows there are too many, but thanks so much for your (as always) insightful, thoughtful take. And I'm going to go check out BGAT ...!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-16774010.post-49475571428915926192008-09-10T10:40:00.000-04:002008-09-10T10:40:00.000-04:00I've always been interested in the BGAT training -...I've always been interested in the BGAT training - I think it would a very valuable thing for many of us to do!<BR/><BR/>Thanks for bringing it (and the funding issues - frustrating!) back to our attention.Scott K. Johnsonhttps://www.blogger.com/profile/06601851114190791084noreply@blogger.com