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Ski touring in Silvretta from T1DM + CGM point of view

List of abbreviations:
T1DM - Type 1 Diabetes Mellitus
CGM - Continuous Glucose Monitoring


When I come home from a ski tour, my parents always ask - how was the trip? My usual answer is - good, we have survived.
This time we have survived the ski touring in Switzerland. As for me, I really mean survived. Lukas has already published nice and simple travel article on his blog - Ski touring in Silvretta. Therefore I do not want to write much about the tour itself. I would like to focus more on my blood sugar monitoring during our physical activity in the Alps.

Preparations of the sensor and insulin pump
I am using Medtronic Paradigm insulin pump with Apidra insulin analogue. After I shaved and cleaned the skin, I placed the sensor little bit over my right hip to avoid the a proximate contact with my ski pants (left image). The sensor fortunately paired with the pump and from that moment on I got 6 days of continuous blood sugar monitoring.



Day 1 - 27.3.2014: Tour to Chamonna Tuoi hut (22…

Web Site Story - www.diador.sk

História
O tom ako vznikla prvá webová stránka Diadoru veľa neviem. No podľa jednej pradávnej legendy bola stránka Diadoru - www.diador.sk, prvá webstránka o diabete na Slovensku. Videl som verziu približne z roku 2004. V čase, keď som sa stal členom Diadoru spolu s diagnózou DMT1 (október, 2004). Bola to taká bielo-modrá jednoduchá stránka so základnými informáciami. Pamätám sa, že tam fungovalo fórum a to bolo v tej dobe bez spoločenských sietí dosť populárne a dali sa tam nájsť užitočné informácie.
Neskôr vznikla novša verzia, (asi okolo roku 2009?). Tá bola už navrhnutá cez redakčný systém (CMS) joomla 1.7, ktorý mal potenciál, aby stránka mohla rásť ďalej. Dizajn stránky bol tiež na dobrej úrovni. Bohužiaľ ho asi málo ľudí dokázalo využiť, pretože sa stránka vyvíjala veľmi pomnaly. Jessy mi ponúkla spravovať galériu a rýchlo som zistil, že je v tom systéme neporiadok. Vtedy som prvý raz videl systém joomla aj z pohľadu administrátora. Dosť vecí tam nefungovalo. Nahral som tam zopár…

Center of high field MR

The Center of high field MR is located inside the AKH/Medical University complex in the 9th District, Vienna, Austria:



If you want to participate in MRI studies, you should consider those criteria prior to scanning:

All metal MUST be removed from your body, especially eyeglasses, wristwatches, jewelry, and shirts with metal fasteners near your head (e.g., zippers).All body piercings MUST be able to be removed.Must NOT be claustrophobic or have a history of claustrophobia.Tattoos are generally not exclusionary, unless they have been inked with metallic dyes.NO pacemakers, insulin pumps, etc. For another MRI check list visit e.g. this UCSF web page.


Medtronic Carelink Personal Website on Mac

I have the insulin pump from Medtronic. It has a very nice feature which can transfer your data from the pump (e.g. blood glucose readings). I used my MacBook for this transfer until Mac OS X 10.9 Mavericks came out. After the update I got this message:


Therefore now I use VirtualBox with Windows to get my data from the pump to the Carelink website with Carelink USB. Anyway I waited few months. But after almost 6 months nothing changed so I wrote to Medtronic on Facebook. Why Facebook? Because I couldn't find their e-mail anywhere.

So if you are interested read further. This is our Facebook correspondence:

Martin:
Well Medtronic Diabetes, I am still quite unhappy about this website: carelink.minimed.com. As a Mac user I cannot proceed further because I have the Mac OS X 10.9 and latest supported version is Mac OS X 10.8. Mac OS X 10.9 was released on 22nd October 2013. Since then I have to upload the data from my insulin pump through virtual machine with Windows XP. I use CareLink …

Bratislava - Neusiedl am See

Ak sa chcete vydať na dlhšiu jazdu na bicykli a nechcete sa nudiť len výhľadmi a bezstarostnou jazdou, treba spraviť jednu dôležitú vec: nezobrať si žiadnu náhradnú dušu, pumpu, lepidlo a iné nástroje na opravu bicykla.
Po 5 hodinovom spánku som spontánne vyrazil do Neusield am See. Cesta je veľmi dobre značená a niektoré časti som už prešiel tak som nepotreboval nič plánovať. Nabil som akurát iPhone, vzal veci na prežitie, jedlo a nastavil bazál pumpy na 20%.

Po cca 30. km som pri diaľnici A4 schádzal z nadjazdu a počas obzerania okolia som prudko nadskočil. Obzrel som sa dozadu a na ceste bol len jeden (1!) kamienok. O pár nato sekúnd bolo už predné koleso mäkké. Hodil som bicykel do poľa a potichu som si vyčítal, že si nikdy so sebou neberiem veci na opravu defektu. Toto bol mimochodom prvý defekt na mojom cestnom bicykli.

Prešiel som dovtedy túto trasu: http://www.endomondo.com/workouts/318700117/6284494
Podľa mapy som bol len pár kilometrov od Weiden am See. Mal som plán, že v d…