I was diagnosed within a year or two of you. I think what might explain the disparity of the author’s knowledge of diabetes treatment trends compared to ours was his younger age at diagnosis. He went through the '90’s as a teenager.
I’ve read many accounts of childhood diagnosis, good early glucose control under the watchful eye of a parent and then deteriorating management through the teen years and into the 20’s.
I remember starting on Humalog when it first came out in '96 and I believe a lot of the carb up, shoot up ethos was popular during that time. I think the health care professionals were so tired of the eat to the dictates of your insulin, especially the notorious NPH, that they were more than ready to embrace a different strategy. I think it permitted them an avenue to make a better connection with their patients.
Since I was a long-term pumper, I didn’t use any of the newer basal insulins as they came out. It appears that Lantus debuted in 2000 in Europe, not sure when it became available here.
Yeah, not everyone monitors diabetes management tactics and interacts regularly with their peers like we do. Long before diabetes social media, back in the early '90’s, I was aware of the concept of a CGM and fantasized about using it in the future. I didn’t get a chance to try a CGM until 2009, almost 20 years after I understood the concept.
Not sure when the idea of a closed loop system entered my awareness. I do remember being skeptical of its practicality given the slow action curves of even our “fast” insulins. It took me getting hooked up with Loop to make a believer out of me.
The #WeAreNotWaiting movement was born with the idea to get Dexcom data, G4 at the time, up “into the cloud” so that remote parents, especially, could stay informed of their child’s BG. NIghtscout was written for this purpose. The DIY closed loop idea followed a few years later.