@EmilyC, I have no idea what you were planning on chatting about during the upcoming next interview with Gary Scheiner on Monday, June 11. But I thought I’d jump in by creating this topic to try to encourage others to think of things to ask which might be of interest to them.
Note: I could not decide what category to shoehorn this discussion topic into. Feel free to change the category if you feel this topic would be a better fit anywhere else.
Richard’s linked post from which I spun this topic off got me thinking that while I pretty routinely am either asked and/or checked for “scar tissue”, I have never had much of an idea of just what the heck they are talking about.
How would I detect scar tissue? What the heck does scar tissue look like?
Does scar tissue last forever or does it go away?
Why doesn’t anyone (I know of) talk about this stuff? It’s as though the knowledge is just supposed to be absorbed by osmosis when we fill our first insulin prescription.
@irrational_John, I think scar tissue is a great topic to ask Gary about!
Gary and I always have a loose idea of what we’d like to discuss in our interviews, but we never stay on topic the whole time and any/all diabetes-related questions are always welcome. On the 11th we’ll start out discussing the ADA 75th Scientific Sessions, which will have just concluded, and branch out from there.
Everyone please feel free to post more questions for Gary in the thread below, and I’ll be sure to ask them during the interview
Good idea, I doubt that Gary has any scar tissue, but in his
Integrated Services business of helping so many others with T1D, he
must have heard about this many times.
I called Dexcom and asked if a CGM is less accurate when placed in an area with scar tissue. They did not know, but their advice was to avoid those areas. I have seen people in Dexcom user groups say they did not have much accuracy with their CG’s unless they avoided scar tissue.
@irrational_John - thanks for posting this discussion - oops, I mean forum topic.
@EmilyC - I would like to hear Gary’s thoughts on exercise and the pump. Aerobic v. anaerobic. TBRs and suggestions for eating during breaks while performing long, intense exercise like road biking.
When correcting for a low with glucose tablets and/or gel, is it better to chew/swallow ASAP and get the glucose into your stomach, or is there a faster transfer letting the glucose absorb through your tongue and mouth tissue? (This question popped into my head while experiencing a low yesterday …)
Could you explain further? I did not see anything in the linked article which I felt spoke to YogaO’s question. Yes, I realize that the “intestinal tract is lined with numerous microvilli, which are tiny fingerlike protrusions that increase surface area for the maximum absorption of nutrients. These microvilli absorb glucose molecules and send them straight into your bloodstream.”
However, there are still other questions since when you eat something it does not go directly into your intestines, but to your stomach where it sits for a variable period time while your stomach processes its contents. Does this delay the absorption of the glucose in any meaningful way?
I think there is confusion here about absorption in the mouth because of the long-standing tip of rubbing glucose on an incapacitated/unconscious diabetic’s gums. Rubbing the gums with glucose, when there is no glucagon kit. or IV glucose available, is about the only thing one can do as a “first responder”. If one is able to swallow, the best/fastest way to raise bg is to swallow as many carbs as deemed appropriate–not simply let the carbs sit in the mouth.
The interview with Gary is in an hour, and I’ll ask him the questions in this thread along with those asked during the event. Now’s your last chance to post a question here if you’re not able to attend the event real-time!
