Continuous glucose monitors (CGMs) can help you manage your blood sugar levels. A small sensor attaches to the skin, and a small wire is placed under your skin that monitors your blood sugar levels 24 hours a day. The sensor sends your blood sugar readings to a receiver or your cell phone. Sensors are worn for 10-14 days before being replaced with another sensor. Many times, family members can remotely monitor their loved ones’ sugar levels for added security.

Freestyle Libre

The Freestyle Libre Sensor is worn for 14 days. Please click on the link below to learn more about how to place your sensor, how to download Libre phone apps or how to share your blood glucose data with your Provider.

https://www.youtube.com/@FreeStyleUS

Dexcom

The Dexcom sensor is worn for 10 days. Please click on the link below to learn more about how to place your Dexcom sensor, how to download Dexcom phone apps and how to share your glucose data with your Provider using the Dexocm Clarity phone app.

https://www.youtube.com/@dexcomCGM

Insulin Pumps are small devices that help you manage your diabetes through insulin delivery. Insulin pumps hold a set amount of insulin; the pump delivers the insulin through settings by your Healthcare Provider. The three most common types of insulin pumps are Tandem, Omnipod and Medtronic.

Tandem

Please click on the link below to learn more about how to place your tandem pump, change your infusion site or how to give a bolus via your Tandem insulin pump. You can also call Tandem’s 24/7 customer support at (877) 801-6901.

https://www.youtube.com/user/tandemdiabetes?app=desktop

Omnipod

Please click on the link below to learn more about how to change your Omnipod, fill your Omnipod with insulin or how to give a bolus via your Omnipod. You can also call Omnipod’s 24/7 customer support at (800) 591-3455.

https://www.youtube.com/@myomnipod

Medtronic

Please click on the link below to learn more about how to change your Medtronic pump, fill your reservoir with insulin or how to give a bolus. You can also call Medtronic’s 24/7 customer support at (818) 576-5400.

https://www.youtube.com/@MedtronicDiabetesUS

Pump Malfunction (for existing pump patients only)

If you think your pump has malfunctioned, follow these steps:

1. Check your infusion site. You may need to change your site, including new tubing, new reservoir or place a new pod even if it is not time to change your site. Sometimes, the site you had previously placed gets kinked under the skin and the insulin cannot pass through the cannula causing high blood sugars.
2. Call the manufacturer of your pump (Tandem, Omnipod or Medtronic).
3. Call your healthcare provider at 706.278.1622
4. You may need to give an injection according to the sliding scale your Provider has given you.

Hypoglycemia or Low Blood Glucose is defined as a blood sugar <70. Some signs and symptoms of having low blood sugar include feeling shaky, confused, sweating, headaches, feeling nervous or anxious, blurred vision, tingling or numbness in lips, tongue or cheeks, nausea, hunger, light-headedness or dizziness.

If your blood sugar is <70, you need to take action or you could pass out or have other serious complications. Treating low sugars:

1. Check your sugar. Do not treat yourself based on how you feel. Do this with a fingerstick, not your CGM.
2. Follow the 15-15 Rule. Consume 15 grams of carbohydrates and then check your blood sugar after 15 minutes. If your blood sugar is still <70, consume another 15 grams of carbohydrates.
3. Examples of 15 grams of carbohydrates
   
   • 4 oz juice or regular soda (not diet)
   • One tablespoon syrup or honey
   • Glucose gel or glucose tablets
   • Hard candies or jelly beans (read the label for how many to eat)

      3. Recheck your blood sugar. Repeat step 2 if needed.

      4.  If you cannot bring your blood sugar levels up after three treatments, call 911.

Hyperglycemia or High Blood Glucose is defined as blood sugar >200. Some signs and symptoms of high blood sugar include frequent urination, increased thirst, hunger, feeling sleepy and blurred vision. If your blood sugars are high, stay hydrated. Drink plenty of water and avoid beverages with sugar or caffeine.

If you have Type 1 Diabetes, you may also need to check your urine for ketones. Ketone strips can be purchased at a local pharmacy.

Plan ahead for sick days. When you are sick, stay hydrated and continue to take your medications. Discuss which cold and flu medications you should take with your Provider as cold and flu medications can contain glucose and raise your blood sugar.

Diabetic Ketoacidosis (DKA)

Diabetic Ketoacidosis (DKA) is a serious condition that can be life-threatening and may need emergency medical attention. DKA occurs when the body cannot make enough insulin to bring down blood sugars. When the body does not have enough insulin, it starts to break down fat for fuel. This causes acid, called ketones, to build up in the bloodstream called ketones which then leads to DKA.

Signs and symptoms of DKA include nausea, vomiting, stomach cramping, confusion, increased thirst and urination. Seek emergency care immediately if 1) you have ketones in your urine 2) your blood sugar is >300 and is not coming down or 3) you are experiencing signs or symptoms of DKA

Hamilton Diabetes and Endocrinology Center offers several diabetes and nutrition classes to help you manage your diabetes through lifestyle changes. We will also file your insurance for the class. Classes are offered weekly at various times, so call us today to learn more or to schedule your class! You can call us at 706-278-1622.

Classes we offer:

*Classes are also offered in Spanish. A referral is needed for education classes but not for appointments with the Provider.

Traveling with diabetes may seem overwhelming, but planning can help you make the most of your trip. Here are some tips for traveling with diabetes:

• Pack enough medications (oral and insulin) for the travel plus additional, just in case.
  • You do not need to refrigerate insulin during travels but do not leave insulin in very hot or very cold temperatures. You can purchase a cool travel pack to keep your insulin cool if needed. Pack insulin in a safe place; do not place insulin in checked baggage (if flying) or in the car’s trunk, where it may be exposed to extreme temperatures.
• Bring extra supplies to check your blood sugar, and bring additional supplies for your insulin pump, if applicable.
• Pack snacks such as peanut butter crackers or protein bars. Pack fruit gummies, hard candies, or glucose tabs in case of low blood sugar.
• Talk to your healthcare provider about adjusting your medications if you are changing time zones.
• Wear comfortable, well-fitting shoes. Check your feet daily for blisters, reddened areas, burns or scrapes, and tears.
• If you are on an insulin pump or CGM, please click the following links for specific information for your pump and/or CGM:
  • Tandem Insulin Pump
  • Omnipod Insulin Pump
  • Medtronic Insulin PumpDexcom CGM
  • Libre CGM

If you have an upcoming surgery, please contact your Provider for assistance on which medication you may need to hold or reduce prior and/or after surgery.