NEWSBREAK: CMS Says Yes to the Dexcom……WOW!

Dexcom G5In case you were distracted at the end of last week, a major development took place at CMS (Center for Medicare & Medicaid Services) when the decision was made and the agency stated that the Dexcom G5 Mobile was now determined to be classified in a benefit category as therapeutic; thus allowing the agency to cover the device for those people on Medicare or Medicaid.

HUGE!

Dexcom should be applauded for their tireless efforts in this area fighting for the approval of the device.  I get it, their stock soared upon the approval and hence, it could be said it was why they battled.  Dexcom is a business.  And in the world of diabetes, businesses that are run correctly, deserve whatever they are allowed.

Kevin Sayer, President and CEO, has run his Dexcom Company with diligence, integrity, they give back to the community, and if they benefit for fighting so hard so everyone wanting their CGM, even those on social services and not on commercial insurance, can get one…..more power to them.  Not to mention those turning 65 will now no longer lose their coverage for a CGM for merely getting older.

It’s no wonder that Dexcom seems to constantly show the business world of diabetes why their business objectives and business platform are second to none.  The diabetes community can only hope others take note and follow their lead.

You can read Dexcom’s press release by clicking here.

Bravo Dexcom…….Bravo!
I am a DiabetesDad.
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The World is a Little Vile Lately…….Yes?

VileThere is a line from the Dickens’ classic, A Christmas Carol, that I have always liked. It’s enough for a man to understand his own business, and not to interfere with other people’s. Mine occupies me constantly.

Now in the context that this statement was meant, Dickens’ is clearly showing how isolated Scrooge has made himself by cutting himself off from his fellow-man.  That said, In as much as I DO feel we all need to help others, I have found some solace in that statement of late.

If you see yourself in what I am about to say, think about it.  If it’s not you, than it’s not about you.  The reason I have taken solace in that phrase is that as I roam around and read various conversations, I’m absolutely floored at the absolute contempt people have been toward one another lately.

I believe, just me-DiabetesDad, that because someone very strongly is in favor (or not) of certain results, people, movements, etc.  should not allow people to say; “I know this is wrong to say but I just have to…….” and some long tirade ripping people apart follows.

Really?

The first amendment, again–to just me, also comes with serious responsibility.  It’s a huge responsibility and it needs to be taken very seriously by everyone.  The freedoms we express should be in check when it comes to the vile and poison so many are revealing—–ALL THE WAY ACROSS THE BOARD.

This hurts me so.

And because some do it, if we continue to believe that it gives everyone the right to do it; we could be in serious trouble.  I choose to focus on my family, my passions, and things which are important to me……”mine occupies me constantly”.

Friction and friction will only result in heat.  If more time was spent focusing on how to be part of the change, WHATEVER THAT BELIEF MAY BE, instead of contemptuously screaming at each other that it’s needed; might be a better use of our energy.  And if your inclination is to immediately respond to this article by blaming some entity and/or person; don’t give them that power over you.  That’s the easy thing to do

Teddy Roosevelt once said, “Do what you can, with what you have, where you are.”
The key word here is, “DO”.  Much energy is being spent in vile shouting, from ALL SIDES of this discussion, might we all be better off with more ‘doing’.

Be the CHANGE.  No one wrote a book about someone who was GOING to do something, they write books about those who fostered change.  How you get there, is your choice.

Just don’t do nothing.
I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’

Good-Bye 2016….and Thank……YOU!!!!!!

calendar-page-offWell tear the page off the calender, 2016 is history.  Much has surely happened this year and as I reflect on it, I realize that so much good happened in the year.  I know many feel differently, and that is fine as they are entitled, but I’ve never been one to stay focused on one item or one event.

I survived being at 9/11, I survived my child being diagnosed with diabetes, I have survived losing a brother (in law), a father, a father and mother-in-law who I cherished, a second child being diagnosed and an entire list of items that will depress you to know end–and many people over the years have been in office who I did not want or who I wanted…..and I will be danged if whatever this year bought will make me react any differently.

The sun will rise tomorrow and with it a new day. And it is THAT way in which I live.

I will choose the GREAT things that happened over the year in the battle against undiagnosed Type 1 Diabetes.  I’ll cherish Beyond Type 1, Insulet, dPac, Susan Weiner, Kim May, Michelle Berman, Debbie Healy, Bennet Dunlap, Little Reegan’s Family, Kycie’s Family, Elizabeth Stein, DiaBEAT THIS!, and those who have stepped on the gas pedal and chose to share their lives to end these occurrences and, in some cases, when they were even victims themselves.  I’m grateful to the many who gave a platform to spread the word.  I’M GRATEFUL TO THOSE WHO EVEN HUNG A POSTER TO SPREAD THE WORD.

I’ll cherish those advancing the better treatment for those who live with diabetes every day.  I’ll cherish those organizations who continue to help people, advocate, and spread the word.    I’ll cherish those who despite great odds, continue in that search for a cure. I’ll, personally cherish, a new granddaughter, an engaged daughter, a move to a new home in a new state, and always my wonderful family.

And I will always and in all ways cherish you.  You who inform me, you who challenge me, you who teach me, you who believe in just ‘not doing nothing’, you who choose to make a difference, you who are my brothers/sisters-in-arms in a battle none of us want to be part.

If 2017 is not what you want it to be, MAKE IT what you want it to be.  We cannot do anything about what may come our way but we can certainly control how much it impacts us.  May 2017 be happy and healthy and may your inner wishes come true. Thank you for being part of my 2016, I look forward to what 2017 may hold for all of us.
I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’

Twas the Night Before D-Christmas 2016

santa-moonWith special apologies to Clement Moore.   I present a tradition……an updated, ‘Twas the Night Before D-Christmas for 2016

‘Twas the night before Christmas, when all through the house,
Not a creature was stirring, not even a mouse.
The stockings were hung by the chimney with prayer,
In hopes that Santa would bring the cure with him this year.

The children were nestled from head to their feeties,
While thoughts in their head were no more diabetes.
And mamma in her ‘kerchief, she prayed for the cure too,
A dad still wonders what else could he do.

Remembering this year; the so much good and fun,
Seems monthly there was news at Beyond Type1.
Away to the news to see who was a hero of fire,
It’s those who live with T1D who really inspire

As costs continue to rise on everyone’s supply,
So many wonder how they’ll get by.
D-bloggers continue to write of these capers,
It certainly can’t be left to all the newspapers.

While many wrote of Santa’s goodies in his sack
Many doing much more like those from dPac.
To those with diabetes these really are not funny,
You’re playing with lives; it’s not about money.

As parents search for the docs and schools that really do care,
So much about this disease just doesn’t seem fair.
But as we turn and realize the continual fear,
I have some wishes for so many during this year.

When you look outside at the fresh fallen snow,
Or out at the sea where cold you don’t know,
Think of those who inspire and soon you’ll see,
Those things have changed in the past and will continue to be.

Innovations like getting supplies to those in foreign lands,
There is Life of a Child, IDF, and a Foundation of Hands.
There were great ideas to help our kids remember,
Of those in the fight like Project Blue November.

We work very hard for a managed d-Life to be,
And there is much help like at CWD.
There was JDRF/Medtronic approved hybrid closing the loop,
And ADA’s Dancing Steps was really a scoop.

There are innovations and those like Tide Pool
And DRI’s BioHub news continue to gain fuel.
There are so many camps that continue to say,
Spend a week with us for an even better today.

From Faustman, ViaCyte an IRB survey from Glu,
Stopping missed diagnosis to end candles of blue.
So as the year ends and criticisms comes quick,
Good things will come, and not all from St. Nick.

So listen carefully as you think of all that is run,
There is so much more work that needs to be done.
Don’t leave it to others; it’ll be just a few,
“Don’t do nothing” is what you really must do.

And if you think you’re done, tired, and feeling sort of sore,
Think of your loved one with diabetes, it’ll make you do more.
And if not for you, it will be for their sake,
We will stop all when only they get a break.

And then, in a twinkling, one day we’ll hear on the roof,
The prancing and pawing of each little hoof.
And the only thing needed is Santa’s toy bag for sure,
When diabetes is gone because of a cure.

So we will all continue to work, the ‘where’ is up to you,
But you have to make the decision on something you’ll do.
And one day we’ll scream and exclaim, “diabetes is gone from sight,”
The Happiest Christmas ever, and to all a good-night!

I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’

Oh…..It’s Butterfly Kisses…..My Baby Girl is Engaged!

kaitlyn-job“I think we have been apart too long.  I really just cannot exist without her in my life.”  And in an instant, all of the concerns about,; will he take care of her diabetes, will he make sure she is okay, will he care for her, will he…..will he……willl he???????
I answered him, “You not only have our blessing, we would be honored.”

And in those few words, I felt all of the energy run out of my body, my precious little girl, my baby girl, the one who “Daddy’s-Little-Girl” describes…..was being given to another man to become one.

Just like that.  Just that quick.  After 26 years 9 months and 13 days……my daughter would leave the shadows of her mom and me and become engaged to become one in another’s life.

He’s a good man.  He’s been part of our lives for a long time.  We have watched the two of them grow……apart….and together.  She’s now a nurse, he graduates the Police Academy early next year.  They will be fine.

My little girl.

Was it not just yesterday she had to climb to get upon my knee.
Was it not just yesterday we were rushing her to the hospital and diagnosed with diabetes.
Was it not just yesterday that I wiped her tears.
Was it not just yesterday that her feet were on top of mine as we danced.
Was it nt just yesterday that we started with butterfly kisses.
Was it not just yesterday that I was superman and could do anything.
Was it not just yesterday that I tucked her in at night and sang to her.

My little girl.

No man has been luckier than I to have such blessings.  Wedding plans are looking toward early 2018.  And at that time I will walk her down the aisle, I will lift her veil, I will shake his hand and pass her hand over to his.  She will change her name on that day.
She’ll make a promise,
And I’ll give her away.
Standing in the bride room
Just staring at her,
She asked me what I’m thinking,
And I said “I’m not sure,
I just feel like I’m losing my baby girl.”
Then she leaned over and gave me

Butterfly kisses, with her mama there
Sticking little white flowers all up in her hair
“Walk me down the aisle daddy, it’s just
About time”
“Does my wedding gown look pretty Daddy?”
“Daddy don’t cry”
Oh with all that I’ve done wrong,
I must have done something right
To deserve her love every morning,
And butterfly kisses
I couldn’t ask god for more, man, this is
What love is
I know I’ve gotta let her go, but I’ll always
Remember
Every hug in the morning, and butterfly kisses

I love you my baby girl.  Congratulations on your engagement.
I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’.

NEWSBREAK: Lilly Fires First Shot in Lowering Insulin Cost……Now We Need a War!

first-stepToday, Lilly Diabetes released an announcement that they are reducing insulin up to 40% for some users in the retail market.  You can read the announcement here:
https://investor.lilly.com/releasedetail.cfm?ReleaseID=1003887

Now this very well may not be for everyone and clearly will not work in all cases, maybe not even in a whole bunch of cases.  But it will help in enough cases to impact a good deal of lives, and that’s good.   Lilly deserves all the credit in the world for actually trying to do something, and being the first to fire a tangible shot.  Now naysayers might criticize it; but there is something in this release that is revealing when Lilly Diabetes President, Enrique Conterno, states that this is a ‘first step’, and I believe him.  I participated in the discussions mentioned and I can tell you this, Lilly is serious in their attempt.

Why?  Because as I have stated before, I’m not a huge fan of petitions.  From my days in government I know they accomplish little but good PR for the ones issuing them.  In government it’s pretty well accepted that the amount of signatures is directly related to the PR machine behind it and not really about the substance, personal letters are a different story.  What Lilly Diabetes is doing is an actual action step.  IT WILL NOT be for everyone and may also be for a smaller percentage, but it’s a step and when it comes to major companies, I will take any step than no step at all.

The diabetes companies are not alone in the price issues and the costs being so high to patients; and it’s my sincere hope that ALL the players involved can solve the issues themselves because I feel, as is more of the case than not; to have the government involved in trying to fix this will be a disaster—–it usually is.

So I applaud Lilly Diabetes and I know they are not done speaking with people trying to figure all of this out.  It’s also my sincere hope that ALL OF THE PLAYERS (including retailers and payors/insurance companies) sit at the same table at some point to actually do something constructive to help those who cannot afford these crucial diabetes needs.  Not merely to issue a press release in the first week after a meeting (who cares) but to construct a bridge of new ideas and out-of-the-box thinking with REAL solutions, because diabetes patients deserve at least that.

Agreed, what Lilly Diabetes has begun will not solve all the problems, and maybe only help a small percentage;  but actually helping a small percentage quietly and methodically for some sort of actual solutions are so much better than huge “look at what we are doing” campaigns that will accomplish little.

Patients need action steps and Lilly Diabetes, I hope, has just started the snowball to begin rolling down the hill.  Time will surely tell.  Bravo Lilly Diabetes.
I am a DiabetesDad.
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NEWSBREAK: Survey Data on T1D Misdiagnosed (Partial Data)…….Is Now In! Read and Share!

proof-unidagnosed-t1d-proofWhat I am about to share with you, has been shared with me from our friends from Glu, a T1D exchange Community and T1D Exchange. I’m sharing it because so many have been inquiring as to the data from their extensive survey entitled: Driving patient-centric research: DKA & Misdiagnosis.

Let’s be very clear about these findings…..THEY ARE VERY PRELIMINARY and these findings will be reported in much greater depth and with additional context in publications.  This is in progress as we speak.  After you read this, you will have a ton of questions, and that is fine—-but please know that nothing more can be released at his time until the information is released in publications; when it will be accompanied by more thorough findings.

The study came about because in 2015 there were a few well-publicized tragedies involving children passing away as a result of type 1 diabetes.  In these cases, they were not diagnosed in time.  Discussions with KOLs (Key Opinion Leaders) revealed that there is not any large-scale, patient centric data available on the diagnosis experience.  Glu and T1D Exchange created a survey to collect this information.

The study was created based on seven tiers of interaction: Current events, Discussion with Key Opinion Leaders, Survey Design and Deployment, Analysis to pinpoint predictors (WHERE THEY ARE RIGHT NOW), disseminate findings, Raise Awareness, Affect change and prevent tragedy.

The survey was developed by Glu and the T1D Exchange Clinic Registry with an IRB approval.   2700+ participants’ response were tallied about their diagnosis experience.
Just some preliminary data from T1D Exchange revealed the following:
>35% of all participants reported that they were not diagnosed until more than one month after they noticed symptoms.
>41% of participants reported DKA at the time of their T1D diagnosis
>20% of participants report being admitted to the ICU at the time of their T1D diagnosis.
>24% of participants report being misdiagnosed with another condition at symptom onset.
>16% of pediatric patients were reported as being misdiagnosed compared to 39% of those diagnosed over the age of 18.
ANALYSIS TO BETTER UNDERSTAND THESE FINDINGS IS ONGOING

There will be much more data coming out on this but since so many have been asking, I wanted to you see just some of the data thus far.  What is now evident, at this point, is that now there should be no doubt that when 1 in 6 children and 1 in about every 2.5 adults are being misdiagnosed…….this country has a problem with T1D diagnosis.

When this battle started, it was very difficult.  We had nothing but a thought.  A thought and the belief that there was a problem coming from the so many I had been in touch with over the years.   With the outpouring of support from the diabetes community both during and after the news of Little Reegan and Kisses for Kycie interest grew; and grew quickly.

Now—-it’s a movement.  In as much as we all could shout from the mountaintops (and did), and even share the horror stories, the constant response was, “Yes, this is horrible but is there data showing larger proof?”  Now, we have indisputable data.  When I read the data, to be honest…….I burst out crying.  Now we know.  To the so many doing so much, and way too many to mention here, thank you.  To Anna Floreen, Danielle Gianferante, Dr. Henry Anhalt and all those at Glu and T1D Exchange, thank you for caring and creating this survey.  We know how much more work you will be doing and we look forward to the comprehensive final findings.

To all those who lost an angel in this battle, and to whom a solemn pledge was made not to not stop until we have changed this paradigm——I share this data but know that it is just a weapon to help us in this ongoing battle.  A big weapon.  We will not stop.
Onward.
I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’.

*preliminary data collected from over 2,700 individuals who participated in a 2016 T1D Exchange survey about their diagnosis experience.

Our Diabetes Journey…….Energy Better Spent…..Why Argue????

argueAt a recent event, I was engaged in a discussion with a couple who are ‘fairly new’ on this journey.  After a conversation on a myriad of topics the gentleman said to me, “Can I ask you something personal?”  Never one to run from such a question I answered, ‘Sure”.

“How do you stay at it?  We are so new at this and I am so confused.  Not by choices but by the so many who seem to know, telling me how, and what, I should do.  That all pharma is bad and greedy; that I should manage a child a certain way; that a cure is a pipe-dream…..how do you stay at it and who do you believe?”

How much and how often is that question place in front of our face?

I come from a political background.  I learned something a long time ago that has served me well both in my political discussions and on our diabetes journey.  The first thing I do is go into any discussion, like I know nothing.  That way I have opened the door to learn.   Many people get into discussions, to tell you their point of view and to justify the way they believe.  I don’t, and can’t, engage in that anymore.

I’m also a realist (thanks to mom).  In the last election, it was an absolute certainty that there would be a new President.  So I braced myself that a new one would be in place. My candidate not winning, or winning, only mattered to my personal belief, after that there was only one absolute certainty; the person winning is my President.  Me wanting or not wanting does not matter because for the next four years that person is sitting in the oval office.  I’m a realist.  Happy or unhappy becomes short-lived and the process moves on.

My energy is better spent on things I might have a chance of changing.  In my 58 years I have seen many things happen, I have seen many disasters (natural and man-originated); I have seen promises broken and kept; I have seen successes and failures; I’ve seen my share of a great deal…….and no matter what, on the next day the sun not only shined…….it shined brightly.

Diabetes, already unhappy with, I had to get to the point in my life that dealing with diabetes would become where happy or unhappy did not impact the end, I needed to accept what it is, and move on.

What I never gave much attention to is the wave of idle chatter.  When I hear about anything in the diabetes world, that I do not know about, I find out.   I don’t find out for someone else, I find out for my kids.  I find out for me.  I constantly tout that education is the equalizer in diabetes.  And THAT is the truth.  The more you know, the less trivial ‘arguments’ become important because you already know what works best.

I don’t get into discussions about pump or MDI (multiple daily injections); waking up to test or not; to give this food over that food; there will never be a cure or there will be; when I heard something, I investigated.  But THE ONLY THING THAT MATTERS is what I know to be true for us. Nothing else matters and probably should not matter to you either.

If people ask my opinion, if I have one and if asked, I will give it.  As my-brother-in-arms Jeff Hitchcock states constantly, ‘look at the data”.   I don’t listen to another’s opinion in data, I look it up for myself because I’m not in this battle for any other reason and I have too much work to do than to try to convince people about anything.

Share to engage in a discussion.  Engage in a discussion to learn.  Go investigate to learn.  At the end of the day it was/is up to Jill and I to decide the path to take….and we have; and we still do to this day. Some people share some of our path, and others have more differences than similarities in how we handle our diabetes journey.  And that is just fine.

In anything I have dealt with, it comes down to this; I work as hard as I can for something I believe in, if it comes out in our favor — wonderful; if not, I’m assured of one un-argumentative fact……that sun will surely shine, and shine brightly tomorrow.
I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’.

 

Medical Advice is NOT a One Size Fits All……Be Careful Getting AND Giving!

lucy-diabetesThe post on social media goes out; “My child is going through (fill in the blank with a medical ‘occurrence’.)_____________________.  I have tried this (again fill in the blank) ____________________; that (again)_________________________;  and this again __________________________________ to no avail, I’m very worried, what should I do.

And the list begins on advice.

I’m the first person to state how powerful and needed it is to have support in this journey.  We all would be lost without it.  But to be honest, I would feel much more comfortable if on such posts, they began with……………..”I contacted my medical professional about (all the above) and am waiting for a call back, knowing diabetes is different in each and every person, anyone else go through this, and what did you experience; just while I am waiting for a call back.”

And when it comes to the responses, there are times when I read something, I am looking for; “What did your medical expert say?” and/or “If it were me, I would go to the ER and have a professional medical opinion on next steps immediately.”  And I do not find it.  It is at this point I think, is it a game of russian roulette.  Only a matter of time before the wrong advice is taken.

Why?

Because something that worked for my child, does not mean your child should, or could, do the same thing. And quite honestly, it could be dangerous.  I understand that we may think it is a “given” that people know to take everything with a ‘grain of salt’ as it were……..but I’m not so sure.  I also get the idea that we have heard horror stories about what did, and did not, happen at a medical professional’s office.  I get it.  I REALLY GET IT.   But they ARE THE MEDICAL PROFESSIONALS FOR A REASON When reading something and wanting to help, please consider to begin your comments with,  “What did your medical professional say?”

We can always weigh a course of suggested action with what others do; but it just make sense for the professional to be involved.  To think that medical advice is given and taken without consultation is one of the scariest things I come across.  Who is doing the ask?  It very well might be that they are brand new into this journey and may not know yet how much one thing needs to be weighed with another.

Assisting others in need is such a GREAT THING and in so many cases wonderful suggestions are made, but I just think it makes sense to start some conversations with, “What did your medical professional say……?”  And if not contacted yet, state, “Let’s involve them now……while you are speaking with others….and you and they can create the best course to follow……..”

Also understanding that some questions are not in this category and I’m not referring to those but, rather, addressing the issues when clearly medical intervention is needed and/or should be sought.

Doesn’t that make sense?  I seek your input.
I am a DiabetesDad.
Please visit my Diabetes Dad FB Page and hit ‘like’.

NEWSBREAK: When A Child Dies, Yes it’s Okay to Question……..Yet Again.

Blue CandlesIt seems to be, reading the posts all over social media, that a young lady, another one too young, has passed away.  From what I am reading, it seems there was a ‘kink’ in her pump tubing and insulin was being denied entry into the body.  Her blood sugar rose, she entered DKA and at 21, we have lost another precious life.

There’s much discussions occurring within our community and I just felt like I needed to drop a line for thought, perhaps a dialogue or two as well.  It’s, of course, just so sad. unfortunately in our journey, we have faced this situation too often for comfort.   We begin to ask ourselves……….well……….all sorts of questions.  What we really want to know is, however, “how do I make sure this does not happen to us”?

I wish I could wave a wand and make that ‘pit’ in your stomach go away…….but I cannot.    Years ago, we lost a relative to our family.  Absolutely tragic circumstances.  I realized as I asked myself the same questions over and over and over and over again, that what happened, as tragic as it was, could only be avoided if we lived in a bubble.  Could only have been avoided if we and touched no one and no one touched us; and/or we spend every waking moment hovering over every breath our children take.

It was a horrible situation.  And a lot of ‘what ifs’ and ‘what abouts’.  We cannot live in a bubble and we cannot ask our children to either.  I have stated that there could come a time that anyone I love can be taken; we would have no control over that although we would like to think we do—–or we could.  But in truth, we do not.  I’m sure the family of that beautiful young lady will ask themselves forever…”…..if only I…….”  I cannot take that feeling away from them, and nothing anyone can say will make them lose that feeling. As my friend Michelle taught me, “….we do not accept, we learn to cope……”  And she would know, she lost her son, also way too early.

I have stated many times before, if anything happens to any of my children, diabetes related or not, I MUST BE ABLE to look myself in the mirror and ask that man in the mirror if he did all he could?  If I cannot answer yes, then I need to work harder at whatever I feel I must.  If something happens and I can answer yes, as Michelle taught me, I must settle for coping, broken heart and all.

So ask yourself if you are doing what is right for your child?  Do not necessarily think you have to change everything all around because of something that has happened to someone else.  Would we take the car keys away because the car malfunctioned for someone else causing serious harm?  Do we stop flying even though major malfunctions have cause planes to drop from the sky?

What we do is we ask ourselves, “am I doing what is right”?  It’s ALWAYS and in all ways okay to run a check list when we hear of a tragedy.   Run the checklist and if you feel okay about everything, try to move forward.  If you doubt, seek until you find the answers—-not the answers you may be told by just others but by finding out the answers until you are confident on the answers. It’s also okay to count our blessings that it did not happen to us.

Yes, it’s okay to question.  It’s also okay to say a prayer, or have a private thought, for someone who has undergone something we can only imagine; and only hope we may never know.  It’s ‘just’ diabetes, right?   The world has no idea……..like we do.  SIGH!
I am a DiabetesDad.
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