I hope everyone had an easy fast, and we all hope that everyone's tfilos was
accepted L'tovah

I would like to share some of my Yom Kippur experiences, please feel free to
share yours:

1. This was my first year fasting with a "continuous glucose monitor"
attached. Being able to watch glucose trends so carefully made the fasting
an amazingly easier experience. All in all, I only had to do 4 "Blood"
checks. 1. 10:30 PM, 2. 9:00 AM, 3. 12:00 PM, 4. 3:00 PM. Seeing where
your BG is heading before it actually gets there, has helped tremendously in
keeping the numbers on an almost straight line.

2. This was my first time I was able to curb the "after fast trauma" of the
common stubborn unmoving high blood sugars after breaking the fast. Mainly
I would attribute the credit to the "Symlin", which controls the absorption
of the food. Another thing I did differently this year was, that after 3 oz
of dry wine and just one coffee my BG jumped up almost 50 points - from 121
to 166 - (seen immediately on the DexCom) I did not continue to eat
anything, but kept on drinking fluids for about an hour, then I washed to a
meal. This wait for hydrating the body might have also helped to smoothen
out the usual high spike.

3. the downside is, that since I don't have yet the software to download the
DexCom (It's on back order), I have no data of the whole day to record, and
my 'internal' memory is not that well. I hope that I get the software
before 30 days, so the Yom Kippur numbers will still be in its memory.



P.S. if anyone is considering to buy a CGMS and hasn't bought one yet, I
would suggest waiting for the soon to be approved "Free Style Navigator".
Since it will have a built in Free Style meter (the old style that checks
blood), it would likely be preferred to be used on shabbosim and Yomim
Tovim. [This is not a ruling, since I haven't seen one yet, but if one has
waited thus far, it anyway pays to wait until the end of '06 for the release
of this new monitor).



Rabbi Hirsch Meisels
Jewish Friends With Diabetes International
www.FriendsWithDiabetes.org





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