This is the slide deck for the opening talk by Stephen W. Ponder MD, FAAP, CDE on Saturday April 26, 2014 in Kerrville, Texas. Please go to the website www.stephenpondermd.com and the Facebook page "The Power Within by Stephen Ponder MD, FAAP CDE to continue in the discussion of how to unlock your "Power Within" and start taking charge of your own diabetes self care

1. ©
“Kickin’ D’s Butt”

2. Welcome2014 Advanced Diabetes Retreat
Texas Lions Camp
Kerrville, Texas
Like “The Power Within by Stephen Ponder
MD, FAAP CDE”
www.stephenpondermd.com

3. Managing “d” well requires…
• Comprehending a system with
basic principles/concepts
• Adjusting to changing or shifting
conditions/situations
• Frequent assessments and re-
assessments
• Driving a car
• Flying an airplane
• Walking a tightrope
• Surfing

4. Appreciate the flux of sugar levels in non-d persons

5. Remember: Sugar Surfing is all about managing…

6. Diabetes is best approached 1 day at a time

7. “Life is not a matter of holding good cards, but of playing a poor hand well.”
R.L. Stevenson (1850-1894)

8. Unleashing the “Power Within”
Like “The Power Within by Stephen Ponder
MD, FAAP CDE”

10. These are classic illustrations by a famous graphic artist from the
early 20th century. These specific images were taken from a handbook
for new patients with diabetes. Some things NEVER change and
never will. Here are 3 priceless pieces of diabetes wisdom…

11. Diabetes Police?

12. To unleash your Power Within…
Work to let go of…
• Judging
• Feeling defective/broken
• Shame
• Fearing the future
• Isolation
• Pity
• Insecurity/denial
Embrace/cultivate…
• Acceptance
• Normalcy
• Openness
• Enjoying the moment
• Teamwork
• Empowering/supporting
• Self-confidence

15. Diabetes care is about choices

16. Diabetes care must be individualized

17. “Chance favors the prepared mind” Louis Pasteur

18. 3 virtues of the well
managed

20. “I haven't failed. I've just found 10,000 ways that won't work.”
Thomas Edison

21. Knowledge alone does not imply understanding

22. “You can delegate authority but you
can’t delegate responsibility”

23. Do 2 RN’s = 1 kid?
=
Ok? Ok to me!

24. Concrete thinkers* can’t…
1. Consider a hypothesis
2. Consider multiple possibilities in a
scenario
3. Systematically solve a problem
4. Use combinatorial logic
*Lasts until 15-17 years of age
*25% of adults are concrete thinkers.

27. You CAN influence how long it lasts
diabetes treatment preserves INTERNALLY made insulin

28. Diabetes, July 30, 2012 - DOI: 10.2337/db11-1625; data interpretation
DX'd 1950-1964
DX'd 1965-1980

29. Is the future already here?
50
55
60
65
70
75
80
1964 1980
Lifespan with type 1 diabetes vs. without
Average American
Type 1 Diabetes
Linear (Average American)
Log. (Type 1 Diabetes)
1996
DX'd 1950-1964
DX'd 1965-1980
DX'd 1980--??

30. Five things to remember about T1D
1) Diabetes care isn’t a contest. It’s overrun with numbers. Don’t judge.
2) Let the remaining guilt (if any) go! NO one is perfect.
3) Diabetes care is not an action, it is a SKILL SET. Therefore, it can be
practiced and improved upon.
4) Control is the end result of your decisions and choices. This applies to
minute to minute control as well as long term control.
5) NO health care provider manages anyone’s diabetes. They never can
and they never will. It’s a self managed condition.

31. Five practical advanced diabetes care tips
1) Better synchronize your insulin and your meals
2) Check blood sugars 2-3 hours after meals
3) Correct any out of range sugar you discover (“treat to target”)
4) Work to get morning blood sugars into target range (F-F-F)
5) Review/analyze your blood sugars at least weekly

32. Diabetes Family Teamwork and Teens: What is Success?
11:30-12:00
Anderson

33. Road to the Artificial Pancreas 11:30-12:00
McMahon

34. Common diabetes emergencies 1:00-1:45PM
Schreiner

35. Sugar Surfing with a CGM 1:45-2:30PM
Ponder

36. Advanced Pump Features 2:45-3:30PM
Anderson

37. Q&A Open Forum 3:30-4:30PM
Ponder
You McMahon
Schreiner
AndersonAnderson

38. In diabetes, you want to play with your food 9:30-
10:15AM
23%
221
Anderson

39. ©
“Kickin’ D’s Butt”