Fiasp Insulin. The New Kid on the Block

Fiasp Insulin the new kid on the blockIt has been a long  time since the diabetes world has seen a new rapid acting insulin brought to market.  The last one that I can remember was  Apidra released back in 2004.  It is  not surprising  then that the release of Fiasp by NovoNordisk is creating a lot of buzz.  Not to be let out, my son recently began using this insulin. Since Fiasp insulin is the new kid on the block, I thought I would give everyone a brief rundown on the highs and lows associated with it.

What is it?

Fiasp insulin was released by NovoNordisk onto the Canadian market in March of 2017.  Many of us scrambled to get a prescription because it promised better blood glucose levels without pre-bolusing for meals! According to the press release, you can dose up to two minutes before a meal and up to 20 minutes after starting a meal without compromising overall glycemic control or safety!*

How is it different?

A Medscape article states that  Fiasp is  absorbed twice as fast as its counterparts.

It does this with the help of  two excipients–Vitamin B3 is responsible for the increase in the speed of absorption and Amino Acid (L-Arginine)  has been added for extra stability.**

What do users think?

All of this science is great but most people are wondering how well it works in real life settings.  From what I have seen, the bulk of users really like it.  I could only find one person out of about a dozen users who had returned to their old insulin aspart.

When I asked my son for his review I was told “I still have highs. I still have lows BUT if I have a heavy carb  loaded meal, Fiasp kicks butt and I don’t have the same crazy swings that I always did before.” For a 19 year old who can definitely binge on carbs, this is huge.

Other users seem to have  had similar results.

Some people with diabetes found that the insulin peaks were no longer as pronounced.  They had some difficulty battling highs with Fiasp however while others found it perfect for corrections. In fact some people are purchasing Fiasp just for corrections.

Other users explained that the faster insulin action allowed them to more quickly respond to rising blood glucose levels.  This in turn meant resulted in much  tighter control.  The quick action has  also left one user to caution about the timing of any  prebolus.

Most seemed to agree that Fiasp insulin resulted in fewer food spikes and more stable blood glucose levels but as I said not everyone loves it.  For some users, their traditional rapid acting insulin seemed to work better.

Final thoughts…

All in all, most people with diabetes who are  trying the new kid on the block seem to be happy with it.  It offers another insulin choice  for those who struggled with post-meal spikes or don’t pre-bolus meals.

It must also be noted however that while Fiasp is not currently approved for use in insulin pumps in Canada, both those on insulin pumps and MDI are using this insulin aspart.

Finally, I was also happy to see that the price of Fiasp insulin was par with NovoRapid.  This meant that there was no need to worry about an increased cost for out of pocket insulin expenses.  My understanding is that Fiasp insulin is not yet on many (or any) provincial formularies.  This most likely will mean that if you decide to use the insulin and are currently using a publicly funded program, you may have to either pay for this insulin out of pocket or speak to your doctor about having special authorization added to your benefits to ensure full coverage.

Please remember to check with your diabetes team before starting any new insulin regimen. 




You always get the neatest things!


I recently received my “Peace Love Insulin”  window clings.  I was so excited to receive them that I actually opened them in the car on my way home.  As I sat there, I wondered if I could put them on my car window right then.  The instructions said that I need a clean window, so I figured that I should wait until I was home and had a chance to make sure the surface was perfect.

When I got home, I immediately took a picture of my clings and shared them on Facebook and Instagram.  I wanted my friends who had created and mailed them to me to know that I had received them…Okay they were actually just too cute not to share!

After posting the image, another friend quickly commented, “you always get the neatest things!”  I realized that it is so true! I am blessed to have met so many incredible people on this journey with diabetes.  I have made connections all over the world. These fabulous people have shared things with us over the years and brightened my day with the smallest of gestures. That remains the most special part of this crazy life.

I have shared away of the diabetes shoelaces but if you would like to get “Peace Love Insulin” window clings, I can still set you up!!

Contact my incredibly talented friends over at the Diabetes Scholars Foundation. They have an Etsy page set up to take your order and send you out your very own clings.  You can stick them on your car, on your computer, wherever your heart desires!  Your money will go towards the incredible work done by the Diabetes Scholars and you will be the coolest person in town!




A Bucket of Gratitude

We all have seen how insanely popular the Ice Bucket Challenge has become.  Stories of how much money ALS has raised since this went viral versus how much money it had raised in previous years are astounding.  What is equally moving is the stories of families touched by ALS.  I dare you to watch any of them without a box of Kleenex.

Last week on the Diabetes Advocacy Facebook page, I shared with you Moira McCarthy’s thoughts on this phenomenon and whether diabetes should be doing something similar. Reading about how ALS had touched her family brought tears to my eyes and I was so glad that my son “only has diabetes”.

I have not watched many of the ice bucket videos.  I have seen a few that have auto-started on my Facebook feed but for the most part I simply have said “I hope that they are donating” and “Better them than me but it is for a good cause.”  There are a few from friends who state that they have a personal connections to ALS that I do make sure that I watch .

Maybe that is why I played this next video.    It was from a Facebook Friend who had a child with diabetes who said that ALS had come to call. I was curious.  Would it be her father? Grandmother? I was sure that it would be sad but I had been following the many blessings in their lives. They had recently moved across the country into a dream house. They had enjoyed an amazing summer spent traveling throughout this great country of ours.  Life was very good for them, wasn’t it? After listening to her tell her family’s story, well let’s just say that I was again left very grateful that all my son had to deal with was diabetes.

I know that diabetes kills. I know that diabetes is serious.  I know that things can change in the blink of an eye.  In the past month we have seen depression kill Robin Williams.  We have seen countless stories of how ALS has impacted and destroyed lives.  I have seen a family devastated when a father tried to save his drowning daughter only to be killed instead. Life and death happen. We deal with the cards that we are dealt but some of us have greater challenges to face than others.

In a blink of an eye it could be worse–so much worse. Diabetes can be cruel but life with diabetes is getting better. Highs are still brutal in their destruction of the body.  Lows are still deadly especially when they happen at night or when a person with diabetes is alone. There is hope however. Technology has created major changes.

We have the bionic and artificial pancreas projects.  We have CGMs, rapid insulin, and smart pumps.  We have apps to count carbs and apps to get us out of trouble.  We have a wonderful community of people living with diabetes who get it and support us every day.  Diabetes sucks but after seeing what others live with…well I will take diabetes with a bucket of gratitude.

gratitude bucket

Summit Diabetes

Earlier this summer, I received an email from a young lady who was embarking on an adventure that looked really interesting. I meant to take a much closer look sooner but the email came in while I was away and then managed to get lost in my inbox.  Today I decided to seek it out again and see what she was up to.

The young lady’s name is Haley Maurice.  She is now 15 and was diagnosed with Type 1 diabetes at the age of 7.  Her plan for this summer was adventurous for any teen but even more exceptional when you remember that she is living with type 1 diabetes.

“On July 16th, my brother Ethan and I will be backpacking 221 miles from Yosemite National Park to the top of the highest peak in the continental United States, Mt. Whitney, to raise funds for JDRF.

We’ll be trekking in this high alpine terrain for an estimated three weeks, conquering over 46,000 ft of elevation gain and venturing deep into the back country of the Sierra Nevada Mountains. It’ll be just us out there, with only two resupply points along the way to pick up more diabetic supplies and food to fuel us for the entire duration of the hike. We’ve been vigorously training and setting up our fundraiser for the past three months and are aspiring to reach our fundraising goal of $1000 per mile ($221,000) for JDRF.”

A few days ago, I hiked a 1.7km trail that has a 500 ft decent.  That was enough of a challenge for me.  I can’t begin to imagine 221 miles and 46,000 feet with blood glucose testing, site changes, insulin adjustments, treating lows, and carrying food and shelter.  I further was not sure how I would feel if it was my child with diabetes doing this.

Silly, of course I know how I would feel. I would be nervous and proud.  I would be terrified of all that could go wrong but would trust in the other sibling to help out in emergencies. I would be proud that my child would take on such an amazing adventure for a good cause.  I am guessing that Haley and Ethan’s parents probably felt much the same way.

In looking at the Summit Diabetes website and exploring some of their social media posts, I see that the two siblings were for the most part successful in their journey. Yesterday they noted…

“We made it!!! 221 miles of hiking from Yosemite to Mount Whitney!

Unfortunately, we didn’t make the top of Whitney as a freak snowstorm nearly froze us to death this morning just a quarter mile from the top.”

What an amazing feat! I am so impressed by these young people. I am impressed by their courage, dedication and stamina.  When Haley contacted me, she was asking for only one thing, for me to share her story and that is what I hope to do here.  Please look at their video, check out their website and the amazing pictures of their adventure.  If you can, also contribute to their goal of raising $1000 for every one mile that they hiked this summer.

Congratulations Haley and Ethan!


The Bad Kind

The other day, I sat down to begin reading Ginger Vieira’s new book “Dealing with Diabetes Burn-out“.  I had only read the introduction when I wanted to cry.  Why is there so much judgement surrounding diabetes? Why do people living with diabetes feel that they are either good or bad? Well, as Ginger points out, its because there is so much good and bad mentioned when talking about the disease.

Your readings are good or bad.  They are not the result of a carb counting error or a pending illness that you cannot foresee. They are a good reading or a bad one.  The food you eat is either good food or its bad and a diabetic shouldn’t eat it.  Your A1c when you see the doctor is either good or bad.

The constant judgement does not end there. I was listening to a conversation a few weeks ago and quietly cringed as I heard someone mention that a person had diabetes “really bad”.  Another person had mentioned that someone had died because they had the “bad kind of diabetes”.  I wanted to say that there is no good kind!  You can only hope and pray that a person with diabetes has all of the knowledge, supports and tools that they need to care for themselves in the best possible way.  It wasn’t my place to educate at that time.

The good kind I assume, is the kind that is managed by diet and exercise  but is it really that good? You still have to live with guilt for each piece of food that enters your mouth.  You must be constantly wondering when that bullet will hit its target and you will get the dreaded sentence–”You have the bad kind of diabetes”.

What is the “bad kind of diabetes”? Is it when you have to have needles? Is it when you are on pills? Is it when you are overweight? Is it when you are two and don’t know why you have to be stabbed and poked at all of the time? Is it when you have to be hooked up to a machine 24/7? When does it become “bad”?

Personally, it is always bad.  In all of those cases, our bodies have rebelled against us and are not working as they should.  We have to fight and struggle to compensate. Using insulin actually can make it easier not worse. Modern insulins allow people with diabetes to be able to match insulin to food amounts in a way that their body, without insulin, can’t.  That’s not such a bad thing. It allows them to have that piece of chocolate cake without concern of a crazy high a few hours later.

This distinction between “good and bad” actually has a negative impact on treatment as well. While insulin injections or insulin pumps are not an option for a person living with Type 1 diabetes, it is often seen as a last resort for a person with Type 2 diabetes.  Sadly this is not the case.  Studies have shown that giving a person with Type 2 diabetes insulin earlier can actually preserve some of their beta cell functioning and make their lives a little easier.  Unfortunately, that “good and bad”  issue stops that from happening. People fear that they will be “bad” if they are on insulin.  This further translates to the thought that  those who live with Type 1 diabetes and need an external source of insulin to keep them alive must have it “really bad”.

I thought about other diseases and wondered if any others have it “bad”.  Cancer has stages.  Diseases like MS are referred to has having “full blown MS” versus the early stages.  I could not think of any other disease that allows people to have the “good kind” or the “bad kind”.  Is it the lifestyle component but if it is why do we not hold that same standard for other “life style” related diseases? Is it because in the other diseases they understand that lifestyle is only a small component? People will say that Type 1 diabetes is NOT a lifestyle related disease but that does not stop the public from blaming the lifestyle of the mother of a person with diabetes.  We are blamed for things like not breastfeeding long enough and other equally ridiculous notions.

What is the answer? How do we fix this? I don’t think that there is a quick fix.  I think that we continue as we have been. We educate people who ask us if we have the “bad kind of diabetes”.  We work with the media when they try to get it right. We are kind but firm with those people who are ignorant of the facts because we may have once been ignorant as well. Finally, we find a cure so that no one ever again has to be judged because their body has failed them.

The Blame Game

When a person is diagnosed with lung cancer do we blame them? Do we question their lifestyle and then make them feel ashamed? Do we minimize what has happened to them because they possibly brought in on themselves by not listening to the anti-smoking ads?
If a person is young and suffering from dementia do you blame them for drinking too much? Do we shun them because they should have dealt with their alcohol problem before it brought on a much larger issue?
We may shake our heads…and they might also.  We may wish that they had chosen a different lifestyle but we often also look at others who lived that exact same lifestyle and are fine.  We wonder why them?  We feel sad, but we do not blame the victim.
Why then does society feel that it is okay to blame people living with diabetes for their disease? As a parent of a child with diabetes, we are asked if we fed our children a lot of sugar.  It is suggested as mothers that we did not breastfeed our children long enough to ensure that they developed the proper antibodies to protect themselves from developing diabetes.  The list of non-sense reasons go on to the point that parents become frustrated and angry.  They try to distance themselves from people living with Type 2 diabetes which lives with its own stereotypes in hopes of making the blame go away.
People with Type 2 diabetes obviously caused their disease and are therefore to blame for everything. We know that it is a lifestyle disease that strikes people who are overweight, eat only fast food, and are terribly lazy.  It is all their own fault.  Because of their bad behaviors they are the causing  increased hospital costs, increased taxes to pay for those costs, and probably the reason that gas prices are so high!
Can you see the logic? You are right, there is none.  Diabetes seems to have a genetic component of some sort that is triggered by something. If we could figure out the hows and the whys, then we would have a cure and everyone would be quite happy.  Sadly, there is no cure. There is no definitive why.
As a parent of a child with diabetes, I know that I did not force feed my children large amounts of sugar.  My children were not given sweets when they were younger. They did not have a large amount of processed foods. They were breastfed for differing amounts of times and were both vaccinated on schedule.  Did I do something to cause my youngest son’s diabetes? I pray not but I have enough to deal with without delving into a myriad of “what ifs” on the subject.
My son lives with diabetes. He has for the past 14+ years. We have worked and continue to work to keep him as healthy as possible That takes a lot of time, effort and money to purchase the supplies and devices that are best for his care.  The financial cost of keeping him well is nothing compared to the return that the government will get by having a healthy, productive member of society contributing to their tax coffers for many years to come.
As person with Type 2 diabetes also faces many stereotypes.  They are overweight and therefore caused their disease.  They are out of shape and live off of fast food. Really? I know many overweight people who do not have diabetes. I have met athletes in great shape who have Type 2 diabetes.  Does body shape make either one of them any less important? Does their age mean that its their fault?
Do we blame a child for developing Type 1? No, they are innocent but we can blame their parents. They should have done more! Do we blame adults who find out that they are insulin dependent as well but it doesn’t happen until they are in their 20s?30s? or later? I mean they obviously screwed up somewhere as well right?
Are you starting to see the insanity? Why do we waste energy on blame? We do not blame the person with liver failure or dementia for their past lifestyle.  We do not suggest that the parents of a child with leukemia should have breastfed their little one for longer. Why then do we feel the need to blame people living with diabetes?
The answer is not changing a name. As Shakespeare says…”What is in a name? A rose by any other name smells just as sweet.”  Well diabetes–type 1 or type 2, is just as rotten a disease no matter what you call it. No matter what the name of the disease involving the improper use of production of insulin is, it is still a disease that happened TO someone. It is not a reason to shun or demean someone.
I can think of no other disease that is so misunderstood to the point of creating real danger. A lack of understanding about the serious nature of this disease can result in people with diabetes not having access to the best medications or devices. It can mean that when diagnosed, people with diabetes do not always understand the serious nature of the disease.  It can result in frustration and anger in people living with diabetes when they try to educate the general public, educators and even medical staff about the realities of the disease–its costs and the toll it takes on everyone involved.
It is time to end the blame game.  Diabetes sucks.  That is a fact that we must focus on. It is a very serious disease that does not care what color you are, how old you are or how big your wallet or insurance coverage is.  It will enter your life and change it completely.  It will threaten to end your life. It will always hover on the sidelines waiting to wreak havoc on your day. It must be stopped but sadly we must first end the blame and so that we can all focus on the cure.

Outrun Diabetes Creates a Lump that Won’t Go Away

I started my car and enjoyed the warmth. I hadn’t realized how cold I still was until I began to feel the tingling of life coming back into my fingers. I quickly put my car in drive and hurried down the hill to catch up with the runners.

It didn’t take long to be in a caravan of people and vehicles.  The slow-moving procession allowed me time to think. Quickly memories began to play out in my mind’s eye.

I thought of the groups of people talking amongst themselves. They were introducing themselves and telling their diagnosis stories.  As people with diabetes do, they were comparing insulin delivery methods and sharing experiences that only other people with diabetes understand.

I remembered seeing insulin tubing peeking out of someone’s running gear. I wondered if the owner was concerned about the insulin breaking down in the tubing because of the cold.

The group continued into the heart of downtown St. John’s.  The RCMP allowed safe passage through busy intersections.  We were still going slow enough that it was safe to continue to allow my mind to wander a bit more.

I watched a young man jump out of the pilot truck.  Being a D-Momma, I instantly panicked.  Was someone low? Did they need glucose? Had a site fallen out? What was going on? It turned out that nothing was going on.  The young man was taking video and pictures to continue to document the journey.  He had probably been in the truck to simply warm up and was now back out with the rest of the group.

The pilot truck was filled with diabetes supplies and glucose.  Sebastien Sasseville is the first person in Canada to use the new Animas Vibe. He has a pump and CGM giving him data at all times.  He has a great concept of how diabetes, exercise, extreme temperatures, and food all interact in his body. He would not be low after less than an hour of activity and hours of adrenaline.

I watched as runners slowly dropped off.  Cars began to take their exits and return home.  I felt a lump in my throat.  I had been a part of something amazing.  This was the start of a journey that would touch thousands of people living with diabetes.

I don’t normally get sappy and emotional over things like this.  What was wrong with me? I don’t know but there was so much hope surrounding this run.  This run would not result in a cure but it showed hope.  Sebastien showed that anyone can do anything that you set your mind to.  He tells people that you do not need to be an athlete to challenge your body.  You don’t have to climb Mt. Everest or run across Canada to challenge yourself.  You simply need to set your own goals and work slowly and steadily to achieve them…no matter what limitations you may think you have.

I watched Sebastien run off with only two other people accompanying him now.  I turned my vehicle onto my exit.  I drove along a bit further and pulled off to the side of the road.  The lump was still there. I remained moved by that picture of a young man jogging  followed by one vehicle. Sometimes he would run alone but Sebastien would never be alone.  Along his run, he would carry with him the well wishes of many people that he has already touched.  He will gather up wishes of people that he will meet along the way.  He will spread hope and awareness.

I took a breath and pulled my car back onto the road.  This had been a morning that I would not forget for a very long time.
Outrun diabetes

The Beginning of a Run To Outrun Diabetes

outrun diabetes truck
A Run Across Canada to Outrun Diabetes…now I have driven across Canada.  I did it with two young children and my mother. It was amazing. The country of Canada is diverse and incredibly scenic. In car, we drove long hours and took a couple of weeks to make the journey
Sebastien Sasseville will take nine months and do it on foot. He is going to break the country down into a number of marathons and travel at least 200 km per week…on foot.  He is not going to enjoy the view from a plane or even a car. He will be enjoying the view from the comfort of his running shoes.  What a view it will be!

When I drove across Canada, many people thought I was crazy.  It is an incredibly long drive.  Heck, it’s a long plane ride! Driving however allowed us to truly see the beauty of each area. We ate meals in provincial parks and were able to spend time stopping to meet with family and friends along the way. It was an incredible experience for all of us.  Now imagine running this same distance. The view will be that much more intense.  The chance to interact with many more new people along the journey will be incredible but face it you still think its crazy! I don’t blame you.

I live in the most eastern city in North America.  This means that many people come here to start epic runs much like Sebastien has.  Sadly, with a few notable exceptions, most fade off into obscurity and never finish what they have started. I have no doubt that this will not be the fate of Mr. Sasseville. He has climbed Mt Everest.  He ran 250km across the Sahara Desert.  He has completed over seven Iron Man competitions all while living with diabetes.  Running across Canada is just another challenge that he will meet.

It was with that knowledge that I layered up and headed to Signal Hill.  Signal Hill offers a magnificent view of both the Atlantic Ocean and the city of St. John’s and surrounding areas.  It is also cold, windy, and did I mention cold? I had on my long underwear, an extra shirt under my sweater and gloves that would work with my camera.  I was going to have as much photo documentation of this event as I could.

As I drove up the hill, I wondered what I would see. Would there be a big crowd or would it be small? I had been asked to spread the word about this event and I had.  There seemed to be a lot of interest but this was a particularly cold day.  A storm was brewing, would people really show up?

outrun diabetes start groupA news vehicle merged onto the road behind me.  There would at least be media coverage.  As I parked, I saw clusters of people chatting and working to keep warm. I saw a few people who I knew. We said hello, talked about the weather, and of course what was about to happen. Everyone agreed, we were at the start of something amazing.

runners to outrun diabetesThe energy level was high.  There were many people of varying fitness levels and ages  ­waiting to start the run.  They would accompany Sebastien for at least the first mile.  Sebastien was busy doing an interview when I first arrived but soon joined the crowd. There were pictures of the pilot truck.  There were pictures with Sebastien.  There were pictures of the group.  Finally, he prepared to start.

The air no longer seemed cold. Sebastien thanked everyone for coming out.  The grin on his face had not left. The incredible energy and hope on Signal Hill that day was tangible.  It was the most incredible thing that I had ever been a part of. Together we began to count down to the start of this epic journey.

10-9-8-7-6-5-4-3-2-1…and they were off.  A group of runners, walkers, younger and older, pumpers, people on needles and people without diabetes.  It was powerful group.  I continued to click and watch. There was the police escort, the front jogger, Sebastien and friends, followed by the pilot truck.  As the entourage made its way down the hill, the chill returned and I headed back to my car.  I had been part of history.
.outrun diabetes start


My Sexy…Pancreas?

In honor of Throwback Thursday, I thought I would repost my look at the sex appeal of diabetes. I hope you enjoy–again….

October is Breast Cancer Awareness month. Everyone knows about breast cancer. If you are a woman like me, you fear it.  Everyone knows pink.  Everyone knows about losing a breast, chemotherapy and all of the other nasty things that come along with that horrible word–cancer.

November is Diabetes Awareness month. Very few know about diabetes.  Most people think it happens to someone else.  They don’t think its serious.  They are not sure if the awareness color is blue or grey…and aren’t really that concerned.  They know about blindness and amputation but that is not a given so its really not that big of a deal.

Its the ignorance of the disease that is frustrating.  The “its no big deal.” and “You worry too much.” comments that kill you.  I recently had a teacher ask me if we could arrange my child’s highs and lows around an exam schedule.  She was well meaning and very sincere.  She thought that perhaps with warning of when a test was coming, that we could make sure that my son did not go high or low during that time. She was told by myself and one of her colleagues that it didn’t work that way. 

It is hard to make people “see” what those of us who live with diabetes in our lives 24/7 “see” each day.  They don’t understand why we test during the night and deprive ourselves of much needed rest.  They haven’t had a friend not wake up from diabetes.  They don’t understand how quickly a low comes on even after you have recently tested.  They haven’t seen a child pass out in the middle of a playground because they went low and didn’t know how to tell you.  They don’t understand why we are so fearful of ketones.  They haven’t seen the how quickly they attack our loved ones leaving them weak, frail, and clinging to life and how long it takes to get rid of them. 

To most people, diabetes is that disease where you can’t have sugar (I mean its called “the sugar” isn’t it?).  Its that disease that Grandma had but she liked to sneak cookies so its no wonder she went blind. Its not like cancer or a serious disease. No one dies from diabetes.  Parents who test, hover, and want you learn about that thing called Glucagon are just those overprotective people who need to learn how to let their kids just be kids.

I don’t know how to get the majority to understand.  As someone recently said, diabetes is not sexy.  It is not a disease about pretty pink ribbons and cleavage.  Its a disease that is grey and about blood.  There is nothing attractive about diabetes.  You can’t see a pancreas.  Don’t get me wrong. I am very attached to my breasts and would love a day when we don’t have to worry about breast cancer but after years of being my son’s pancreas? Well, it may not be a sexy organ and it may not have any appeal to the general public but I guarantee it has my utmost respect and I would not want to lose it either.

So what is the answer? How do get more people to understand? We keep going as we are and then some.  We advocate. We educate. We communicate.  We teach those who want to learn.  We tolerate some ignorance and try to help them to understand what this disease is really about. Its a long road. Its frustrating at times but with each person who learns the reality? Well its another person who wants a cure almost as much as those of us who live with it.

Helping to Support Diabetes Advocacy

Yesterday I was asked to share a survey with those who read and follow Diabetes Advocacy. At first, I didn’t think a lot about it because people ask me to share or promote things all of the time. Sometimes I believe in what they are asking and do all I can to help. Sometimes their requests head straight to my trash as I see them with no real connection to what I do.
Yesterday’s request got my attention when I read a little further and realized that for every person who responds, Diabetes Advocacy will receive a donation.  That sounded pretty cool! Now I am quite sure that this will amount to pennies per click but pennies make dollars and dollars pay hosting fees, software costs, and occasionally for a bit of my time!
Diabetes Advocacy receives minimal funding.  The bulk of costs for this site are covered by things like small ads, purchases made through the online store and my own wallet.
Why does Diabetes Advocacy need any funding? Well as I mentioned, web-hosting fees are paid annually, software needs to be upgraded, and most importantly it takes a lot of work to maintain the quality of information available on the site, through social media and on this blog.  There are more hours that have been put into the information and efforts of this site than I could begin to tally. I do it because I love it. I enjoy being engaged and involved. I spend much of my time and my own money to keep things running as smoothly as possible. In return I see the results of hard work through people with diabetes having better, easier lives.
At the moment, I can also see a return on some that hard work by people spending 10-20 minutes answering a questionnaire on the use of insulin pens…or you can check out theonline store for a few cool items. If you do use insulin injections, please consider checking out the survey or sharing the link with your friends who inject.  The result is supporting the work of Diabetes Advocacy without having to spend a dime! 
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