Hey DOC - Do You Have Any Advice For This Parent & Her CWD?

Hey DOC - I just received the following letter from a parent of a CWD & this family really needs your help & input, now!

Do you have any advice for them & has any other parent out there run into a similar situation?

Hi kelly,

I just found your blog and wonder if you have some help or suggestions for me about where to get help with a school matter.

My 13 yo daughter is a type 1 diabetic and has been since age 3.

We have been well controlled until Jan of 2010 when she was hospitalized for the 1st time with ketoacidosis. She has been hospitalized several times since and in November 2010 had her first bout of pancreatitis. Then again January 2011 and late Feb. Since march we haven't been back in the hospital.

My problem is the school. We have been paying and planning for the 8th grade DC field trip for a year. Her endocrinologist and other specialists say she is medically stable and able to attend the trip.

The student travel org booking the trips feels they can handle her coming and have protocols in place.

The principal called me on the afternoon of May 25th and said he would be excluding her from going because of her health issues. I shared with him that her doctor felt she could go and he said he wanted to do this to make sure the other participants would have a good time and other inflammatory statements.

I realize what he's trying to do is illegal. I wrote an appeal to the superintendent because he said he had her support. What do you think my next course of action should be? File a complaint with ADA? The state superintendents office?

I asked for an answer from the school within 48 hours.

Thanks in advance for any suggestions you may have.

Sincerely,

XXX X. XXXXXXXXX

The Heat Is On

Water temp: 64

Photo Courtesy of Kelly's iPhone

A Chair With A View ~

Photo courtesy of Kelly's iPhone

This Memorial Day holiday weekend festivities confirmed the following:

1. After digging out my bathing suits and a few other summer outfits from their wintry resting place and trying them on, I absolutely need to drop 5 to 7 lbs sooner rather than later

2. The heat is on - And by on I mean it's REDONKULOUS. And by redonkulous I mean: WHAT THE HELL HAPPENED TO SPRING?

It’s freaking hot out! And by hot I mean: It's Africa hot! A sweaty, skin breaking out from a trifecta of sunscreen, heat and sweat type of hot.

Friday night required putting my air conditioning on at night for the first time in over a year.

I tried not to, but I could hardly breathe in the heat of the night and sleep would be impossible without it.

Saturday meant freezing two large bottles of water and packing a cooler for the beach , and making sure there were enough mini ice packs to rest my plastic bag encased pump on while I dug my toes in the sand and people watched with friends.

Sunday involved massive doses of sunscreen and another day at the beach with friends. I noticed my numbers creeping ever so cautiously towards Canada and correction bolused accordingly.

Monday’s numbers were wonky, and by wonky I mean that I seemed stuck in the 180‘s for most of the day. Not exactly terrible, but not where I wanted to be, or was used to being. When my correction boluses finally worked their magic, my blood sugar dropped to 70 and I downed my beach snack in two minutes flat.

Today started at 2 am, when I woke up all sweaty and shaky with a low of 45, which lead to me over treating with peanut butter smeared on a small banana and four ounces of ice cold vanilla soy-milk, which lead to a 6:30 am blood sugar of 388.

What a lovely way to start the work week!!

At 8 a.m, right before I officially started my work day, I realized that I needed to “reboot”, and by reboot I mean I needed to lock and load a new insulin reservoir.

So I did. but as I started to fill my new reservoir with insulin, I stopped short and only filled it with 100 units & had an "A-ha moment!"

The heat is officially on folks, which means that the insulin in my reservoir will come precariously close to it's "Bake Rate," and the skunky insulin phenomena occurring, which in essence requires me to throw out an almost full reservoir because the insulin had gone bad due to "heat exhaustion" and the likes there of. Seriously, who needs that?

And let's face it, bake rate & skunkified insulin was most likely what was causing my wonky numbers yesterday!

Yep, it's official, summer is here and with it comes higher temps, air conditioning as the norm, less clothing, salad days, the ocean calling and 1/2 filled insulin reservoirs as the norm, not the exception.

Let the games begin!

Memorial Day: Thank You

THANK-YOU.

Diabetes Companies & Orgs Helping Tornado Victims In Need of Supplies

For those pwds living in areas devastated by the Tornadoes, getting diabetes supplies or contacting their pump/meter/insulin companies can be damn near impossible.
Like you, I worry about my fellow pwds and want to help them.

I began reaching out to companies re: what pwds (people with diabetes) in those areas should do if they need supplies. While this list is by no means complete, the following companies have responded and are listed alphabetically:

ACCU- CHEK®: Individuals that still have phone access can call into ACCU-CHEK® Customer at
1-800-858-8072 and an agent can assist them with getting a meter and strips until they can arrange for a more permanent solution & they are open, 24/7/365 days a year.
Any non-profit/community organization can call the same ACCU-CHEK® customer care for help in getting testing supplies for distribution.

Animas: Any Animas customers in the counties affected by the Tornado & in need of pump supplies need to contact their Doctor or Animas Rep.
Reps and Territory Managers in those states and counties have been given extra pump supplies and will get the supplies to those in need, ASAP.

Bayer Healthcare: The Bayer USA Foundation has contributed $50,000 to various organizations assisting with recovery efforts in Alabama & Missouri, include the Red Cross, the American Veterinary Medical Foundation & the West Alabama Chamber of Commerce Foundation. These donations support basic human services and recovery efforts, assist people whose homes were damaged or destroyed, and aid impacted animals.

Requests from relief organizations for donations of either funds/products for disaster relief projects go through the Bayer Foundation as part of a larger, coordinated effort for Bayer HealthCare/Bayer corporate. Bayer Diabetes Care is part of Bayer HealthCare that also includes our consumer care; pharmaceuticals & animal health groups.
The quickest way for organizations to seek funds or product for relief efforts is through our online Foundation application form at: http://www.bayerus.com/Foundation/foundation_home.aspx.
Orgs can submit their requests for consideration through the online process. Please note, this is not for individual requests.
For general information on Bayer Diabetes Care products, call Bayer's Customer Service Line: 800-348-8100.

Medtronic: Medtronic customers living in tornado ravaged areas in need of pump supplies,etc., can call the Medtronic emergency hot line at: 1-800-646-4633 ext. 64545.
Please provide the customer’s name, date of birth, contact phone number, and mailing address and or alternate mailing (including street, city, state and zip code).
During off hours please leave a voicemail with the above information and you will be contacted within 24 hours.

Novo Nordisk: Novo Nordisk has reached out to the ADA, Americares, and the American Red Cross to offer whatever assistance possible. As of Friday, May 27, Novo Nordisk has delivered insulin products and needles to the ADA and Americares. Each has set up a free clinic in Joplin & the following addresses:

ADA -

2914 East 32nd St

Suite 102

Joplin

Americares -

Community Clinic

701 South Joplin Ave

Joplin

For those wishing to donate supplies, please contact the following:
Jennifer Conter-Jones (Development Coordinator JDRF Ozarks)
560 Peacock Street
Rogersville, MO 65742
A facebook page has also been set up @
https://www.facebook.com/#!/event.php?eid=151063321630015

tudiabetes has a great list of links of those who are collecting supplies for victims.
http://www.tudiabetes.org/forum/topics/how-can-you-help-people-with

http://www.ky3.com/news/ky3-organization-providing-displaced-joplin-diabetics-with-free-insulin-and-equipment-20110527,0,7433800.story

If you know of any groups or organizations collections for those pwds in need, please feel free to post their info in the comment section, or contact me at: kelly kunik @ gmail dot com & I will update the blog post with the info you provide.

This page will be continually updated as I hear from other companies, orgs & individuals.

Craptacular - Craptacular, Sandwich In A Can, A.K.A Candwich Edition

Thanks to The Huffington Post, yours truly found out about the the latest edition to "Craptacular,Craptacular cuisine," in the form of a candwich.

Basically folks:

This ain't no manwich, that's a PB & J sandwich in a can!!

The latest in one stop shopping & craptacular cuisine is an interesting concept.

From what I can gather, it's target market is for people who:

1. Are really busy & don't feel like slapping bread together with PB & J

2. Don't really care about numbers

3. Are OK with spending 12 dollars, plus shipping & handling for four candwiches in a can

4. Think getting a sandwich in a can, complete with plastic utensils, individual servings of peanut butter & jelly and bread that looks like a hotdog bun & does not have to be refrigerated is a good thing.

Yes, it exactly what the name says it is~

I looked all over markonefoods.com for the nutritional info of the"candwich," but ironically, couldn't find that info ANYWHERE on the site.

But after googling the term "candwich," I found a really well written and informative blog post from 5/23/11 about the candwich on IHateMyMessageboard.com

The site's candwich user review is complete with pictures & nutritional info and

I strongly encourage you to checkout that wonderful post by clicking, HERE.

FYI, Tracy, the writer of Ihatemymessageboard.com brings up a really good point about using the candwich for humanitarian relief efforts and feeding those in war torn countries or areas suffering from a natural disaster.

And I have to be honest, I hadn't thought about that.

Conceptually speaking, the food is protected and could be distributed in various ways, be it via Red Cross tents or dropped out of a plane.

All snarkiness aside, i'll admit to that being a positive.

BUT WITH THAT BEING SAID......

I have REAL ISSUES with the candwich, BIG TIME.

Diabetically speaking, one of my issues is in the nutritional numbers, and how those numbers affect a person with diabetes bolusing for the candwich.

1 candwich has a whopping 63 carbs, 480 calories & 22 grams of fat!

That's a LOT of diabetes math for a sandwich in a can.

Not to mention that's a whole lotta coin spent and packaging waste generated for sandwiches in a can!

Plus, I'm trying to stick with whole foods and cut back on the processed foods, thing.

Plus, it just doesn't float my boat.

So, Diabetesalicious minds want to know: What are your thoughts on the candwich and how would you bolus for it?

Has anyone out there on the internetz actually tried a candwich and if so, what did you think and how were your bloodsugars afterwards?

Note To Self:

You're going to need a bigger bolus.

Photo courtesy of demoTiNATION.com

It’s never a good idea to lance your finger directly and on the exact same spot that said finger has a nasty paper cut on. You know the cut I'm talking about, the one that FINALLY stopped bleeding a few hours ago - And now is gushing again like Old Faithful because you weren't paying attention to where you stuck it. And yes, I know.... That's what she said ;)

Peanut butter and jam on a spoon is NOT always the ideal bedtime snack if your running on the high side.

Sinus issues DO cause wonky blood sugar numbers - At least in your case. So EMBRACE THE TEMPORARY BOLUS already!

Make sure that before you go to bed with 9 units of insulin left in your pump, you write yourself HUGE notes & leave them right by your alarm clock & charging cell phone, reminding yourself to lock and load a new insulin reservoir BEFORE you leave the house for work in the morning.

Low carb does not = low in fat.

When you see insulin pump batteries on sale, BUY THEM, even if you think you have more than an ample supply.

If you use the emergency infusion set that you leave in your driver's side door pocket just in case of an emergency, make sure you replace said emergency infusion set after using it, ASAP. There are no such things as Replacement Diabetes Supplies Elves, same goes for Toilet Paper Replacement Elves (elves who magically replace the toilet paper when the roll is done) - YOU'RE ON YOUR OWN, KID!

Sunscreen is a must, as is reapplying liberally.

Aspirin therapy = bleeding gums every single time you floss, so don’t have a major freak out and start crying to your Dental Hygienist "that something is terribly wrong!"
God, you're such a Drama Queen!

You are what you eat.

You are not a number, or your number for that matter. You are a person who is doing and being and trying her best - And that is a wonderful thing ~

DMeet Up Across The Aisles? Almost......

I met my friend G and her younger sister O, in college and we've been friends ever since.
Over the years we've kept in touch - And yes, there's moments when our lives have gotten in the way of course, but we always pick up right were left off - And that's that's what's amazing about old friends!

G & O's father passed away last week and the mass was this past Saturday morning. I know what it's like to lose your father and even though we hadn't talked in over a year, I wanted to be there for them.

Cut to 8 a.m. Saturday morning and an infusion set site on my leg that was swollen, black and blue, and a blood sugar of 338. For some reason my site had stopped absorbing insulin in the middle of the night and I was feeling craptacular to say the least.

Textbook a.m. blood sugars all week, except for the day when I needed diabetes to play nice - AAARRRRRGGGHHHH.

I changed my infusion set, bolused for both a correction and coffee, persevered, and I made it to the church 5 minutes after the funeral mass had started. I slid into an aisle seat next to some old friends from both college and high school and concentrated on what was being said about our friends father.
My mind drifted back to our college days, when my friends and I used to get in all sorts of trouble. G & O's mom and dad were from Italy and didn't always take to kindly to our "anything goes" attitude! As we got older we'd all laugh about our escapades, but I'm sure we drove all of our parents nuts!

About 20 minutes into the mass, I spotted little girl 4 pews up and across the aisle who couldn't have been more than 5, and it was clear that she wanted to play instead of be still. She spied me and started waving. I was fiddling with pump tubing and had no idea who she was, but waved back just the same. Her father told her to stop and they both turned back towards the alter....
It was then that I noticed some tubing coming out of his pocket and the outline of a Dexcom clipped to his hip.

My inner voice started screaming: TURN AROUND, I HAVE AN INSULIN PUMP TOO.

Of course, he didn't and I told myself to get my focus back to the mass. I listened and learned some things I hadn't known about my friends father. I studied the the various wood and marble carvings and paintings of St. Michael, the Patron Saint of Warriors & Chivalrous (don't even ask me how I knew those facts, I just do) throughout the church that was his namesake.

BUT, every once and a while, I'd look over to my fellow PWD in church and try to catch his eye.

The mass was ending & as my friends' followed their father's casket down the aisle looking so heartbroken & sad, I immediately started crying and promptly forgot about the carved St. Michael's and the phantom PWD in the church.

I met my friends outside the church & hugged them tight. Then it was off to the cemetery and the luncheon afterwards &
Phantom PWD was in the past - so to speak. He and his family weren't at the cemetery or the restaurant and all my attention was my friends and their family and I pretty much forgot about my PWD sighting.

And I didn't think about the Phantom PWD dude until last night, when I suddenly came to the realization that knowing that he was in the church made me feel..... like I wasn't alone. Which is SO WEIRD because I was with dear old friends who mean the world to me! I knew I wasn't alone, and I hadn't even felt alone..... until I saw him.

I wondered what his name was, how long he'd had diabetes, how long he'd been on the pump & the Dex, and how he knew my friends & their family.

I wondered if he knew about the DOC and how wonderful our community is.

And I wanted to thank him, because just knowing that this PWD was in the church gave me some sort of comfort that I really needed - And I would have loved to have been able to return the favor.

Hey Baby, What's Your Sign?

When my blood sugar starts to go low, my first real symptom is general wiftyness (which is the exact opposite of swiftness and basically means I act like a bit of an airhead) which sometimes makes it hard to tell if I'm having a blood sugar issue, or just being me.

When my blood sugar starts maneuvering towards towards Canada, I feel very tired, somewhat cranky and like I'm walking through JELLO instead of air. I just want to sleep and yawn between breathes.

I experience the exact same symptoms for high blood sugars, the day before I get my period. Except my blood sugars won't go above 120, no matter what I eat or how little I bolus.

When my infusion set starts to itch, I know it needs to be changed.

If I have unexplained high blood sugars for a few days that have nothing to do with faulty infusion sets, skunky insulin or uber carb loading, I know that my body is fighting something, be it a cold or whatever virus is currently making the rounds. I test more often, sleep more, and maybe try an extended temporary basal rate to ward off whatever bug is currently going around.

The above mentioned are just a few of my many diabetes signs/idiosyncrasies that help navigate through Diabetes Land.

I'm grateful for the heads-up, regardless of what form they take and try to use them to the my advantage whenever they cross my path.

So besides the high and low blood sugars, what are your diabetes signs/idiosyncrasies that give you a heads up as to what's going on before the textbook symptoms known to those of us Diabetes Land start to set in?

Wearing An Insulin Pump Inspires Creativity - At Least In The Fashion Sense!

Diazons - This one's for you!
#####

So I'm a dress and skirt kind of a gal. I'm also a bit of a tomboy at heart, but girlfriend loves to twirl around in a skirt and sassy pair of heels!

Maybe it's because I actually like my legs, at least for the most part (even if they are a bit skinny,) or maybe it's because skirts and dresses make me feel all types of graceful and dancer like. When in reality, I'm mostly the opposite.


Or maybe it's because I like to mix up my look from time to time, and dresses and skirts allow me to do that.
Whatever the reason, spring has sprung, summer is just around the bend, and I've busted out my favorite a-line skirts and sundresses from the back of my closet.
When I went on the the insulin pump almost nine years ago, skirts and dresses became an issue. YES, I could (and very often have,) clipped my pump to my skirt with no problem.

But dresses are another issue entirely. I've done the bike thigh bike short thing, and that totally works! Except that by the time August rolls around, I really don't feel like another layer of clothing on my person. Still, they're a damn good option.

I've done the little short short,micro bicycle shorts under my dress.
You know the ones that size 0 girls wear when the "workout."

The ones that ride up their butts and have slightly more material than bikini bottoms.
But you have to be a size 0 to wear them... and they tend to make me look like smuggling something.

So about a year after being on the pump, and after much trial and error, I put on my "Thinking/Glam Accessory cap, hit the lingerie section and found a friend with a sewing machine. Here's what resulted.

Photo deleted by mistake - I'm at work and I don't have the file or the "Undo" option on this computer - DAMN WORK PC !

And I will say that I'm a bit creeped out by how many folks downloaded the pic of my leg.

Pic will return when I get back to my home office.

Chronic illness doesn't mean ugly accessories in The Big Book of Kelly!

So, how have you gotten creative with your insulin pump while wearing a dress or a skirt?

Let's face it Diazons, the more options we have to get our dress on with our insulin pumps, THE BETTER WE LOOK!


Keep in mind that while sexy, garters can cut off circulation if you don't wear them properly, or have circulation issues. Which is why you need to be REALLY careful when you wear one.

And even with being careful, garters should only be worn for a short period of time.
If you have any type circulatory, vascular or leg issues - This is not a good option for you.
This option works for me, and I made sure that I checked with my Dr. before I got my garter on - And you MUST check with your Dr. before you hoist your garter up!

YES. YOU. CAN.

It's not who you are that holds you back, it's who you think you're not. ~Author Unknown

Whether you think you can or think you can't - you are right. ~Henry Ford

I quit being afraid when my first venture failed and the sky didn't fall down. ~Allen H. Neuharth

If you hear a voice within you say "you cannot paint," then by all means paint, and that voice will be silenced. ~Vincent Van Gogh

I am not a has-been. I am a will be. ~Lauren Bacall

#######

Sometimes, diabetes or not, life gets us down and self doubt slowing tries to slowly creep around us and cover us tightly, like some sort of stifling cocoon that we must find a way to bust out of, ASAP.

We find ourselves second guessing decisions that we know to be right, which tends to make us stop in our tracks because we fear the possibility of both success and failure.

It’s a crappy feeling that no one in Diabetes Land or on planet Earth is immune to.

So, when you start feeling that way, it’s really important to tell yourself

that you can do & be anything!

And it's important to tell yourself that.....

And that YOU CAN INDEED "DO IT!"

Because it's true - even if you're not quite convinced.

And the more you actually say that you can do anything and that you are indeed fantastical, the more you'll actually believe it - And in yourself!

File Under Awesome: #DBlogWeek,#DSMA/#Wegowebinar, Fresh Lancets, Fresh Batteries, Walking & Sweet Potato Fries

FILE UNDER AWESOME -

#Dblogweek

1. Diabetes Blog Week was fanfreakingtastic!! Big shout out to Karen for putting it all together & making it happen two years in a row!!

2. There's a hell of a lot of new diabetes blogs out there, people!

3. Mr. Mike Lawson has a wonderful video thanking Karen, and it can be viewed HERE.

It's filled with lots of loves and laughs! And Hallie from the Princess & The Pump has an extensive video containing all the participants logos & d-love, HERE.

#dsma #wegowebinar

Cherise Shockley , founder & creator of Diabetes Social Media Advocacy (#dsma) chat on twitter ever Wednesday night. Cherise was the special guest of last night's #WEGOwebinar: Expanding Your Health Advocacy: Twitter Chats & Beyond.

I logged into the webinar late, but I can say in all honesty that Cherise rep'd the DOC but good! If you missed all, or part of the chat, the recap and link to the recorded webinar can be found HERE.

SHOCKING DISCOVERY: Recently I've come to the realization that if I keep a bag of lancets next to the meter in my bedroom that I use for middle of the night and first thing in the morning checks, I'm more likely to actually change the lancet first thing in the morning.

Who knew?

DIABETES FASHION FILE: Now that spring is here, and this Diazon is all about embracing my spring skirts and dresses, I've added new triple AAA batteries to all my handbags. That way whenever I switch out my bag I have fresh spare battery in case my pump battery craps out.

Since I placed the batteries in my handbags on my birthday weekend, I have a gage in my head as to how old they are. It's a total win -win situation.

I'm Walking - And Not Just After Midnight!

OK, just so we're clear hear folks, I'm not a hooker, "Walking After Midnight" is a song/song title by the late, great, Patsy Cline. GOOGLE IT.

Anyway, I've started walking again, with a short term goal of walking 5 times week, for a total of between 5 and 9 hours weekly. last week I exercised via walking for 4 days, for about 50 minutes a pop. It felt good to get out and move again! Hopefully my scale will eventually reflect all my efforts.

Blood Sugar Nirvana Alert: On Friday night I dined on Alexia brand, Spicy Sweet Potato Fries. I sprinkled those bad boys ever so lightly with parmesan cheese, and YES, Blood Sugar Nirvana was indeed achieved. Pre-blood sugar meal was 130. Three hours later, post blood sugar meal was 144. And I was quite the happy camper!

Did Alexia pay me in the form of money and or fries to write this?

Unfortunately, no they did not, nor do I think that they are even aware that I'm mentioning them in my blog post. This is just the honest, gut reaction my gut had to their fantastical fries. Seriously good stuff folks, and totally bolus worthy!

Care to share any of the things you'd like to "file under awesome?"

Advice For A Family Re: Their Over 18 Type 1 Child & Self Destructive Bipolar Issues

Well, today's post was going to be a Diabetes Blog Week Round Up and how fantastic Diabetes Blog Week was. Then I received the following letter early this afternoon from a Diabetesaliciousness reader and my Diabetes Blog Week post will have to go up tomorrow, because a DOC family member needs our help - BIG TIME.

Please read the following and if you have any advice or words of encouragement for them, comment or email me at Kellykunik@gmail.com and I'll pass your info along. Thanks DOC~
#####

Kelly - Please post this letter on your blog!

Does anyone in the D.O.C. Have experience with a young adult (and according to the law, legally independent of parents) who struggles with both bipolar issues and type 1?

Particularly with regard to situations where the swings of bipolar are such that self destructive behavior is involved.

Self destructive actions beyond but including even rudimentary type 1 care.
Any references to expert help, or experience with legal proceedings that may facilitate loved ones intervening are appreciated.

Thanks In Advance,

Stuck Between a Diabetes Rock & A Bipolar Hard Place ~

Day 7 of Diabetes Blog Week..... What I've Learned

Well, it's day 7 of Diabetes Blog Week ( or night, since I'm posting late in the evening) and today's post is all about what I've (we) learned thanks to D Blog Week.

This week I've learned that there are so many creative, interesting and dynamic Diabetes Blogs out there in the blogosphere. Incredible blogs written by individuals with open hearts and minds, faulty pancreases, and funny bones to spare. OK, I've always know that, but damn if this week didn't reinforce all of the above facts!

I have also learned that there are new bloggers in my world who I need to get to know better.

And I've learned that my old diabetes blogger friends are up to new and wonderful diabetes tricks!

But mostly, Diabetes Blog Week has reminded me that I'm not alone in my diabetes life.

And honestly folks, that's the most wonderful thing of all!!!

Day 5 of Diabetes Blog Week: Saturday Snapshots

Day 5 of Diabetes Blog Week is all about SATURDAY SNAP SHOTS. As in life with diabetes via pictures.

OK I thought to myself, I can do that! All my pictures have numbers, blood, sugar and diabetes of course, as a recurring theme. But I assure you, it's not at all as gruesome as it sounds!

Check out my pics & hope you can relate!!

First thing in the morning means testing & putting my used lancet & test strip in the the big bottle of ALL. This keeps the test strip scatter to a minimum & guarantees I change my lancet at least once a day!

FYI: The above meter is NOT the one I carry on my person all the time, it's the one I keep by my bed.

OK, so at least I change that meter's lancet once a day!

Basal rate testing last Spring meant borrowing a CGM from the fantastical @ Gary Scheiner.

Sometimes things really synced up - Like, I totally felt this low as it happened, and it was amazing (and scary) to watch my numbers plummet!

Of course I very annoyed for several reasons, including having to stop my evening basal rate test, which I was 1/2 through. SON OF A BITCH!

And sometimes things didn't Sync up.

But as we all know, sometimes blood Sugar Nirvana is achieved........

EVEN

AFTER

HAVING

ONE

OF

THESE!!

Even when it's not your Birthday! ;)