Search
![](https://static.wixstatic.com/media/306d17_b578427093db4d0daa7c63af9ee74ab9~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/306d17_b578427093db4d0daa7c63af9ee74ab9~mv2.webp)
![Lesson #22: "The Human Gap"](https://static.wixstatic.com/media/306d17_b578427093db4d0daa7c63af9ee74ab9~mv2.jpg/v1/fill/w_286,h_215,fp_0.50_0.50,q_90,enc_auto/306d17_b578427093db4d0daa7c63af9ee74ab9~mv2.webp)
Lesson #22: "The Human Gap"
Stephen W. Ponder MD, FAAP, CDCES In the era of continuous glucose monitoring (CGM), staying “in range” competes with the hemoglobin A1c...
![](https://static.wixstatic.com/media/306d17_6ebc34052a9f4e10b8edde2a1911c327~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/306d17_6ebc34052a9f4e10b8edde2a1911c327~mv2.webp)
![Lesson #21: Microdosing. It's just a "day in the life" of the Sugar Surfer.](https://static.wixstatic.com/media/306d17_6ebc34052a9f4e10b8edde2a1911c327~mv2.jpg/v1/fill/w_286,h_215,fp_0.50_0.50,q_90,enc_auto/306d17_6ebc34052a9f4e10b8edde2a1911c327~mv2.webp)
Lesson #21: Microdosing. It's just a "day in the life" of the Sugar Surfer.
Stephen W. Ponder MD, FAAP, CDCES 2018 ADCES Diabetes Educator of the Year Over treating a low blood sugar can be frustrating. It starts...
![Sugar Surfing Lesson #17: Shift happens](https://static.wixstatic.com/media/306d17_9be921e934824353a0a3400eb8e8ea57~mv2.png/v1/fill/w_286,h_215,fp_0.50_0.50,q_95,enc_auto/306d17_9be921e934824353a0a3400eb8e8ea57~mv2.webp)
Sugar Surfing Lesson #17: Shift happens
As I write in the book “Sugar Surfing™”, blood glucose levels in healthy people are never truly static (at least not for very long). The...
![](https://static.wixstatic.com/media/306d17_57395057940c403d976f5432fa6b32c9~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/306d17_57395057940c403d976f5432fa6b32c9~mv2.webp)
![The Power of Patience](https://static.wixstatic.com/media/306d17_57395057940c403d976f5432fa6b32c9~mv2.jpg/v1/fill/w_286,h_215,fp_0.50_0.50,q_90,enc_auto/306d17_57395057940c403d976f5432fa6b32c9~mv2.webp)
The Power of Patience
Dynamic Diabetes Management (aka Sugar Surfing™) is a process, not a recipe. Certain virtues or qualities are essential to obtaining the...
![](https://static.wixstatic.com/media/306d17_6cf9cca5f0f64f3898e3b010b2bfe0bf~mv2_d_1920_1276_s_2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/306d17_6cf9cca5f0f64f3898e3b010b2bfe0bf~mv2_d_1920_1276_s_2.webp)
![The path to the dark side](https://static.wixstatic.com/media/306d17_6cf9cca5f0f64f3898e3b010b2bfe0bf~mv2_d_1920_1276_s_2.jpg/v1/fill/w_286,h_215,fp_0.50_0.50,q_90,enc_auto/306d17_6cf9cca5f0f64f3898e3b010b2bfe0bf~mv2_d_1920_1276_s_2.webp)
The path to the dark side
My day job is as a pediatric endocrinologist ("peds endo" in the diabetes on line community vernacular). In our current health care...
![](https://static.wixstatic.com/media/306d17_611f76b56f8a4a06ac9f484948cb45b2~mv2_d_2233_2233_s_2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/306d17_611f76b56f8a4a06ac9f484948cb45b2~mv2_d_2233_2233_s_2.webp)
![Does diabetes technology absolve us from personal responsibility?](https://static.wixstatic.com/media/306d17_611f76b56f8a4a06ac9f484948cb45b2~mv2_d_2233_2233_s_2.jpg/v1/fill/w_286,h_215,fp_0.50_0.50,q_90,enc_auto/306d17_611f76b56f8a4a06ac9f484948cb45b2~mv2_d_2233_2233_s_2.webp)
Does diabetes technology absolve us from personal responsibility?
As a person with type 1 diabetes for over half a century, I've lived through many technological breakthroughs in how my condition has...
![](https://static.wixstatic.com/media/306d17_bd8916a28f6f4c58b038d05faf0cc173~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/306d17_bd8916a28f6f4c58b038d05faf0cc173~mv2.webp)
![Shift Your Paradigm](https://static.wixstatic.com/media/306d17_bd8916a28f6f4c58b038d05faf0cc173~mv2.jpg/v1/fill/w_286,h_215,fp_0.50_0.50,q_90,enc_auto/306d17_bd8916a28f6f4c58b038d05faf0cc173~mv2.webp)
Shift Your Paradigm
To be successful at Sugar Surfing requires us to make a fundamental change in how we visualize or conceptualize blood sugar levels. Since...