44 years, 44 lessons

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I am turning 44 years old, tomorrow, July 15, 2016. Repurposing a theme I did when I turned 40, and adding to the list.

If you find any of these useful, please consider making a special donation on my behalf to Diabetes Hands Foundation.

Here are 44 random lessons I’ve learned, in no particular order:
1. Play peek-a-boo with crying babies in airplanes.
2. Always stay in touch with your childhood friends.
3. When you read a good book, tell others about it.
4. Share good jokes: the world needs more people smiling.
5. Adopt a dog: they are great companions.
6. Dance a lot! It’s good for your heart and your soul.
7. Gardening is good exercise and makes you love plants even more.
8. Grilled sandwiches are the best!
9. Learn to play an instrument: you will have a blast.
10. If someone compliments you, take the compliment.
11. Stare at the sky long enough to watch the clouds moving.
12. Take a deep breath… exhale. Repeat… repeat…
13. Rioja wine. Yep, that’s it.
14. Prog rock, for college years. Ambient and jazz, later in life.
15. When the opportunity opens up, travel: go places!
16. Some Sundays, wake up to baroque music.
17. A cup of black coffee in the mornings: hmmm!
18. Rogaine can help with baldness… if you put it on.
19. If your blood sugars are bad one day, try again the next day.
20. Learn a new language or two. You will discover new worlds.
21. When you travel, don’t take a tour bus: walk around the city.
22. When you are upset, get away from the keyboard, take a walk.
23. Embrace gray hairs: celebrate birthdays!
24. Go inside a photo booth and goof off with friends.
25. Buy local, even if it costs a little more.
26. Have a thick cappuccino every so often.
27. Go to Farmers Markets.
28. Praise in public. Criticize in private, one-on-one.
29. Once in a while, wander, don’t pick up a map.
30. Park as far as you can, don’t use the stairs: walk more.
31. It’s OK to feel afraid. Just don’t let fear control you.
32. Straight or gay: it’s all the same. Everyone is a person.
33. Minnesota and Venezuela are closer than you’d believe.
34. Smile when you are on the phone: other people can feel it.
35. Don’t take yourself too seriously… Seriously!
36. Give to at least one charitable cause every year.
37. Aisle is better than window by a long shot.
38. Once in a while, play a song you love real loud.
39. I have an accent, believe it or not: even in Spanish!
40. When in doubt, remember to tell people how much they rock!
41. Give surprise backrubs. People appreciate it.
42. Avocado with a touch of salt: you heard it here first. 😉
43. Read audiobooks… Or listen to them. Just do it.
44. Karaoke with friends: priceless!

% of time spent by people with diabetes with a medical professional in a year

If you have been to a diabetes conference in the past few years, there’s a good chance that you have seen this slide as part of a presentation.

This was a slide I first put together a few years ago, to convey a “back of the envelope” calculation I had done that essentially amounted to the percentage of time that a person with diabetes spends in the company of a medical professional in the course of a year. My estimate had all along been 0.1%. Today, I took the time to validate this looking for hard data from CDC, the American Journal of Managed Care, and other reputable sources, to REALLY back this finding.

I am sad to report that I was wrong: the percentage is even lower! 🙁

So this is what I searched:

Now, the math for the year 2010:

  • Minutes in a year = 24 x 60 x 365 = 525,600
  • Minutes in a year x number of people with diabetes, PWD = 10,932,480,000,000 (10.9 trillion)
  • Minutes in a year spent by PWD in visits to physician offices, hospital outpatient and emergency departments = 37.3 million x 20.7 minutes = 772,110,000
  • Percentage of a year’s time spent by PWD in visits to physician offices, hospital outpatient and emergency departments = 0.00007062532929 = 0.007%!

So I have been GROSSLY overestimating the number all these years! 🙁

What does this mean?
99.993% of the time, a person with diabetes is self-managing their condition on their own. Think about it… most people would call that nearly 100% of the time.

40 years, 40 lessons

July 15, 2012 I turned 40. Here are 40 random lessons I’ve learned, in no particular order:
1. Play peek-a-boo with crying babies in airplanes.
2. Always stay in touch with your childhood friends.
3. When you read a good book, tell others about it.
4. Share good jokes: the world needs more people smiling.
5. Adopt a dog: they are great companions.
6. Dance a lot! It’s good for your heart and your soul.
7. Gardening is good exercise and makes you love plants even more.
8. Grilled sandwiches are the best!
9. Learn to play an instrument: you will have a blast.
10. If someone compliments you, take the compliment.
11. Stare at the sky long enough to watch the clouds moving.
12. Take a deep breath… exhale. Repeat… repeat…
13. Rioja wine. Yep, that’s it.
14. Prog rock, for college years. Ambient and jazz, later in life.
15. When the opportunity opens up, travel: go places!
16. Some Sundays, wake up to baroque music.
17. A cup of black coffee in the mornings: hmmm!
18. Rogaine can help with baldness… if you put it on.
19. If your blood sugars are bad one day, try again the next day.
20. Learn a new language or two. You will discover new worlds.
21. When you travel, don’t take a tour bus: walk around the city.
22. When you are upset, get away from the keyboard, take a walk.
23. Embrace gray hairs: celebrate birthdays!
24. Go inside a photo booth and goof off with friends.
25. Buy local, even if it costs a little more.
26. Have a thick cappuccino every so often.
27. Go to Farmers Markets.
28. Praise in public. Criticize in private, one-on-one.
29. Once in a while, wander, don’t pick up a map.
30. Park as far as you can, don’t use the stairs: walk more.
31. It’s OK to feel afraid. Just don’t let fear control you.
32. Straight or gay: it’s all the same. Everyone is a person.
33. Minnesota and Venezuela are closer than you’d believe.
34. Smile when you are on the phone: other people can feel it.
35. Don’t take yourself too seriously… Seriously!
36. Give to at least one charitable cause every year.
37. Aisle is better than window by a long shot.
38. Once in a while, play a song you love real loud.
39. I have an accent, believe it or not: even in Spanish!
40. When in doubt, remember to tell people how much they rock!