Gary Scheiner, MS, CDE

The Owner and Clinical Director of Integrated Diabetes Services LLC, a private practice specializing in advanced education and glucose regulation for patients utilizing intensive insulin therapy. Scheiner, who has had Type 1 diabetes since 1985, was the AADE 2014 Diabetes Educator of the Year. He is the author of Think Like A Pancreas — A Practical Guide to Managing Diabetes With Insulin, Practical CGM, Diabetes-How To Help (A Guide to Caring for a Loved One With Diabetes), The Ultimate Guide to Accurate Carb Counting, and Until There Is A Cure.

Learn more about Gary Scheiner:

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Home Workouts: Exercise At Home Options

Published November 12, 2020

Due to COVID-19, I am homebound, unable to attend my usual fitness classes. Do you have any suggestions for home workouts?

Cansancio excesivo y hambre después de comer. Sobre la Diabetes

Cansancio Excesivo y Hambre Después de Comer: Preguntas y Respuestas Sobre la Diabetes

Published September 24, 2020

Quiero saber por qué me muero de hambre y estoy tan cansado 10 o 15 minutos después de comer…

Counting Carbohydrates for Type 1 Diabetes

Published May 21, 2020

Practical Tips for Accurate Counts Let’s get this straight: There is no such thing as a “pro” when it comes to carbohydrate counting. There is … Read More “Counting Carbohydrates for Type 1 Diabetes”

Hybrid Closed-Loop Systems for Type 1 Diabetes

Published May 19, 2020

This past year, I did my usual weekend traveling to present at various diabetes conferences. On a trip to North Carolina to speak at a … Read More “Hybrid Closed-Loop Systems for Type 1 Diabetes”

Preventing Coronavirus: Diabetes Questions and Answers

Preventing Coronavirus As a Diabetic: Diabetes Questions and Answers

Published March 5, 2020

With the coronavirus scare, are you wondering what you, as a person with diabetes, can do to avoid getting sick? Get our tips for preventing coronavirus…

Diabetes and Aspirin

Published January 3, 2020

I have had type 2 diabetes for the past 10 years, but my health is good otherwise. Should I be taking daily aspirin? I’ve heard conflicting information about taking aspirin…

Low Blood Sugar During Sports Practice: Diabetes Questions & Answers

Updated April 27, 2020

My son is a high school athlete who uses a pump and CGM (continuous glucose monitor). We don’t have any blood sugar problems when he works out before school, but he keeps dropping low during his afternoon practices. Do you have any recommendations for preventing low blood sugar during sports?

Should I Worry About Prediabetes?: Diabetes Questions & Answers

Published October 11, 2019

Should I worry about prediabetes? A reader recently diagnosed with the condition after a fasting blood sugar level of 104 mg/dl asks…

Coffee and Blood Sugar: Diabetes Questions and Answers

Published October 3, 2019

A reader experiencing highs after his morning coffee asks about the link between coffee and blood sugar…

Going Back on Metformin: Diabetes Questions & Answers

Published September 10, 2019

Is it possible to not need medication and then suddenly need it again? A reader with type 2 diabetes asks about going back on metformin…

Keto Diet With an Insulin Pump: Diabetes Questions and Answers

Published August 14, 2019

Are you using an insulin pump to manage your diabetes and trying the keto diet? Get expert advice on how to prevent blood glucose highs and lows…

Tips to Support a Loved One With Diabetes

Published July 1, 2019

Does someone close to you have #diabetes? Get our top tips for supporting a loved one with the condition…

Rebound Morning Glucose and the Pump: Diabetes Questions & Answers

Published June 20, 2019

Find your blood sugar going low overnight and then high each morning? Find out what you can do with your pump to help…

Vitamin to Curb Hunger: Diabetes Questions and Answers

Published June 6, 2019

Most people with diabetes are hungrier than those without, thanks to deficiency of a specific hormone. Learn about vitamins—and lifestyle measures—that have the potential for appetite suppression…

Blood Sugar on Vacation: Diabetes Questions & Answers

Published March 27, 2019

Do you find your blood sugar levels are different while on vacation? Learn about a possible culprit for the change…

Blood Sugar Rising Overnight: Diabetes Questions & Answers

Published December 11, 2018

A reader asks, “My blood sugar rises overnight, even with nothing to eat after dinner.” Learn why this happens and what can be done…

A Bedtime Snack Blood Sugar: Diabetes Questions & Answers

A Bedtime Snack and Blood Sugar: Diabetes Questions & Answers

Published April 12, 2018

Does a bedtime snack help or hurt the wake-up blood sugar reading? Learn about having a bedtime snack and blood sugar from Certified Diabetes Educator Gary Scheiner…

False Hypo Symptoms: Diabetes Questions & Answers

Updated August 16, 2019

A reader writes, “Recently I’ve been noticing low blood sugar feelings (glazed, unable to concentrate) even when my blood sugar levels are normal or high…”

Alternatives to Medical ID Jewelry: Diabetes Questions & Answers

Updated January 18, 2018

Carrying medical ID now is more important than ever, not only for health reasons, but also for legal reasons…

Tired and Hungry After Eating: Diabetes Questions & Answers

Updated November 12, 2017

Feeling tired and hungry after eating? There may be an explanation and a solution. Learn more from certified diabetes educator Gary Scheiner…

Creating Your Book of Adjustments

Updated December 11, 2015

“Essential Chapters” for all insulin users: • Sick day diabetes management • Strategies for correcting elevated BGs • Matching mealtime insulin to food intake • … Read More “Creating Your Book of Adjustments”

Example Book of Adjustments Entry for Physical Activity

Updated December 11, 2015

Consume carbs prior to these: Kitchen clean-up: 10 g Vacuuming: 15 g Laundry: 20 g If walking after meal: Reduce mealtime insulin 25%

The Book of Adjustments for Managing Blood Sugar

Updated December 11, 2015

The Book of Adjustments is an individualized, personalized, customized guide for managing glucose levels through the nuances of day-to-day living…

Making More Effective Use of Your Continuous Glucose Monitor

Updated October 9, 2015

There’s a big gap between simply using a CGM and truly benefitting from it. Here are the three keys to achieving these desired outcomes…

Treating Hypoglycemia

Updated August 15, 2016

Improper treatment of hypoglycemia can lead to prolonged or severe lows as well as prolonged or severe highs. It’s time to develop a more customized approach to dealing with hypoglycemia…

Beyond Insulin

Updated January 7, 2015

Being on insulin no longer means that you’ve reached the end of your options for managing your diabetes. A number of other medical treatments can be used safely and effectively along with insulin…

Exorcising the Specter of Overnight Hypoglycemia

Updated May 20, 2016

By understanding the causes of and being prepared for nighttime hypoglycemia, people with diabetes can minimize its occurrence and reduce its impact…

Top 10 Tips for Better Blood Glucose Control

Updated March 20, 2019

Parenting is a never-ending challenge, and so is diabetes care. Parents need to stay involved in their child’s management even when he is old enough and mature enough to perform many of his daily self-management rituals on his own…

Strike the Spike II: How to Manage High Blood Glucose After Meals

Updated March 5, 2021

We know more than ever about the harmful effects of high blood sugar after meals, but we also have new tools and techniques for preventing them…

Amylin

Updated October 7, 2010

Batman has Robin. The Lone Ranger has Tonto. And insulin has its own tough little partner: a hormone called amylin.

What’s that? You thought insulin worked alone, like Superman or Spiderman? Think again. Those guys only had madmen and criminals to fight. Insulin has the onerous task of keeping blood glucose in check while fending off challenges from food, stress, illness, and a slew of other hormones…

Interpreting Your Blood Sugar Monitoring Log

Analyze This!

Updated March 4, 2016

Learning how to interpret your own self-monitoring records can get you closer to the control you’ve always wanted…

Tune In to Your Ratio(s)

Updated March 2, 2010

No, it’s not a typo. For people who use insulin, determining and using your insulin-to-carbohydrate ratios can give you more flexibility with regard to food choices and better blood glucose control…

The Great Blood Glucose Balancing Act

Updated July 19, 2013

Recently, I saw two very different clients with a very similar problem: difficulty controlling blood glucose levels during physical activity…

Continuous Glucose Monitoring: Making Sense of Your Numbers

Updated April 21, 2009

A1c. HDL. LDL. Fasting blood glucose levels. Postprandial blood glucose levels. Grams of carbohydrate. Insulin-to-carbohydrate ratios. Correction factors.

Ever feel like you”re drowning in numbers? Diabetes care is chock full of numerical data…

Counting Carbohydrates Like a Pro

Updated March 2, 2021

For keeping blood glucose in control, carbohydrate counting works better than any other system. Here are three recommendations for counting carbohydrates…

Take a Bite Out of Hypoglycemia

Updated June 2, 2016

Hypoglycemia has been called the “greatest limiting factor” in diabetes management…

Strike the Spike

Updated August 4, 2006

Postprandial hyperglycemia refers to high blood glucose levels that occur soon after eating meals or snacks. So even though after-meal high blood glucose levels are temporary (often resembling a spike when plotted on a graph), frequent between-meal rises can cause your HbA1c to go up…

Selecting an Insulin Program for Type 1 Diabetes

Updated April 10, 2014

For people with Type 1 diabetes, is there really anything more personal and significant in your life than your insulin program? In a way, your insulin program defines your lifestyle. It can either dictate your meal, sleep, and activity schedules, or it…

Getting Down to Basals

Updated October 21, 2016

Basal insulin is necessary for maintaining blood glucose control, not to mention survival. So how much is needed? And when should it be taken?

Go Ahead, Pick Your Pump

Updated April 18, 2013

My plan is to go through life with two things at my side: My wife (‘til death do us part…) and my insulin pump, at least until there’s a cure for diabetes.

Choosing my wife was easy—she was the only woman who was willing…

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