Increased coffee intake associated with higher metabolic syndrome risk in type 1 diabetes

Coffee shop blur background with bokeh image .

Adults with type 1 diabetes who drink a minimum of five cups of coffee per day could have an increased risk of metabolic syndrome compared with those who drink less, researchers suggest.

These findings from scientists at the University of Helsinki, Finland, are the latest in a multitude of studies which have reviewed the relationship between coffee, diabetes and metabolism in recent years.

Last year, drinking more coffee was shown to reduce the risk of death in an international study, including among people with diabetes. Also in 2017, regular coffee intake was reported to lower the risk of type 2 diabetes

While this new study indicates heightened coffee consumption among people with type 1 diabetes may confer negative health aspects, future studies will need to explore and validate this association.

The researchers evaluated data from 1,040 adults with type 1 diabetes who were divided into four groups based on their coffee consumption, and determined potential associations regarding metabolic syndrome

Moderate (3-5 cups per day) and high (5+) coffee consumption increased the odds of metabolic syndrome, which was categorised by possessing at least three cardiovascular riskfactors: obesity, high blood pressure, high blood sugar levels, high triglyceride levels and/or low HDL-cholesterol.

These findings remained regardless of age, sex, energy intake, alcohol intake, smoking or physical activity. Moreover, increasing coffee intake was also shown to impair insulin resistance among participants.

But researchers stressed this is an association at most, and not intended as a warning for people with type 1 diabetes to drastically reduce or cut out their coffee consumption. 

“Whether habitual coffee consumption will have any negative or beneficial effects on health outcomes, in this population of patients with type 1 diabetes, will be assessed in future studies,” said the researchers.

The findings appear online in the journal Nutrition, Metabolism and Cardiovascular Diseases.

Insulet’s OmniPod. Business Front.


Insulet’s OmniPod

Business Front: Insulet appears to be doing well on the business side these days. New patient starts were up 20% this past year, while new pediatric patients were up a full 30% over the previous year. So more patients are starting the OmniPod than ever before, it seems. Insulet CEO Pat Sullivan says the company now has a total 85,000 OmniPod users, as of the end of 2015. 

Insulet sold its Neighborhood Diabetes Business (the mail order medical supply company it acquired a few years ago) to Liberty Medical early this month, meaning those OmniPod customers who used Neighborhood Diabetes as a durable medical equipment provider will now be switched to Liberty.


Higher Concentrated-Insulin Pods: Insulet’s excited about its partnership with Eli Lilly for developing OmniPod devices that will have both the concentrated U-200 and U-500insulins inside. They’re queuing up a clinical study the U-500 version now, and already have a third of the required patients signed up. Insulet expects both of these new Pods to be available in the next 2 or 3 years, offering more choice for PWDs who may need more insulin.

Omnipod & Dexcom Artificial Pancreas

  Omnipod & Dexcom Artificial Pancreas




Exciting news for users of the the Omnipod Insulin Pump and Dexcom CGM System. It looks like a Tubeless Artifical Pancreas may be on the horizon. Insulet the manufacturers of the Omnipod Tubeless Insulin Pump have just announced a partnership and licence agreement with Mode AGC (Automated Glucose Control LLC)  to develop an advanced artificial pancreas algorithm. The system will use the tubeless Omnipod pump and latest Dexcom technology.


I have to say this news is welcomed in our home. With the race now on for the worlds first artificial pancreas to make it into the pharmaceutical market, there are a number of projects currently underway. The idea of an artificial pancreas is of course appealing to many but my son has always claimed he didn’t want an artificial pancreas because he likes the pump he already has and doesn’t want to change. We use the Omnipod and have just started using the Dexcom G5 system, so we are delighted that there may be an artificial pancreas that utilizes the technology that we are already using.


One of the many battles that parents face with children diagnosed with Type 1 Diabetes is getting them to try new technology, it can be very scary for them. 



OmniPod Updates

Just this week, Insulet announced it had reached the milestone of 100,000 Podders, with a majority of those customers being young children and teens. Insulet’s own research reflects they now command 21% of the insulin pump market in the United States, sandwiched between Medtronic’s whopping 41% and competitors Animas and Tandem, each at 18%. This a big moment for the Boston-area company, which has been around sin
ce 2005 and, amazingly, remains the sole full-featured patch pump company here in the US.



Now, Insulet’s prepping for the launch of its next-generation product, that will bring the OmniPod into the mobile, data-sharing age.


For those of you who follow Arden’s Day blog, he features an awesome podcast on all things Dexcom. Check it out!


#27 Dexcom CEO Kevin Sayer Answers Your Questions



When the news broke that Dexcom and Google entered into a business agreement that would allow Dexcom to have access to Google technology that will produce smaller, cheaper continuous glucose monitors… word spread quickly on the Internets. I posted the press release highlights on Arden’s Day and the blog exploded with page views, Facebook ‘likes’ and comments from excited CGM users. 

There hasn’t been a more popular topic on my type 1 diabetes blog since Kris Freeman allowed me to use a shirtless photo of him from the 2014 Winter Olympics in Sochi to illustrate that a person with low body fat could successfully wear an insulin pump and CGM. If you’re wondering what a four time Olympian looks like with his shirt off. Go ahead and click over to see Kris wearing his OmniPod on his chest and Dexcom sensor on his side… this page will remain open.


Anyway, when I saw how excited you all were about the Dexcom/Google announcement I contacted Dexcom and setup this podcast episode with their CEO, Kevin Sayer. Not wanting to waste the moment, I asked on the Arden’s Day Facebookpage if anyone had a question for Kevin, as it turned out, you had a lot of questions and I was able to get to almost all of them during this conversation because Kevin was kind enough to stay on 30 minutes longer than we scheduled. I think you’ll find this episode of the Juicebox Podcast a CGM users dream come true, Kevin was an open book who dished about things that I thought for sure he’d decline to speak about. Huge thanks to Kevin for his time and candor!


You can listen to the Juicebox Podcast here:

Now that children are back to school, do you plan to educate teachers and school staff on CGM?


Back-to-School Tips

Bookbags, folders, calculators, and summer reading assignments: For kids with diabetes and their parents, these typical back-to-school preparations are just the beginning. By now you’ve probably already met with your child’s diabetes care provider and school personnel. But there are other important steps you can take to make sure your child stays safe at school:

1. Make sure you have a current Diabetes Medical Management Plan (DMMP)

Work with your diabetes care provider to create this plan that spells out your child’s school diabetes care regimen, if you haven’t already. “What are the child’s typical symptoms of hypoglycemia? What snacks does he or she use to treat it? Can the child give his or her own injections?” Download a sample plan. Meet with the school nurse or health care aide to to review the DMMP and understand how it will be implemented.

2. Write up a 504 Plan or Individualized Education Program (IEP)

These plans take the information in the DMMP and explain the school’s specific responsibilities. They are developed to protect your child’s rights under relevant federal laws. One thing the plan addresses is who else should be trained to provide diabetes care tasks for your child when the school nurse is not available. Younger or newly diagnosed children will generally need more help. Your list should include the school bus driver, the teacher, anyone responsible at after-school activities or field trips. Find more about 504 plans and download a sample plan and learn more about IEPs.

3. Don’t forget the lows

Be sure to have a “low box” containing snacks and glucagon with your child, in the classroom, and in the nurse’s office, based on what you’ve outlined in your care plan. Provide your child with sources of quick-acting glucose, like tabs or juice or whatever he or she uses to treat low blood sugar.

4. Build up your child’s confidence

Giving kids a little more independence at home—like teaching them to check their own blood glucose, if they’re ready for it—will give them the confidence that they can take care of themselves when you’re not with them, too.

5. Listen—and reassure

The start of school is an emotional time for everyone. Reassure your child that you’ve met with the school and they are safe.

Kris Freeman Takes on “The Great Adventure Challenge”

Kris Freeman is an Olympic endurance athlete with Type 1 diabetes. He has visited over 150 summer camps over the years since he was diagnosed to speak to children with diabetes and inspire them to run with their dreams.

Kris Freeman is an Olympic endurance athlete with Type 1 diabetes. He has visited over 150 summer camps over the years since he was diagnosed to speak to children with diabetes and inspire them to run with their dreams.

New Hampshire native and Olympic cross-country skier Kris Freeman is changing the face of Type 1 diabetes, one race at a time. At only 34 years old, Kris has an impressive number of accomplishments under his belt, including competing in the last four winter Olympics and winning 17 national championships.

On August 15, Kris participated in The Great Adventure Challenge at Pleasant Mountain in Bridgton, Maine. The triathlon involves 2.5 miles of kayaking, 16 miles of mountain biking and concludes with a 2-mile hike up and down Shawnee Peak, challenging participants to a grueling 1300-foot change in elevation. This year, Kris set a new course record, finishing in just over one hour and 49 minutes.

Kris’s love of and talent for skiing was apparent at a very young age – he was skiing before he could walk. His passion persisted and, at age 19, Kris decided to walk away from a full scholarship at the University of Vermont to pursue his dream of becoming an Olympic cross-country skier.

Two months into training, Kris’s life changed forever after a routine blood test revealed twice the normal level of glucose. He was diagnosed with Type 1 diabetes, and doctors insisted that his Olympic dream was over. No one with Type 1 diabetes had ever competed in an Olympic endurance sport.

However, Kris’s determination proved stronger than his disease, and two years later he made it to the Olympics.

Kris’s road to success has been facilitated in part by cutting-edge technology. Kris believes that this is by far the best time in history to live with diabetes, thanks to innovators like Dexcom that have empowered people to track and manage their disease.  Kris uses the Dexcom continuous glucose monitoring system, an invaluable tool to track his blood glucose levels. This is crucial, as blood sugar can spike due to adrenaline and stress while training and competing.

An advocate for people living with Type 1 diabetes, Kris has visited over 150 summer camps to speak to children with diabetes and inspire them to run with their dreams. His goal is simple: “I want to talk to them about what they can do, which is anything, in my opinion.”