TCOYD Des Moines – A Recap

Boy, not even sure where to start…  It was the first time I had attended any type of diabetes conference and it was a great experience.  There were 1,500 attendees at this TCOYD event.

My trip started to Des Moines quietly on Friday around noon.  Thanks to a HAZMAT spill on I-35 and the Missouri Department of Transportation‘s seeming inability to help people actually find a way around it, my 3 hour drive took twice that long.

I arrived Friday evening just in time for dinner with friends Scott Johnson and Kelly Rawlings of Diabetic Living Magazine along with new friends Kim and her friend @iamsquee at the Raccoon River Brewery, it was a great meal and even better conversation, as always.

Saturday morning arrived and off we went.  Walking the six or so blocks with Scott, Kim, and Courtney we arrived.  Scott and I picked up our exhibitors badges and got the DHF booth setup as attendees started to arrive in the exhibition hall.  All in all, Scott and I probably talked with 100 or so people, telling them about online communities such as tudiabetes.org, Diabetes Daily,  and Diabetes Sisters and how they worked to help those affected by diabetes to connect with each other.

It was a very interesting day and, all-in-all, I would recommend it to anyone who has diabetes in their life.  Hopefully, we’ll see one here in Kansas City sometime.  It is estimated that there is a combined total of around 250,000 diabetics in the metro area, so there is definitely an audience for it!

I especially enjoyed hanging out with my fellow D friends, ScottieJ came down from Minneapolis, Babs & Jon Campbell came up from KC, Kim had come in from Lincoln.  Ahmad from tudiabetes had driven in from Ames, IA and I’m glad I got to meet him in real life.  Kelly lives locally there and so does Romelle Slaughter who is on the ADA Board in Des Moines and was quite interesting to talk to (RHS76 on twitter).

I know that is a very brief recap of a really great experience, but if I don’t get this posted soon, I never will!

Scott

Today’s snarky comment: I’ll procrastinate later

TCOYD in Des Moines, IA

This weekend I’ll be attending the TCOYD event in Des Moines on Saturday, September 25.

In addition to attending some sessions, my friend Scott Johnson and I will be manning a table for the Diabetes Hand Foundation and the Diabetes Advocates Program.  Please stop by and chat for a bit if you get the chance.   We’re in Booth #8!  You’ll recognize us, we’re the good lookin’ ones!

This is the first time I have ever attended any type of conference like this, so I am really looking forward to it.  Hope to finally meet some online friends face-to-face, to catch-up with some I already have and maybe even make a few new ones!

Anyway, that’s all for today.  Don’t forget to check out the JDRF Type 1 Talk Event on November 14th and have a great weekend!

Scott

Today’s snarky comment: I’m not anti-social, society is anti-me

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Type 1 Talk – We don’t do that, do we?

Yesterday  my friend and fellow blogger, Mike Hoskins, described the JDRF’s upcoming Type 1 Talk event.

I think that this is an important event for two main reasons:

  1. It is being held on November 14th, World Diabetes Day (WDD), instead of its originally scheduled date of November 6th.  This is the first time that either the JDRF or ADA have acknowledged that WDD even exists, at least at the National Level.  Local Chapters may have had something that day, but the National organizations were noticeably silent on it.
  2. This is the first major outreach to the adult T1 audience by the JDRF.  I lamented in my Open Letter about how the adult T1 community feels totally ignored by the JDRF, especially those of us who have been out here the longest.  That letter generated some updates from the JDRF here and here.  And it basically boiled down to the fact that they didn’t have a coherent message for us and really didn’t know what to do with us except as volunteers in fund-raising activities.

Leading up to the talk, the JDRF is going to invite feedback and topics from us, actually listening to what our needs are.  As we go through different phases of our lives, we have different needs with regards to our diabetes.

To my knowledge, this will be the first time that JDRF has reached out to the adult population from the National level.  Through their Grassroots Advocacy Program, they plan to leverage their network of advocates so that we, as diabetics, can build relationships with other advocates at the local level.

Sometimes we just need to get together and chat with others without the D “just hanging there”.  Whether we are talking about D or not, it is just relaxing.

At this point, you may be asking yourself “So what is the JDRF getting out of this?”.  Basically, by keeping people engaged at the local level year-round, it will make it easier to get those people to volunteer for advocacy tasks such as telling their story to their federal Senators and Representatives.  These stories help keep the federal funds rolling into research for Type 1 Diabetes and, in fact, for all types of diabetes.

So let’s take advantage of this opportunity to let the JDRF know what we would like from them.  You can post your ideas here, over at the Juvenation Advocacy blog, or by contacting Melissa Smicker in the JDRF Washington D.C. office at msmicker@jdrf.org or (202) 465-4105.

We’ve been out here yelling and walking the walk for years, let’s let the JDRF know what we’ve found important to us as we move through life.

Insurance and the Games We Play

** this post originally appeared on TuDiabetes on April 15, 2009.  Given that it is National Chronic Illness Awareness Week, I thought describing the insurance hoops we often have to jump through was a relevant topic

Well, after a battle with Coventry Healthcare of Kansas, I received a phone call today telling me that my appeal had been approved and that I would be able to get coverage for a CGMS.  I may be the first person that Coventry has approved for such a device.

What I really learned tho, is how an appeal process really works.

When you appeal, Coventry (and maybe other companies) will ONLY send the information that you include with the appeal itself. It is up to the reviewing doctor then to get other information either from Coventry or your doctor.

My first claim for a 72-hr CGMS test was denied as experimental and the doctor seems to have simply assumed that I was a Type 2 based upon my age. He then proceeded to give me all sorts of evidence that CGMS systems were NOT experimental IF I was a T1 and on “intensive insulin therapy” (ie a pump). I provided that information (which my insurance company already had) and the test was approved.

I then applied for a CGMS device of my very own. The authorization was denied as being experimental, as I expected. I then appealed and quoted all the evidence from the previous denial that it was not experimental. They gave me all the evidence I needed to show that it was not experimental.

Basically, IMHO, the denial was automatic, the first appeal review was half-arsed and that is why they got backed into a corner and basically had to authorize the device.

So how to appeal from now on. Assume that the person reviewing the claim will NOT seek any other information. Include any information that you feel might be applicable. Do not waste an initial appeal finding out why something was deemed experimental. Find out the basis of the experimental decision, preferably in writing, before you file your appeal. Most plans have 2 appeal levels, after that, it’s off to court you go.

So, don’t be afraid to appeal. Many people will get a denial and go “I really need that treatment, but there’s nothing I can do”. The insurance company HAS to explain the appeals process to you, it’s the law. You may not always win, but at least you are fighting for what you need to live long, healthy life.

It only takes some time and patience to file an appeal. Get supporting letters of medical necessity from your doctor, gather all the information you can from every reliable place you can find it. Write a concise, non-emotional, professional letter that ties together all the information you are providing.

As a disclaimer, our insurance plan is a self-funded ERISA plan, which are regulated by the US Department of Labor as opposed to the Insurance Commissioner of your state. Being self-funded gives the plan-administrator a lot of flexibility in approving things since our company pays for the coverage, not Coventry. I asked our administrator today if she had spoken to anyone at Coventry about this and she said no, so it seems that Coventry approved this on their own. However, the story could have been different if the plan had been premium-funded. After a second level appeal, an ERISA plan requires the involvement of the Department of Labor to appeal past that point, I have no experience with that aspect.

If my plan had not been ERISA, after the second level appeal I would have then appealed to the Insurance Commissioner for the State of Kansas.

Remember, insurance companies make more money by not paying out claims. Sometimes denying a claim is justified, sometimes it is predatory.

I’ve recently gotten very tired of predators.

Thanks for stopping by,

Scott

Today’s snarky comment: Why are you still here?  It’s Friday for crying out loud

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KU Med has a Research Study for Teens and Young Adults

Here’s the basic info:

If you are between the ages of 16 and 29 and have type 1 diabetes (or type 2 treated with insulin) and would like to feel more confident in managing your diabetes as well as its personal and social challenges – as well as want to learn better how to navigate the adult health care system, you might want to consider a research study being conducted by the KU Diabetes Institute. You would spend two Saturdays (about 5 hours each) on the KU campus with about 15 other young people practicing communication, problem solving, and goal setting skills – and have some fun in the process. The Saturday sessions (tentatively October 9 and November 13) will be supported by social networking activities that your group chooses over the six-month duration of the study. If you are interested, contact Adam Kruger, akruger@kumc.edu or 913-588-1045.

If you are close to the Kansas City or Lawrence area, think about this one.  As you (or your child) move past high school to whatever come next, you are suddenly assaulted by a whole slew of new responsibilities.  Everyone has these responsibilities, but as a diabetic you get the “privilege” of a whole bunch more.

You’re now responsible for managing your condition, keeping yourself healthy and under control, fighting with insurance companies, making sure you have enough insulin, test strips (and testing BTW!), and various other health-care issues that your parents may have handled for you before graduation.

Even if you’ve been out of school for a while and doing all this, this is a good way to share your experiences and maybe get some answers to questions that you haven’t even thought of yet!

The Kansas University Diabetes Institute is staffed with some of the best people around.  Not only do they know their stuff, they always take the time to listen to their patients and involve them in making decisions about managing their condition.

Diabetes is one of hardest, if not the hardest, condition to self-manage.  It can be done, and done quite successfully, but it takes hard work and attention to detail every day for life.   Learning some additional coping mechanisms never hurts and meeting with other diabetics is rewarding in itself.  They “get it” in a way that no non-diabetic, no matter how much they want to, can.

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Invisible Chronic Illness Week

This week is Invisible Chronic Illness Awareness Week

30 Things About My Invisible Illness You May Not Know – A Meme

1. The illness I live with is: Type 1 Diabetes

2. I was diagnosed with it in the year: 1970.

3. But I had symptoms since: for a few months before my diagnosis.

4. The biggest adjustment I’ve had to make is: realizing that sometimes, even if I do everything exactly right, my blood sugars will still go out of whack – and that this doesn’t mean I’m to blame.  It just means that I’m not perfect, just like everyone else.

5. Most people assume: I can’t eat anything with sugar in it.

6. The hardest part about mornings are: not being a morning person

7. My favorite medical TV show is: House M.D., and tho it is fictional, it seems that most “real” medical TV shows are fictional too.

8. A gadget I couldn’t live without is: my CGMS

9. The hardest part about nights are: Going to bed on time, natural night-owl and that whole “not a morning person” thing

10. Each day I take __ pills & vitamins. (No comments, please) I take 5 pills a day, plus an aspirin,  a multivitamin, and Vitamin D.  I also do finger sticks to check my blood sugar 8 times a day or so and am plugged into my insulin pump and CGMS all day

11. Regarding alternative treatments I: get disgusted will those selling miracle “cures” for Type 1 diabetes.  There isn’t one.

12. If I had to choose between an invisible illness or visible I would choose: I’d probably keep the devil I know…

13. Regarding working and career: It can sometime be cumbersome, but usually I just let folks I work with know that I am diabetic.  I find that tends to  dramatically improve my chances of survival when I screw something up.

14. People would be surprised to know: The mental & emotional toll  of diabetes has been much harder on me than the physical aspects of the disease.

15. The hardest thing to accept about my old reality has been: It’s all/day, everyday.

16. Something I never thought I could do with my illness that I did was: be diabetic for 40 years and be free of complications. I was “supposed” to be dead 20 years ago…

17. The commercials about my illness: Celebrities regaling a glucose monitor as a “revolutionary”  advancement in diabetes care.  Please…  Oh, and don’t get me started on “life changing” cook books

18. Something I really miss doing since I was diagnosed is: Lord, it’s been forty years; I don’t really remember not being diabetic.  Of course that could just be my memory failing

19. It was really hard to have to give up: The idea that I have to do this alone

20. A new hobby I have taken up since my diagnosis is: Again, it’s been too long. I play World of Warcraft and L4D2 with Ninjabetic and ScottieJ upon occasion.

21. If I could have one day of feeling normal again I would: probably eat myself to the point of illness and not worry about it…

22. My illness has taught me: that I am responsible for my own health

23. Want to know a secret? One thing people say that gets under my skin is: The Diabetic Police telling what I can and can’t eat, hopefully, they will stop talking long enough to pass the potatoes.  Oh and all the horror stories about some distantly known diabetic friend or relative who lost a foot/went blind/died because of the “sugar diabetes”

24. But I love it when people: be curious enough to actually ask me an intelligent question.

25. My favorite motto, scripture, quote that gets me through tough times is: Everyone in this world has a cross to carry.  Some are light, some are heavy.  And sometimes they just seem extra heavy.  But there’s not one damn thing that says you have to carry it all by yourself.

26. When someone is diagnosed I’d like to tell them: It’s not easy at times, but you can do this.  Know you are not alone

27. Something that has surprised me about living with an illness is: It took me 39 years to figure out I wasn’t alone in this.

28. The nicest thing someone did for me when I wasn’t feeling well was: just a kind word now and again from friends

29. I’m involved with Invisible Illness Week because: Just because you can’t see our illnesses doesn’t mean our lives aren’t affected every day.

30. The fact that you read this list makes me feel: like you entirely too much time on your hands… /wink

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After an Open Letter the JDRF Opens Up – Part II

** I originally had told Kerri that I was expecting to cover this with a three part post.  However, I was able to cover all the salient points in just two parts; so today is the conclusion. **

Yesterday at Six Until Me (thanks again, Kerri!) I described part of a conversation that I had with Mike Kondratick, Director of the JDRF Grassroots Advocacy program.  And again I want to thank Mike for the nearly 2 hours he spent on the phone with me.  We left off with the JDRF wanting to take a more collaborative role with the Adult T1 audience, to actually talk “to” them as opposed to talking “at” them and to help facilitate communications within the adult T1 community not only for advocacy but for support as well.

One of the first major steps that the JDRF’s advocacy program is taking in this regard is their Type 1 Talk event.   Also present on our call was Melissa Smicker, who is heading up this project and was gracious enough to be in on our call for over an hour. Originally scheduled for November 6th, it is now scheduled for World Diabetes Day (WDD) on November 14th.

This rescheduling is somewhat important in my opinion because this is the first recognition that WDD has really received from the national level of either the JDRF or ADA.   Some local chapters and groups had recognized it, you may have noticed some blue buildings that day.  But other than the online community, there was a thunderous silence about WDD in the US.

Melissa said that within the JDRF, there had been a lot of conversations about how to make it easier for local advocates to get connected at the local level.  For example, a Facebook page which could help supporters find or create local events.

On WDD, high-level individuals at the national level of the JDRF will be hosting a uStream discussion where we can talk about what issues are important to us, ask questions, and find out what the JDRF is working on.  The idea is to participate in this uStream event through get-togethers at the local level.  Leading up to that day, the JDRF will need to hear from us on what we are interested in and concerned about so those topics can be addressed.

The JDRF will ask for this feedback through their new Advocacy Blog (http://www.juvenation.org/advocacy), participation in some Diabetes Social Media Advocacy sessions on Twitter (#dsma), and finally through the launch of their Type 1 Talk Facebook application in early October.

At the local level, the JDRF will provide materials to the local event hosts and describe how people can connect with their peers locally (not necessarily just through the local chapter proper) but through tools from the Grassroots Advocacy Program that allow individuals to  connect directly with others that are interested in coming together for support.  This obviously benefits the adult T1 community directly, but could also benefit the JDRF as there could be an increased interest in advocacy from the individuals participating.

Again, by taking steps to build community, the advocacy being sought is to get as many people as possible in front of their federal legislators.  The JDRF at the national level is incredibly focused on that, and while it is very important, I feel that there is another area that needs to be addressed just as much and I feel could have a much more immediate impact.

I’m talking education, particularly of the media where so many myths are sensationalized and perpetrated.  As diabetics on the ground so to speak; we are the ones that have to deal with those myths on a daily basis, regardless of what type of diabetes we have.   We’re the guys hearing “Exercise and diet cured my cousin” or “Insulin is a cure, you’ll be fine” and our all time favorites “Your parents shouldn’t have let you have so much sugar” or “You should have eaten properly and exercised more”.  Hopefully, enough legislators have remembered the stories told them by diabetics to not be fooled by these myths.  Unfortunately for us, the other 310M or so people in the US are not so well informed.

As the JDRF moves forward in supporting the Artificial Pancreas Project (APP) and other adult support issues, I hope everyone remembers that the cure is the goal of the adult T1 audience as well and we don’t want to seem to be drawing resources away from that race to the cure.  But these children with diabetes do grow up and as they go through different phases in life; their needs change.  For me, anyway, the longer I go with T1, it is much more difficult to manage the stress, mental and emotional challenges compared to the physical ones.   Mike believes that there is enough room “under the tent”, so to speak, for everyone to get what they need.  He sees no reason that the JDRF can’t manage both effectively.

He asked if I was at the Roche Social Media summit, I said no, but being a relative newcomer to blogging and considering the caliber of people who were, that wasn’t surprising. But I was surprised that the ADA was there as opposed to the JDRF.  He was wondering the about same thing.   The ADA brought some big names, including their Chief Scientist and the feedback I’ve seen is that the ADA seemed up-front and honest.  But most seem to be thinking “We’ll believe it when we see it”.

Mike agrees that the ADA and the JDRF, for that matter, need to put some points on the board with the Adult T1 audience.  He aims to do as much as he can through the JDRF Grassroots Advocacy program, demonstrating that the JDRF is dedicated to a collaborative approach moving forward.

I believe that the JDRF is starting to see the advantages of actually communicating with the Adult T1’s, especially as they move forward to the Type 1 Talk event on WDD.  In particular, the JDRF wants as many people being engaged at the local level as possible.  Their marketing has traditionally been kid-focused, so it is not surprising that someone in the Adult T1 demographic has never heard of the Promise Campaign or that a newly diagnosed adult T1 would even consider the JDRF as a resource since they are not juveniles.  Bridging that communications gap is critical for the JDRF to move forward in increasing the number of advocates out here willing to speak.  They have a large number of advocates, but not enough, and connecting these people locally thru the Advocacy Program is something the JDRF can do to not only meet their needs, but to address some of the Adult T1 needs as well.

One thing that struck me, was that Mike said they wanted more adult T1’s becoming engaged with the local grassroots leaders and not to just talk about fund-raising or the APP. Having local leaders that are willing to meet other people in the T1 adult demographic and draw them to the cause is vitally important.

Though JDRF needs people to communicate with their congressmen on key issues, there isn’t an urgent issue to talk about all the time.  So, the advocacy program has invested in communications tools that, beyond simply making communications with congress efficient, can also support year-round local grassroots activities, be it meet-ups, actual support meetings, or presentations on topics of interest.  Doing this keeps advocates engaged, making them more likely to take on an advocacy task when asked, but with the real benefit of building a community in the process.  For Mike, having access to those people willing to do this at their local level would be “nirvana”.

Can it be nirvana for us as well?  Perhaps, but time will tell.  It is going to take a distinct effort from both sides to actually converge at sometime in the future.  Do I think it’s possible?  Yes I do.  Will both sides stumble as we move toward each other?  Yes, we will.  But if there’s one thing I know about the Adult T1 crowd it’s that they always get back up and if they can’t get up on their own, they know that there is someone willing to give them a hand up and that makes us a very powerful force.

One that is just starting to realize its potential.

After an Open Letter the JDRF Opens Up – Part I

*This originally appeared as a guest post over on Kerri Sparling’s fantastic blog, Six Until Me on September 13, 2010I’ve put a copy here just for archival purposes

First off, I would like to thank Kerri for the opportunity to be a guest blogger here on Six Until Me.  Kerri was one of the first D-bloggers I “found” when I started discovering the DOC, so this is really is quite an honor for me.  I swear there were times when my feet felt swollen…

Recently, I wrote An Open Letter to the JDRF where I was pretty critical of the organization and it’s apparent attitude toward adult Type 1 community, especially those of us who had been out here the longest.  Replies to my post mostly showed agreement with what I was saying, but also showed that the amount of T1 “support” varied from local chapter to local chapter.

I had a reply from a member of the KC Chapter’s Board of Directors.  We had dinner one evening at a local BBQ place and he filled me in on the local adult efforts going on which sound very interesting and I’m excited to start participating in locally.

I also had an offer of a phone interview with Mike Kondratick, who is based in Washington, DC and is the Director of the JDRF Grassroots Advocacy program.  He is part of the Government Relations Office and, as such, tends to deal strictly with raising money from the public sector; whereas the local branches focus on private sector fund-raising.

First, a little background on what the Government Relations Office, and local advocates from all over the country, make happen through meetings with federal legislators.  The general appropriation to the National Institute of Health (NIH), as directed by Congress, for all disease research is about $29B annually.  T1-specific research sees about $283M of the $2B allocated for all diabetes research.   Through the Special Diabetes Program (SDP), another $150M is allocated every year, bringing the T1-specific research funding total to about $433M annually.  The local Chapters raised nearly $100M in 2009 with about 80% dedicated to funding research.

The Government Relations Office has 13 staffers, including two T1’s and the mom of a child with T1.  They are a pretty small staff compared to some other “big ticket” disease organizations.  Thus, they try to take the “squeaky wheel gets the grease” approach to get in front of legislators as often as possible, with as many people telling their story as possible.

Also managed out of that office is the Artificial Pancreas Project (APP).  Many of the roadblocks facing the APP are regulatory ones, so it is a good match.  Personally, I believe that the APP is a very important, if not critical, slice of the diabetes management pie.  Let’s face it; we are not going to see a T1 cure any time soon and getting a medical device approved can be a much quicker process, in theory at least.   The better control we are able to establish, the longer we can put off complications and the better off we are.   When you look at the costs of treating complications years down the road; the savings to the healthcare system could be enormous, not to mention the potential increase in the quality of our lives.

I asked what role he sees for adult T1’s in the JDRF Grassroots Advocacy arena.  The goal is to get as many them in front of lawmakers as often telling their stories of how diabetes affects their lives.  The JDRF is really very small compared to other groups such as cancer and heart disease and basically “competing” for the same research funding, so they try to become the “squeaky wheel” by putting T1’s in front of lawmakers, usually at their local office.  This allows a highly personalized message to be delivered, one that the lawmakers tend to remember.

The JDRF Children’s Congress is held every other year and is really designed to be a big media event; putting children and their families in front of lawmakers at Congressional Hearings.  The adult T1s that are there are usually celebrities and the JDRF uses their fame to bring additional attention to Type 1 diabetes.  It is also important that the children with diabetes (CWD) see these celebrities and can maybe gain some inspiration from them.   Now the only issue I have with this is that celebrities often don’t have the same financial restrictions placed upon them as the vast majority of T1s.  They may have someone on the payroll whose job is to make sure their condition is properly managed.  They don’t worry about the cost of test strips or insulin.  This, in my opinion, presents a pretty skewed picture of the actual affects of diabetes on adults to the media.   Hopefully, lawmakers have spoken to enough adults to see the difference, but honestly look at the myths that are out there.  Media really hasn’t caught on and we need to change that.

They try to organize two to three events every year to get advocates of all types in front of lawmakers at both the federal and local levels.  The meetings back in their home districts tend to be more impactful as they are usually more one-on-one and they’ve been very successful in making sure that the legislators remember these meetings.  But to accomplish this, they need people at the local level willing to tell their stories; and at the end of the day, these stories are just as impactful as the stories of children and their parents. Every other year, the JDRF also runs a program called The Promise Campaign that is specifically designed to facilitate these meetings.

Mike sees two main groups of adults involved with the JDRF’s advocacy activities.  1) people, often parents soon after diagnosis, that invest themselves quite heavily in the JDRF’s research- and cure-focused messaging and advocacy and 2) adult T1s.

Before the APP, there was really a limited stream of messaging to adult T1s.  The JDRF didn’t tell a coherent story about how the things they did helped improve people’s lives on a daily basis.  Their story was about what will hopefully happen at some future point in time.  This may be a very key point in the “rift” between JDRF and adult T1s.   The JDRF is laser focused on fundraising for research and a “quantifiable” result for them may be just learning something that can help find the cure.  But as a T1 myself, that result is pretty much meaningless as far as things go on a daily basis.  To me “quantifiable = hands on”, when can I get one?

One of my frustrations with the JDRF was that the messages I did receive always “wanted” something; but what was I getting out of the deal?  I could never find an answer to that question.  As I bemoaned earlier, the Spring 2010 newsletter for the Kansas City Branch had an article about having a local T1 get together, but absolutely no mechanism for finding out more, not even a clue where to check.   I see a lot of us, not the JDRF, out here trying to do this on our own, providing the type of support that we, as long term adult T1s need and answering those who are asking for help.

This is where Mike sees great opportunity to improve communications between the JDRF and the adult T1 community.  They basically haven’t been focused enough on reaching out to the adult T1 audience, looking for ways both can benefit from a partnership.   Besides financial contributions, there is so much additional information out there that a collaborative approach could greatly benefit all.   They are currently weak in this area, but Mike believes that steps are being taken to improve this and thinks we should be able to see some measureable improvement by this time next year.  But still, he recognizes that doesn’t excuse the fact that the JDRF hasn’t performed well in this area previously.

The JDRF is moving to a more collaborative approach than they have had before; talk “to” people, not “at” them.  They can’t reach the goals they want to reach without people feeling more motivated to stay engaged at the local level, not necessarily just with the local chapter itself, but locally as a group of advocates to get things done.  This is where the Grass Roots Advocacy Program comes into play.

Stay tuned tomorrow for Part II at Strangely Diabetic.

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Today…

Today is the first day of National Invisible Chronic Illness Week and by strange (get it?  strange?  ha!  I kill me!) coincidence Kerri over at Six Until Me asked me to act as a guest blogger today.  I was quite pleased to do so, as Kerri was one of the first bloggers I found when I started roaming the DOC.

Check back here tomorrow for Part II of the series After an Open Letter the JDRF Opens Up .

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Ok Campers

Those of you who know me will understand

Do I step out more into an advocacy role?  All my stories are not cheery, not pleasant.  But they are real.  Am I too damaged by my past to help those generations yet to come?  It hurts me to read the blogs of CWD’s.  But I feel I need to to help those following behind me.  How do I temper my past with today’s reality?

I just don’t know

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