Read the wave
Look beyond a single number to direction, speed, momentum, and what may be forming next.

A method discovered from the inside
How to manage type 1 diabetes in a modern world
Diagnosed with type 1 diabetes as a child and later trained as a pediatric endocrinologist, Stephen W. Ponder spent decades studying the movement of his own glucose in real time. He coined Sugar Surfing to describe the connection he saw between blood sugar and ocean waves—and to share what worked for him with others.
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A new language for a moving system
Steve needed an approachable vocabulary for something the existing clinical language did not explain well. Glucose rises, falls, accelerates, flattens, and changes direction. Insulin, food, movement, timing, and technology become a toolkit that can be handled like a surfer’s board. The essential skill is being present enough to read the moment and decide what comes next.
Look beyond a single number to direction, speed, momentum, and what may be forming next.
Use insulin, food, activity, timing, and technology as tools that can be adjusted to the situation.
Choose an action—or consciously choose no action. Either way, the decision is deliberate.
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A personal discovery shared with others
Steve brought together two perspectives rarely found in one person: a lifetime with type 1 diabetes and a career caring for children and families as a pediatric endocrinologist. He tested the ideas on himself, refined a new lexicon, and then began teaching the method so other people could communicate more clearly about what their glucose was doing.
Dynamic diabetes management challenged the fixed-rule model that dominated diabetes education and was not immediately welcomed by many endocrinologists and diabetes educators. Steve kept sharing it because he believed people living with diabetes deserved practical tools for responding to life as it actually unfolds.
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