Sugar Surfing: How to Manage Type 1 Diabetes in a Modern World introduces a dynamic, real‑time approach to managing Type 1 diabetes called Dynamic Diabetes Self‑Management, a.k.a. “Sugar Surfing.” Rather than relying on static insulin dosing formulas, carb counts, and reviews of sugar logs, Ponder advocates for actively “surfing” blood sugar trends as they happen—making decisions based on direction, rate of change, and recent patterns.

Created in 2013, this method is especially powerful when paired with Continuous Glucose Monitoring (CGM), providing visual trend arrows and rate-of-change data that empower users to act proactively and reactively in the moment
Children With Diabetes Media. The book dismantles the myths of conventional care—such as rigid carbohydrate ratios and fixed dosing—and shows how even novice users can achieve tighter control with improved awareness and flexibility.

Key concepts include:

• Glancing often at current glucose trends, not just looking at isolated readings.
• “Pivots,” “drops,” and “shelves”: patterns that guide micro‑dosing insulin or carbs to steer sugar levels.
• Practicing proactive‑reactive decision‑making—responding before issues escalate.
• Emphasizing virtues like patience, consistency, and resilience in mastering the method.
• Applicable to all ages and regardless of treatment method: pump, injections, CGM or blood glucose meter.

Ponder’s dual role as endocrinologist and long‑time Type 1 diabetic gives the text both professional rigor and empathetic insight. The book is full of over 50 full‑color visuals that break through the complications of diabetes self‑management and offer clear, actionable guidance.