pain medicine

Author Archive


Weight Management in Diabetes – Weight Loss

Posted by: | Comments Comments Off


Attaining a healthy weight for the individual who has diabetes is always a challenge. The person with Type 2 diabetes may need a plan for weight reduction. The young child with Type 1 might need to put on several pounds to be better able to insert their insulin delivery device giving enough fat for better insulin delivery. The weight loss strategy must meet the needs of the individual for either weight reduction, weight maintenance or weight gain.

AdobeStock_21335169-640x429For the individual who wants to lose weight, first off a realistic goal for loss needs to be set for a certain time frame.

Knowing what to eat and how much to eat to provide for all nutrient needs while restricting caloric intake is not an easy task.

Physical impairments can impede an individual’s ability to be active or exercise on a regular basis thus affecting the amount of caloric use. Exercise and physical activity is performed so that a person can burn calories that are consumed. Prior to the initiation of any exercise program consultation with the physician is a must to determine health status and readiness for physical activity.

African American woman celebrating on scale

Simple weight loss tips have the individual assessing current weight, deciding on a healthy loss per week and devising a plan of caloric restriction, caloric utilization or a combination of the two methods.

For individuals who count carbohydrate it is important to recognize the number of calories in one carbohydrate serving (15 grams of carbohydrate = 60 calories). Then, the individual will need to how many calories are in a pound (3500 calories) and how many carbohydrate servings will be allowed in their daily meal plan.

Categories : Uncategorized
Comments Comments Off

Exercise Planning for Diabetes

Posted by: | Comments Comments Off


When an individual has diabetes it is essential for one to make exercise a part of their diabetes self management plan. The AADE self Care behaviors stress Being Active as a key element/ goal of managing diabetes and staying in target or goal range.

Physical activity or exercise can be defined in several ways.

People can perform endurance, resistance, flexibility and functional forms of exercise. Exercise can take the form of sports, dancing, yoga, weight lifting or even grocery shopping.

doctor_with_smiling_patientBefore the introduction of any exercise program it is important that the individual check with their physician to determine if they are exercise or physical activity ready or safe.

To determine the intensity of exercise or physical activity the use of the Borg Scale can be used if an individual takes any medications that can affect the heart.

Intensity of exercise used to be determined by a formula of 220- current age, then multiply by .6 .7 or .8 to be in a target zone for fat burning.

The usual recommendation for exercise is to get 30 minutes of a cardio exercise at least 5 days per week reaching approximately 150 minutes of exercise per week.

Categories : Uncategorized
Comments Comments Off

What is CGM?

Posted by: | Comments Comments Off

Continuous Glucose Monitoring or CGM is a wireless device worn on our abdomen that provides glucose readings every five minutes. This generates 288 readings a day. You still need to check your blood glucose two times daily to make sure the monitor is working correctly, but a CGM provides valuable information for people who have wide swings in their blood sugars or who has A1c values that don’t match their blood sugar meter results.


You should also think of a Blood Glucose Strip as a picture and a CGM as a video in-motion. With a CGM you will find solutions to many of these common challenges:

  • Privacy in checking your blood sugar levels while at a restaurant or in a meeting.
  •  Do you have children or grandchildren you are constantly worried about their blood glucose during the day or night?
  • Are you concerned about Dawn Phenomenon?
  • Have you ever had hypoglycemic unawareness?
  • Are you abut to get behind the wheel? Is your blood sugar going up or down?

Click here to take a short survey to see if continuous glucose monitoring will benefit you.

 For more information concerning the CGM and other questions you have please call us at 1-888-738-7929.

Comments Comments Off

Strategies For Dining Out

Posted by: | Comments Comments Off

ordering-menuDining out for both regular meals, breakfast, lunch or dinner or for a special occasion can be an obstacle for the individual with diabetes.  There are several tips or strategies that can be used to enjoy the eating/dining out experience.

Know the components of a healthy diabetes modified meal plan.  Partake of your food choices by understanding the number of grams of carbohydrate, the portion size of  protein and fat that  are usually the foundation of a meal.

Before the meal, you can call the restaurant and ask about methods of preparation and explain that you the diner have diabetes and would like to ask how the restaurant accommodates your eating needs.

A diner can go on-line and review a restaurant or a food establishment’s menu to make a selection prior to arrival at the location.

Several phone applications provide nutrition information for national restaurant chains.  Small neighborhood restaurants may also do the same.

Calorie King, the book or the app can provide listings of carbohydrates, protein, fat and sodium as well as other key nutrients and is an available tool for diner who has diabetes.

The Restaurant Experience:

One can ask for shared plate service, have the server request that the meal be split in two before it is served. You and your dining partner get half the calories and save half the cost (expense) allowing you to go dining again.

After the meal has been ordered you can ask the server to place the one half of the meal in a take home box, before the plate ever reaches the table.

During the meal, you can use the healthy plate method by visually dividing the plate in two. Filling one half with low carbohydrate vegetable choices, take the other side and fill one-quarter of the plate with a lean protein choice: fish, chicken, lean beef, then fill the remaining quarter with a serving of carbohydrate.  Look for a carbohydrate choice that you have not identified as a trigger food that usually raises the blood sugar extremely high.

If this meal is a special occasion meal where a dessert or a cake may be served, eat the plate making sure it is filled with the low carbohydrate vegetable choices and then select a small size portion of the cake or dessert.

If you select the salad option do remember that the salad dressing will add calories to the meal. Acknowledge that if you choose the low-fat salad dressing option it will have added carbohydrate to maintain its taste, and when choosing the low carbohydrate dressing additional fat is added.

Ask for the dressing to be placed on the side, and then you can dip each individual piece of salad into the dressing and cut down on the total amount of dressing that is used.

These simple strategies will allow an individual who has diabetes to enjoy the dining out experience.

Categories : Uncategorized
Comments Comments Off

Healthy Holiday Eating

Posted by: | Comments Comments Off

Holidays do not have to disrupt your diabetes control.



When families gather, food is always involved—especially during the holidays. While it may be a challenge to maintain good blood sugar control during this time, it can be done!

When attending a party, try to eat something—at least a snack—before going. That way you won’t be as tempted or hungry to over do it on high calorie foods that you will likely be faced with. Examples of healthy snacks to eat before a party include 2% string cheese, yogurt or a piece of fruit.

Bring a healthy food item with you to the party so that you know there will be something good for you to eat there. A fruit tray for instance would be a better alternative than a tray of brownies. Or cut up raw vegetables with a low fat dip instead of chips and dip. Sit in a room different from where the food is being served. Gather and talk with friends away from the food so you won’t be as likely to munch as you’re catching up with friends or family.

Think before you drink! During the holidays, alcohol is often mixed with sugary beverages in a punch which can increase blood sugar. The alcohol may also lessen your desire and ability to make good food choices.

Up the exercise! We know we will be faced with more food and probably eat more food during holiday season. Off set this increase in food with an increase in exercise. Make it a point to exercise more often—especially on the days you will be attending a party. While this won’t cancel out the food, it will certainly help with blood sugar control and weight maintenance.

Lastly, shift your focus from weight loss to weight maintenance. Be realistic with yourself and you will feel more in control if you just try to get through the holidays without gaining weight.

Categories : Holidays, Nutrition
Comments Comments Off

Infrared Heaters: 10 Amazing Benefits

Posted by: | Comments Comments Off

Infrared heaters produce heat that is similar to the heat produced by the sun. The infrared rays emitted are easily absorbed by the items in your home, which gently increases the temperature of their surroundings. As cool surfaces heat up, infrared heaters raise the ambient temperature of the room. Besides warming up your home, infrared heaters provide many other benefits.

1. Infrared Heaters & Safety

When purchasing a space heater, safety is a main concern. The core temperature of infrared heaters never get as high as a conventional heater’s temperature. A protective metal sheath usually covers the heating elements as well. This means animals and children can touch the surface of an infrared heater without being burned.

2. Minimal Maintenance

Nobody wants to be burdened with a bunch of maintenance tasks. Because infrared heaters have no moving parts, maintenance is minimal. There are no motors to wear out, air filters to replace or lubrication required. Your infrared heater will need periodic cleaning of the reflectors and replacement of the heat source to ensure optimal performance.

3. Quick Heat Recovery

Some space heaters require a long cool-down time between being turned off and being turned back on. Infrared heaters will still provide the same strong, penetrating heat no matter how long it’s been after being turned off.

4. Infrared Heaters Heat Silently

When in noise-sensitive environments such as bedrooms or studies, finding a heater that doesn’t operate loudly is important. There are no moving parts or fan blades whirring on infrared heaters, therefore they deliver heat silently.

5. Comfortable, Gentle Heat


Infrared heaters can make you comfortable indoors no matter what the temperature is outdoors. Inside the heater, a  hot coil is wrapped into a circle so that all of the heat can be transferred evenly. The heat produced is reflected by a special polished metal, a reflector, and the heat can be felt several yards in front of the heater.  Also, infrared heaters aren’t affected by drafts or wind.

6. Infrared Heaters Provide Instant Heat

Instead of warming the air like other conventional heaters, infrared heaters heat objects directly in their paths. Heating the air wastes energy and the benefits of the heat aren’t felt immediately. The rays produced by infrared heaters penetrate and warm you beneath the skin. The infrared rays radiate outward, heating all nearby objects, producing a widespread effect. This all happens immediately, with no need to wait for the heat to buildup.

7. Cost Effective

The benefit of any space heater is zone heating. With an infrared heater, heating only the parts of your home that you’re using at any given time is possible. When you aren’t heating your entire home, you’ll save money on your heating bill. Infrared heaters can save you up to 30-50% on heating costs. Actual savings vary depending on insulation, ceiling height, type of construction and other factors.

8. Environmentally Friendly

This day in age, the earth’s resources must be used responsibly. Infrared heaters operate without any carbon combustion, no toxic by-products of combustions, no open flame, and no fuel lines to leak. They add nothing to the air and take nothing away from the air, making them environmentally friendly.

9. Energy Efficient

Infrared heaters use a substantially lower amount of energy than conventional heaters. Some infrared heaters can operate on as low as 300 watts of electricity and 800 watts is enough power to provide heating to a room. The reflective metal used in its design transfers almost 100 percent of the heat created. Also, there’s no need to turn on the heater in advance to pre-heat the room because heat is delivered instantly.

10. No Dry Heat

Unlike conventional heaters that draw moisture out of the air as a part of their heating process, infrared heaters don’t produce dry heat. This way you can avoid uncomfortable side effects such as itchy eyes and throat.

For any questions about the benefits of infrared heaters, or to browse a wide selection of models, feel free to visit  Air & Water, Inc.


Link to original source:

Categories : Lifestyle Tips
Comments Comments Off

New Insulin Delivery Recommendations

Posted by: | Comments Comments Off

If you inject insulin for the treatment of diabetes, BD would like you to know that Mayo Clinic Proceedings recently published New Insulin Delivery Recommendations that review the golden rules of insulin injection.1

The correct injection technique can help you achieve better control of your diabetes.2,3  Your pen needle or insulin syringe, type of medication and rotation of injection sites all play critical roles, which can lead to better treatment results.2  Consult your healthcare provider for more information or questions.


Golden Rule – Injection Technique


circle8Inject your medication into areas on your abdomen, thighs, buttocks and upper arms.1

It’s important to make use of all these injection sites as part of a healthy injection site rotation plan.

It’s important to rotate your injection sites to help keep all of your sites healthy. Work with your healthcare team to develop an injection site rotation plan that works for you.1



Inject one finger’s width away from your last injection. A single injection site should not be used more than once every four weeks.1


BD NanoTM   4mm Pen Needles


  • Preferred by patients4
  • Less effort to inject medication for people with hand strength issues4**
  • The smallest, thinnest BD pen needles was rated as less painful and easier to insert4**
  • Faster Injections4**
  • Fits leading insulin pens for diabetes treatment

BD NanoTM   4mm Pen Needles


  • Smaller and thinner than other insulin syringe needles for a more comfortable injection1,5*
  • In a 2010 study, preferred by 80% of patients over their current insulin syringe6**


* Study conducted in subjects with BMI > 30 kg/m2.
** Compared to standard BD thin-wall pen needles.
✝ As of September 22, 2016.



  1. Frid AH, Kreugel G, Grassi G, et al. New insulin delivery recommendations. Mayo Clin Proc. 2016;91(9):1231-1255.
  2. Frid AH, Hirsch LJ, Menchior AR, Morel DR, Strauss KW. Worldwide injection technique questionnaire study: injecting complications and the role of the professional. Mayo Clin Proc. 2016;91(9):1224-1230.
  3. Frid AH, Hirsch LJ, Menchior AR, Morel DR, Strauss KW. Worldwide injection technique questionnaire study: population parameters and injection practices. Mayo Clin Proc. 2016;91(9):1212-1223.
  4. Aronson R, Gibney MA, Oza K, Bérubé J, Kassler-Taub K, Hirsch L. Insulin pen needles: effects of extra thin-wall needle technology on preference, confidence, and other patient ratings. Clin Ther. 2013;35(7):923-933.e4. doi: 10.1016/j.clinthera.2013.05.020.
  5. Schwartz S, Hassman D, Shelmet J, et al. A multicenter, open-label, randomized, two-period crossover trial comparing glycemic control, satisfaction and preference achieved with a 31 gauge x 6 mm needle versus a 29 gauge x 12.7 mm needle in obese patients with diabetes mellitus. Clin Ther. 2004;26(10):1663-1678.
  6. Johansson UB, Amsberg S, Hannerz L, et al. Impaired absorption of insulin aspart from lipohypertrophic injection sites. Diabetes Care. 2005;28(8):2025-2027.
Categories : Treatment Trends
Comments Comments Off

Ordering Supplies and Equipment

A diabetes treatment plan is very important. Make sure you know how things should work. Carefully following any medication orders and instructions is vital to your plan's success. Make sure you don't run out of supplies just as you refill prescriptions so you don't run out of medication.

Here are some ways you can let us help you reorder supplies:

At Diabetes Management & Supplies, we value the part we play on your treatment plan team and realize that winning is promoting good health.