pain medicine

Archive for Diabetes Education

Aug
27

Planning key when school, diabetes mix

Posted by: | Comments Comments Off

medicalchecklist_lr

Attending school or getting a child with diabetes ready for school presents an added challenge. School supplies and pencils and pens are joined by diabetes testing supplies, needles or insulin pens. Proper planning and measures, however, can counter the anxiety and stress.

A parent of a child with diabetes should first contact the school and connect with the school nurse. A health plan specific to the child should be carefully crafted with providers or a diabetes care team. The child must be properly educated to safely attend school and the school must be prepared and educated on the exact needs of any child living with diabetes.

The Joslin Diabetes Center makes some basic points to cover with school and diabetes mix:

  • Know the school’s policies
  • Create a plan specific for each person
  • Provide the school with a container of supplies
  • Investigate the cafeteria and menu plans
  • Select a means for disposal of sharps
  • Have a plan for field trips and special events

Students who qualify for services under the Individuals with Disabilities in Education Act (IDEA), should have an Individualized Education Program (IEP). This is the document that sets out what the school is going to do to meet the child’s individual educational needs. There are a lot of specific rules about developing an IEP, reviewing it, and what it must contain. Because IEPs are so detailed and have specific requirements, school districts often use their own form. Although students with diabetes who qualify for services under IDEA are also covered by Section 504, there is no need to write two separate plans. Diabetes provisions should be included in the IEP.

The term “504 Plan” refers to a plan developed to meet the requirements of a federal law that prohibits discrimination against people with disabilities, Section 504 of the Rehabilitation Act of 1973 (commonly referred to as “Section 504”).

A 504 Plan sets out the actions the school will take to make sure the student with diabetes is medically safe, has the same access to education as other children, and is treated fairly. It is a tool that can be used to make sure that students, parents/guardians, and school staff understand their responsibilities and to minimize misunderstandings.

The American Diabetes Association recommends that every student with diabetes have a Section 504 Plan or other written accommodations plan in place.

Students leaving for college should also take steps to prepare for the new demands of college life and the continued health needs of living with diabetes.

For more, visit: Back to School with Diabetes | The Basics or Written Care Plans for School

May
22

Heat and insulin: Know the facts, plan ahead

Posted by: | Comments Comments Off

Extreme temperatures can affect insulin and make it unsafe or less effective in controlling blood sugar. The rules have changed from previous times when insulin used to control diabetes was beef or pork insulin. Unopened insulin is stored in the refrigerator and once opened the various types of insulin can be stored at or near room temperature for a little less than a month. Please consult your packaging for exact temperatures and storage length for your prescription.

The original pork and beef insulin formulations were supposed to be kept cold all the time. Those cold insulin injections create a sting so the move to being able to keep the newer human insulin at room temperature was a big step in the comfort of people taking daily shots.

The American Diabetes Association offers these tips for storing insulin:

  • Do not store your insulin near extreme heat or extreme cold.
  • Never store insulin in the freezer, direct sunlight, or in the glove compartment of a car.
  • Check the expiration date before using, and don’t use any insulin beyond its expiration date.
  • Examine the bottle closely to make sure the insulin looks normal before you draw the insulin into the syringe.
Comments Comments Off
May
22

Follow precautions to keep summer fun, safe

Posted by: | Comments Comments Off

People living with diabetes should not wait until temperatures approach 100 to take precautions. According to the National Weather Service, individuals with diabetes should begin taking precautions when the heat index reaches 80 or 90 to avoid heat stroke, sunstroke, and other problems.

Getting plenty of water and avoiding long periods of unprotected exposure to the sun are simple steps that might help.

It is common to protect insulin from temperature extremes, but health care providers or diabetes educators should be asked about the harm that high temperatures can cause to oral medications, glucose monitors, strips and insulin pumps.

Visit WebMD for more on preparing or summer with diabetes

Comments Comments Off
Jan
20

This is a test: Best repeated tomorrow!

Posted by: | Comments Comments Off

0127-accu-chek-aviva-meterPeople living with diabetes are given a host of numbers in reports from their doctor’s visits. Those numbers are very important, but should be paired with the information that can be gained every day through home monitoring of blood sugar.

Blood sugar testing is very important because it helps you manage your diabetes on a day-to-day basis. Blood sugar numbers help you to understand and take control of your diabetes.

Tools used at home to test and monitor blood sugar levels include blood glucose meters and Continuous Glucose Monitoring devices. Speaking with your doctor or another member of your diabetes treatment team will help you decide which monitoring method is best for you.

When and how many times to test your levels each day will vary from person to person so you should follow the specific testing schedule your physician has established with you. Many schedules may call for once-daily testing while others require two or more testing time that might be before or after meal.

Comments Comments Off
Jan
20

NoYo#: Know Your Numbers to reach goals

Posted by: | Comments Comments Off

Daily blood sugar levels plus lab reports are just two tools needed to develop a road map to diabetes management success.  Knowing those numbers tells you where you are, but goals represent where you would like to be.

A lab report crucial to your goal-setting is your A1C level also known as hemoglobin A1C or HbA1c. The A1C is a common test for type 1 and type 2 diabetes. It measures how well diabetes is managed over a period of time instead of just one instance. An A1C reading of 6.5 is the usual indicator of a diabetes diagnosis.

a1c

A1C test recommendations

  • Every 6 months when you are meeting treatment goals and have stable blood sugars.
  • Every 3 months when therapy has changed or if you are not meeting blood sugars targets.
  • Used by physician to allow for timely decisions on therapy changes.
  • In-home testing may be done with across the counter testing device called A1C Now®.  See this at www.a1cnow.com

When setting goals, it is important to strive for noted, but reasonable change. Home testing may be recorded each day, but it might take three to six months to evaluate the big picture and see true progress or regression. Be very patient and don’t expect to drive your averages down or up like the numbers on a scale. Slow and steady not only wins the race, but it also provides a safe playing field for your diabetes treatment plan.

Comments Comments Off
Oct
23

Vaccination best precaution in avoiding the flu

Posted by: | Comments Comments Off

flu-seasonThe nation is preparing for the start of the influenza (flu) season and people living with diabetes should make sure their fall plans include getting vaccinated against the flu. The U.S. flu season runs from late November until March. Because of changes in the various strains, last year’s flu shot will not protect you as a new season begins.

The Flu is a respiratory infection caused by a number of viruses. These viruses are “airborne,” which means they pass through the air and enter the body through the nose or mouth. Each year, the flu is caught by 5 to 20 percent of the U.S. population. The flu can be serious or even deadly for elderly people, newborn babies, and people with chronic illnesses like diabetes.

Symptoms of the flu come on suddenly and are worse than those of the common cold.

  • Body or muscle aches
  • Chills
  • Cough
  • Fever
  • Headache
  • Sore throat

Many people confuse catching a cold with the flu. Colds rarely cause fever or headaches. The flu rarely causes an upset stomach. The condition often called the “stomach flu” isn’t influenza at all, but gastroenteritis.

Most people who get influenza will recover in a few days to less than two weeks, but some people will develop complications (such as pneumonia) as a result of the flu. Complications of the flu can be life-threatening and result in death.

Pneumonia, bronchitis, sinus and ear infections are examples of complications from flu. The flu can make chronic health problems worse. For example, people with asthma may experience asthma attacks while they have the flu, and people with chronic congestive heart failure may experience worsening of this condition that is triggered by the flu.

People living with diabetes are at greater risk of developing serious complications from the flu and are at a greater risk of having to be hospitalized after contracting the flu. Because of this increased risk, the flu shot should be considered mandatory for people with diabetes.

Also see:

Comments Comments Off
Oct
23

Sick-day guidelines for people with diabetes

Posted by: | Comments Comments Off

If you have diabetes – even if your blood sugars are in good control – and are sick with flu-like illness, you should follow these additional steps:

  • Be sure to continue taking your diabetes pills or insulin. Don’t stop taking them even if you can’t eat. Your health care provider may even advise you to take more insulin during sickness.
  • Test your blood glucose every four hours, and keep track of the results.
  • Drink extra (calorie-free) liquids, and try to eat as you normally would. If you can’t, try to have soft foods and liquids containing the equivalent amount of carbohydrates that you usually consume.
  • Weigh yourself every day. Losing weight without trying is a sign of high blood glucose.
  • Check your temperature every morning and evening. A fever may be a sign of infection.
    Call your health care provider or go to an emergency room if any of the following happen to you:

    • You feel too sick to eat normally and are unable to keep down food for more than 6 hours.
    • You’re having severe diarrhea.
    • You lose 5 pounds or more.
    • Your temperature is over 101 degrees F.
    • Your blood glucose is lower than 60 mg/dL or remains over 250 mg/dL on 2 checks.
    • You have moderate or large amounts of ketones in your urine.
    • You’re having trouble breathing.
    • You feel sleepy or can’t think clearly.

Also see Take Charge of Your Diabetes: Taking Care of Yourself When You Are Sick

Source: U.S. Centers for Disease Control

Comments Comments Off
Sep
03

‘Go nuts’ and reduce your diabetes risk

Posted by: | Comments Comments Off

Pistachio_HeartDiabetes develops in stages and for many, the state of pre-diabetes will be seen before full-onset diabetes is diagnosed. Researchers in Spain set out to prove that eating pistachios every day will not only slow down this progression, but also reduce the risks associated with diabetes.

Two groups of people with pre-diabetes were followed in a recent study. Both groups were on a reduced calorie diet. One group, however, was given 2 ounces of pistachios a day.  The pistachio-eating group showed significant drops in blood sugar and marked improvement in insulin and blood sugar processing. This group also had a dramatic drop in inflammation.

The Spanish study used pistachios, but previous studies and research has found that eating nuts can lead to lower risk of heart disease and drops in cholesterol.

The Diabetes Management & Supplies Web Learning Center includes resources related to pre-diabetes and other forms of diabetes. It explains that pre-diabetes was once called borderline diabetes. A person is pre-diabetic when their fasting blood sugar is between 100 and120. A pre-diabetes diagnosis is also given with an A1c test result between 5.6-6.5%. As its name suggests, left unchecked, pre-diabetes develops into type 2 diabetes.

These higher than normal blood sugars are the result of insulin resistance, a medical term to describe the circumstances of the pancreas producing insulin to lower blood sugar, but the body resisting it. High blood sugar is the result.

For more discussions, visit:

Comments Comments Off
Aug
21

There’s an app for that: Phone diabetes testing

Posted by: | Comments Comments Off

G_mate_monitoringThe technology to test and manage blood sugar results from smartphones took a big step this week. The Philosys group received 501K approval from the U.S. Food and Drug Administration (FDA) for the Gmate SMART Blood Glucose Monitoring System.

The Gmate SMART meter is not much bigger than a quarter. It connects to the headphone jack on the iPhone, iPod touch or iPad. It will use a free app to deliver blood glucose test results, without the use of an adapter or Bluetooth device.

The Gmate system will offer features such as goal setting, graphing, and the ability to email or text blood glucose test results directly to members of a diabetes care team.

Philosys is based in South Korea. Sales senior vice-president Mike Tickle said the company continues its efforts to be a technology leader for the diabetes mobile monitoring arena.

The American Diabetes Association (ADA) suggests talking to your doctor about whether you should be checking your blood glucose. People that may benefit from checking blood glucose include those:

  • Taking insulin
  • That are pregnant
  • Having a hard time controlling blood glucose levels
  • Having low blood glucose levels
  • Having low blood glucose levels without the usual warning signs
  • Have ketones from high blood glucose levels

The American Association of Diabetes Educators (AADE) lists Monitoring among its seven self-care behaviors for people living with diabetes. The actions are often seen as goals ensuring improvement and the best control of blood sugar levels.

The following video shows how the device is used and some of its features.

For more information, visit:

Comments Comments Off
Aug
15

Healthy eating key piece of treatment plan

Posted by: | Comments Comments Off

food_bagEating a balanced diet means your diet contains all the necessary food groups including carbohydrates (carbs), proteins and fats.

Carbohydrates, when broken down, turn into sugar. Too many carbs at one time can cause your blood sugar to go too high. The amount of carbs that you should eat at one meal depends on the individual. Contact a diabetes educator or a dietician for a customized meal plan.

The American Diabetes Association (ADA) has a simple principle that explains all carbohydrates are created equal: A carb is a carb is a carb! It is important to understand that sucrose (table sugar) and other sugars do not create a more harmful effect on blood sugar and they are not absorbed more rapidly than starches. The totalamount of carbohydrates eaten will have more of an effect on blood sugar levels than the source of the carbohydrate.

A healthy eating regimen doesn’t just help control blood sugar. It also can have a positive effect on other conditions like obesity, hypertension and heart disease.

Diabetes Management & Supplies offers diabetes self-management and diabetes education services. For more information on specific nutrition needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929 or email education@diabetesms.com.

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.