pain medicine

Archive for Treatment Trends

Apr
10

Fasting Safely

Posted by: | Comments Comments Off

spoonDuring the month of April, people of various faiths will celebrate holidays that will include religious or spiritual fasting. Lenten fasts of no meat on Fridays to the week-long and a day Passover ritual of abstaining from leaven breads, are religious practices and cultural beliefs that are followed by individuals of all ages and walks of life. Among the many who will fast are those with diabetes.

Generations of people who have Type 1, Type 2, or gestational diabetes, will celebrate their faith by limiting their intake of food, water or both items for one meal, a whole day, or even for several days.

The limitation of food or fluid intake for even just one meal can have an effect on a person with diabetes, therefore, it becomes important for those with the disease to recognize the symptoms of a potential hypoglycemic episode, to know how to adjust insulin to match carbohydrate intake, to alter physical activity and to understand how to use medical technologies to help them maintain good glucose management while they practice their religious observances.
Tips for fasting safely:
  • Always speak with your doctor or health care provider or diabetes educator before starting a fast.
  • Wear diabetes medical alert jewelry - bracelet, necklace, dog tags - at all times.
  • Keep emergency contact information on you where it can be quickly found.
  • Understand that fasting can affect medication regimes – a change in eating schedules can directly affect when medications are taken.
  • Check blood glucose more frequently.
  • Do remember for many religions, there are exemptions from participating in the fast if doing so would jeopardize the health and safety of the individual.
Comments Comments Off
Apr
10

A Boy and His Dog

Posted by: | Comments Comments Off

casey

For the past ten months, eight-year-old Casey has had a new four-legged playmate and cuddle buddy named Beamer. Beamer isn’t a small dog by any means, but Casey’s mom, Courtney, doesn’t have any complaints. After all, Beamer is more than just her son’s best friend, he is a diabetes alert dog with the mission to help Casey stay healthy.

Casey has Type 1 diabetes, a chronic illness caused by the body’s inability to produce insulin. Insulin is a hormone that the body needs to get glucose from the bloodstream into the cells of the body. People living with the disease must maintain stable blood sugar levels to avoid low (hypoglycemia) or high (hyperglycemia) blood sugar events before they become dangerous. People living with diabetes depend on insulin therapy and other treatments to manage their condition.

Raising a child with diabetes can be challenging, to say the least. However, Casey’s family sought new ways to help manage the condition. His mom reached out to a company that trains and supplies service dogs to patients in need. Despite the costly $25,000 price tag, the family set out on a mission to purchase a service dog for Casey. They began a recycling drive by collecting cans and bottles from their community. For an entire summer, Casey hand delivered the recyclables collected and cashed them in himself. As word got out about their story, supporters started making donations. In the end, as a result of the family’s hard work and the community’s backing, they were able to make the full payment.

Beamer, their Labrador Retriever, joined the family the following May, and that’s when the fun really started. The company that provided Casey with Beamer, organized a trip to Disney for patients and their service animals. This trip helped with the adjustment phase of transitioning Beamer in to the family, which can sometimes be tough, but nothing bonds a pair like sharing a seat on the tea-cup ride at one of the most beloved theme parks in the world. Beamer joined Casey and their new friends on “the best Disney trip ever.”

Companionship is only one benefit of having a diabetes alert dog. Courtney shares that Beamer’s presence can indeed be comforting during late nights when she checks Casey’s blood sugar. Beamer’s real skill lies in noticing Casey’s lows and highs, especially during times when they are not expecting his levels to be imbalanced. Such a fail-safe can be a huge blessing to the minds and hearts of parents raising children with diabetes.

As for her advice to parents considering alert dogs for their own children, Courtney says that service dogs are a wonderful addition to the family, but they can also mean a lot of extra work. It’s important to make sure the child is on board with the extra tasks that come along with their new companion and helper.

Is a diabetes alert dog the right fit for your family? Talk to your physician and your child and spend the necessary time processing the decision. Service animals aren’t for everyone, but those willing to put in the time and work required will find themselves with an amazing new member of the family.

Comments Comments Off
Nov
15

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

circle5

Remember:

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

BDUF_PenNeedle

  • 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

BD_Syringes

  • 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.

 

References

  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
Oct
06

Flu season precautions start in October

Posted by: | Comments Comments Off

flu-seasonThe Influenza Season should raise caution flags for both adults and children living with diabetes. Persons who are Type 1 or Type 2 are not more likely to catch the flu, but they are at a higher risk of serious flu complications, often resulting in hospitalization and sometimes even death. Complications that can develop from the flu include pneumonia, bronchitis, sinus infections and ear infections.

The flu also can make chronic health problems, like diabetes, worse. This is because diabetes can make the immune system less able to fight infections. In addition, illness can make it harder to control blood sugar. The illness might raise sugars, but sometimes people don’t feel like eating when they are sick, and this can cause blood sugar levels to fall. So it is important to follow the sick day guidelines  for people with diabetes.

Everyone 6 months and older should get a yearly flu vaccine by the end of October, if possible, but getting vaccinated later is OK. Vaccination should continue throughout the flu season, even in January or later. Some children who have received flu vaccine previously and children who have only received one dose in their lifetime, may need two doses of flu vaccine. A health care provider can advise on how many doses a child should get.

The diabetes educators at Diabetes Management & Supplies can help educate and prepare individuals for the challenges of diabetes. For more information on the DMS diabetes education services, call our Education Department at 1-888-738-7929 or email education@diabetesms.com.

Related: Nasal sprays, FluMist out this year

Comments Comments Off
Aug
14

Cloud-assisted blood sugar monitoring near

Posted by: | Comments Comments Off

dxcm3_large

cgm_googleThe future of glucose monitoring seemed very promising after a recent announcement that Dexcom, a leader in Continuous Glucose Monitoring (CGM), announced plans to partner with Google to provide the next generation of monitoring technology that will involve smaller sensors and data stored “in the cloud” for instant archiving and record-keeping.

Dexcom will work with the new Google Life Sciences company to make bandage-thin CGM devices. Google Life Sciences, a part of the parent company Alphabet, is one of the companies created in a recent Google corporate reshuffling.

CGM devices give glucose readings continuously through the day. This helps people with diabetes track their blood sugar levels in more effectively. Blood sugar monitors use finger sticks for each reading, but CGM can provide up to 288 glucose readings a day. Most CGM users have type 1 diabetes, but some patients with type 2 diabetes who are insulin-dependent also use CGM.

Diabetes Management & Supplies is a certified distributor of Continuous Glucose Monitoring devices and a provider of diabetes education and insulin pump training. For more information on CGM, insulin delivery or training needs, call our Education Department at 1-888-738-7929.

For more on this CGM advancement, see:

Sep
03

Recent studies: small babies, big adults at risk

Posted by: | Comments Comments Off

weight_combo

Weight is a common factor when discussing diabetes. Two unrelated studies released this week, however, show how opposite ends of the weight issue can lead to the development of diabetes. Babies born at low birth weights and adults with higher than normal weights were shown to have an increased risk of developing diabetes.

Boston University researchers studied more than 20,000 black women ranging from age 21 to 69. They looked at many factors and focused on birth weight and cases of type 2 diabetes later in life.  Babies born at 5.5 pounds or less were 13 times more likely to develop diabetes. Babies born under or near 3 pounds were 40 percent more likely to develop diabetes in adulthood.

The connection between birth weight and adult-onset diabetes is seen in other demographics. Black women were studied because that group is more likely to have low birth weights and is also seen to have higher than normal cases of diabetes. The researchers feel that low birth weight leads to poor lipid regulation and problems with the pancreas.  They also point to theories that low weight at birth and diabetes share the same genetic source.

An unrelated study also released this week looked at the factors linked to the large increase in U.S. diabetes cases. The number of diabetes cases doubled from 1976 to 1980 and doubled again from 1999 to 2004.  The team concludes that skyrocketing obesity is the greatest factor in the diabetes epidemic.

Andy Menke, the lead researcher, explained that there has been a substantial increase in obesity in the U.S. population during the study period. Other factors linked to diabetes include race, ethnicity and age.

For more, 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
21

Gout drug may lessen diabetes kidney damage

Posted by: | Comments Comments Off

diabetesThe use of a gout drug could help people living with diabetes avoid kidney problems.  Allopurinol is the generic name of a drug used to treat gout. When high levels of uric acid gather in the body, gout is the result.

Several research groups have formed PERL or “Preventing Early Renal Function Loss in Diabetes.”  They will study the effects of allopurinol on people with type 1 diabetes. The three-year study will test if the uric-acid cutting drug will also lower kidney damage.

New regimens have been introduced over the past 20 years. Blood sugar and blood pressure controlling drugs have not decreased the number of ESRD cases or end-stage renal disease.

Kidneys are made up of millions of small blood vessels. The vessels act as filters cleaning waste products from the blood. Diabetes can cause this filtering system to break down leading to kidney failure.

Consistently higher blood sugar levels make the kidneys filter too much blood. Over time, the filters start to leak and protein leaks into the urine. A person with ESRD would need a kidney transplant or start blood-filtering treatments using a dialysis machine for survival.

Allopurinol lowers the uric acid that causes gout. PERL researchers also hope uric acid reduction will protect kidneys when diabetes is present. The drug is on the market under the brand names Aloprim,Lopurin and Zyloprim.

The study will use subjects with type 1 diabetes, but it is hoped that one day the drug also could help those with type 2 diabetes.

For more on the study and kidney damage:

Categories : Treatment Trends
Comments Comments Off
Jul
31

Knock-knock: Insulin opens door for energy use

Posted by: | Comments Comments Off

insulin5The term “insulin” is easily associated with diabetes. While many people may consider it to be only a diabetes drug, it is a natural substance produced by the body. The pancreas is a small organ that creates insulin. The cells in the body need blood glucose (sugar) from carbohydrates for energy, but blood sugar can’t go directly into the cells without some help.

Enter insulin – the key that unlocks the cell door.

When you eat, blood sugar rises as the food provides a new stream of energy. The beta cells in the pancreas get a signal to release insulin into the blood. Insulin then attaches to the cells and allows the sugar to be absorbed and used for fuel.

Insulin is important to keep balance in the bloodstream. It keeps blood sugar levels from getting too high, preventing a condition called hyperglycemia. If also keeps blood sugar levels from being too low, preventing a condition called hypoglycemia.

In people with type 1 diabetes, the pancreas does not produce insulin so they will need to take insulin injections to keep blood glucose levels under control. People with type 2 diabetes also can use injected insulin to control blood sugar. Insulin is often used with pills to treat type 2 diabetes.

Afrezza-from-MannKindThe latest treatment trend involved inhaled insulin. First, insulin is made into a powder form. The tiny particles of insulin would then be put inside of an inhaler similar to that used by people with asthma. The fine powder is then inhaled into lungs and eventually is released into the bloodstream. This process is still being perfected, but you can read more in our earlier blog item: FDA approval opens door for inhaled insulin.

The diabetes educators at Diabetes Management & Supplies can help take the guess-work out of your medication and treatment plan. For more information on insulin delivery or training needs, call our Education Department at 1-888-738-7929.

Comments Comments Off

miss_idahofullChildren and adults living with diabetes are getting new inspiration from Miss Idaho who competed in her state’s pageant proudly wearing her insulin pump to the outside of her bikini bottom. Sierra Sandison, 20, not only won the pageant, but also inspired the masses with her hast tag challenge #ShowMeYourPump.

Sandison said “show me your pump” and her social media photo received nearly 5,000 likes and more than 3,000 shares. She also inspired several people to post pictures of themselves or their children proudly wearing insulin pumps.

As our understanding of diabetes increases, people living with diabetes are being given an expanded tool box of products and devices that can be used for treatment and daily management. Insulin pumps have been used since the 70s so as a category they are not new. They have, however, increased in popularity as the technology associated with them has evolved. Insulin delivery through a pump is popular with people with extremely busy lifestyles and the pumps may provide a more stable, consistent blood sugar control.

The American Diabetes Association (ADA), offers an Insulin Pump 101 for those new to pumping and as an update on the latest features of the new class of insulin pumps. The pump parts and associated terminology are explained.

The diabetes educators at Diabetes Management & Supplies can help you decide if pump therapy is right for you and help take the fear out of using an insulin pump.

They can also provide insulin pump training on all major insulin pumps. Working with your doctor, the educators can also help pumpers improve their control by helping them fine tune pump settings and avoid fluctuations in blood glucose as well as other pump and infusion site issues.

In addition to pump therapy, our educators can also teach people with diabetes how to use a CGM. For more information on specific monitoring or insulin delivery needs, call our Education Department at 1-888-738-7929.

miss_idahoSandison is determined to pass her pump pride to the masses.  “When I first started competing, I was using injections rather than a pump,” she wrote. “I didn’t want people to see a weird-tubey-machine-thing attached to me all the time, and could not wrap my head around having a medical device on my body for the rest of my life.

“Then, I heard about Nicole Johnson: Miss America 1999,” she wrote. “She wore her pump while competing at Miss America. My whole perspective changed.”

Now, your turn! Please share your experiences with us here or on the DMS Facebook page. You can also reach us through Twitter at @DiabetesMS. Show the world that while you have diabetes, diabetes does not have you … Show us your pump! #ShowMeYourPump

 

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.