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Archive for May, 2014

May
30

Diabetes experts call for uniform pump training

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Insulin pump use is becoming more popular and a national group of diabetes experts are calling for more consistency in how pumpers are trained and educated to use their devices.

insulin-pump-for-childrenThere is a need for everyone connected to insulin pump use to get on the same page according to new guidance from the American Association of Clinical Endocrinologists (AACE).

The group of diabetes specialists acknowledges that pumps have become more sophisticated, and in order to get the best benefit, training programs should be developed.

The statement, published in Endocrine Practice, is an update to an earlier guidance from 2010 and offers recommendations for patients with both type 1 and type 2 diabetes on pump therapy.

Insulin pumps are small computerized devices that deliver insulin in two ways:

  • In a steady measured and continuous dose (the “basal” insulin)
  • As a surge (“bolus”) or an extra amount of insulin taken to cover an expected rise in blood glucose, often related to a meal or snack, at your direction, around mealtime.

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.

Also see: Survey offers insight on pump therapy

May
27

Women, children focus of complication findings

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New findings shine light on the importance to combat type 1 and type 2 diabetes with the intent to avoid the life-altering complications that can result from those conditions. Studies recently released show that women with type 2 diabetes have a greater chance of developing heart disease and that a complication of type 1 diabetes can leave children with temporary decreased memory and attention capabilities.

Diabetic ketoacidosis (DKA), a serious type 1 complication, can cause temporary changes to the brain matter of children at the onset of the condition.

“Children and adolescents diagnosed with type 1 diabetes with diabetic ketoacidosis have evidence of brain gray matter shrinkage and white matter swelling,” said Dr. Fergus Cameron, head of diabetes services at Royal Children’s Hospital in Victoria, Australia. “While these changes resolve within the first week, there are associated residual cognitive changes — memory and attention — that are present six months after diagnosis.”

diabetes_testingNew evidence also sounds an alarm for women who are living with type 2 diabetes. Women are 44 percent more likely than men with diabetes to go on to suffer coronary heart disease, which is the leading cause of death in the United States.

Coronary heart disease is the narrowing of the small blood vessels that supply blood and oxygen to the heart. It is also called coronary artery disease. Chest pain or discomfort called angina is the most common symptom. Angina is the pain felt when the heart is not getting enough blood or oxygen.

The American Diabetes Association (ADA) urges those wanting the best chances to avoid complications to adopt treatment plans with “tight control.” Tight control is not easy.  Tight diabetes control means keeping your overall blood sugar levels as close to normal as possible.

Tight control efforts may keep you healthy and product for many more years, but you might need help getting it done. Diabetes Management & Supplies offers accredited diabetes education services that can make managing diabetes and other conditions an easier task. For more information on care management needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929 or email an educator at education@diabetesms.com.

Recent articles on complications:

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May
16

Self-Management services help fine tune skills

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bigstock-friendly-african-american-medi-49942391Sometimes we think that what we are doing to manage our diabetes is enough, but our blood glucose numbers don’t reflect that. There are health care professionals who specialize in diabetes who can help you figure out what you need to do to better manage your diabetes.

This brings to mind a patient who worked with the educators at the DMS Diabetes Self-Management Education center.

“Sam” was diagnosed with type 1 diabetes at the age of 13. That was more than 20 years ago. At the time of diagnosis, he went through a rigorous two-week education program where he learned about carbohydrate counting and meal planning, blood sugar testing, and how to inject and adjust insulin.

Even though he had been educated a while back and thought he was doing fine, in reality he had forgotten some things that could help him better manage his diabetes. He also was not aware of some of the most recent information regarding the treatment of diabetes.

His A1C level (the three-month average of blood sugar test) has dropped to a normal level and he is feeling better. Just like Sam, working with diabetes educators can help you get back on track and insurance companies, Medicare and Medicaid have benefits that cover this service.

Diabetes Management & Supplies offers accredited diabetes education services that can make managing all forms of diabetes easier tasks. The program is accredited by American Association of Diabetes Educator’s Diabetes Education Accreditation Program (DEAP). This accreditation means that it meets the National Standards for Diabetes Self-Management. The program focuses on the AADE7™ Self-Care Behaviors which are:

  • Healthy eating
  • Being active
  • Monitoring
  • Taking medication
  • Problem solving
  • Healthy coping
  • Reducing risks

Certified diabetes educators teach patient’s either individually and/or in small group settings. Our registered dietitians also provide medical nutrition therapy for those in need of additional and disease-specific nutritional counseling. For more information on care management needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929 or email an educator at education@diabetesms.com.

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May
15

Researchers look for Type 1 longevity secrets

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Many people who have lived with Type 1 diabetes for 50 years never expected to see their senior years. The tides are changing, however, and it is becoming increasingly common among people with Type 1 diabetes to live much longer than expected.

A Canadian study is underway to find out the secrets to long life with Type 1 diabetes, also known as juvenile diabetes. “We are now seeing that people with Type 1 diabetes can live for a lot longer than we had initially thought,” says Dr. Bruce Perkins, an endocrinologist at Mount Sinai Hospital in Toronto who is heading the national study.

The Diabetes Management & Supplies Learning Center explains that while the cause of Type 1 diabetes is unknown, it is believed to be an autoimmune disorder. These conditions occur when the immune system mistakenly attacks and destroys healthy body tissue. With Type 1 diabetes, an infection or some other trigger causes the body to destroy the cells in the pancreas that make insulin.

Diabetes Management & Supplies offers accredited diabetes education services that can make managing all forms of diabetes easier tasks. For more information on care management needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929 or email an educator at education@diabetesms.com.

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May
12

Diabetes treatment plan road map to success

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A diabetes treatment plan is your strategy to stay on top of your health. Monitoring your blood sugar, tracking and taking drugs are crucial. The directions are given, but they must be carried out to change things. You may have many medical professionals, but you complete the team.

Here are some things you can do to take charge of your health:

  • Follow healthy meal plans best for your unique needs
  • Keep up with your medications and store them right
  • Take your insulin or medications as instructed
  • Monitor and test your blood sugar
  • Keep good records of your reads
  • Share those readings with your doctor or diabetes educator

You have learned the basics about drugs and testing. Now is a good time to ask specific questions about your treatment plan. Make sure you know how things should work. Take steps to change your routine if something is not working right.

The American Diabetes Association (ADA) urges those wanting the best chances to avoid complications to adopt treatment plans with “tight control.” Tight control is not easy.  Tight diabetes control means keeping your overall blood sugar levels as close to normal as possible.

Tight control efforts may keep you healthy and product for many more years, but you might need help getting it done. Diabetes Management & Supplies offers accredited diabetes education services that can make managing diabetes and other conditions an easier task. For more information on care management needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929 or email an educator at education@diabetesms.com.

Visit the ADA for more on tight control in diabetes treatment plans

May
08

Knowing health numbers, labs aid control

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Diabetes will affect a variety of areas in the body and staying in control means staying abreast of the facts and stats of your specific health. Below is a listing of recommended exams, tests and vaccinations for people living with diabetes. Understanding the importance of all of these items is crucial to reducing the risks associated with diabetes.

Many tests and statistics become important like the A1C. The A1C test (or hemoglobin A1c test) is recommended every 3 to 6 months. It tells the doctor and patient the average blood sugar level over the last 2-3 months. It is not the same as the finger stick blood test done at home. Frequent higher blood sugar levels will lead to a higher A1C.

Prolonged high blood sugars will damage organs and body systems making numbers like blood pressure and weight a part of your overall health picture.

The American Diabetes Association (ADA) has long warned that diabetes increases the risk of stroke. A stroke happens when the blood supply to part of your brain is suddenly blocked damaging the brain tissue. Most strokes happen because a blood clot blocks a blood vessel in the brain or neck. A stroke can cause movement problems, pain, numbness and issues with thinking, memory or speaking.

Recommended at every visit:

  • Blood pressure
  • Weight
  • Brief Foot Inspection.

Recommended lab tests:

  • A1C
  • Microalbuminuria
  • Blood cholesterol
  • Eye Exams
  • Foot Exams
  • Dental Exams
  • Recommended Vaccinations – Flu shot
  • Pneumococcal Vaccination

Diabetes Management & Supplies offers accredited diabetes education services that can make managing diabetes and other conditions an easier task. For more information on care management needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929 or email an educator at education@diabetesms.com.

Visit the DMS Learning Center for more detail: Recommended Diabetes Exams and Tests

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May
02

Self-Management an important tool for success

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An important tool to controlling diabetes is proper education and training.  People with diabetes or those at risk for developing diabetes must obtain the knowledge and learn the skills necessary to manage the disease.  This will lead to a healthier life and help to avoid complications of uncontrolled diabetes.

DEAP_logo-300x162The DMS Diabetes education program is accredited by American Association of Diabetes Educator’s Diabetes Education Accreditation Program (DEAP). This accreditation means that it meets the National Standards for Diabetes Self-Management. The program focuses on the AADE7™ Self-Care Behaviors which are:

  • Healthy eating
  • Being active
  • Monitoring
  • Taking medication
  • Problem solving
  • Healthy coping
  • Reducing risks

Certified diabetes educators teach patient’s either individually and/or in small group settings. Our registered dietitians also provide medical nutrition therapy for those in need of additional and disease-specific nutritional counseling.

Diabetes Management & Supplies offers accredited diabetes education services that can make managing diabetes and other conditions an easier task. For more information on care management needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929 or email an educator at education@diabetesms.com.

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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.