Sleep Tight: Nighttime Routines for Children with Diabetes

Caring for children with diabetes doesn’t have to cause sleepless nights; learn to manage their condition overnight and prevent episodes of nocturnal hypoglycemia.


If your child has been diagnosed with diabetes, your mind is likely working overtime regarding how to best manage their health. You might even be worried about potential hypoglycemia while they sleep. Thankfully, with careful planning, you can put your worries to rest. Read on to learn more about nocturnal hypoglycemia and the need for nighttime checks on your child with diabetes.

  Nocturnal Hypoglycemia Explained

  Hypoglycemia occurs when the body’s blood glucose levels are too low. The term nocturnal hypoglycemia simply refers to the same occurrence during nighttime sleep. This condition is potentially very dangerous. While an episode of nocturnal hypoglycemia may wake your child up, it doesn’t always do so. If it occurs, wake the child, if not already up, and treat with fast-acting carbs like glucose tablets or gel.

 If left untreated, hypoglycemia can lead to your child experiencing seizures or even a coma. Because nighttime is the longest period of time your child is ‘unsupervised,’ doctors agree you should take a look at your child’s numbers every night before bed.

 What a Bedtime Routine Looks Like

 Your child likely already has a pre-bedtime routine that might involve a bath and a book or two. Go ahead and add a blood sugar check to the list. You should check your child’s levels every night not only for safety reasons, but also to track blood glucose patterns. Your child’s level should be 100 mg/dl or higher, but his physician can provide a more specific 'safe range’ depending on various criteria, including your child’s age, activity, and any illness.

 Prevention is Key

 If your child’s blood glucose is between 70 and 100 mg/dl at bedtime, give them a snack with 10 to 15 g of carbs, in addition to a little fat and protein. This will help keep levels stable all night. Some snack ideas include cheese and crackers, fresh fruit and cottage cheese.

 Don’t Forget Nighttime Checks

 In addition to checking levels before bed, you should also check them two hours after bedtime and at 3 a.m. Before you start wondering when you’ll ever get sleep again, understand these two checks during the night are only required until you establish a ‘stable dose.’ Then, continue to do the 3 a.m. check just once per week and whenever your child changes medication, dosage, or has increased activity. You’ll also want to add a nighttime check on the days your child is ill or had a unique meal.

 What to Do if Hypoglycemia Occurs

 If your child does experience nocturnal hypoglycemia, after treating it and then adjusting insulin levels the next day, make sure you discuss it with your child’s physician. Also, be sure to have a glucagon kit on hand just in case. Glucagon raises blood sugar levels quickly when someone is unconscious due to hypoglycemia. Although you may never use it, the kit is a good insurance policy in the event of a severe hypoglycemia incident.

 Though it might at first seem overwhelming, keeping your child’s diabetes in check is very manageable. At Focus Express Mail Pharmacy, we can answer any questions you have about your child’s medications, diabetes supplies, insulin pump and insulin pump supplies recommended for children. Let us help by calling 1-866-403-6287 or by visiting us online at . And, Check out The NightTime Cold Sweat Alarm!

Four Common Diabetes Myths Debunked.

Here are  four common myths  about diabetes and diet AND the real truth about managing the disease.


Diabetes may just be one of the most misunderstood health conditions out there. Since your diagnosis –and probably before it – you’ve likely encountered ‘experts’ claiming any number of so-called truths about the disease. News Flash! Many of them are myths. That’s right; good old fashioned untruths that are widely accepted. To be fair, the many myths surrounding diabetes are common and believed to be true simply due to a lack of knowledge. Let’s examine a few of the more popular myths and debunk them one at a time.

 Myth #1 : Carbohydrates are evil.

Truth: Carbohydrates greatly affect blood sugar levels.

 It’s sometimes assumed that once you’ve been diagnosed with diabetes you can never consume another carb in your life. While it is true that carbohydrates have the most impact on your blood sugar levels, they also contain nutrients your body needs, including fiber, vitamins, and other minerals. Because of their ability to sway blood sugar levels so drastically, you will need to closely monitor your carb intake. One way to still enjoy foods containing carbohydrates is by choosing the most nutrient-dense ones. Try whole-grain breads and high-fiber fruits and veggies such as apples, avocado, and carrots.

 Myth #2: Saying “no” to sugar will control your diabetes.

Truth: Sugar is simply part of the total carbohydrates that make up your diet.

 Some people believe avoiding sugar all together will help you manage your diabetes. Sugar is actually just one piece of your total carbohydrates puzzle. Of course, you have to monitor your sugar intake since it contributes to your overall glucose levels. That’s not quite the same thing, however, as abstaining from it completely. As you do at any meal, just calculate how many carbs you’re consuming. Check food labels and double check your serving sizes. Think of it as having a bank of carbohydrates you’re allotted each meal; do the math, and determine how much a certain food goes against that bank. Understanding the relationship between sugar and carbohydrates will help you develop a more balanced approach towards your diet.

 Myth #3: Take diabetes medications and you don’t have to monitor your diet.

Truth: Regardless of what medications you take, you always need to manage diet and exercise.

 This myth in particular might seem quite alarming. Sadly, the idea that taking medication negates the need to watch what you eat is both short-sighted and potentially dangerous. Both those with diabetes and those without need to keep nutrition and exercise a priority. Lifestyle, which includes nutrition and level of physical activity, is important to overall health whether or not you have a diabetes diagnosis. Medications, including your insulin pump, are a way to help manage your disease, but they should never override the responsibility you have to make healthy food choices and give your body the exercise it needs.

 Myth #4: Eating protein is better than eating carbohydrates.

Truth: Both protein and carbohydrates should be eaten in moderation.

 Since carbohydrates affect your blood sugar level the most, you might be tempted to skip them and stick to protein, protein, and more protein. Unfortunately, too much protein can lead to real health issues, especially for people with diabetes. The problem lies in the fact that protein-rich foods, such as that favorite cut of steak, are often filled with saturated fat. Too much of these types of fats can then increase your risk for heart disease. Typically, protein in a diabetes diet should make up just 15%-20% of your total daily caloric intake. Always check with your physician for more personalized diet recommendations. Just don’t make the mistake of continually swapping carbs for protein.

 Never Stop Learning about Diabetes

 One way to manage your diabetes is continually learning all you can about the disease, possible treatments, and your body’s response to a certain diet and exercise regime. It can feel overwhelming to filter all you hear and read about diabetes, which is why Focus Express Mail Pharmacy is here to help. We not only offer diabetes supplies and insulin pump supplies, we offer valuable expertise from experienced pharmacists. Whether you have questions about topics like those diabetes medical terms you keep seeing or about your new insulin pump, feel free to contact us online at or by calling toll-free    1-866-403-6287.

How to Treat Low Blood Sugars Quickly

How to appropriately handle low blood sugar is one of the keys to successfully managing diabetes.



Appropriately handling low blood sugar is one of the keys to successfully managing diabetes. Low blood sugar, or hypoglycemia, can lead to seizures or even loss of consciousness if not treated in a timely fashion.

Increasing Your Blood Sugar Level

Low blood sugar is defined as having less than 70 milligrams of glucose present in one deciliter of blood (mg/dl), as opposed to the normal range of 90 and 130 mg/dl. To increase your blood sugar quickly and effectively, you should consume between 15 and 20 grams of glucose or simple carbohydrates. This can take the form of diabetes supplies like glucose tablets or gel tubes; here it’s important to follow the instructions on the package label to avoid over-treating. Other good sources of simple carbohydrates include dried fruit, such as 2 tablespoons of raisins; half a cup of fruit juice or non-diet soda, or one cup of low-fat or nonfat milk; a tablespoon of honey or syrup, such as agave, maple or corn; or 15 grams worth (check the package label) of simple candies, such as jelly beans, gumdrops or hard candy.

Monitoring Your Blood Sugar Level

Once you’ve consumed those 15 grams of simple carbohydrates, wait 15 minutes and check your blood glucose level again. If your level is still low, consume another 15 grams, perhaps of a different type of simple carbohydrate (juice instead of syrup or candy, for example). When your blood glucose has returned to normal, check the clock. If your next planned meal or snack is more than one or two hours away, have a small, healthy, snack.

Treating Your Blood Sugar Level with Diabetes Supplies

Diabetes must be managed on a daily basis and if hypoglycemia is left untreated, very serious consequences, including coma, and even death, can occur. If your blood sugar is frequently low, contact your medical professional for assistance in managing your diabetes, and ask if an insulin pump or other diabetes supplies might be helpful.

For further information, and answers to all your questions about diabetes supplies such as glucose tablets, glucagon and insulin pumps, contact the experts at Focus Express Mail Pharmacy. Call us today at 1-866-403-6287 or visit our website:



Hottest Diabetes Products for 2014

 Learn about new products and technology available in 2014 to help you better manage your diabetes and gain optimal health


Since your diabetes diagnosis, you may have noticed that treatments and technologies have changed and improved. Diabetes supplies, products, and resources are continually introduced and evolving to better meet patients’ needs. Used correctly, they making diabetes management easier than ever before. This year is no different; a number of exciting tools now exist to help you better control your disease. Below, you’ll discover two new products and a mobile app sure to aid you in your journey to optimal health.

Medtronic’s MiniMed 530G with Threshold Suspend

  Seems like a mouthful, right? Regardless of its name, the MiniMed530G, for short, is just one of the hot, new diabetes products of the year. If your blood sugar dips too low, this is the first insulin pump that will shut off automatically until it reaches a predetermined level. Though it suspends at threshold for up to two hours, you can resume basal insulin delivery at any time if needed. You’ll probably find this little gem most useful at night, when you’re less likely to hear a threshold alarm. The makers, and industry experts, are confident the MiniMed 530G is a first step in developing an artificial pancreas. Available in multiple colors, it uses breakthrough technology to give you more control of your diabetes management.

Novo Nordisk’s NovoPen Echo

 Novo Nordisk offers another diabetes product you’ll want to check out this coming year. Widely anticipated, the NovoPen Echo is a handy little - you guessed it - pen packed full of features. It allows insulin injections in half-unit increments and records each and every dose along with its time of delivery. Because of its ease-of-use and fun designs, children with type 1 diabetes find it especially appealing. For a little extra personalization, kids (and adults too!) can customize the Pen with changeable ‘skins.’ The ability to fine tune your dosing with this convenient accessory means added reassurance that you’re managing your diabetes appropriately.

ShugaTrak: An App for Sharing Blood Glucose Results

 With a hip name like ShugaTrak, you know this is one app to get your hands on. This mobile app receives your blood glucose readings through a Bluetooth adaptor that plugs into your glucose meter. It stores your data online and then transmits it, via text or email, to designated individuals of your choosing. Once you set up your preferences, you don’t need to do anything else – the app takes care of the rest. Your support circle of friends and family can worry a little less by receiving your blood glucose readings electronically. Though you’ll need an Android phone to transmit the readings, the recipients simply need any phone that can receive texts. In addition to the app, ShugaTrak is a website that provides you with up-to-the-minute history of blood glucose readings.

 Even more new diabetes products are slated to appear in the near future. Be on the lookout for Biodel's Glucagon Device, a pen that simplifies the sometimes complicated process of preparing and dispensing lifesaving glucagon. This innovative device mixes the powder and liquid stored inside with just a twist of the wrist before injection. The company plans to file for FDA approval and begin a clinical trial later this year.

 Using an insulin pump, like the MiniMed530G, is easier and more accurate than individual injections. If you have questions about insulin pumps, insulin pump supplies, or caring for your pump, contact Focus Express Mail Pharmacy by calling 1-866-403-6287.


What Are The Parts of an Insulin Pump?

 Insulin Pumps deliver precision dosing of insulin and allow diabetes patients to live life without having to constantly schedule around diabetes management



If you're considering switching to insulin pump therapy as a means of managing your diabetes, you will find it can be both convenient and more precise.  Using a pump gives you freedom to enjoy every day without scheduling injection times and planning meals.

Insulin pumps are programmed to your body's precise needs and deliver a basal rate dose of insulin in more precise dosing than injections.  This can reduce severe episodes of low blood glucose.

The Parts of the Insulin Pump

The pump contains a reservoir that holds the insulin.  It has a digital screen displaying time and dosage details, along with a port where the insulin leaves the unit and enters your body through a thin plastic tube, referred to as an infusion set.  A flexible plastic cannula (needle) is inserted directly under your skin to deliver the insulin.

Infusion sets must be changed every three days, along with rotating the insertion site.  Most people opt to insert the infusion set in their abdomen; however, any site where you can inject insulin with a syringe is suitable for inserting the infusion set.

A recently released pump, the OmniPod, skips the tubing and attaches a disposable insulin source (pod) to the cannula which also must be disposed every three days.  They are waterproof but the adhesive backing makes them much more difficult to remove and discard than traditional pumps.  However, a bonus to this type of pump is that is has a separate electronic device, the personal diabetes manager (PDM), which allows users to wirelessly program insulin delivery and monitor blood glucose levels.

Focus Express Mail Pharmacy can help

The experts at Focus Express Mail Pharmacy are available to answer all of your questions about insulin pumps, insulin pump therapy, and diabetes management.  They will bill your insurance company directly, will ship your order overnight for free, and will send you a $50 gift card with your first order.  If you have questions about better managing your diabetes by switching from injections to an insulin pump, please visit their website at or call them  today at 1-866-403-6287.




Yoga and Diabetes: What Are The Hidden Benefits?

There are specific ways that yoga can improve health and help manage diabetes, including improved balance, strength and flexibility, increased insulin production and decreased stress.


Many people begin the new year with resolutions to go on a diet or get more active. While we have all heard that proper nutrition and sufficient exercise are good for us, there are very particular benefits for people who are living with diabetes. Today we want to talk about the specific ways that yoga can improve your health and help manage your diabetes.

What is Yoga?

Yoga is actually a number of things. It is an ancient spiritual science that started in India. It is a method of meditation, and also a spiritual philosophy. It is also a form of exercise—not the “cardio” or aerobic kind, but instead a series of postures, called asanas, that are carefully designed to improve balance, tone and strengthen muscles and increase flexibility.

Why Yoga?

Engaging in yoga poses on a regular basis can improve circulation and blood flow, which is critical for people with diabetes. By making you stronger and more flexible, yoga increases your range of motion, improves your balance, and decreases your chances of injuring yourself with daily activities—or that cardio workout at the gym. Some of the various asanas even massage your internal organs, and one study has found that yoga increases natural insulin production by stimulating the pancreas. Yoga can also help decrease the rate of infection complications and lower the occurrence of ketoacidosis.

Yoga helps more than your muscles, organs and joints. It is known to decrease stress, which makes blood glucose levels easier to manage. Yoga can also enhance your sense of well-being, making it easier to relax and enjoy life. The meditation techniques and breathing exercises that yoga teaches are helpful tools that you can use to gain control of your unhealthy habits and develop a positive attitude toward living with diabetes.

Getting Started with Yoga

As with any new practice, it is important to begin slowly and choose the right teacher. Lots of gyms, the Y, and even colleges offer yoga classes. Make certain that the teacher is certified as a yoga instructor with at least 200 hours of training. Check with your healthcare provider to make sure that you are fit enough to add yoga to your exercise routine. Then try out a few different classes—many will offer a first session for free or reduced price—to find one that works for you. If you live in North Jersey, I recommend Stacey at Yoga Bell Wellness!

Incorporating yoga into your weekly routine is an easy and inexpensive way to improve your health. For further information, and answers to all your questions about living with diabetes, contact the experts at Focus Express Mail Pharmacy. Call us today at 1-866-403-6287 or visit our website:



You Can Still Enjoy Winter Activities with Your Insulin Pump

 It's March but there's still plenty of cold weather left. Diabetes doesn’t have to keep you indoors in cold weather. With care and planning, you can get outdoors with your insulin pump and enjoy an active winter lifestyle.

 Are you the type of person that likes to be outdoors in any kind of weather? Did winter find you flying down the ski slopes or skating across frozen lakes—at least until an insulin pump came into your life? Are you now afraid of the consequences of being outdoors for long periods? Don’t despair. Diabetes doesn’t have to keep you indoors. With care and planning, you can still enjoy your active outdoor winter lifestyle.

Temperature Facts about Insulin Pumps

Insulin pumps are generally manufactured to operate in temperatures ranging from 40°F (5°C) to 104°F (40°C). This means that if you intend to spend time in temperatures beyond these parameters, you need to take some extra care to protect your insulin pump from the extremes. You also need to remember that insulin temperature requirements are different from the pump itself, so be sure to read and follow your particular insulin instructions as well.

Protecting Your Insulin Pump

The first suggestion is pretty straightforward: wear your pump beneath your clothing, close to your body. This will shield it from the cold, plus your body heat will help to keep it warm. If you’re headed out to the slopes, and are wearing ski pants over another pant layer, stick your insulin pump in the pocket of the inner pair of pants. A shirt pocket or an inner pocket on your jacket are also locations you can place your pump. If you’re unsure whether this is enough protection, buy a second pump cover. It will insulate the pump from your body heat, but also from the cold outside.

Don’t forget that cold also saps power from batteries. Keep a spare set of batteries, an extra infusion set, and extra insulin, in your ski bag in case you might need them.

Protecting Yourself

Remember that things don’t always go as planned when you’re out in the cold. Take along some glucose tabs, in case the chairlift breaks down. Stick a second set of insulin pump batteries into your inner pants pocket to keep them warm and available in case your clothing gets wet and no longer insulates your pump from the cold.

Finally, if you’re going to be outdoors for short periods of time, say to shovel the sidewalk or have a backyard snowball fight with your kids, consider leaving your insulin pump inside and taking a small bolus to compensate for the basal rate insulin that you will miss by being disconnected. Then you can relax and enjoy your winter fun without worrying about the welfare of your insulin pump.

For further information, and answers to all your questions about insulin pumps and other diabetes supplies, contact the experts at Focus Express Mail Pharmacy. Call us today at 1-866-403-6287 or visit our website: 



It's Not Too Late to Make Your Diabetes New Year's Resolutions







Take advantage of the start of a new year and wipe that slate clean as you commit to make better choices to improve your health and manage your diabetes


Two months of 2014 are already in the bookswhich means it’s the ideal time to remember those resolutions you made back in January. If you’re not a fan of the “R” word because it conjures up too many memories of past failed ones, simply call them goals. What matters is that you made a commitment. If you didn't make any resolutions, it's not too late to make that commitment to yourself that will serve as a fresh start for the balance of the year while rewarding YOU with a healthier lifestyle in return.

Choose your Resolutions Carefully

Choosing health-related resolutions are common for the majority of people, regardless of their health history. The bonus for you is that they’ll make your diabetes management that much easier as well. But don’t feel as if you have to make 29 different resolutions. Instead, select just a few and you’ll be more apt to stick with them!

 Top Resolutions to Help Manage Diabetes

 Though beneficial for those with diabetes and those without, you’ll especially find great value in the following resolutions. Consider them when you make your own list:

1)     Quit smoking. This may just be the most important thing you can do for yourself and for your diabetes. The toxins in cigarette smoke that wreak havoc on the body cause even more damage for those diagnosed with diabetes. And the likelihood of having complications related to diabetes increases if you’re a smoker. Whatever seems the most manageable to you – patches, hypnosis, or even gum – start now and your body will thank you for it.

2)     Monitor your blood glucose levels. Sure, you should already be doing this, but isn’t that the joy of resolutions? They act as a sort of “Reset” button so you can once again get back on track doing just what you should be doing…and what your body needs you to. Follow the monitoring schedule your physician has outlined for you and commit to checking your levels at the assigned times. Soon, it will become a habit instead of a chore.

3)     Exercise, Exercise, Exercise. There’s a reason this one makes the list for almost everyone. Not only is exercise good for your heart and for reaching weight loss goals, it can also help reduce your blood sugar. That’s right, a consistent exercise routine can lower your blood glucose levels and improve your A1C. Plus, it provides those intangible benefits like serving as a stress-reliever and giving you that happy workout glow.

4)     Stay on top of your oral hygiene. You likely already know how essential dental care is if you have diabetes. Taking proper care of your teeth and gums helps prevent infections that can lead to more serious systematic issues. Also, high blood glucose levels in saliva makes your mouth a bacterial breeding ground. These harmful bacteria then lead to plaque buildup, cavities, and other tooth and gum issues that you’ll want to avoid.

Be S.M.A.R.T. When Making Resolutions

 Now that you have a few resolutions to choose from or simply to get you started, don’t forget the most important things when setting goals of any kind. When you write down your resolutions, make them:


·        SPECIFIC – Be as specific as possible, avoiding vague language such as, “exercise more.” Instead state how much, how often, and what type of exercise you plan to do.

·        MEASURABLE – Include an element of measurability so you can monitor your progress throughout the year.

·        ACTION-ORIENTED – Include the necessary action(s) required in order for you to meet your goal or keep a certain resolution.

·        REALISTIC – Choose resolutions that are attainable and within your ability to keep.

·        TIMELY – Your goals should be tied to a deadline so you know when you’ve reached them. If your resolution is a long-term lifestyle change, simply commit to it for the current year and re-evaluate its effects at the start of the next year.


After you’ve made your S.M.A.R.T. health-related resolutions or goals for the year, you can go ahead and add that one that nags at you each year like…finally cleaning out that bedroom closet! As always, be sure to contact Focus Express Mail Pharmacy for your insulin pump and diabetes supply needs and questions. Visit our website at or call 1-866-403-6287.

Tips to Help You Take Care of Your Insulin Pump

 By properly taking care of your insulin pump, using proper sterilization techniques, and following some simple care guidelines, you can help guard against infections and keep your pump operating smoothly.


If you are using an insulin pump to control your Type 1 or Type 2 diabetes, you have plenty of company. According to the Journal of Diabetes Science and Technology, over 100,000 people are being treated with continuous subcutaneous insulin infusion therapy. By eliminating the need for inconvenient, daily injections, and allowing people more freedom in diet and exercise habits, the insulin pump can substantially improve quality of life. In addition, patients using insulin pumps are generally less subject to swings in their blood glucose levels, and often improve their A1C. 

By properly taking care of your insulin pump, using proper sterilization techniques, and following some simple care guidelines, you can help guard against infections and keep your pump operating smoothly.

Taking Care of Your Pump and Avoiding Infections

To avoid infections, review your sterilization technique, both when cleaning the insertion site and changing your infusion set. Regular, routine cleaning of the pump is fairly no-frills, and consists of wiping the unit off with a clean cloth moistened with water and a mild detergent soap.  When changing the batteries, clean any battery residue with a stiff wire brush.  You can use a dry, clean cotton swab to remove residue from the cap.

To avoid contaminating the infusion set, keep it sealed until you are ready to use it.  Wash your hands thoroughly with a high-quality antibacterial soap, and then wipe the insertion site well with an IV prep pad to reduce dirt, oil and moisture on the skin. 

Be sure to check O-rings on a regular basis. They should be frequently examined to make sure they are still forming a good seal with the reservoir. Insulin leaking out the back of the reservoir can indicate cracked or broken O-rings; replacement is necessary.

Basic care and maintenance of your pump, frequent replacement of infusion sets (at least every three days) and using proper sterilization techniques at the site, will allow you to keep enjoying the flexibility and enhanced quality of life made possible by continuous subcutaneous insulin infusion therapy.

At Focus Express Mail Pharmacy, we have over a century of combined experience and are more than happy to answer your questions regarding insulin pump therapy and diabetes supplies.  You can call us toll-free at 1-866-403-6287.



Warm Up This Winter with Diabetes Friendly Soup Recipes

Diabetes friendly recipes help warm your body through the cold winter months while keeping your diabetes well in control



The coldest winter months are upon us which makes it a great time for some steaming soup!  Nothing smells better than a pot of homemade soup so try some of these diabetes-friendly recipes and warm your body from the cold.

Chicken Tortilla Soup

 This recipe uses an entire chicken and makes 12 servings. It is a great make-ahead soup and you can freeze by individual servings for an easy grab on the go meal.  It contains only 15 grams of carbohydrates, no sugars, and 17 grams of protein per serving.


Chicken and White Bean Soup

 This easy-to-prepare soup is chock full of vegetables and herbs, including sage, thyme, and rosemary.  Top it all off with shredded Parmigiano-Reggiano cheese and it's a sure crowd-pleaser.


Cream of Fennel and Potato Soup

  This potato soup features turkey Italian sausage, 7 grams of dietary fiber, and 17 grams of fiber.  With 4 servings per recipe, it is easy to double and take for lunch the next day.


Spicy Brazilian Turkey Soup

 Warm your insides with this hot little number!  It has jalapeno peppers, ginger, and other traditional flavors of Brazil that are sure to spice up your night. 


Tomato Soup

 Low-calorie and packed with vitamin-C, this soup is a more traditional tomato soup sure to please your palette.  The leftovers will serve you well for lunch the following day so you can continue to enjoy the wonderful flavors.


 Minestrone Soup

 Packed with vegetables and lean ground beef, it is hard to find a healthier meal than this soup.  Add in the pasta and you have turned healthy into the ultimate comfort food with 10 grams of protein and only 16 grams of carbohydrates.


 Clam Chowder

 This is a nice and creamy chowder you will enjoy so much you'll want to lick the bowl!  It, too, is easy to make ahead and freeze.  You will want to do this so you never run out.


Whether you spend the day sledding, building a snowman with the neighborhood children, or have had a hard day at the office, one of these recipes is sure to warm your bones and help keep your diabetes in control.  If you have any questions about your diabetes, insulin pumps, or supplies, the experts at Focus Express Mail Pharmacy are always available to help.  Simply visit our or call us toll-free at 1-866-403-6287.





Are You Familiar with these Diabetes Medical Terms?

Managing diabetes involves more than how to use insulin pumps and other diabetes supplies. Here are nine diabetes medical terms essential to treatment. 


Managing diabetes is one part medicinal (including knowing about diabetes supplies) and one part knowledge, including a familiarity with insulin pumps and controllable lifestyle factors. The more you know about diabetes, the more effective self-care can be.

 There are literally dozens of diabetes medical terms,  but it can sometimes be challenging to cut through the medical jargon to access the information you need.

 Here are nine essential terms related to diabetes and its management. You’re probably already familiar with some of these diabetes medical terms, however the better you understand them, the more prepared you’ll be to improve your health and lifestyle. Click on the term for more details.


 A1C: This basic test reveals exactly how well blood sugar (glucose) has been controlled over the previous three months. It establishes an essential baseline for developing an effective treatment strategy.



 Basal rate: This is the amount of insulin required to manage normal daily blood glucose fluctuations. Most people constantly produce insulin to manage the glucose fluctuations that occur during the day. For a person with diabetes, a constant low level amount of insulin via an insulin pump mimics this normal phenomenon. 



 Certified Diabetes Educator (CDE): A health care professional certified by the American Association of Diabetes Educators (AADE) to teach people with diabetes how to manage their condition. 



 Endocrinologist: This is a physician trained to diagnose and treat diseases caused by hormonal imbalances – an essential part of the diabetes management team. 



 Gastroparesis: This is a form of nerve damage that affects the stomach and intestines. With this condition, food is not digested properly and does not move normally through the stomach and intestinal tract. It can result in nausea and vomiting, and cause a significant problem with low and erratic blood sugars. 



 Glucagon: This is the hormone that is injected into a person with diabetes to raise blood glucose when it's very low (hypoglycemia). 



 Ketoacidosis: This is a potentially life-threatening complication resulting from an insulin shortage.



 Ketones: This is the chemical substance the body produces when there isn't enough insulin in the blood. A build-up of ketones can lead to serious illness or coma. 



 Nephropathy: This is a progressive diabetic kidney disease in which protein spills into the urine. Over time, it can result in significant kidney damage.


 At Focus Express Mail Pharmacy, we are available to answer your questions about diabetes, insulin pumps and other necessary medical supplies, backed by more than 100 combined years of experience with diabetes supplies and prescription medications. Call us today toll-free at 1-866-403-6287.

Preventing Infections at your Insulin Pump Infusion Site



Your skin is the largest organ of the  body, and any time you break the skin you are, in essence, causing a breach in one of your body’s main defense systems. It only takes one little germ or bacteria to cause an infection, and those can come from your hands, your skin, and even your breath.

Be Careful

To prevent infections at your insulin pump infusion site, it’s very important to be careful in what you are doing. Follow the process you have been taught for cleaning and preparing for the insertion of the cannula into your skin. Everything must be clean, and you must not touch anything after it has been both thoroughly disinfected and dried. This includes everything from the injection site and your hands, to every part of the pump and the items that go with it (including the cannula, the insulin bottle—especially the top, and all the connections in the infusion set). Here is more on proper preparation and care of your skin.

Be Attentive

No matter how hard you try, bacteria or germs will get past all of your precautions sooner or later. This is why it’s also important to be attentive to your pump infusion site. Change the site regularly, and watch for any signs of infection. These signs include redness, swelling and pain, or what is sometimes casually called the “pump bump.” An unexplained high glucose reading is another indicating factor of a possible infection.

  Be Thorough

 If you find any evidence of infection, no matter how minor, begin treatment immediately. Minor infections can become major in a matter of hours! You can begin with a warm compress and a thorough washing with an antibacterial soap and water. Follow up with a topical antibiotic. It is also very important to change both the infusion set and the site immediately. If you are not thorough with this, you will simply re-infect yourself.

If you continue to experience symptoms of infection, or if they worsen, it is important to follow up with your medical provider as soon as possible, in case oral antibiotics or further treatment of the infection site are warranted.

Infections are preventable, so if they recur on a frequent basis, check with your medical provider or an endocrinologist to be certain that you are using proper insulin pump infusion techniques.

For answers to your questions about insulin pumps or other diabetes supplies, contact the experts at Focus Express Mail Pharmacy. Call us today at 1-866-403-6287 or visit our website:



Celebratory Holiday Recipes for People with Diabetes

 Seven celebratory holiday recipes allowing people with diabetes to enjoy the food at office parties, family get-togethers, and celebrations with friends.


The holiday season is in full swing. All those office parties, family get-togethers and celebrations with friends mean plenty of opportunities to stray from your resolution to eat healthfully. However, those events are also great opportunities to try out some new recipes. Here are seven holiday dishes that will treat your taste buds without tripping up your blood sugar.

1.     For a stunning visual presentation, choose the Diabetic Gourmet’s Apple and Cornbread-Stuffed Pork Loin with Roasted Apple Gravy. This main dish takes the traditional cornbread and sage stuffing and fills a pork loin instead of a turkey. Packed with whole grain cornmeal, vegetables and fruit, this entrée also provides a whopping 50 grams of protein per serving, satisfying the hungriest of holiday guests.


2.     If you want the indulgence of stuffing but a lighter meal, consider serving Fish Baked with Stuffing. Stuffed with a generous serving of sautéed mushrooms and poached in a small amount of white wine, this elegant fish has a decadent flavor and only 241 calories per serving.


3.     For those of you who need a traditional centerpiece for the holiday dinner, look no further than the Baked Ham with Sweet 'n Sour Plum Sauce. Liberally spiced with ginger, garlic, five spices and rice wine vinegar, the ham’s glaze gets some of its sweetness from plum and pineapple juice, resulting in only 11 grams of carbs per serving.


4.     If you are craving sweet potatoes but fear the traditional sugar-laced versions on many holiday tables, make your dinner contribution this Pecan Crusted Turkey Tenderloin with Sweet Potatoes. With cinnamon-spiced sweet potatoes and a garlic-pepper-pecan crust on the turkey, this dish is both sophisticated and bursting with flavor. Plus, with only 75 mg of sodium, other health-conscious diners will benefit from enjoying this dish.


5.     Another healthy potato alternative is Scalloped Potatoes. This version, from the American Diabetes Association, includes a bite of sharp cheddar for flavor. With the creative addition of creamy (yet fat-free) half-and-half, no one will believe that it has only 2.5 grams of fat per serving!


6.     Speaking of cream, an excellent creative makeover by the folks at Diabetic Living is the Fresh Green Bean Casserole. Using powdered ranch salad dressing mix and fat-free milk, this casserole has lots of flavor and a creamy texture without all the calories and fat of the traditional version.


7.     Finally, if you’ve got family staying overnight during the holidays, wake up their taste buds with Whole Wheat Sweet Potato Pancakes. Warmed with cinnamon and vanilla and fortified with both oats and wheat germ, each pancake has 3 grams of fiber and only 1.5 grams of fat. Of course, that’s before your guests slather them with butter and syrup—but you will find these pancakes to be tasty enough on their own!

 We wish you all a very Happy Holiday AND a Happy and Healthy New Year!

                          From all of us at Focus Express Mail Pharmacy


Managing Diabetes and Hypoglycemia

 Good patient education about hypoglycemia and diabetes can ensure it is well managed and blood glucose levels stay in the safe zone.



If you are a person with diabetes, you may also be struggling with hypoglycemia. Hypoglycemia occurs when blood sugar is unusually low.  This condition can occur to anyone at any time; however those with diabetes have a higher risk of developing this condition. While there are some shortcuts to immediately treat low glucose, long-term care is required to treat the root causes of hypoglycemia.  First, let’s look at the symptoms of hypoglycemia:

Common Signs of Hypoglycemia:

·        Weakness or shakiness

·        Confusion or anxiety

·        Sweating

·        Nausea

·        Spacey, rambling in conversation

More Severe Signs of Hypoglycemia:

·        Poor coordination

·        Seizures

·        Loss of Consciousness


 Certain medications can cause low blood sugar so it’s important to work closely with your team of physicians to be sure you’re using the right medication and managing your diet properly. The condition can also occur if you take too much insulin for the amount of carbohydrates that are consumed at a meal. Not eating at regular intervals throughout the day, drinking alcohol without food, and other dietary triggers can cause hypoglycemia symptoms as well.


Having diabetes is not a guarantee that you will have hypoglycemia.  There are ways to protect yourself, including:

·        Following your meal plan

·        Exercising ½ hour after meals

·        Testing your blood sugar at regular intervals, as prescribed by your physician

·        Always carrying a sugar, protein, and carbohydrate source with you at all times

Regular incidents of low blood sugar present a risk to your overall health.  Prepare yourself by planning ahead and by wearing an ID bracelet in case of an emergency.  Be sure friends and family members know how to administer a glucagon injection in times when you may be unconscious. 

Focus Express Mail Pharmacy has more than 100 combined years of experience with diabetes supplies and prescription medications. We’ll be happy to answer any questions you may have.  Call us today toll-free at 1-866-403-6287.















Busting Common Diabetes Diet Myths


Busting Common Diabetes Diet Myths


There is a lot of false information about what to eat and what not to eat in order to live well with diabetes. It’s true that having diabetes does pose some challenges to everyday food consumption, but if you’re educated about the truths of dieting with diabetes, you know that you can still enjoy food by making some simple adjustments.

 Some of the most common inaccuracies about food and diabetes are as follows:  

Diabetes Diet Myths

·        Too much sugar causes diabetes

·        Too many carbohydrates cause diabetes

·        Someone with diabetes can eat anything because they take medication

·        Someone with diabetes can’t have any sweets

·        High-protein diets are best for people with diabetes

Though these statements are false, they do contain some bit of truth. People with diabetes do need to monitor their glucose level, which poses some difficulty to everyday eating. But, “favorite foods” aren’t off-limits if forethought is exercised. There are still ways for someone with diabetes to enjoy foods—including carbs and sugar!


Diabetes Diet Modifications

·        Make recipe exchanges: use artificial sweeteners, low-cal/low-fat versions, and try these ingredient replacements for even more savvy ways to “lighten” foods

·        Swap carbs: if you want to enjoy extra of a carbohydrate food item(s) at a certain meal, don’t have a carb serving at a later meal (ex: have a double serving of rice at lunch but have a double serving of vegetables instead of the baked potato for dinner)

·        Eat high-fiber/slow-release carbs rather than starchy white carbs: Visit this site to learn some great examples

·        Plan for treats and monitor serving sizes: don’t deprive yourself of birthday cake, but be sure to account for it, and ensure that the serving sizes of treat foods are minimal to not affect your glucose levels

·        Try the American Diabetes Association’s preferred method of meal planning called “Create Your Plate” for breakfast, lunch and dinner made easy.

·        Visit the Focus Express Mail Pharmacy website for diabetes friendly dessert recipes  

Having diabetes doesn’t necessitate a blasé diet, but it does require being smart about eating foods that agree with your unique needs. Your “food rules” depend on your specific diabetes type, medications and lifestyle. Consider meeting with a nutritionist or dietitian to plan meals and/or help you to modify your favorite recipes to versions that are better for you.

Focus Express Mail Pharmacy provides diabetes medications and supplies, as well as educational resources for people with diabetes. Call us toll-free at 1-866-403-6287 to learn how we may be able to help you.