Diabetes Pharmacist

Diabetes Pharmacist

information & education about diabetes & related subjects

Safe While you Sleep: New Study Offers Promise for those with Type-1 Diabetes

Posted in Diabetes, Diabetes Research, Insulin Pumps, New Devices for Diabetes, Tips for People with Diabetes, Uncategorized

Learn how one recent study could make all the difference for those with Type-1 diabetes during nighttime.



Having diabetes means always being aware of your body, the disease, and the many health choices necessary in successfully managing it. You might think that nighttime brings relief – a time of rest when those with diabetes can forget they even have it. Unfortunately, the opposite is true. It’s just as important to be vigilant in monitoring your blood glucose levels while you sleep. Thankfully, new research promises simplicity for those with Type-1 diabetes to stay safe AND get a good night’s sleep at the same time.

What Happens to Blood Sugar at Night?

While sleeping at night, those with Type-1 diabetes, including children, often struggle with knowing when their blood glucose drops too low. At night, they’re more likely to lose control of their levels, increasing the likelihood of hypoglycemia. This, of course, can lead to seizures and sometimes even death. That’s why a new study, conducted by a Stanford University School of Medicine scientist, offers much needed hope for adults with Type-1 diabetes and parents of adolescents who have it as well.

 What Did the Study Involve?

Findings from the study include new data that will soon allow insulin pumps to automatically shut off as necessary to keep blood glucose where it needs to be. Those in the study wore a sensor under the skin and an insulin pump that was wirelessly connected to a computer near their bed. The computer monitored when low blood sugar levels might occur and stopped insulin delivery for a time. The patients didn’t have to wake during this entire process.

What Does the Study Mean for those with Diabetes?

Not only could this provide more rest to parents used to waking their kids with Type-1 diabetes each night, it offers peace of mind for both adults and children with the disease each night they go to bed. And since the technology already exists, there won’t be any technical obstacles to work through. However, getting FDA approval may take a while – likely two years at least. Still, a development such as this will likely act as one more way those with diabetes can more easily and safely manage their health.

Where Can You Find Diabetes Supplies and Information?

If you have questions about insulin pumps, or diabetes supplies, take advantage of the expertise you’ll find at Focus Express Mail Pharmacy. They offer a complete selection of insulin pumps and supplies in one convenient place, take care of ALL of the insurance billing, save you your co-pay,  and are happy to answer all of your questions. Check their website at www.FocusPharmacy.com or call toll-free 1-866-403-6287 to learn more!

4 Things to Remember at Your Next Doctor’s Appointment

Posted in Diabetes Advice, Tips for People with Diabetes

You only see your doctor a few times a year, so be prepared and make sure you get the most out of your appointment.

doctor and patient

No matter how frequently you visit your doctor, the time you spend in their office is both limited and valuable. You wouldn’t show up for a class or a work meeting without being prepared. At a minimum, the same preparation and effort is needed to make sure your doctor’s appointment is as productive as possible.

Here are a few ways to prepare for your next appointment.

Keep a record.

Make sure you are tracking your blood sugar, A1C, food, and exercise. Bring this data to your appointment so that you doctor can have a full picture of your habits and health.

To go a step further, see if you can get your blood tests done prior to your appointment. Getting blood work done ahead of time will make it possible to go over test results while you are at the doctor’s office rather than trying to follow up with a call or future visit.

Keep track of specific symptoms.

Like everyone, you’re busy, and you don’t have a perfect memory. If you experience a specific symptom you want to talk over with your doctor at your next appointment, write it down so you don’t forget about it. You don’t want to get home and then remember something you wished you had mentioned while at your appointment.

Ask questions if you have them!

If you have questions, don’t be afraid to ask them. Your doctor’s job is to be your healthcare resource. Especially when it comes to your well-being, there are no dumb questions. Don’t make assumptions about your health. It’s better to be safe than sorry.

Take notes about what you and your doctor discuss.

The time you spend with your doctor is valuable, so be sure to take notes about your conversation. Your notes can help you remember the little details of what you and your doctor discussed, especially as time passes. If you think that listening to your doctor and taking notes may be too difficult, you might want to bring a friend or family member to your appointment who can take notes for you.

By being prepared, you can take better control of your diabetes and your health. The experts at Focus Express Mail Pharmacy are available if you have additional questions about your insulin pump or diabetes supplies. Call them toll-free at 1-866-403-6287.


Pre-Bolus: Is it Right For You?

Posted in Diabetes Advice, Insulin Pumps, Tips for People with Diabetes

You should look at the facts to decide if PRE-bolusing is right for your body and lifestyle.



Keeping your blood sugar in the normal range of 70-130 mg/dL can be a challenge.  One method you may look to in order to keep your blood sugar levels within that range is to pre-bolus. This refers to delivering insulin prior to a meal instead of after.

You should consider the pros and cons, as well as speak with your medical provider, to decide if pre-bolusing is right for your body and lifestyle.

The Pros

The U.S. National Library of Medicine Institutes of Health conducted a study and found that, “A bolus of rapid-acting insulin 20 minutes prior to a meal results in significantly better postprandial glucose control than when the meal insulin bolus is given just prior to the meal or 20 minutes after meal initiation.”

By getting the insulin into your system before eating, it has a chance to become active and more effective once your blood sugar begins to rise. Pre-bolusing can aid you in avoiding blood sugar spikes by helping you time your insulin more effectively, but it carries risks with it as well.

The Cons

Pre-bolusing requires careful planning, and it’s not for everyone. No matter how hard you try, you can’t predict the future. If you mistime your pre-bolus, you may find yourself with an unexpected blood sugar low. Causes for that mistiming can be as varied as a restaurant not seating you as quickly as you anticipated or talking on the phone and losing track of time between pre-bolusing and eating.

People with gastroparesis may want to steer clear of pre-bolusing. Gastroparesis is a disorder that slows or stops the movement of food from the stomach to the large intestine. It makes it very difficult to predict the absorption of food and insulin.

If your child is diabetic and a picky eater, you may want to avoid a bolus for your child prior to eating because it may be difficult to predict what your child will eat on his or her plate.

No matter what route you think is best, you should talk to your healthcare provider to determine whether pre-bolusing is right for you. After that conversation, talk to the experts at Focus Express Mail Pharmacy. They are there to answer your questions and help you choose the insulin pump that is right for you. To speak to someone during business hours, call toll-free  1-866-403-6287.


Let Us Help Save You from Insurance Headaches for Your Diabetes Supplies

Posted in Diabetes, Diabetes Advice, Insulin Pumps, Tips for People with Diabetes

Between insulin, prescription medications, glucose monitors, an insulin pump, test strips, etc. you have a lot to think about. Fortunately, Focus Express Mail Pharmacy is here to make life easier for you.


If you live with diabetes, you know the importance of managing your insurance coverage. Between insulin, prescription medications, glucose monitors, an insulin pump, test strips, etc. you have a lot to think about. Fortunately Focus Express Mail Pharmacy is here to make things easier for you.

We know insurance.

Our goal is to take some of the headache out of managing your insurance coverage. A member of our experienced and highly trained staff will help you navigate the ins and outs of insurance payment and  we will accept insurance payment in full (in most cases). This means you won’t have to worry about copays. We will  handle all insurance claims and billings so you won’t have to worry about any insurance paperwork at all!

Timing is everything.

We know that your time is valuable, so we want to make ordering your diabetes testing supplies and insulin pumps as easy and pleasant as possible.

  • We offer you free overnight shipping for all of your medications and supplies to make sure you get your supplies when you need them.
  • We will always answer your phone calls with a LIVE person during business hours (9am-5pm)  from Monday to Friday. But, we understand that emergencies happen. If you have an emergency, you can call one of our pharmacists day or night, 24/7.
  • Order refills on your schedule by visiting   our website at any time.

Your satisfaction is important to us.

We realize how important your testing supplies and pump are, and we want to make sure you are happy with what we deliver you. If you’re not happy, we’re not happy, so we offer you a 100% satisfaction guarantee.

Also, as part of our dedication to you, we will never ask you for an expensive membership fee. There are no hidden fees. You are only responsible for your deductible.

To learn more about how we can save you money and time by getting your prescription medications, glucose monitors, insulin pumps, test strips, and supplies, just complete our online enrollment form to see if you quality or call us at Focus Express Mail Pharmacy, toll-free.  1.866.403.6287.


Tasty and Healthy Summer Recipes

Posted in Diabetes Recipes, Tips for People with Diabetes, Uncategorized

Try these five healthy, mouth-watering recipes that are diabetes-friendly and sure to keep your stomach happy this summer.

 thai turker burgersgrilled shrimp with lime cream

The summer season brings with it neighborhood BBQs, trips to the pool, and family gatherings. It also brings many opportunities to feast on healthy and (not-so-healthy) foods. This year, plan to enjoy every summer activity that comes along while staying healthy and keeping your diabetes in check. These five recipes below will help you do just that. Plus, they’re tasty too!

Thai Turkey Burgers

 When you’re craving a juicy burger this summer, look no further than this recipe for Thai Turkey Burgers. A leaner alternative to beef, these turkey burgers aren’t short on flavor. With a special seasoning, peanut dipping sauce, and a slice of mango on top, you’ll wonder why you ever wanted a “regular” burger in the first place!

Grilled Jamaican Jerk Fish Wraps

 Load up on those Omega-3s as you wow your taste buds with these Grilled Jamaican Jerk Fish Wraps. This easy recipe makes use of that grill you’ve waited all year to use. You’ll undoubtedly appreciate the flexibility of using fresh or frozen flounder, cod, or sole fillets. The final dish is also chock-full of healthy fruits and veggies. The best part? These wraps are not only fun to assemble; they’re also high in fiber.

Grilled Shrimp with Lime Cream

If you’re short on time, you’ll especially love this Grilled Shrimp with Lime Cream recipe. In minutes, you can create a seafood dish that is tasty and healthy too. With only a few steps involved, you’ll have delicious shrimp skewered up in no time. The must-have lime cream is made with Greek yogurt, which includes healthy bacteria called probiotics that your body will thank you for!

Spicy Chicken Breasts

 Spice things up with this Spicy Chicken Breast recipe. Ready to feast on in just 30 minutes, this healthy poultry dish is seasoned just right. You’ll even have leftover seasoning to later use on fish or vegetables. Grill up this chicken and serve with a side salad – the greener the better – for an extra dose of nutrients.

Apple Cole Slaw

 This unique salad is a twist on traditional cole slaw. Who knew a couple of apples could take this picnic favorite to a whole new level? This side dish is quick to whip up, but that doesn’t mean it’s short on flavor, thanks to red pepper and lemon juice. It serves six so invite a few friends over and impress them with this healthy Apple Cole Slaw that happens to be deliciously crunchy.


Remember that having diabetes doesn’t mean you can’t enjoy tasty foods. Make sure you save room for dessert and try one of these diabetes-friendly recipes. Eating healthy, however, is just one aspect of successfully managing your diabetes. So, if you have questions about your diabetes supplies, just contact Focus Express Mail Pharmacy at www.FocusPharmacy.com or  call toll-free 1-866-403-6287. We’re here to help you manage your diabetes by assisting you with your insulin pump and supplies and by sharing our expertise with you, our valued customer.

Tips to Protect Your Insulin Pump (and Insulin) From the Summer Heat

Posted in Insulin Pumps, Tips for People with Diabetes

As an insulin pump wearer,  you need to be aware and protect  your insulin pump as the mercury rises.

 summer heat


As we settle into the dog days of summer, you’re probably spending more time outside in the heat. While everyone needs to pay attention to things like wearing sunscreen and drinking enough water, as an insulin pump wearer, there are some additional things you need to be thinking about as the mercury rises.

Avoid Extreme Heat

 This one isn’t just about your pump, but it’s important anyway: Did you know that your insulin becomes less effective if it is exposed to extreme temperatures? Be sure to check the label, but most insulin companies advise not to store your insulin where temperatures will exceed 86°F.  That means beware of leaving it in closed spaces that attract and maintain heat like on blacktop, on a windowsill, or in a car. Leaving your insulin in extreme heat can cause it to become weaker than normal, making it difficult for you to regulate your blood sugar.

Buttons Go Away From Your Body

 When we get hot, our bodies sweat. This sweat helps keep us cool, but if you’re not careful, it can damage your insulin pump! If you wear your pump with the buttons touching your skin, the openings in the device where the buttons are might give moisture a chance to seep into your pump, which can be damaging to the electronics inside it.

Keep Your Pump Cool Even if It’s Not On You

 What do you do with your pump when you go swimming? We suggest that you wrap it in a small towel and place it in a cooler. The towel will keep it from getting too cold while the cooler will keep it chilled, making sure the insulin in the pump is well protected. Keep an eye on your cooler to make sure that your pump is safe from theft.

Enjoy your fun in the sun while protecting your pump and insulin from the summer heat! If you still have questions about insulin pumps and supplies, we can help. Browse around the Focus Express Mail Pharmacy website www.FocusPharmacy.com or call us toll-free, 1-866-403-6287. We have a complete selection of insulin pumps and diabetes supplies and are available to answer all of your questions.


Is An Insulin Pump Right For You?

Posted in Diabetes, Insulin Pumps

                               If you have diabetes, insulin injections are part of your daily life, but what if they didn’t have to be?  You’ve heard about insulin pumps, but how much do you REALLY know about them?


insulin pump animasinsulin pump new minimed


Insulin pumps are programmed to release insulin into your body and are often popular with people that have unpredictable schedules or are very active. Insulin pumps can be powerful tools for managing your blood sugar levels, but they aren’t for everyone. If you’ve ever wondered if an insulin pump might be right for you, it’s time you did your research.

How They Work

Insulin pumps are attached to a catheter that is inserted under your skin, allowing the pump to directly dispense insulin. Throughout the day the pump releases a small and steady flow of insulin to keep control of average glucose levels. If you overeat and need more insulin, you can press a button on your pump to release additional insulin.The pump makes insulin easier to manage by removing the need for injections and measuring insulin amounts.

Before You Start

It is recommended that before you start using an insulin pump, your diabetes are controlled for a minimum of four months. You also should have a strong understanding of diet concepts. This knowledge will help you make a better-informed pump-buying decision with your doctor.


An insulin pump isn’t a replacement for responsible management of your blood glucose levels; it is a tool that can help you with glucose management. You will still need to monitor your blood glucose four to six times a day while using your insulin pump.

Also, the pump will require maintenance to function safely and properly, including:

The pump will only be a useful tool if you are able to use it well.

An insulin pump can give you more flexibility than individual injections. If you think that an insulin pump might be right for you, talk to your healthcare professional and the experts at Focus Express Mail Pharmacy. Call toll-free 1-866-403-6287 or check www.FocusPharmacy.com.  We are available to answer your questions and help you choose the insulin pump that is right for you.


Insulin Pump Placement Tips

Posted in Insulin Pumps

So, you have your new insulin pump, but do you know where to put it? This blog will fill you in on some tips.

insulin pump minimed threshold suspendInsulin Pump Placement Tips

You’ve educated yourself about insulin pumps, you’ve purchased one, but now it’s time to actually start using it. Where you put the pump matters, so make sure you give it some thought. Last August we wrote a post covering the basics, but we’ve gotten some questions since then, so we thought we would revisit the topic and answer those inquiries.

Do I need to change the pump site?

Yes, definitely. You need to change your pump site every two to three days to avoid infections and high blood glucose levels. To briefly recap part of our post from last August, some good locations on your body for your pump site include;

  • ·        Your lower abdomen,
  • ·        Your lower back,
  • ·        Your hip area, and
  • ·        The back of your legs.


What are some suggestions for discreet placement of my insulin pump?

This is a common question, especially with summer around the corner. One of the most important things is to find places that are comfortable for you. Although around the abdomen is often suggested, you can be creative. A blogger on dLife has found a number of places that work for her including the back of her arm, jeans pockets, and even in her socks.  She suggests that women may be able to place the pump in their bra while wearing a dress. A little creativity can go a long way to make your pump less noticeable.

Does the location affect how the insulin is absorbed?

The answer to this is a resounding yes. When you change the location of your pump site, you may need to alter your basal rate. Make sure you pay close attention to your blood glucose levels after changing the pump site – especially when you first begin using the pump.

If you have more questions about your insulin pump, insulin pump supplies, or if you are thinking about purchasing an insulin pump, talk to your healthcare professional and the experts at Focus Express Mail Pharmacy. We are available to answer your questions and help you choose the insulin pump that is right for you. Call toll-free 1-866-403-6287 or check our website www.FocusPharmacy.com.

What Exactly is A1C and What Does it Mean for You?

Posted in Diabetes Advice, Insulin Pumps

Learn what an A1C test actually is and discover why it could help you better manage your diabetes.

a1cIf you or a loved one has been diagnosed with diabetes, you’re probably well aware of the long list of medical terms and abbreviations that comes with the condition. You’ve likely heard, or read, about basal rate, dextrose, and rapid-acting insulin. Now, you can add A1C to that list. Referring to the component of hemoglobin to which glucose binds, an A1C test can be especially helpful in managing your diabetes. How exactly? Read on to learn more.

 Why an A1C Test is Important

This vital test actually provides a snapshot of your blood glucose levels for the past few months. If you’re wondering why that might be important, think of it this way: Each day with diabetes varies, so measuring your control of the disease based on a single day would be inaccurate. The results of an A1C test, though, can paint a clearer – and more accurate — picture of your overall disease management and your success in controlling your blood sugar.

What an A1C Test Measures

You may not realize it, but a lot is going on inside those red blood cells of yours. The protein that links up with sugars is called hemoglobin. It carries oxygen from your lungs to all your body’s cells. When glucose enters your red blood cells, it then connects, or glycates, with the hemoglobin molecules. The more glucose floating around, the more hemoglobin glycates. When you measure A1C, you’re essentially getting an overview of your average blood glucose control for the past two to three months. It’s recommended that your physician complete this test quarterly. If you have your diabetes under control, you may need to only test twice yearly.

What an A1C Test Results Can Reveal

Your test results will come in the form of a percentage. For those without diabetes, normal results typically fall between 4% and 5.6%. Results between 5.7% and 6.4% could mean a higher risk of diabetes, while levels of 6.5% or higher almost always indicate diabetes. Since studies show those with un-controlled diabetes are likely to experience complications, the goal is to keep your hemoglobin A1C under 7%. The higher your percentage, the more at risk you are for developing complications related to the disease.

How to Keep your A1C in Check

An A1C test can assist you in managing your disease by helping determine whether a particular treatment plan is working well. Good results can also serve as a reminder that the healthy choices you make play a key role in controlling your diabetes. So how can you make sure you pass your next A1C test with flying colors? For starters, do these three thingseach day:


1.   Count your carbs and eat foods high in fiber and low in saturated fats. Consider consulting with a dietitian if you need help creating a personal meal plan just for you.

2.   Exercise for at least 30 minutes a day, five days per week.

3.   Be sure to take your diabetes medications on time, and always dosed properly.


You’re not alone on your journey in managing your diabetes and keeping your A1C where it needs to be. At Focus Express Mail Pharmacy, we’re here to help you choose the right insulin pump and diabetes supplies for your unique situation. We’re also here to answer any questions you have about diabetes or tests like this one. Take advantage of our expertise by calling 1-866-403-6287 or by visiting www.focuspharmacy.com

Type 2 Diabetes in Kids: It’s A Growing Trend

Posted in Children with Diabetes, Insulin Pumps

 Type 2 diabetes is affecting more children than ever before. Learn about the disease and discover how you can help prevent your child from getting it.

 children 4 Once thought of primarilyas an adults-only disease, Type 2 diabetes is striking more and more of today’s youth. It’s one trend that has healthcare professionals and parents understandably concerned. Thankfully, there are a number of preventative measures that can help decrease your child’s risk factors for the disease.

 What is Type 2 Diabetes?

 Having Type 2 diabetes essentially means your body does not use insulin correctly, also known as insulin resistance. When this happens, your pancreas tries to produce extra insulin to make up for the deficiency. As your body’s need for insulin increases, however, the pancreas can no longer produce the necessary amount of insulin needed to keep your blood sugar levels where they need to be.   

 Who Is At Risk?

 Though it’s impossible to predict with certainty which children will face a Type 2 diabetes diagnosis, there are a few factors that seem to play a role. First, the children and adolescents diagnosed are typically between 10 and 19 years old. They often have a strong family history of Type 2 diabetes and those diagnosed are most likely obese and live a sedentary lifestyle filled with more TV and couch time than physical activity. This risk factor is especially of great concern since one recent study showed that nearly 20% of children between two and nineteen years old are obese. That means since the 1990s, the rate of childhood obesity has tripled – not a promising statistic in the fight against diabetes.

 Are There Ways to Reduce the Risk of Type 2 Diabetes in Children?

 Fortunately, there are ways to reduce your child’s risk of Type 2 diabetes. First, make lifestyle changes that include physical activity. This might mean limiting screen time and instead encouraging walks and bike rides. Join in the fun and foster family togetherness while improving everyone’s health. Second, make healthier food choices by replacing those unhealthy, junk foods with whole foods like fruits and vegetables. It is also important to reduce your child’s sugar intake by limiting candy and soda.

 What are Common Type 2 Diabetes Symptoms?

 Unfortunately, Type 2 diabetes in children can remain undiagnosed for quite a while, mostly due to the lack of notable symptoms. Though they develop slowly, you might eventually notice symptoms of the disease, including:

       ·            Blurry vision

·        Dry mouth

·        Fatigue

·        Frequent urination

·        Heavy breathing

·        Increased appetite

·            Itchy Skin

·        Numb or tingly hands or feet

·        Unexplained weight loss

 Be sure to visit your child’s physician if you notice any of the above symptoms or to discuss Type 2 diabetes prevention. If you have questions about diabetes supplies and the best insulin pumps for children, the experienced staff at Focus Express Mail Pharmacycan help. Just visit www.focuspharmacy.comor call us toll-free at 1-866-403-6287. We’re here to assist you in making diabetes management simple while ensuring your family is as healthy as it can be!