Diabetes Pharmacist

Diabetes Pharmacist

information & education about diabetes & related subjects

Great Diabetes Friendly Recipes to Start a Great Day

Posted in Children with Diabetes, Diabetes, Diabetes Advice, Diabetes Recipes, Diabetes supplies, Diabetes testing supplies, Diet and Diabetes, Insulin Pumps, Tips for People with Diabetes

Breakfast is the most important meal of the day, especially for those managing diabetes. Get your day started right with these breakfast suggestions.

 healthy breakfast

We’ve heard all our lives that breakfast is the most important meal of the day, but when you’re also managing diabetes it’s even more important. In order to help your insulin pump or any other diabetes supplies work as they should, it’s important to do your part by managing your diet. Eating a well-balanced breakfast can help adjust insulin levels after waking and start you off on the right foot for the rest of the day.

Fruits

When you’re in a hurry there’s nothing faster than grabbing a whole serving or piece of fresh fruit. Instead of buying bottled juices invest in a juicer and make your own using whole fruit and no added sugars. If you’ve got a little more time why not whiz some frozen fruit into a smoothie; or top oatmeal or yogurt with dry fruit and nuts.

Whole Grains

Carbs get a bad rap when treating diabetes but in moderation they are an important part of a balanced diet. Quick cooking oats only take a few minutes to prepare; or you can opt for steel cut oats which are easy to make ahead to have on hand in the morning. Make a big batch of granola on the weekend and portion into smaller bags so you can top yogurt, eat with milk, or enjoy as a snack.

Nuts

Nuts are packed with protein and offer an energy boost. Instead of reaching for caffeine grab some nuts! They’ll also keep you full throughout the morning. Mix some into your granola, oatmeal or eat as is. Peanut and other nut butters are also a good way to get the benefits of nuts in a different form. Just keep your eye out for added sugars –opt for the no sugar added varieties instead.

Eggs and Dairy

Egg and egg substitutes take very little time to prepare and can be eaten in a million different ways. Quiche, frittatas, and stratas are different egg bakes that can be made ahead of time and quickly reheated in the morning – or eaten cold! A simple scrambled egg with fruit and a slice of whole wheat toast is a tasty, balanced, diabetes friendly breakfast that will take only minutes to prepare.

Vegetables

Vegetables for breakfast? Why not! Use up veggies left over from lunch or dinner the previous day by tossing them into egg scrambles. Mix diced peppers and onions with hash browns for a savory way to start your day. Load up celery with some nut butter for a grade school throwback snack. In Mediterranean countries sliced cucumbers, tomatoes, and olives are always on the breakfast table along with fresh cured meats and dairy, why not give it a try!

If you have questions, the experts at Focus Express Mail Pharmacy are here for you!  Focus Express Mail Pharmacy has been helping people manage their diabetes for years. We can answer your questions about diabetes, insulin pumps, supplies, and more. Call us today at 1-866-403-6287 or visit at www.FocusPharmacy.com

 

 

Treating Early-Morning High Blood Sugar Levels

Posted in Children with Diabetes, Diabetes, Diabetes Advice, Diabetes Conditions, Diabetes Research, Diabetes supplies, Diabetes testing supplies, Diet and Diabetes, Insulin Pumps, Summertime and Diabetes, Tips for People with Diabetes

Learn what happens to your blood sugar levels overnight and how you can keep them in check!

early morning

After a diabetes diagnosis, there is usually a time of education. You learn all about the disease and how it affects your body. Part of that learning curve is discovering when your blood sugar levels tend to be high or low. You might also quickly learn that, for someone with diabetes, the early morning hours can be an important time of the day.

What Happens to Your Body Overnight

For many with diabetes, they may take insulin but still wake up with high blood sugar levels. This is caused by one of two things. The first is called the “dawn phenomenon.” As you sleep, your body goes through a series of changes. One includes increasing the amounts of the hormones, such as cortisol and epinephrine, that fight insulin’s job of lowering your blood sugar levels. This typically happens between 3 a.m. and 8 a.m. These hormones enter your blood system right when your bedtime dose of insulin is wearing off, thus leading to high glucose levels.

The “Somogyi effect” is a bit different. Also referred to as “rebound hyperglycemia,” the term refers to a pattern in the body. This includes an episode of low blood sugar – hypoglycemia – followed by high morning sugars. In the middle of the night, your blood sugar levels can drop low enough that your body releases hormones to raise it. This might happen if you took too much insulin earlier in the evening or perhaps if you didn’t eat enough of a snack before bedtime.

How to Know Which One You Have

Though both result in high blood sugar levels in the morning, your doctor will need to know which is causing the increased levels. To determine the cause, a physician will typically have you check your levels for a few nights in a row, usually between 2 a.m. and 3 a.m. If your blood sugar is consistently low at that time, the Somogyi effect is, well, likely in effect. But, if at that time, your levels are normal or high, your doctor will likely assign blame to the dawn phenomenon.

What You Can Do About It

Thankfully, there are a number of ways you can impact the way your blood sugar levels act during the night. You might need to:

  • Avoid carbohydrates before bedtime.
  • Adjust when you take your evening dose of insulin.
  • Take long-acting insulin before bed so it works at its peak right when your blood sugars go on the rise.
  • Take extra insulin overnight if needed.
  • Use an insulin pump that’s programmed to release medication when you need it during the early hours of the morning. CGM (Continuous Glucose Monitoring) pumps work very well at controlling levels since they continually regulate insulin.

How We Can Help

As you continue to learn more about diabetes, and more specifically, diabetes’ effect on YOUR body, you’ll understandably have questions. Let the trained experts at Focus Express Mail Pharmacy help. We have over 50 years of combined experience helping people with diabetes live life to the fullest by providing  diabetes supplies and insulin pumps conveniently and for little or no cost. Check us out at www.FocusPharmacy.com or call  toll-free 1-866-403-6287.

 

A Temporary Tattoo May Be the First Painless Glucose Measurement Tool

Posted in Diabetes, Diabetes Research, Diabetes supplies, Diabetes testing supplies, Insulin Pumps, Medication News, New Devices for Diabetes, Tips for People with Diabetes

Scientists have invented a temporary tattoo that can monitor glucose levels. This new technology may soon be a common part of diabetes supplies

diabetes testing tattoo

Tattoos may get a bad rap but what if one, albeit the temporary variety, could help you monitor health issues? Researchers and nano-engineers have been developing a temporary tattoo that might be the next best thing in diabetes supplies.

How Does it Work?

The technology for these medical tattoos is advanced, however the application and use is very simple. Electrodes are printed into a thin disposable paper and applied to the skin. These electrode sensors measure the glucose level in the patient.

The tattoos are still a few steps away from being able to offer a numerical measurement. Patients can see that there has been a spike in their glucose levels but cannot yet determine what the numerical value of that spike is. Further development will also introduce Bluetooth capabilities that can transmit data to doctors or cloud storage and provide numerical output.

Right now, each tattoo lasts a single day. The price point for the tattoos is very low, making the daily application a fairly inexpensive proposition.

The best news? The hope is that with this new technology finger pricks may be a thing of the past! If approved the device will be the first painless method to check daily blood sugar rates. Another benefit: No pain may lead to an increase of those diagnosed with diabetes to actively monitor their blood sugar levels.

What the Future Holds

There are plans underway to expand the capabilities of the tattoos. Along with use as a diabetes supply, it is also hoped that this technology will be able to measure metabolites, medications, alcohol or even illegal drugs.

If you have questions, the experts at Focus Express Mail Pharmacy are here for you!  Focus Express Mail Pharmacy has been helping people manage their diabetes for years. We can answer your questions about diabetes, insulin pumps, supplies, and more. Call us today at 1-866-403-6287 or visit www.FocusPharmacy.com.

Eating Carbs at the END of Your Meal Might Be Good for Your Health

Posted in Diabetes Advice, Diabetes Recipes, Diabetes Statistics, Diet and Diabetes, New Devices for Diabetes, Tips for People with Diabetes

You might want to save that dinner roll for AFTER dinner. A recent study published in the American Diabetes Association Diabetes Care Journal found that eating carbohydrates at the end of your meal could help to reduce glucose and insulin levels.

meals

The study was conducted to determine if the order in which different types of food (proteins, vegetables and carbohydrates) are consumed has an impact on glucose and insulin levels. Although the results are preliminary, the study did find a relationship between when carbohydrates are consumed in the meal and glucose and insulin levels.

The Study

Using a diabetes-friendly meal of proteins, carbohydrates and vegetables, the study looked how food order impacted glucose and insulin levels in overweight and obese adults with type 2 diabetes. After a 12 hour fast, the participants were given a meal with an equal amount of calories divided between protein, carbohydrates and fat, on two separate days, a week apart. During the first test, the food order was ciabatta bread and orange juice followed 15 minutes later by grilled skinless chicken, a lettuce and tomato salad and steamed broccoli. Blood was sampled before the meal to get a baseline and then30, 60 and 120 minutes after the start of the meal. In the second test, the order was reversed.

The Results

The study found that glucose levels were 37% lower an hour after the meal when protein and vegetables were consumed first, before carbohydrates. Insulin levels were also significantly lower when protein and vegetables were consumed first. According to the study, the effect of the food order on glucose was similar to using prescription drugs to target after-meal glucose levels.

What this means for you

Although the results are preliminary and will need to be tested on a larger focus group, the study may indicate that eating proteins and vegetables first in the meal, before carbohydrates, can benefit your health. As always, we recommend you consult with a healthcare professional before making any changes to your diet.

If you have questions, the experts at Focus Express Mail Pharmacy are available to answer your questions regarding diabetes, insulin supplies and diabetes supplies. Contact us at 1-866-403-6287 or visit www.FocusPharmacy.com.

 

Diabetes and Your Diet: Separating Fact from Fiction

Posted in Diabetes, Diabetes Advice, Diabetes Recipes, Diabetes testing supplies, Diet and Diabetes, Holiday recipes, Insulin Pumps, Obesity and Diabetes, Summertime and Diabetes, Tips for People with Diabetes

As someone living with diabetes, it’s hard to know what information about your diet you should trust. Here are some things you may not know.

 food cravings

If you have diabetes, there’s a lot of information available on the subject, both good and bad. This is especially true when it comes to questions about what you can eat. It’s sometimes hard to know which advice you should follow.

Unfortunately, the truth is that some of what you hear about diabetes and your diet is outdated information or sometimes just untrue. For many with diabetes, there is really no need to eat differently than other members of the family – as long as your family eats a healthy, balanced diet.

Dealing with Food Cravings

As someone with diabetes, one of the worst things you can do is to completely deny yourself of the foods that you love. When you cut out all sugar and carbohydrates from your diet, it can lead to bad choices, such as craving foods that are high in sugar or fat. Current diabetes nutrition guidelines allow for “special occasion” treats or indulgences that you might not think that you can eat – as long as it’s part of a healthy diet.

Just like sugars, if starchy foods are your weakness there is no need to eliminate them from your diet completely.  Some starchy foods, such as pastas and rice, are an important source of carbohydrates – the body’s energy source. As with any food, the key is not to overindulge and to keep an eye on your blood glucose to ensure it remains at a healthy level.

Fatty Foods

Although it’s ok to treat yourself to a small sweet or enjoy some pasta, you do still want to keep an eye on your fat intake. When you eat foods that are too high in fat it slows your digestion down, which can make it harder for your insulin to do its job. Saturated and trans fat, fats often found in butter, shortening, red meat and fast foods, should be avoided as much as possible.

Having diabetes doesn’t mean you can’t enjoy eating. As long as you are eating a healthful diet of fruits, vegetables and lean proteins, it’s ok to treat yourself from time to time! Of course, it’s always best to check with your doctor when making any changes to your diet, or if you have specific medical questions.

With more than 50 combined years of experience with insulin pumps and over 100 combined years of experience with diabetes supplies and prescription medications, the professionals at Focus Express Mail Pharmacy are here to help! Their experienced and knowledgeable personnel are always ready to answer questions about diabetes, insulin pumps and supplies.

Call them today at 1-866-403-6287 or visit them at www.FocusPharmacy.com

 

Guide to Popular Insulin Pumps: Part Two

Posted in Children with Diabetes, Diabetes, Diabetes Advice, Diabetes testing supplies, Insulin Pumps, New Devices for Diabetes, Tips for People with Diabetes

With countless insulin pumps on the market it’s hard to know which is right for you. Don’t make your decision in haste, learn more before you buy.

 

 accuchek pump

Insulin pumps are a great way for those living with diabetes to control their insulin levels. They take away the need for individual insulin injections and can help delivery insulin more accurately. They also work well for those with an active lifestyle or who desire more flexibility. Last month we shared five pumps that are popular among users and available through Focus Express Pharmacy. Today, we’re offering several more suggestions to find the insulin pump that is right for you.

Four More Insulin Pumps to Consider

  • Roche Insulin Delivery Systems Accu-Chek Combo The Accu-Chek system combines a blood glucose meter with an insulin pump allowing the user to easily check glucose levels and operate the insulin pump remotely. The combination supports insulin therapy management and is discreet as touching the pump is not necessary. Additionally the Accu-Chek system incorporates Bluetooth technology for two-way communication between the insulin meter and pump as well as one of the largest insulin cartridges on the market – holding up to 315 unites of insulin.
  •  Sooil Development Dana Diabecare IIS – Managing an illness such as diabetes can be costly making the Dana Diabecare IIS a pump worth considering for those on a tight budget. The pump is one of the more affordable pumps on the market. The pump itself is lightweight and functions with an easy to read display. There are multiple tubing lengths and connection anchoring options available. That being said it does have fewer basal rate delivery options than other brands and the maximum range it can reach is 16 U/hr. You will want to speak with your doctor about your needs before making a decision on this device.
  •  Tandem Diabetes Care T:flex – The T:flex is one of the newest pumps in the U.S. marketplace having been released in June 2015. It was designed for those needing more than 80 units of U-100 insulin a day. It has a 480-unit reservoir and 60-unit maximum bolus, as well as a touch screen interface.  For teenagers with Type 1 diabetes and many people who have Type 2 diabetes this pump is a good option.
  •  Tandem Diabetes Care T:slim – The T:slim was the first insulin pump with a touch screen mimicking that of a smart phone. It has a 300 unit reservoir and enough power to last up to seven days. You won’t need to constantly buy new batteries as the built-in batteries are rechargeable – it’s the only pump on the market to offer this feature. It also has a micro-USB port for charging and transferring data.

Still Unsure?

If you’re still searching for the perfect insulin pump, make sure to read our prior post where we shared more suggestions. A complete buyer’s guide is also available from the American Diabetes Association (ADA). Take your time to discover which insulin pump will work the best for you and your health needs.

If you have questions, the experts at Focus Express Mail Pharmacy are here for you!  Focus Express Mail Pharmacy has been helping people manage their diabetes for many years. They can answer your questions about diabetes, insulin pumps, supplies, and more.

Call them today at 1-866-403-6287 or visit them at www.FocusPharmacy.com  

 

 

Continuous Glucose Monitoring and Insulin Pumps: What You Need to Know

Posted in Diabetes, Diabetes Advice, Diabetes Research, Diabetes testing supplies, Insulin Pumps, New Devices for Diabetes, Tips for People with Diabetes

Continuous Glucose Monitoring (CGM) devices are an important part of diabetes supplies for some people who need to keep an especially close eye on their condition.

 

 CGM

With new advancements in continuous glucose monitoring (CGM) systems, diabetes management is becoming much easier, very quickly. Currently, although not for everyone, CGM devices are an important part of diabetes supplies for some people, especially those who need to keep a close eye on their insulin levels.

Monitoring Levels Continuously with CGM

Here’s how they work. The CGM system uses a tiny sensor that is inserted just under the skin, usually painlessly. Working wirelessly with a remote device, the sensor gathers information on your blood glucose levels day and night, collecting readings about every five minutes.

 Available Now

CGM devices are currently FDA approved and available by prescription. They are more expensive than traditional glucose monitoring  but when combined with periodic finger sticks (at least one finger prick is needed every 12 hours to calibrate the CGM), can give some people with diabetes and their doctors a more complete picture of glucose levels throughout the day.

Other Benefits

If you’re like many who use insulin pumps and a CGM system is recommended for you, there’s good news. Many pumps can be linked to the CGM device. Rather than manually programming your pump, it will be activated at the right time through your CGM system.

What does the future hold for diabetes supplies?

Scientists are continuing to test and develop new CGM systems with the goal of combining glucose monitoring and insulin delivery automatically, much like a healthy human pancreas does naturally. Ultimately, although not a cure, an artificial pancreas could significantly improve the care of those with diabetes, making the condition much more easily managed.

With more than 50 combined years of experience with insulin pumps and over 100 combined years of experience with diabetes supplies and prescription medications, the professionals at Focus Express Mail Pharmacy can help YOU with insulin pump questions or concerns.

Give them a call at  1-866-403-6287. They have a complete selection of insulin pumps and diabetes supplies and are available to answer all of your questions.

www.FocusPharmacy.com

Diabetes Friendly Summer Ready Salads

Posted in Diabetes, Diabetes Advice, Diabetes Recipes, Diet and Diabetes, Holiday recipes, Obesity and Diabetes, Summertime and Diabetes, Tips for People with Diabetes

Not all salads are diabetes friendly. Learn a few safe recipes that are delicious and still fit into a diabetes food regimen.

 

 fruit salad photo

Summertime is here and July 4th barbecues and picnics are around the corner!  With fresh fruits and veggies more available, there are some yummy salads you can make that can be a healthier alternative to other foods. However, not all salads are healthy and diabetes friendly. You can pile on meats and dressings that are actually not healthy at all. Read on to discover some diabetes friendly recipes that still let you indulge.

  • Grilled Ginger Melon Kabobs. Made with fresh melon, cantaloupe, lime and honey, this yummy recipe is sure to be a crowd pleaser. Serve it up at a summer get-together or for an evening treat. With less than 100 calories and a full serving of fruit, it’s a go to option.
  • Fresh Fruit with Citrus Mint Dressing. Let’s face it. Sometimes the best part of a salad is the dressing. But, unfortunately, some dressings pack in enough calories that eating a hamburger might be healthier! If you love your dressing, try this low calorie and diabetes friendly option. Combine orange juice with mint and honey for a delicious, low calorie option. Pour over fresh fruit of your choice such as strawberries and pineapple for a yummy summer side dish.
  • Fresh Fruit Salad with Creamy Lime Topping. Looking for something a little more on the sweet side? Try this creamy dressing over fruit and you’ll be begging for seconds. Made with mayonnaise, sour cream and powdered sugar, it’s hard to believe this recipe is also diabetes friendly. With only 64 calories and one gram of fat, go ahead and indulge.
  • Italian Pasta Salad. Who loves pasta? Living with diabetes, it can be difficult to enjoy pasta salad because of the sugar and carbohydrates. However, this recipe, made with whole grain rotini pasta, fresh basil, olive oil and veggies, gives you the same taste with less calories, sugar and carbs! With 118 calories, serve it up for a lunch in the office or a dinner at home alone.
  • Macaroni Salad. Macaroni salad is a fan favorite. Using lighter options such as whole grain macaroni, low fat yogurt, fat free milk and light mayonnaise, you can still enjoy a beloved recipe while keeping your diabetes in check.

While all of these options are diabetes friendly, remember to always consult your healthcare provider before considering a new meal plan.

If you have questions about other diabetes friendly foods, the helpful and knowledgeable people at Focus Express Mail Pharmacy are here to help! And, they are always ready to answer your questions about diabetes, insulin pumps and supplies. Call them today at 1-866-403-6287 or visit them online at www.FocusPharmacy.com   ENJOY THE HOLIDAY!!!!

 

 

 

Guide to Popular Insulin Pumps

Posted in Children with Diabetes, Diabetes Advice, Insulin Pumps, New Devices for Diabetes, Tips for People with Diabetes

Thinking of using an insulin pump to manage your diabetes? Here’s a guide to the most popular models on the market today.

insulin pump new minimed

If you or someone in your family suffers from diabetes, you may be thinking about using an insulin pump to manage the insulin levels in your bloodstream. While you should always talk to your doctor before making any changes to your diabetes regime, there are number of good reasons why an insulin pump is a great choice. The toughest decision you’ll probably have to make is which insulin pump is right for you. Focus Express Pharmacy sells them all, and we’ve put together a guide to help you decide, starting with the most popular models.

Popular Pumps

Pumps manufactured by Medtronic, Animas, and Insulet are the ones we sell the most of. The pump that works best for you may be made by another manufacturer but rest assured that no matter what pump you need, we can set you up.

  •  Medtronic’s MiniMed 530G with Enlite – Choose from two models, one with a 180-unit reservoir and the other with a larger 300-unit reservoir. These pumps are only compatible with Medtronic infusion sets and can deliver from .025 to 35 units per hour in .025-unit increments. The MiniMed features the first FDA approved system that can stop insulin delivery for up to 2 hours if the blood glucose level reaches a preset level.
  • Medtronic’s MiniMed Paradigm Real-Time Revel – This pump also comes in two models depending on the size of reservoir you want. It requires Medtronic infusion sets and has the same basal range as the other Medtronic models. What sets this pump apart is the built-in CGM technology that uses a sensor to wirelessly transmit continuous glucose readings.
  • Animas OneTouch Ping – The OneTouch Ping features both a pump and a remote to operate it. It has a 200-unit reservoir and is compatible with all standard Luer-lock infusion sets. This waterproof pump (to 12 feet) doesn’t require disconnection when you swim and both the remote and pump control all functions including delivering a bolus dose, monitoring of pump stats and information about alarms.
  • Animas Vibe – This new entry offers CGM technology to continuously report glucose levels. Like the OneTouch Ping, it has a 200-unit reservoir and is compatible with all Luer-Lock infusion sets. This is also a waterproof pump, but it doesn’t feature a remote.
  • Insulet Omnipod – The Omnipod offers a different approach to delivering insulin. Instead of tubing, the pump comes with a built-in cannula and automated inserter contained in body-worn pod. Its reservoir holds 200-units and its basal range is .05 to 30 units per hour in .05-unit increments. The Omnipod has a Personal Diabetes Manager (i.e., remote control) that controls the pod’s functions. It’s waterproof and comes with seven “skins” to personalize the remote.

More to Come

In a future blog post, we’ll cover some of the other models of insulin pumps on the market, and available through Focus Express Pharmacy. A complete buyer’s guide is also available from the American Diabetes Association (ADA).

If you have questions, the experts at Focus Express Mail Pharmacy are here for you!  Focus Express Mail Pharmacy has been helping people manage their diabetes for years. We can answer your questions about diabetes, insulin pumps, supplies, and more. Call us today at 1-866-403-6287.

 

 

Mobile Friendly Focus Express Mail Pharmacy Website Now Available!!

Posted in Diabetes, diabetes mobile website, Diabetes testing supplies, diabetes website, Tips for People with Diabetes

Check out our Bright, New and Friendlier Mobile Friendly Website for Focus Express Mail Pharmacy on your Smart Phone at www.FocusPharmacy.com

 

Focus Mobile website home page           Focus mobile website 2

 

A new “Mobile Friendly” website for Focus is now available for your smart phone! With our new LARGE print and EASY to see categories, you can now navigate our website and send your refills to Focus from your mobile phone more quickly and more confidently! You can also enroll as a new customer on the new mobile website! As always, if you refer someone to Focus and their insurance qualifies, YOU get a $100 gift card to American Express, Best Buy, Sears, or Home Depot. And, the new enrollee gets a $50 gift card just for being a new customer!  Be sure to check out our new mobile website at www.FocusPharmacy.com