Diabetes Pharmacist

Diabetes Pharmacist

information & education about diabetes & related subjects

Managing the Transition to an Insulin Pump

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

Transitioning to an insulin pump  from injection therapy is a significant change, but can provide many benefits and improve your overall health.

Insulin pump for diabetes

Moving from insulin injections to a pump is a big transition, but a smart decision given the many benefits a pump provides. Even though injections are less expensive and require less education, there are still many benefits that an insulin pump provides. Here are a few of the changes to expect:

  •  Better control

An insulin pump gives you the opportunity to have better control of your blood sugar by continuously delivering insulin causing fewer highs and lows in glucose levels. In addition, insulin delivery through a pump is more accurate and precise.

  •  More flexibility

Insulin pumps offer you more freedom with what you eat and allowing you the ability to exercise without having to eat a large amount of carbohydrates.

  •  Less resistance

If you are currently using injections, you may develop less resistant areas of your body where the insulin will not absorb properly.

  •  Less painful

With a pump, you may have one injection every three days versus roughly 15-18 injections in a three-day person with injection therapy.


Once you have made the decision to transition, you might experience a few challenges. Here’s what to expect and how to manage those challenges.

  • Overall well-being. After the physical transition, an insulin pump will improve your overall health and can make you feel better on a consistent basis. With a moderated blood sugar level, your overall daily routine should improve.
  • Appearance. Since you will have a physical pump hanging from your side, this will be something for you to consider how to transition. If you are concerned with how to hide the pump, we recommend trying a few different things to figure out what works for you. Fastening the pump on belt loops and using pockets can all help you find a workable solution.
  • Patience is key. You must be patient with the transition process and realize that it can take several months before you are comfortable using your pump. Your body will take time to adjust to the new system.

The pump is not for everyone, just like injection therapy is not the best solution for all. When you decide to move to an insulin pump, it’s important to work with your healthcare provider to learn how to program your insulin pump, insert your infusion set and learn how to problem-solve any issues you may have with your pump as well as your glucose levels. You can also find a workshop that can help you better understand the features of your pump and help you gain better control of your glucose levels. If you have questions, don’t hesitate to ask your healthcare provider.

If you have any additional questions or concerns regarding the insulin pump or making the transition, the experts at Focus Express Mail Pharmacy are available to help and answer your questions regarding diabetes and diabetes supplies.

Contact us today toll-free  1-866-403-6287.

Recognizing Signs of Neuropathy. Should You Be Concerned?

Posted in Diabetes, Diabetes Advice, Diabetes Conditions, Insulin Pumps, Tips for People with Diabetes
diabetes neuropathy insulin pumps

Neuropathy is a serious – but treatable – common complication of diabetes. Make sure you know the symptoms.

If you have diabetes, you know it is important to closely track your blood glucose levels due to the wide array of complications that can result from having sugar levels that are too high or too low.  Properly managing your diabetes will also help prevent the development of neuropathy.

Neuropathy is defined as a disorder of the peripheral nerves and most often affects the hands and feet, causing weakness, numbness, tingling, and pain. Peripheral neuropathy is the leading form of neuropathy in the United States, affecting 60-70% of those with diabetes. Fortunately, when diagnosed early, peripheral neuropathy can often be controlled.

Symptoms of Neuropathy

Preventing neuropathy involves understanding the signs as well as the importance of managing blood glucose levels. Let’s take a look at some of the common symptoms

  • Sensory Symptoms 

Numbness, loss of balance, prickling pain, electric shock-like feelings, burning, hypersensitivity to touch and tingling are all potential signs of neuropathy.

  •  Motor Symptoms

Difficulty with motor tasks like turning keys or opening jars can be a sign of neuropathy. You should also watch for issues with your feet – such as if your toe scuffs on the ground often or if you find yourself tripping a lot. Difficulty getting up from a seated or laying position may be another indicator.

  • Autonomic Symptoms

Lack of sweating while exercising, dry skin, sweating in defined areas, sensitivity to bright lights, and fainting are all potential indicators of peripheral neuropathy.

When to See a Doctor

If you notice yourself experiencing these symptoms, see a doctor right away to prevent additional damage to your peripheral nerves. Your doctor will help determine the best course of treatment for you; many causes of peripheral neuropathy can be successfully treated.

Still have questions? The experts at Focus Express Mail Pharmacy are available to help. Call us, toll-free at 1-866-403-6287 and we will be more than happy to answer your questions regarding diabetes, insulin pumps and diabetes supplies.


3 Simple Ways to Lower Your Risk of Developing Type 2 Diabetes

Posted in Diabetes, Diabetes Advice, Diet and Diabetes, Exercise and Diabetes, Insulin Pumps, Obesity and Diabetes, Tips for People with Diabetes

It’s never too late to make simple lifestyle changes to lower your risk of developing Type 2 Diabetes. Use these tips to help you start. 

fruits and exercise

 Type 2 diabetes is the most common type of diabetes. However, if you make simple lifestyle changes, it can significantly lower your risk of a diagnosis. The best news is that it’s never too late to make those changes! Follow these tips to get on the path to a healthy lifestyle.

Get Physical.

Regular exercise not only helps you lose weight, it also lowers your blood sugar and boosts your sensitivity to insulin. The more you exercise, the more efficiently your body uses insulin. Therefore, the more you work out the more likely your body is to control its own blood sugar, lowering your risk for Type 2 diabetes. It is recommended you exercise three to four times a week.

Add Whole Grains and Fiber To Your Diet.

Whole grains and fiber, including fruits, vegetables, beans, nuts and seeds, are good for many reasons. Whole grains help maintain blood sugar levels and fiber keeps you full which can help with weight control.

Lose Weight

While not the only contributing factor, being overweight is often a major underlying cause of Type 2 diabetes. By losing just 7 percent of your total overall body weight, it significantly alters your risks.

While adopting these healthy habits can lower your risk of developing Type 2 diabetes, there are many risk factors you still need to take into consideration.  To learn what these factors are and how at risk you are for developing Type 2 diabetes, you can take an online type 2 diabetes test that will ask you questions about your age, weight and family history.

 If you have already been diagnosed with Type 2 (or Type 1) diabetes, the experts at Focus Express Mail Pharmacy are available to answer your questions on everything from diabetes, to insulin pumps and supplies.

For more information on our products or to talk to a friendly expert, call us today at 1-866-403-6287.


The National Diabetes Statistics Report 2014: What You Need to Know

Posted in Diabetes Advice, Diabetes Statistics, Diet and Diabetes, Exercise and Diabetes, Obesity and Diabetes, Tips for People with Diabetes

This report reveals trends in diabetes diagnosis and management through activity, medication, and diabetes supplies such as insulin pumps.


The Center for Disease Control and Prevention recently released the National Diabetes Statistics Report for 2014. Drawing on figures produced by the 2009-2012 National Health and Nutrition Examination Survey, 2010-2012 National Health Interview Survey, and 2012 Indian Health Services  data, as well as the 2012 U.S. Census, the CDC reports the estimated total number of people with diabetes is 29.1 million people (9.36% of the population). They estimate that another 8.1 million are undiagnosed.

The report breaks the numbers down by age group, type (1 or 2), and race/ethnicity. According to the report, 28.9 million Americans ages 20 or older are living with diabetes. Within that, 1.7 million new cases were reported from 2010-2012, with the 45-64 age range producing the most new cases (892,000) during that time. 90-95% of new adult cases are Type 2.

 This report also addresses the statistics of prediabetes, a condition of high blood glucose or hemoglobin A1C levels. As of 2012, it is estimated that 86 million Americans aged 20+ have prediabetes. The ethnic distribution is just about equal within this age group, with non-Hispanic blacks being slightly more susceptible at 39% of cases.

Diabetes Management Recommendations

In its report, the CDC advises that diabetes can be managed by a healthy diet, regular exercise, and reducing risk factors such as smoking and high blood pressure. Taking diabetes medications can help treat diabetes as well. Educating oneself on the dangers and good self-care techniques is also necessary to stay healthy.

Seeking help on diabetes management and diabetes supplies

If this report has raised some questions for you, the experts at Focus Express Mail Pharmacy are available to help. Our number is 1-866-403-6287. We have a complete selection of diabetes supplies including insulin pumps and are available to answer all of your questions regarding diabetes, insulin and diabetes supplies.


Diabetes and Added Sugar: Know What You’re Eating

Posted in Diabetes, Diabetes Advice, Diet and Diabetes, Insulin Pumps

Learn what sugar really is, where it’s found, and how avoiding it could help you better manage your diabetes.


It’s been called “white poison” by some and “toxic” by others. There’s no doubt sugar is a hot nutrition topic right now. But for those with diabetes, steering clear of the white stuff is not just a health trend. Instead, it should be part of your daily quest to manage your diabetes and improve your overall health.

 Exactly What is Sugar?

Sugar is a simple carbohydrate that helps fuel your body, but has no other nutritional value.  It does, however, help maintain the freshness of pastries and baked goods, provide bulk to ice cream, serve as a preservative for jelly, and aid in the fermentation of bread and alcohol. Sadly, though, consuming too much added sugar can lead to health issues including obesity, high cholesterol, heart disease, and trouble controlling type 2 diabetes.

What are the Types of Sugar?

Is all sugar bad, you ask? The truth is, two types of sugar exist – naturally occurring and sugar which is added. You can guess which is the most important to avoid. Naturally occurring sugars such as fructose and lactose are found in fruit and milk, respectively. The real problem begins when sugars and sweeteners are added to your food and beverages. These “added” sugars include high-fructose corn syrup, corn sweetener, evaporated cane juice, dextrose, and other sugar molecules ending in “ose.”

Where is Sugar Found?

Avoiding these added sugars – and the added calories that come with them – is often more difficult than you might think. The health benefits, however, are worth it. To begin avoiding added sugar, first understand the types of foods and drinks that are packed full of it. You might assume sugary snacks, candy, soft drinks, and baked goods are the only culprits. Don’t forget, many types of bread, fruit juices, and sweetened applesauce are hiding sugar, too. Next, know how much added sugar you’re actually consuming. Take a look at product labels and remember that four grams equals one teaspoon of sugar and 16 calories. That means a snack food with 40 grams of sugar is just like eating 10 teaspoons of sugar at 160 calories.

How Can You Avoid Sugar?

Now that you know what added sugar is and why you should avoid it, let’s move on to how exactly you can limit your intake. Start by following these 10 tips:

1)     Steer clear of candy and baked goods.

2)     Eat more lean proteins, whole grains, and veggies for snacks.

3)     Reduce the amount of sugar you regularly add to cereal or coffee.

4)     Buy fresh fruit instead of fruit canned in syrup.

5)     Enhance the flavor of foods by adding spices such as cinnamon, ginger, or allspice instead of sugar.

6)     Drink water instead of sugary soda or fruit juice.

7)     Cut processed foods out of your diet, which are often the highest in added sugar.

8)     When baking, use unsweetened applesauce instead of sugar in your recipe.

9)     Don’t keep sugar on your table, where it is too much of a temptation.

10) Consider a natural aspartame-free sugar substitute such as stevia.

Once you begin eliminating added sugar from your diet, you may be pleasantly surprised to find you not only manage your diabetes better, but you manage your weight better as well. Another pleasant side effect of a sugar-less diet can include lower cholesterol too.

If you have questions about living successfully with diabetes or about your insulin pump or other diabetes supplies, contact Focus Express Mail Pharmacy. Our experts are here to discuss your health strategies – like avoiding sugar! — and share information about our complete selection of diabetes supplies. Just visit www.focuspharmacy.com or call toll-free 1-866-403-6287.

Coming Soon: Easier Diabetes Management with a Combined CGM and Insulin Pump Site.

Posted in Insulin Pumps, New Devices for Diabetes, Uncategorized


With the release of Medtronic’s MiniMed Duo that combines a continuous glucose monitoring (cgm) sensor and insulin infusion site, now is a great time to evaluate your insulin pump options

 Minimed 530G  2

Medtronic recently announced the world’s first two-in-one device to combine a glucose sensor and insulin infusion set into one on-body device. The new MiniMed Duo, which is used with the MiniMed® Veo(TM) system, will simplify integrated insulin pump therapy and continuous glucose monitoring (CGM).

New Two-in-One Breakthrough

In the past, many have been reluctant to use a continuous glucose monitoring (CGM) device because it would have meant wearing a second device on their body. By integrating blood glucose monitoring with an insulin pump, you get one device that can monitor your blood sugar levels and deliver insulin.

According to the press release, the MiniMedDuo offers enhanced simplicity. Both the glucose sensor and cannula are inserted with one easy-to-use insertion device and users only have to change one device every 3-days.

Insulin Pump Benefits

Insulin pumps offer so many benefits and can be powerful tools. They are often popular with people that have unpredictable schedules or are very active. They allow better control of blood glucose levels which can reduce the risk of complications including eye disease, kidney disease, and nerve damage. The MiniMed Duo is an exciting advancement in diabetes care.

“MiniMed Duo is the latest breakthrough designed in response to the needs of insulin pumpers who don’t want to wear two separate devices on their bodies, addressing one of the most common barriers to CGM technology,” said Greg Meehan, Vice President and General Manager of the Continuous Glucose Monitoring business at Medtronic Diabetes.

The MiniMed Duo is now available in Europe but is not yet available in the United States.  Stay tuned for more information on this exciting new device!

Insulin Pump Questions?

Have a question about your insulin pump options? The experts at Focus Express Mail Pharmacy are here to help. Call toll-free 1-866-403-6287 or go to our website www.FocusPharmacy.com. We have a complete selection of insulin pumps and diabetes supplies and any one of our highly trained and experienced staff is available to answer all of your questions.


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.