Diabetes Pharmacist

Diabetes Pharmacist

information & education about diabetes & related subjects

Kids: Get Your Sleep!! Lack of Sleep Could Lead to Diabetes!

Posted in Children with Diabetes, Diabetes, Diabetes Advice, Diabetes supplies, Insulin pump supplies, Insulin Pumps, Obesity and Diabetes, Type 2 diabetes

Children who don’t get enough sleep may be more likely to develop diabetes than kids who typically get enough shuteye, a UK study suggests and reports  by Lisa Rapaport of Reuters Health

That’s because each additional hour of sleep children get at night is associated with a lower body weight, more lean muscle mass and less accumulation of sugars in the blood, researchers report in Pediatrics. Obesity and elevated blood sugar are risk factors for type 2 diabetes, which happens when the body can’t properly use or make enough of the hormone insulin to convert blood sugar into energy.

“These findings suggest increasing sleep duration could offer a simple, cost-effective approach to reducing levels of body fat and type 2 diabetes risk early in life,” senior study author Christopher Owen of St. George’s, University of London, said by email.

Kids 6 to 12 years old should get 9 to 12 hours of sleep a night, according to the American Academy of Pediatrics. Children who got less sleep in the study were more likely to have a risk factor for diabetes known as insulin resistance, when the body doesn’t respond normally to the hormone . They were also more likely to be extremely overweight or obese and have more body fat, the study also found.

“When kids are going to bed very late or sleeping on an irregular schedule, they may also be skipping meals, eating at irregular times, or be less likely to exercise during the day,” according to Stacey Simon, a pediatric sleep psychologist at the University of Colorado Anschutz Medical Campus and Children’s Hospital Colorado.

Insufficient sleep can affect levels of hormones that control appetite, making kids hungrier and increasing cravings for sweet and salty snacks, said James Gangwisch, a psychiatry researcher at Columbia University in New York who wasn’t involved in the study.“Getting enough sleep helps keep our appetite in check and is protective against insulin resistance,” Gangwisch added.

Customer Service is #1 in Importance in Our Mail Order Pharmacy Diabetes Business.

Posted in Diabetes, Diabetes supplies, Diabetes testing supplies, Insulin pump supplies, Insulin Pumps, Uncategorized

Our customers didn’t care how much we knew until they knew how much we cared. ~ Damon Richards

Closeup of a beautiful business customer service woman smiling

My good friend Brian recently told me something that I didn’t know. He said  “did you know your business, Focus Express Mail Pharmacy, is NOT in the pharmacy or diabetes mail order business?”

“WHAT?? Of course it is” I said.

“No no no. It’s not!” he insisted. ” It’s in the customer service business!” He added. ” You give such wonderful customer service to your patients. You call their doctors for refills so they don’t have to, you ship overnight with no fees for shipping, you take care of all the billing and insurance problems so they don’t have to,  and you accept the insurance reimbursement as payment in full so they have No Co-Pay! Most of all, everyone there talks to your patients with a smile on their face and as if they were their only customer!”

I had never thought about it that way. But, of course he was right. If everyone at Focus wasn’t nice and didn’t treat EVERYONE with the care and respect they deserve, the patients would never know about our many years of pharmacy, diabetes, and insulin pump experience. They would just hang up and look elsewhere. In fact, much of our growth has been because our very satisfield customers refer their friends, family, and fellow employees to us. That only happens with great cusomer service.

So thank you Brian for your insight!  You learn something new everyday!




Bolus and Basal Injections and What You Need to Know

Posted in Diabetes, Diabetes Advice, Diabetes supplies, Diabetes testing supplies, Insulin pump supplies, Insulin Pumps, Tips for People with Diabetes

The bolus-basal insulin injection regime for those living with diabetes works like your body should, but may not be a suitable fit for everyone.

insulin 2

If you have insulin dependent diabetes, you’re very familiar with bolus insulin, the type of insulin that is short-acting, typically taken with meals. However, not as many people with diabetes are as familiar with the other kind, basal insulin or, for that matter,  the bolus-basal insulin regime. Read on to learn the difference between bolus and basal injections and why a bolus-basal routine might be right for you.

The bolus-basal routine involves taking multiple insulin injections throughout the day. It requires the use of a longer acting form of insulin, basal insulin, to keep blood glucose levels stable through periods of not eating, where cells convert glucose into energy. Basal literally means “background” so this is the type of insulin that remains in the background of the bloodstream and is taken once or twice a day. Bolus insulin is the shorter acting insulin taken at mealtime to prevent rises in blood glucose levels as a result of eating.

The bolus-basal regime is an attempt to emulate how a completely healthy body would deliver insulin. The routine is applicable to people with both Type I  and Type II diabetes.


  • The main advantage of a bolus-basal regimen is that it allows you to fairly closely match how your own body would release insulin if it was able. Another big advantage is that it allows for greater flexibility when scheduling meals and for how many carbohydrates you can consume per meal since insulin is adjusted and injected throughout the day. This can be a large perk for adults with busy schedules and less control over meal times and type of food available.


  • If there are advantages, there must also be disadvantages. One downside to the regime is that it requires more frequent insulin injections every day. This may be a bigger issue for some more than others, like children who must grow accustomed to the habit.


Of course, not every type of routine is right for everyone. Consult your doctor if you think the bolus-basal injection regime might work for you.

If you have any questions regarding diabetes or diabetes supplies, Focus Express Mail Pharmacy is here to help! The people at Focus Express Mail Pharmacy are experts when it comes to diabetes, insulin pumps and supplies. Call us today at 1-866-403-6287 or visit us online at www.FocusPharmacy.com.



Potatoes, Pregnancy and Gestational Diabetes: What’s the Deal?

Posted in Diabetes, Diabetes Advice, Diabetes and Pregnancy, Diabetes Conditions, Diabetes Recipes, Diabetes testing supplies, gestational diabetes, Insulin pump supplies, pregnancy and diabetes, Tips for People with Diabetes

Recent research shows that women who eat a diet high in potatoes might have an increased risk of developing gestational diabetes.


Potatoes seem to be on every menu and for good reason: The starchy tubers are cheap, nutritious and delicious. Although once only widely eaten in Europe, North America and eastern Europe, recent years have seen increases in consumption in the rest of the world, with China currently the largest producer, accounting for one-third of potatoes grown globally. So what’s the downside to the spud’s spread?

Research Weighs In

Although potatoes include high levels of vitamin C and B6, folate, magnesium, iron, zinc and other healthy compounds, researchers are now warning that a diet high in the tuber isn’t all good, especially for women of childbearing age.

A study recently published in The British Medical Journal (BMJ) followed nearly 22,000 pregnancies over a 10-year period. The individuals, who had no previous gestational diabetes or chronic diseases, filled out a diet questionnaire every four years. More than 850 of the pregnancies studied were affected by gestational diabetes. Controlling for a variety of factors like age, family history and Body Mass Index, researchers from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and Harvard University discovered that a high rate of potato consumption before pregnancy increases risk of gestational diabetes. According to the Mayo Clinic, this can increase the baby’s birth weight, cause preterm birth and increases risks of hypoglycemia and later developing Type 2 diabetes. It also contributes to a variety of health issues for the mother, as well.

A not-so-surprising outcome

Although more research is needed, researchers say the results of this study are not really unexpected. Previous studies have shown the potato to be high in starch, which gives the tubers a high glycemic index that can lead to a spike in blood glucose levels. Potatoes also are known to increase insulin resistance and the risk of Type 2 diabetes. Of course, the cooking method can add to its negative properties. To minimize your risk of gestational diabetes, researchers advise substituting potatoes with other vegetables, legumes or whole-grain foods prior to conceiving.

If you have questions diabetes, insulin pumps or diabetes supplies, the experts at Focus Express Mail Pharmacy can help! We have more than 100 years combined experience in the field. For more information, visit www.focuspharmacy.com or call toll-free 1-866-403-6287.




The Best Apps to Help You Manage Your Diabetes

Posted in Diabetes Advice, Diabetes supplies, Diabetes testing supplies, diabetes website, Insulin pump supplies, Insulin Pumps, Tips for People with Diabetes

There are Diabetes apps to help you manage your diet, set up doctor’s appointment reminders and track your health.


There really is an app for everything, including apps to help you manage your diabetes. From reminders about appointments to weight management tips and tracking your glucose levels, diabetes care has never been easier for those of us with smartphones.

Here are some of the best apps to help you manage your diabetes:

Diet Management Apps

  • Diabetes Logbook is an easy to use, fun app that allows you to log and track your diet. This app makes diabetes tracking fun with your very own monster avatar to guide you along the way to make healthy eating fun.
  • Calorie Counter Pro gets great reviews for being easy to use to help track what you eat. The app also provides a database of nearly a million foods as well as hundreds of exercises.
  • Fooducate provides weight loss tips plus information on what foods are diabetes friendly. This app is recommended for older people who may not be as tech savvy since it’s so easy to use.
  • Diabetic Connect has a magazine-style layout that works for both older and younger app users. You can create personal health logs as well as network with others with diabetes. This app is a great way to share your experiences and learn from others who have diabetes.

Medication and Appointment Reminder Apps

  • Diabetik is a simple, straightforward app that allows you to set up reminders for medication and doctor’s appointments. This app gets good reviews for being easy to use.
  • BlueLoop allows you to set up doctor’s information and send health information by text or email. This app is a must have if your doctor uses MyCareConnect BlueLoop.

Other good apps to check out include Diabetes Pilot Pro, Diabetes Tracker and OnTrack Diabetes. All of these apps allow you to track what you eat as well as track your glucose levels.

What apps do YOU use?? We would love to hear from you and I’m sure others would too!!

If you want to know more, the experts at Focus Express Mail Pharmacy are here to help! Focus Express Mail Pharmacy can answer your questions about diabetes, insulin pumps and supplies. Visit our website at www.focuspharmacy.com or call us at 1-866-403-6287.




Fewer People Are Being Diagnosed with Diabetes

Posted in Diabetes, Diabetes Research, Diabetes Statistics, Diabetes supplies, Diabetes testing supplies, Insulin pump supplies, Insulin Pumps, Tips for People with Diabetes

Fewer cases of diabetes are being reported in recent years. However, the epidemic is not over!!

 graph declining

The number of new diabetes cases being reported has declined for the fifth year straight. After decades of increases, this is a positive sign according to health care professionals. In 2014, 1.4 million people were diagnosed with diabetes, which is down from 1.7 million new cases reported in 2009. While the statistics are great news, they don’t mean the epidemic has ended.

All Cases Together

This data is taken from a national survey that includes both Type 1 and Type 2 diabetes, even though there are vast differences between the two. Type 1 is an autoimmune disorder, typically diagnosed in childhood; whereas, Type 2 affects mostly older people, with obesity and a sedentary lifestyle as key risk factors. In all, 29 million Americans have diabetes as of 2014.

Declines, but Not for Everyone

Even though the numbers are headed in the right direction, there is still a long way to go to reverse the significant increase in diabetes sufferers throughout the years. The number of Americans currently living with diabetes is triple what it was in 1980. In addition, diabetes is more prevalent among Blacks and Hispanics, and between 2009 and 2014 there has been no significant change in the number of new cases reported among these populations.

Responsible Factors

The decline among new cases overall has been credited to efforts such as the Diabetes Prevention Program hosted by the National Institute of Health. These programs have been around long enough to effectively spread the word that maintaining a healthy weight and exercising regularly reduces the risk of diabetes. In general, people are also more aware of eating healthy and avoiding high sugar foods like soda and junk food.

Obesity Leveling

Even though new diabetes diagnoses are declining, it appears the country’s obesity rate has plateaued. This and other macro factors, including activity levels, sleep patterns, processed food consumption and more, threaten the declining trend of new cases. While the statistics look positive, there is still plenty of work to be done to keep reducing the number of Americans living with diabetes.

If you have questions regarding diabetes or the tools required to manage it, the experts at Focus Express Mail Pharmacy are here to help! The people at Focus Express Mail Pharmacy have years of experience when it comes to diabetes, insulin pumps and diabetes supplies. Call us today at 1-866-403-6287 or visit us online at www.FocusPharmacy.com.



A Major Breakthrough in Type 1 Diabetes Research

Posted in Diabetes, Diabetes Research, Diabetes supplies, Insulin pump supplies, Insulin Pumps

Two top universities have teamed up to make important in-roads into finding a cure for Type 1 diabetes.

 diabetes research 1

What happens when researchers from two top universities team up? In this case, it means some very good news for Type I diabetes sufferers. Researchers from MIT’s David H. Koch Institute and the Harvard Stem Cell Institute along with several other institutions released news in early 2016 of research that may mean a cure for Type I diabetes is within reach. While the research is promising, the new technology is still in the early stages of testing.

 The Research

One of the team scientists, Harvard researcher Doug Melton has been working for over twenty years to find a cure for the disease. He has made significant advances in creating insulin-producing cells from stem cells. Bioengineers from the collaborating institutions then helped find a way to implant these cells, known as beta cells into the bloodstream and protect them from immune system attack. The new technique has initially been tested on mice with very encouraging results. The research published, reported the mice immediately began making insulin once the new beta cells were injected and continued to do so for approximately six months, without producing an anti-inflammatory response.           

What’s a Beta Cell?

A beta cell is an insulin-producing cell which is normally formed in the islets of Langerhans area of the pancreas. When blood glucose levels start to go up these cells respond to produce insulin. However, in those people who have Type 1 diabetes, the cells are attacked or destroyed by the immune system and cannot do the job the body intended them to do.

What Does This Mean?

Melton, the lead researcher, has said that the breakthroughs from this work could mean a true cure for Type I diabetes. The disease and the complications it causes, from blindness and heart disease, to loss of limbs, contribute to hundreds of thousands of deaths annually. This treatment is far more natural and effective than insulin injections, which don’t come close to replicating the body’s actual response to glucose.

Does This Also Mean Help for Type 2 Diabetes Sufferers?

Yes, and no. Those who have Type 2 diabetes and have also become insulin dependent might be helped by this technique. Just how much will require further study.While this research is very promising, it has yet to reach the stage of clinical trials in humans. Researchers will continue to test on research animals until human trials are cleared.

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 and can answer your questions about diabetes, insulin pumps, supplies, and more. Call us today at 1-866-403-6287.




Diabetes Tips for Cold and Allergy Season

Posted in Diabetes, Diabetes Advice, Diabetes supplies, Insulin pump supplies, Insulin Pumps, Medication Interactions, Tips for People with Diabetes

It’s important to know what medications are safe to take when you have a cold or allergy symptoms if you’re a diabetes sufferer. Here are some tips.


 cold or allergy

Cold and allergy season is here again! As someone with diabetes, careful consideration should be made before taking any over-the-counter medications for your cold or allergy. When you’re sick, your glucose levels are already affected, so it’s best to avoid certain medications that may make it worse.

The Safe Ones

Pain and fever relievers like Aspirin and Tylenol are generally safe to use if you have diabetes. These drugs should have little to no impact on your glucose level, but if you have renal disease, you may want to consult with a doctor.  Also, anti-inflammatory drugs like Ibuprofen, Advil and Motrin are generally safe to use if you don’t have renal disease.

Use with Caution

If you do have renal disease, high blood pressure or heart disease along with diabetes, you should definitely use anti-histamines cautiously. Some versions of drugs like Allegra or Zyrtec may contain pseudoephedrine or phenylpropalamine, and can cause increases in blood pressure or glucose levels. To be safe, you will want to look for anti-histamines that do not contain these ingredients.

What to Avoid

All diabetes sufferers will want to avoid medications that contains any of the following: sucrose, dextrose, fructose, lactose, honey and alcohol. Alcohol-free cough medicines that are safe to use include Chlor-Trometon tablets, Dimetapp Elixir, Scot-Tussin DM Liquid and Cerose-DM Liquid.

It’s always a good idea to consult with a pharmacist if you have any questions regarding what over-the-counter medications are safe. In general, it’s better to stick with pill-based cold and flu medications, rather than syrups which typically contain sugar.

In addition to picking the right medications, you’ll also want to pay close attention to your glucose levels while fighting a cold or flu. When you’re sick, your body is under stress and that increases hormones. This can have a negative impact on your blood glucose levels and interfere with the blood glucose-lowering effects of insulin. So when you have a cold or the flu, be sure to keep a close eye on your glucose, rest and drink plenty of fluids.

If you have questions, the experts at Focus Express Mail Pharmacy are available. They have years of experience working with diabetes sufferers, insulin pumps and diabetes supplies. Contact us at 1-866-403-6287 or visit www.FocusPharmacy.com.





Diabetes Friendly Recipes for NEXT St. Patrick’s Day!!

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

Living with diabetes doesn’t mean you can’t enjoy your favorite holiday foods. There are plenty of diabetes friendly recipes if you want to enjoy a LATE or a VERY EARLY St. Patrick’s Day this year!

 st patricks day

Better late than never………Holiday’s celebrated with friends, family and special foods don’t have to be a problem if you suffer from diabetes. St. Patrick’s Day is a perfect example of when eating some holiday-inspired dishes can make for a special occasion. Here are some diabetes friendly recipes for celebrating “the wearing of the green!”

  • Corned Beef Brisket with Roasted Vegetables and Lemon-Mustard Sauce. This hearty and easy to make recipe will have all your St. Patrick’s Day party guests begging for more. Many of the ingredients are items you probably already have in your cupboard including garlic, olive oil, mustard, and salt and pepper. Plus, with less than 400 calories per serving and tons of protein, it’s sure to hit the spot without throwing your dietary needs to the curb.
  • Emerald Salad. If you’re looking for something on the lighter side, this delicious and unique recipe is definitely a crowd favorite. Key ingredients include oatmeal bread, grapefruit, avocado, kiwi and green peppers. The oatmeal bread is for making your own croutons that you can enjoy guilt free. The recipe only has 159 calories and less than a gram of fat per serving.
  • Hearty Reuben Soup. This soup was inspired by the famous Reuben sandwich. The recipe calls for some hearty Irish favorite foods including sauerkraut, corned beef, onion, bell pepper, celery and Swiss cheese. Low in calories, but a little higher in sodium than you might expect, so definitely be careful with any additional salt you add to flavor the soup.
  • Almost Shortbread Cookies. This recipe calls for just a few simple ingredients including flour, baking powder, canola oil, one egg, sugar and vanilla extract. It’s super simple too. Just mix up your ingredients, chill your dough for an hour, cut into squares and bake for 15 to 20 minutes.

Enjoying a special St. Patrick’s day is definitely doable, even if you’re living with diabetes. If you didn’t see anything you liked on this list, click here for more recipe ideas.

If you have questions regarding diabetes or the tools required to manage it, the experts at Focus Express Mail Pharmacy are here to help! The people at Focus Express Mail Pharmacy are experts when it comes to diabetes, insulin pumps and diabetes supplies.

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




Ten Medications to Discuss with Your Doctor Before Taking if You Have Diabetes

Posted in Diabetes, Diabetes Advice, Diabetes Research, Diabetes supplies, Diabetes testing supplies, Insulin pump supplies, Insulin Pumps, Medication Interactions, Medication News, Tips for People with Diabetes

Learn which commonly prescribed and over-the-counter drugs can cause dangerous interactions if you have diabetes.



If you have diabetes and take other prescription and non-prescription drugs, it’s time to evaluate your medications. It’s very common for those with the condition to take other drugs in addition to their diabetes medications. When certain meds are mixed together, however, the result is not always a positive one. In fact, certain drug interactions can produce harmful reactions that end with a trip to the hospital. Though not inclusive, take a look at the following list of commonly-used drugs. If you are taking any of these medications, make sure you discuss their use with your doctor or pharmacist promptly.


  • Beta Blockers – You might know these by the names Lopressor, Tenormin, or Inderal or their generic names, Metoprolol, Atenolol, and Propranolol. These are all considered beta blockers and can reduce the amount of insulin released in your body.
  • Blood ThinnersRecently, researchers discovered that taking the blood thinner, warfarin, along with diabetes medications puts you at a higher risk for hospitalization. The blood thinner can intensify the diabetes drugs’ effects, causing your blood sugar levels to plummet.
  • Calcium channel blockers – Prescribed for hypertension and angina, drugs such as Calan (Verapamil), Adalat (Nifedipine), and Norvasc (Amlodipine), are calcium channel blockers that can reduce insulin secretion.
  • Corticosteroids – Although this type of steroid can be used topically, it tends to result in raised blood glucose levels.
  • Diphenylhydantoin – The more recognizable name for this drug is Dilantin. Though used to help control seizures, it also blocks insulin from being released in the body.
  • Minoxidil – This drug is a direct vasodilator, meaning it opens the blood vessels; however, it can also raise blood glucose levels.
  • Niacin – This is a popular B vitamin used to lower cholesterol levels. In people with diabetes, though, it can cause hyperglycemic tendencies.
  • Oral contraceptives – While current oral contraceptives are thought to be safe, older versions of the drugs sometimes caused hypoglycemia when high doses of estrogen were taken.
  • Thiazide Diuretics – Drugs including Diuril (Chlorothiazide), Zaroxolyn (Metolazone), and Oretic (Hydrochlorothiazide) are thiazide diuretics that cause the loss of potassium and thereby have a reputation for raising glucose levels.
  • Thyroid hormone – When thyroid hormone levels are elevated, your blood glucose levels also increase due to a reduced amount of insulin coming from your pancreas.

As you navigate your journey with diabetes, you’ll likely have questions about your medication and possible drug interactions like those mentioned above. Let the trained experts at Focus Express Mail Pharmacy help answer your questions about diabetes, insulin pumps and diabetes supplies of all types. Learn more at www.focuspharmacy.com or call 1-866-403-6287!