Children with 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.

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

Candy may be a big part of Halloween, but that doesn’t mean children with diabetes can’t partake in the holiday.

happy halloween

Ghosts, ghouls and goblins aren’t the scariest part of Halloween if your child has diabetes. According to the National Retail Federation, the average American spends more than $20 on Halloween candy, with total national spending clocking in at more than $2 billion. But the holiday’s sugary nature doesn’t mean your child can’t participate—follow the simple solutions below to safely navigate the festivities.

Make a plan

Determine how much candy your child is allowed to keep and eat on Halloween, and adjust their meal plan based on the number of carbohydrates they’ll be consuming. Check out the JDRF website for a handy list of common Halloween candy carb values. Joslin Diabetes Center also suggests including your child in the planning process so they know what to expect and can contribute ideas for what to do with extra goodies.

Navigating trick-or-treating

Take the focus off sweets by encouraging your child to select or create a costume they’re really enthusiastic about. To protect feet make sure they’re wearing close-toed shoes and moisture-wicking socks.

Because trick-or-treating can mean a lot of walking, be prepared for fluctuations in blood glucose levels by packing a healthy snack, such as dried apple slices or a rice cake with peanut butter. Having healthy options on hand means kids will be less tempted to sneak candy.

Shop smart

When the last trick-or-treater rings your bell, chances are that you’ll be left with excess sweets, so choosing the right candy to pass out is essential. Hard candy, gumdrops or lollipops are good options because they can be used to treat glucose lows throughout the year, unlike high-fat treats like chocolate.

Dealing with extra candy

After your child enjoys the agreed-upon number of sweets, put away the remainder and work it into their diets in the following months, perhaps including a piece or two with lunch. Additional options including letting your child exchange candy for a treat, such as a toy, special dinner or fun activity, or donating leftovers to a local community group.

How we can help

If you have questions, the experts at Focus Express Mail Pharmacy are here to help! Focus Express Mail Pharmacy is available to answer questions about diabetes, insulin pumps and supplies. Contact us at or by calling 1-866-403-6287.





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.


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 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 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



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 or call  toll-free 1-866-403-6287.


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  



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.



Summer can be a fun time, but if you have diabetes, there are some potential dangers with the warmer weather. Use these tips to help you stay safe.


If you have diabetes, it’s important to ensure you’re  staying safe during the warmer part of the year.  Use these tips to help you enjoy the summer months while keeping your diabetes under control.

  • Prevent dehydration. Warmer weather coupled with high blood sugar can cause dehydration faster. To avoid this, it’s important to drink plenty of water throughout the day during summer months and avoid sugary drinks such as carbonated beverages.
  • Avoid alcohol.  Alcohol makes it harder for your body to regulate its temperature, which can make you more susceptible to heat exhaustion or dehydration.
  • Plan exercise and outdoor activities carefully. It is recommended to plan these activities in the cooler parts of the day such as the early morning or late evening. With the longer days, you have more sunlight later in the day to enjoy the outdoors more safely anyway!
  • Test your blood sugar. If you are going to be outdoors for extended periods of time, make sure you are checking your blood sugar levels since low and high blood sugar can be caused by the hotter weather.
  • Recognize and treat heat exhaustion. If you have diabetes, you are at a greater risk for heat exhaustion if you’re exposed to higher temperatures for a longer period of time and don’t replace the fluids you lose. Typical symptoms of heat exhaustion include heavy sweating, dizziness, fatigue, muscle cramps and nausea.
  • Avoid heat stroke. If you start to experience any heat exhaustion symptoms, it’s important to drink plenty of fluids, find a shady place to rest and take a cool shower or bath. If your symptoms do not subside, seek medical attention as soon as possible.

 The experts at Focus Express Mail Pharmacy are here to help answer your diabetes questions concerning summer weather and more. Focus Express Mail Pharmacy has years of experience helping people manage their diabetes and they readily are available to answer questions about diabetes, insulin pumps and supplies.

Call us today at 1-866-403-6287 or visit us at


This is a great idea and Liz is a great mom. Here’s her story!

My name is Liz Sacco and I am a mother of four lovable and energetic boys. In March of 2011 my oldest son David was diagnosed with type 1 diabetes. Prior to his diagnosis, I had not had anyone close to me living with this disease. As a family, we were faced with a lot of unknowns. In the process of adjusting our lifestyle, and David’s remarkable resolve to living with diabetes, I soon realized there was a constant struggle in finding a clean and easy way for him to remove the excess blood from his finger after blood glucose testing. As anyone with diabetes can tell you, testing your blood sugar levels is a regular part of every day. With David being a young and active boy, he tests his blood minimally six times a day. I attempted to find an efficient solution to help simplify his testing routine. I tried placing a travel size Kleenex in his case, which was much too cumbersome. I put a single tissue in his case, which wastefully he would throw out after just one use. I felt not only were we trying to balance his new lifestyle, but we had an added aggravation with where to wipe his finger after the blood glucose testing. Being a typical nine year old boy, David resorted to wiping his finger on the inside of his case or on his clothes. Two years later, with testing his blood minimally six times a day, that adds up to over 4000 pieces of stained clothes and a very blood soaked case!

After diligently searching for two years for a solution to this simple problem, I decided to develop Diabetic Dabs™. I started my company with the hopes of making a positive impact in the lives of those living with diabetes. As a member of the diabetes community, I am passionate about helping to simplify and improve the lives of families like ours. As such, a portion of the proceeds from Diabetic Dabs™ will be donated to diabetes research.

Diabetic Dabs are also available at or

call toll-free 1-866-403-6287


Transitioning your child to an insulin pump can be an overwhelming experience, but very beneficial in the long run given the flexibility a pump offers


Transitioning your child to an insulin pump can be overwhelming, but the long-term benefits are tremendous and there are many resources available to help both you and your child navigate the change. Here are some tips to help you through the transition.

  • Communicate. The most important thing you need to remember during this change is to communicate clearly to your child that the transition to an insulin pump is a good thing! The pump will allow your child more flexibility with meals, snacks, exercise, sleeping and more. Your picky eater can skip a meal or even have a snack as the pump allows for better control of blood glucose levels. You and your child can also choose together when to eat, when to exercise and when to sleep.
  • Convenience and Comfort. With a pump, your child can leave the embarrassing days of syringe handling behind. With a pump, insulin intake is easy and discreet. It can be done anywhere, at any time, since the process is very simple. After your child checks his or her blood sugar, he or she presses a few buttons and insulin is automatically delivered to the body. This can be particularly useful if your child has eaten more than originally planned since extra insulin can be taken with just the press of a button. Also, with a pump, there is less pain involved as daily individual injections are eliminated.
  • Improvement. A very important observation to make regarding this transition is that insulin pump therapy often results in a significant improvement in blood sugar levels, which can be sustained over many years.
  • Patience. It is important to realize that helping your child make this transition will take time as your child adjusts to the new system. While the transition will take time, the benefits and peace of mind will be worth the effort.

If you have any questions or concerns regarding the insulin pump or helping your child make the transition from injections to an insulin pump, the experts at Focus Express Mail Pharmacy are available to help.

Call today toll-free  1-866-403-6287 or visit at



If you are concerned that your child might have Type 1 diabetes, use these warning signs to help you recognize a potential diagnosis.


 children with diabetes 3

 Diabetes in children is unfortunately all too common. The condition occurs when a child’s pancreas no longer produces the insulin and , in order to survive, insulin must come from an alternative source. It can sometimes be difficult to recognize diabetes in your child, given most kids who have diabetes do not have another family member with it. If you are concerned your child might have diabetes or if you’re a cautious parent, use these warning signs to help you recognize a potential Type 1 diabetes diagnosis in your child.

Weight loss. This might seem contradictory to your pre-conceived ideas around diabetes, but in children, rapid weight loss can be the first sign of Type 1 diabetes, despite eating more than usual to relieve hunger.

Constantly thirsty. This condition happens because a child with undiagnosed Type 1 diabetes is constantly having fluid pulled from their body tissues as their blood-glucose levels rise. The result is extreme thirst. Another indicator is that your child may especially crave sweet, cold drinks.

Frequent bathroom trips. If you’re noticing your child take more bathroom trips than normal, this can also be a telling sign of Type 1 diabetes. Urination is more frequent when there is too much glucose in the blood.

Fatigue. Becoming easily tired can occur quickly if your child’s cells are deprived of sugar. This is another warning sign.

Irritability or unusual behavior. Children with Type 1 diabetes can become moody or irritable quickly as a result of unbalanced and/or low glucose levels in their system.

If you recognize any or all of these signs in your child, you should consult your healthcare provider immediately.

If your child is diagnosed with Type 1 diabetes, the experts at Focus Express Mail Pharmacy are available to help. We are available 24/7 to answer your questions. Specifically, our expertise is in diabetes and  the medications and supplies needed by a person with diabetes. Contact us today at 1-866-403-6287 or visit us at