New Devices for Diabetes

A new year brings new developments in diabetes care, and tech improvements in insulin pumps and continuous glucose monitoring systems.

 New Year

The New Year means we can expect new developments in diabetes care and treatment. And this year promises some exciting and innovative diabetes products, including new, more technologically advanced insulin pumps and improvements in continuous glucose monitoring systems.

Here is what is on the horizon for diabetes care in 2016:

Insulin Pumps

Advances in insulin pumps in the coming year will include making the pumps thinner and easier to use, and having them function more like smartphones. Insulet is developing a next generation controller for their patch insulin pump, the Phoenix EDM, which will be thinner and have a touchscreen interface. A new version of the Medtronic Minimed Insulin Pump is also expected that will add predictive LGS capabilities as well as a new user interface and buttons.

Blood Glucose  Monitors

Exciting changes are also being made to diabetes monitors. The Abbot Freestyle Libra, expected to be released this year, will employ a first-of-its-kind factory-calibrated flash system to allow users to scan a sensor and display a reading at any time.

Dexcom is also expected to release a new version of their monitor in 2016. It’s still not known all the new features the G6 version will have, but one expected improvement is that it will not require calibration.

Insulin Pens

Novo is on track to release a faster version of their Novolog for type 1 and 2 diabetes. The new version is expected to improve post-meal glucose levels by combining a short-acting insulin and two well-known excipients, a vitamin and an amino acid. Lilly also has a new basal insulin, Basaglar, which was just approved by the FDA and should be available before the end of the year.

Other New Diabetes Treatments

Combination drugs will continue to be the focus for the drug companies in 2016. Sanofi filed a new drug application last fall for its GLP-1 agonist Lyxumia (lixisenatide) and once that is approved, experts expect approval for combination drug Lixilan (Lyxumia+Lantus) to follow. Novo Nordisk also has a combination drug, Xultophy, a blend of GLP-1 agonist Victoza and their new basal insulin Tresiba, expected to hit the market later this year.

In addition to these new combo drugs, a new nasal glucagon is coming soon. Eli Lilly and Company acquired the rights to Locemia’s novel nasal glucagon that is reported to be easier to carry and use. Lilly is expected to file for approval for this device early this year.

If you have questions regarding diabetes, insulin pump supplies 0r blood glucose testing supplies, the experts at Focus Express Mail Pharmacy will happily answer them. Contact us at 1-866-403-6287 or visit www.focuspharmacy.com

When choosing an insulin pump infusion set, there are many factors to consider. Here are tips to choose what’s right for you based on your unique needs.

insulin pump infusion set 2

Choosing an infusion set is an important decision if you’re living with diabetes and using an insulin pump to control it. Most insulin pumps require an infusion set to deliver insulin to the body. It consists of thin plastic tubing, a cannula and a plastic connector that joins the tubing and cannula together. Infusion sets come in many different styles, each suited to meet an individual’s unique needs.

Below are a few differences to be aware of when making your selection.

Teflon vs Steel Cannula.

A Teflon or “soft” cannula is a thin, flexible needle and is a popular choice given its comfort and ability to remain inserted for up to 72 hours. On the other hand, a steel cannula is a thin metal needle and can only stay in place for up to 48 hours. However, despite the flexibility and comfort of a soft cannula, it can also lead to kinking, which disrupts the flow of insulin into the body. This can potentially not be detected, which can be deadly. Therefore, users of soft cannulas need to know how to troubleshoot immediately if kinking occurs. Steel cannulas, however, are durable and will not kink. Despite this feature, the cannulas can cause discomfort during movement or physical activity.

Insertion Methods

There are two options for inserting a cannula, manual or with an insertion device. The manual method is useful for people wanting to control the speed of insertion. However, many prefer using an insertion device, which is helpful for people with arthritis, Parkinson disease, or any other condition that affects fine motor skills. Insertion devices also make it easier for insertion into certain parts of the body such as the buttocks or the back of the arm. Both insertion methods work effectively, so it is entirely up to the user.

Infusion sets also come in two insertion angle styles. There is straight or angled. Each offers advantages and disadvantages. Straight infusion sets allow for shorter needles, however, shorter needles can become dislodged more easily. Angled infusion sets are more popular among people who are active, but the needle is longer, which may be less appealing to some individuals.

Site Selection

Different areas of the body absorb insulin at similar rates. However, there can be slight variations from one body area to another. For most people, the most comfortable place to insert an infusion set is the abdominal area. Other options include the outer thighs, backs of the arms, hips and buttocks. When selecting an infusion site, it is a best practice to avoid areas with less fat and places where the infusion set might be constricted. For children, the buttocks seem to be one of the most comfortable infusion sites. Also, because a child cannot see this area, it is less likely that they will tamper with or remove the infusion set.

In addition to choosing the right site, it’s important to ensure proper infusion site care, which is essential for preventing infections. Cleanliness is critical, so start with washing your hands and the area of insertion. Despite impeccable site care, infections can still occur. At the first sign of infection, contact your healthcare provider immediately.

Special Considerations

When choosing the infusion set right for you, there are several other items to take into consideration. Some manufacturers’ pumps are compatible only with their own infusion set systems, while others are compatible with a variety of product lines. This feature may impact your final selection, so be sure to check first. Also, you might want to contact your insurance company because coverage on different types of sets may vary.

If you have any questions, the experts at Focus Express Mail Pharmacy are here to help! The experienced staff at Focus Express Mail Pharmacy have been assisting people with diabetes for years and are available to help answer your questions about diabetes, insulin pumps and insulin pump supplies.

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

Before deciding if an insulin pump is right for you, learn more about what to expect!

 insulin pump new

Deciding if an insulin pump is right for you is a big decision. Many patients choose an insulin pump because they find it allows them to manage their diabetes easier. However, before making your choice, here are a few  things to take into consideration.

How it Works

An insulin pump  delivers insulin to your body throughout the day simulating the continuous release of insulin through your pancreas. You can control how much insulin is delivered by two different methods. There is the basal rate method, which sends a small amount of insulin at preset times  and keeps your blood sugar stable between meals. Basal insulin is the “background” insulin needed throughout the day to maintain your target glucose values when you are not eating. Your basal insulin accounts for about half of your daily insulin requirements.Then, there is the bolus rate, which is a larger dose given before meals to “cover what you eat.”

With a pump, a needle (canula) is inserted in the skin in the abdomen. The canula is connected to an infusion set which is connected to the insulin reservoir in the insulin pump and stays in place for two to three days. Based on your specific needs, you can program the pump to inject insulin when you need it. This method is much more automated than traditional injections, where you use a syringe or insulin pen device and have to manually inject yourself every time you need insulin.

Pros

  • Users report better quality of life compared to using other devices for delivering insulin.
  • The use of rapid-acting insulin for basal needs gives much more freedom from a structured meal and exercise regimen.
  • More precise amounts of insulin can be delivered as compared to a syringe.
  • Studies of people with Type II diabetes on insulin pumps have shown noticeable improvements in HbA1c, sexual performance, and neuropathy pain.

Cons

  • Insulin pumps, cartridges, and infusion sets may be far more expensive compared to syringes for insulin delivery.
  • Some users may find that wearing the pump all the time (together with the infusion set tubing) is uncomfortable or unwieldy.
  • Possibility of the insulin pump malfunctioning
  • Users may experience allergic reactions or skin irritations from the adhesive on the back of an infusion set.

Who Can Use it

Typically more people with Type I than Type II diabetes  use insulin pumps because they are insulin dependent but there has been an increase in pump usage by people with Type II diabetes.Ultimately, choosing a pump is a big decision. Make sure that you consult with your physician to discuss your individual situation and lifestyle. An insulin pump may be just the thing to get your diabetes under better control.

If you have questions, the experts at Focus Express Mail Pharmacy are always ready and able to help you with your  diabetes, insulin pumps and supplies.

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

 

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.

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.

 

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 (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

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.

 

 

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 www.FocusPharmacy.com or

call toll-free 1-866-403-6287

 

Revealing the truth about insulin pump therapy and explaining how insulin pumps can make insulin therapy much more convenient for responsible candidates

 Omnipod new may 2014insulin pump minimed threshold suspend

Those considering insulin pump therapy often have many questions that need answering. Many are concerned that it will be obvious to the world that they are wearing an insulin pump, or that they have diabetes. Here are some common myths about insulin pump therapy and the facts about them.

Myth #1: Anyone can use an insulin pump.

  • Fact: Using an insulin pump requires certain changes to your insulin therapy.  Ideal candidates are those who are both physically and mentally ready to incorporate the pump, and learn how to use it.  Those who already have a strong support team in place do best.

Myth #2: With an insulin pump, I can forget I have diabetes.

  • Fact: As with insulin shots, you must continue to check your blood sugar levels throughout the day. You will also need to set the doses for your insulin based on diet and exercise and adjust it as needed.

Myth #3: Wearing a pump is uncomfortable.

  • Fact: It may take a little getting used to at the beginning, however once you are used to wearing your pump, you are unlikely to notice it until you need to change your infusion set or give yourself a bolus.

Myth #4: People will know I am wearing an insulin pump.

  • Fact: You have tremendous flexibility in where you place your insulin pump, so concealing it is a cinch.  It can be placed on your upper arms, legs, upper abdomen, lower abdomen, below your belly button, upper behind, or even on your hips.  With so many choices you will be able to find a place that is both comfortable and easy to hide as your clothing changes with the seasons.

Insulin pump therapy may be right for you if you currently monitor your blood glucose levels regularly, record your blood glucose and insulin doses, and regularly visit your healthcare team.

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, diabetes supplies, and more. Call us today at 1-866-403-6287.