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.

Continue Reading Bolus and Basal Injections and What You Need to Know

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

Here are handy tips to help avoid common insulin pump problems before they occur.

 

 insulin pump minimed threshold suspend

If you use an insulin pump to help manage your diabetes, you may encounter minor problems along the way. While it’s true insulin pumps aren’t fail safe, they are one of the most effective ways to manage diabetes. Here are some possible problems you can prevent with some pre-planning and care.

Bubbles

One of the most common pump problems is getting bubbles in the line. This happens for a number of reasons. If you have refilled the cartridge and failed to prime the reservoir it can lead to bubbles. Likewise if you change to a new infusion set and don’t prime the air from the tubing you also can get bubbles. Make sure you are properly priming your pump when changes are made. A loose connection is a third reason. Proper tightening when connecting your infusion set is all it takes to avoid this. Lastly, taking insulin straight from the fridge can create bubbles as it warms to room temperature. You should always allow insulin to warm to room temperature before connecting.

Blockages

Occlusions are another issue you may face with your insulin pump. This happens when there is a blockage that stops your pump from delivering insulin correctly. Always check for any noticeable blockages in the tubing. If there are no noticeable blockages and this problem occurs, you may need to change the infusion site as there may be a cannula that has been caused when the pump was inserted.

Leaks

Some problems occur from wear and tear and need to be addressed when they appear. A leaking pump reservoir happens when the O-rings around the plunger become weak or damaged. In this instance try a new reservoir, available from the manufacturer.

Looseness

If your infusion set comes loose, you will also experience problems. It does happen, most often due to sweat around the site of the infusion. If this issue occurs regularly, consider a different type of adhesive or infusion site.

Perseverance

Care in using your pump will help prevent these common problems. But if they do happen, don’t let them make you reconsider using an insulin pump.  Remember, all forms of diabetes management will have hiccups along the way. Using an insulin pump helps deliver a steady flow of insulin helping you manage your diabetes more easily. 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.

 

 

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

 

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  

 

 

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.

 

 

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.

 

 

insulin pump minimed threshold suspend

 

Your insulin pump is a great tool to more effectively manage and regulate your diabetes. However, just like any other technological device, your pump can malfunction. The first thing to remember if this happens is to not panic!

If your insulin pump malfunctions, perhaps the alarms are malfunctioning or the buttons aren’t working properly, or if it breaks completely, you should contact your pump help line. If your pump maker’s help line is unable to help you troubleshoot your device and it looks like it is unrepairable, the manufacturer should be able to send you a replacement pump within 24 hours. In the meantime, you should always have a current prescription or a bottle of long-acting insulin handy that can be used in the interim while you wait for your new pump. However, before using your back up insulin, it’s important to check its expiration date. Yes, insulin does expire!

Once you have received your new pump and are ready to resume using it, remember, that long-acting insulin can stay in your body for several hours so it’s important to let it wear off before resuming normal pump delivery. If you have any questions or concerns about the proper wait time or what your routine should be while off the pump, contact your healthcare provider for instructions.

As soon as your new pump arrives, you must calibrate its settings with your appropriate rates and ratios. Make sure you write the proper settings down and keep them in a safe place before your current pump malfunctions so they’ll be handy in case of an emergency.

If you have any questions about your insulin pump or diabetes supplies, the experts at Focus Express Mail Pharmacy are there to help. Focus Express Mail Pharmacy has been helping people manage their diabetes for many years and their pharmacists and insulin pump associates are available at 1-866-403-6287 or online at www.FocusPharmacy.com.

 

 

Your insulin pump is a powerful tool to help you more easily manage your diabetes. It delivers a small, continuous stream of insulin to your body day and night and is programmed to match your body’s needs.

insulin pump ring

 

Now that you’ve decided to start using an insulin pump, you should take a look at this list of things that you need to be doing.

1.Find the right insulin pump for you- There are different insulin pumps for different lifestyles. You need to make sure you do your research so you find the right insulin pump for you.

Things to consider when looking for an insulin pumps:

  1.  Ease of use: Is the screen easily visible? Are the buttons easy to find and press?
  2. Capacity: How much insulin does the pump hold? Is it enough for you?
  3. Appearance: Is the pump the right size and weight for you?
  4. Features: Are there special features – like temporary basal settings – that you are looking for?
  5. Customer service: What kind of support does the company offer? Is it available 24 hours a day?

There’s a lot to consider, so be sure to find answers to all of these questions.

 2.Determine the placement of your pump

You’ll want to figure out where you want to wear your pump. Although it is often worn around the hip area, you have options and should change your site every two to three days. Some good locations on your body to put your pump include your lower abdomen, lower back, back of your legs, and your hip area.

3.Take precaution when exercising

You will have to work harder to stay within your target range for blood glucose while exercising. Make sure you understand how the type of exercise you take part in can affect your blood glucose. Exercise that requires bursts of energy may actually increase your blood glucose levels while endurance exercise may lower it. Make sure you understand how your workout will change your blood glucose level.

Also, do your research so you can understand how your pump can help you manage your blood glucose while exercising. Some pumps, for instance, can deliver an extra bolus of insulin. Know your pump and how it can work best for you and your lifestyle.

4.Check your pump regularly

Make sure you check your insulin pump to confirm it is working correctly.  Start by checking your infusion site for irritation. Changing your injection site every two to three days will help prevent irritation

You should also monitor your insulin pump to ensure that the basal program is running, that there is no error message, and that you are receiving the correct doses.

 5.Stay calm if your pump malfunctions

Prepare for potential pump malfunctions by keeping a troubleshooting guide on hand at all times to reference. Print out a copy of it to keep in your car or luggage and think about saving it electronically on your phone and laptop. If you suspect a mechanism malfunction, contact your pump company immediately.

Still have questions? We are here to help. The experts at Focus Express Mail Pharmacy  have been helping people manage their diabetes for many years and are available to answer questions about diabetes, insulin pumps, and supplies. Simply call our friendly customer service reps toll-free at 1-866-403-6287 Monday to Friday, 9am – 5pm eastern time. You will always get to talk to a real person.

 

 

You need to take a serious look at any tool to help manage your blood glucose levels. An insulin pump can be your best ally in managing your diabetes.

 insulin pump 4

 

Whether you have Type I or Type II diabetes, you know the challenges of constantly working to keep your blood glucose levels within the acceptable range. An insulin pump is a serious tool you can use to help manage your blood glucose levels.

If you don’t yet know about insulin pumps and how they work, here’s a primer on the how and why an insulin pump can help you manage your diabetes.

The Components of an Insulin Pump

An insulin pump has three key components:

  1. A reservoir that holds insulin
  2. A battery-operated pump
  3. A computer chip that allows you to program your insulin doses

The insulin pump looks a little like a pager and is often worn near the waist. The pump connects to your body using the needle end of a thin catheter. Insulin flows from your pump through the catheter and is absorbed into your bloodstream.

How an Insulin Pump Works

Your insulin pump will deliver a small, continuous stream of insulin to your body (basal rate), 24 hours a day. You program your pump to deliver the correct amount of insulin for your body by checking insulin levels regularly (at least four times a day).

After you eat, buttons on the pump can deliver a bolus dose to cover the amount of carbohydrates consumed in a meal or snack. You can also trigger a bolus dose from the pump should your blood glucose levels become too high before eating.

Insulin Pump Benefits

Programming your pump to fit your personal habits and body make it easier to regulate your blood glucose levels. Also, your pump eliminates the need for individual insulin injections, which most users find to be a great convenience.

 These are the basics of insulin pumps. For questions, and more details be sure to ask the experts at Focus Express Mail Pharmacy at 1-866-403-6287. They have a complete selection of insulin pumps and diabetes supplies and are always available to answer any of your questions.