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According to Reuters on 11/21/2018:

A global diabetes epidemic is fueling record demand for insulin, but tens of millions will not get the injections they need unless there is a dramatic improvement in access and affordability, a new study concludes.

Diabetes — which can lead to blindness, kidney failure, heart problems, neuropathic pain and amputations — now affects 9 percent of all adults worldwide, up from 5 percent in 1980.

The vast majority have Type 2 diabetes, the kind linked to obesity and lack of exercise, and cases are spreading particularly rapidly in the developing world as people adopt more Western, urban lifestyles.

Researchers said the amount of insulin needed to effectively treat Type 2 diabetes would rise by more than 20 percent over the next 12 years, but insulin would be beyond the reach of half of the 79 million Type 2 diabetics predicted to need it in 2030.

The shortfall is most acute in Africa, where the research team, led by Dr. Sanjay Basu from Stanford University, estimated that supply would have to rise sevenfold to treat at-risk patients who had reached the stage of requiring insulin to control their blood sugar. Their study was published Tuesday in The Lancet Diabetes & Endocrinology journal.

“These estimates suggest that current levels of insulin access are highly inadequate compared to projected need, particularly in Africa and Asia,” Basu said.

“Despite the U.N.’s commitment to treat noncommunicable diseases and ensure universal access to drugs for diabetes, across much of the world insulin is scarce and unnecessarily difficult for patients to access.”


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

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.

Continue Reading A Major Breakthrough in Type 1 Diabetes Research

Scientists are working in many areas to prevent and cure diabetes. Here’s an update on three key areas of research.

diabetes research

Now is one of the most exciting times in diabetes research. Scientists are working in many areas, and three key types of research – viruses, gut microbiome and inflammation – are getting a lot of attention lately. This research may have a significant impact on diabetes prevention and treatment down the road. Here is a little about what the scientists are doing.


Recent studies have made strides in determining the connection between viruses and Type 1 Diabetes. Although access to pancreatic tissue from human donors is limited, groups like the Network for Pancreatic Organ Donors with Diabetes (nPOD) are taking the lead examining the impact of viruses by coordinating studies using the most up-to-date technology. Scientists are hopeful they will soon have more information on the relationship between viruses and diabetes, which they believe might lead to a simple vaccine to prevent the disease in many people.

Gut Microbiome

Did you know there is more bacteria living in your gut than there are cells in your body? Scientists have made great strides of late studying the impact of the bacteria living in our digestive tract on the development of our immune systems. Scientists have also been studying the foods we eat and how they impact various good and bad bacteria. By understanding which foods promote good bacterial growth and force out bad bacteria or fight viruses, treatments can be developed for autoimmune diseases and in the long run, even help in the fight to prevent diabetes.


Inflammation is a very broad term and isn’t a bad thing when it occurs in moderation. Inflammation is one of the body’s ways of responding to a germ attack by working with the immune system to ward off bacteria or a virus. However, in some cases inflammatory responses can react to things that aren’t invaders, like insulin-producing beta cells in the pancreas, and trigger a chain reaction that can lead to sepsis, diabetes (both type 1 and type 2), heart disease and other health issues. Scientists are looking into ways to control inflammation (and preventing damage to the pancreas) without totally getting rid of the immune benefits of inflammation.

You can read more about these developments here. And remember, 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


When you’re living with diabetes, it’s always a good idea to have a first aid kit handy in the event of an emergency. Here’s what you need:

 first aid kit

Always having a first aid kit prepared, isn’t pessimistic. It’s smart, especially if you are living with diabetes. A well-stocked first-aid kit is easy to put together and will prove useful in both minor and major emergencies.

We recommend keeping your first aid kit in a room you spend a lot of time in or a place that is in easy reach. However, bathrooms, with all their heat and humidity, are not a good storage location.

To get started, first, select a waterproof container to hold the supplies and pack in the basics such as:

  • Aspirin, which is crucial for anyone suffering a heart attack. Baby aspirin is chewable which allows the medicine to work faster.
  • Wound care products such as a saline solution, helpful for cleaning any wounds prone to bacteria, dirt and debris. This is particularly important for people with diabetes, who may be more susceptible to infections.
  • Antibiotic Ointments, bandages and gloves. Be mindful of allergies. If anyone in your family is allergic to a certain product, like latex, stock non-latex gloves and bandages in your kit
  • Diabetes essentials such as a blood glucose meter, injective pen needles and insulin syringes. Even extra meter batteries can be included.
  • A list of emergency phone numbers to places like your doctor’s office and your local poison control office

You can find a full list of all recommended items, including diabetes specific ones and even some first aid tips here.

It’s important to keep in mind some extra precautions for diabetes related contents. You cannot store insulin in a first aid kit because it must be refrigerated. But you can definitely stock other supplies like a backup meter, extra insulin pump infusion sets, and fast-acting glucose gels or tablets.

Don’t forget to keep your first aid kit items current. If you plan to stock your kit with any medications that can expire, it’s important to check them frequently; experts recommend doing so at least twice a year. Also, don’t forget to refill or replace items as you use them.

A first aid kit is the first step in preventative care, but if you do injure yourself, be sure to schedule a follow up appointment with your health care provider. First aid is essential, but it’s only the beginning of the healing process. Continued care will ensure your stay safe in the long run.

 If you’re living with diabetes, keep in mind it’s always a good idea to have a first aid kit.

And if you have any specific questions about diabetes, the experts at Focus Express Mail Pharmacy are here to help! We’ve been answering people’s questions about diabetes, insulin pumps and supplies for years. We can help you too.

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




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.


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.


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.


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.


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.


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.



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.



Now you can have hot fun and cool refreshing summer diabetes friendly beverages that have zero calories, no artificial sweeteners and that fit your diabetes plan.

summertime drinks

While having fun in the hot summer sun you’ll be looking for refreshment that meshes well with your diabetes meal plan. These summer drinks will have your taste buds saying “ahhh” without throwing your diabetes dietary needs into the pool.  There’s something for every occasion and pleasure.

Dive into Refreshing Water

You’re likely to have the most access to water and of course, it best fits your diet.  If your zesty lifestyle requires more flavor, there are an abundance of sparkling or flavored waters to suit your taste.  Just be sure to check the labels for those that are diabetes-friendly and stick to low sugar, low-calorie, or zero-calories. Or, make your own flavored water!

Splash Around in the Flavor with No Artificial Sweeteners

Dasani and SoBe LifeWater have made finding diabetes friendly H2O even easier with multiple flavors of zero-calorie waters, and no artificial sweeteners.  In fact, Dasani offers four flavors of sparkling waters and four completely different flavors of plain water.  SoBe LifeWater offers eight zero-calorie flavors, including Blood Orange Mango, Fuji Apple Pear, Black Cherry Dragon Fruit and more.

If none of those varieties appeals to you, whip up your own!  Add fresh fruit, such as lemon or lime to an ice cold glass of water.  Go even wilder with strawberries, raspberries, or cucumber for a refreshing beverage by the pool, and remember to skip the sweetener.

 Sweet Tea on Deck

There are many other beverage options, from tea to Gatorade but the important thing is to keep the sweetener and calories low.  Consider these:

  • Snapple makes a “Lightly Sweetened” line with low sugar and no artificial sweetener drinks.
  • True Citrus Mix is a tea/water mix, also with no artificial sweeteners.

If juice is more for you, these labels may look different but the contents are just the same:

  • Tropicana 50: The “Light ‘n’ Healthy” version boasts 50 calories per 8 ounces and you choose the amount of pulp.
  • Gatorade Natural: with 50 calories per 8 ounces and approximately one carb per serving, it’s perfect after a long day in the sun.

Enjoy your summer fun and keep your beverages in check with your meal plan.  If you have questions about your diabetes or diabetes supplies the experts at Focus Express Mail Pharmacy are standing by to help.  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


Retinopathy is the most common eye disease those with diabetes suffer from. Prevention lies in lowering the risk factors by managing your diabetes and your overall health.

 If you or a loved one have diabetes, you’re likely aware that it can affect a number of different areas of the body. One such area? The eyes. There are a few different eye diseases that those with diabetes can suffer from, including retinopathy. Read on to learn more about this potentially serious condition, including whether you’re at risk for it.

What is Retinopathy?

 You might be wondering what exactly is retinopathy? It’s actually the most common eye disease those with diabetes suffer from. It also happens to be the leading cause of adult blindness in America. It occurs when blood vessels in the retina change in some way. Sometimes, the vessels swell and allow fluids to leak in. Other times new, but abnormal, vessels grow on the retina’s surface. A healthy retina is crucial for good vision since it converts light to signals it sends to the brain via the optic nerve.

What are the Symptoms of Retinopathy?

It’s possible to have retinopathy and not even realize it since, at first, changes to your vision may be subtle and not painful. Over time, however, the condition often worsens and can even cause vision loss. The disease typically affects both eyes. When a portion of the retina – the macula – swells due to leaking fluid, macular edema occurs and can cause blurred vision. When new blood vessels grow on the retina’s surface, they may bleed into the eye and block vision. Since there are little or no symptoms of retinopathy early on, a comprehensive dilated eye exam is recommended at least annually.

How is Retinopathy Treated in those with Diabetes?

The National Eye Institute is continually researching retinopathy to better detect and treat the condition. Currently, no treatment is needed in the first stages of the disease, unless macular edema is present. In its most advanced stage, called proliferative retinopathy, the disease is treated with laser surgery. The technique involves using scatter laser treatments to help shrink any abnormal blood vessels. The physician burns the affected areas with thousands of tiny laser burns performed during two or more sessions. Although it can cause side vision loss and reduce color and night vision, it can preserve the rest of your sight.

What are the Risk Factors for Retinopathy?

While anyone with diabetes is at risk for retinopathy, certain factors increase that risk, including:

  • The duration of your diabetes
  • Poor control of blood sugar levels
  • High blood pressure
  • High cholesterol
  • Pregnancy
  • Tobacco use

Prevention of retinopathy, then, lies in lowering these risk factors by managing your diabetes, your overall health, and keeping your blood sugar level in a healthy range. If you ever have questions about this, and other eye diseases, talk to your health-care professional.

The experienced staff at Focus Express Mail Pharmacy is also available to help you better manage your diabetes and answer your questions about diabetes supplies and insulin pumps. Take advantage of their expertise by calling, toll-free,  1-866-403-6287 or by visiting