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Good blood sugar control today will reduce the risk of damage to kidneys and other organs tomorrow. Early detection of kidney damage is important, but there might not be noticeable symptoms in the early stages.
Keeping blood sugar as close to normal as possible is the first step to preventing kidney disease.
Educating individuals on best ways to avoid this and other diabetes complications is a goal of self-management courses. Whether you have already planned a summer vacation or still in the process, incorporate your pump or CGM needs into your travel plans instead of treating your needs as an afterthought or an overwhelming fear.
You can obtain a Transportation Security Administration Card to print out and bring with you to notify TSA of your diabetes can be found online.
Always have Plan B in place in case something goes wrong with your current device, such as carrying syringes or pens to give injections and carrying extra supplies in case you run low. Be sure to carry some form of prescription or letter from your physician that treats you for your diabetes. Carry all of your medicines, such as insulin, and all related supplies in your carry-on baggage. If you wear an insulin pump or continuous glucose monitoring device, it is OK to continue to keep them on as you go through security at airports or terminals. A printed checklist might help elevate stress and keep your plan in your hands, front and center. Learning how to handle life’s challenges like traveling and treatment plans is a covered topic in diabetes self-management courses. Although the calendar says the influenza season should be over, cases of the flu are increasing into March 2016 instead of winding down to a close.
A sick day plan should include these elements of good blood sugar control.  Monitoring, meals and medications are key while exercise or physical activity is usually halted during the illness. The sick individual needs to follow a schedule for monitoring that gives the diabetes care team information to direct the modifications for the patient’s needs. Recording temperature, blood sugar, medication amount and time, fluid and food intake and the presence of ketones are highly important on sick days.
A log to monitor the sickness over time, glucose meter, lancets, lancing device, test strips, control solution, and a bottle of Ketostix should be included in a sick day management tool kit. The start of each year is a prime time to consider your life, health and ways to improve both. Timely – I will make an appointment with my care team every three months in 2016 to evaluate my A1C with hopes to start 2017 near 7.5. Other goals that will impact blood sugar control include getting regular and sufficient exercise, gaining or losing weight, following a diabetes nutrition plan, and being more compliant to medication schedules. The National Diabetes Education Program, a part of the National Institutes of Health (NIH), offers an online resource for making a plan for success. The CGM reads blood sugar levels every one to five minutes and shows whether a person’s blood sugar is rising or falling.
The diabetes educators at Diabetes Management & Supplies can help take the guess-work out of your monitoring needs. Insulin pumps and Continuous Glucose Monitoring devices work best when insertion sites and parts and accessories are changed as recommended.
Insertion site management refers to choosing the best locations on your body to place insertion sets and sensors, but it also involves the frequency in which the site is changed and new supplies are put in place. John Wright, Diabetes Management & Supplies Director of Sales, wears an insulin pump and stresses that site management can affect the level of blood sugar control. Insulin pump wearers will experience poorer blood sugar control when a site has been used too long before rotation.
It is recommended that CGM sensors be changed every six to seven days, but infusion sets should be changed every two to three days.
Insulin pump use will require supplies that include insertion sets, reservoirs, tubing, cartridge caps, batteries, dressings and adhesives. CGM devices will require supplies that include sensors, receivers, transmitters and batteries. To ensure the best results, keep an eye on your supplies on hand and always place reorders enough in advance that you don’t run out of supplies or over use your insertion sites. The holiday season may help bring attention to a rarely-discussed diabetes symptom: depression. The American Diabetes Association explains that people with diabetes are at a greater risk to depression and the complications of poorly controlled blood sugars are very similar to the symptoms of depression. Spotting depression in yourself or someone you love is an important step to countering depressions effects. Change in sleep patterns: You have trouble falling asleep, you wake often during the night, or you want to sleep more than usual, including during the day. Change in appetite: You eat more or less than you used to, resulting in a quick weight gain or weight loss. This month (November) is Diabetes Awareness Month, a time set aside to education and inspire those living with a form of diabetes and those who can take steps to reduce their risk of the preventable conditions associated with diabetes. Type 1 Diabetes accounts for only 5 – 10 percent of all cases, and used to be called juvenile diabetes.
Type 2 Diabetes is the most common form of diabetes, accounting for 90 – 95 percent of all cases. The causes of Type 2 Diabetes are not completely understood, but it almost always starts with insulin resistance. The causes of Gestational Diabetes have not been determined, but the many hormonal changes during pregnancy contribute to what is called insulin resistance – which is your body not using the insulin that your pancreas produces. For more on these forms of diabetes, visit the Diabetes Management & Supplies Learning Center. Healthcare PolicyAssess the impact of a changing regulatory environment on your business with analysis of the latest changes in policy. Pricing & ReimbursementStay ahead of the ever changing global pricing landscape with in-depth analysis of industry developments and pricing trends. Research & DevelopmentRead about the latest drug trials, releases, and industry developments – and understand how they will affect market pricing and access. Tresiba, a basal insulin, was recently launched by NovoNordisk in Japan(the drug was approved in Europe in October 2012). In-spite of this hoopla there are many facets of treatment paradigm, often overlooked, within diabetes with patient adherence being at the top.
In spite of this aggressive treatment strategy, there are some fundamental challenges which need immediate attention to make the treatment more effective and engaging. Over the years, the evolution of insulin production and administration has been quite astonishing. The evolution of insulin is not only limited to the method of production but also to the mode of delivery.
There is no doubt that the overall quality of care has improved in diabetes in the last 50 years, but there is a greater need to increase patient adherence which has remained stubbornly low. Diabetes is a challenging disease to manage and the most difficult challenge for physicians in diabetes management is the regimen adherence, which is extremely crucial for glycemic control. This multidimensional adherence regimen with different components poses a dilemma for the ongoing clinical practice.
According to results of the DAWN study, patients rate the clinical efficacy of insulin as low and would blame themselves if they had to start insulin therapy – an attitudinal factor affecting adherence to overall therapy.
Both attitudinal and behavioural factor poses a unique dilemma in engaging the patient effectively towards therapy. According to a recent study published by The American Journal of Pharmacy Benefits, in US alone, the inflation adjusted per-capita non-adherence cost of diabetes ranges from $4007 to $6100 (approximately).
According to our team’s research with American Diabetes Association, Diabetes has reached epidemic proportion in the US with nearly 26 million adults and children living with the disease. No wonder that with figures like these, there is global outcry in healthcare systems to reduce the overall cost burden. In the case of diabetes, there is no doubt that the overall treatment paradigm has greatly evolved in the last decade with better drug delivery systems and genetically enhanced insulin products making patient’s lives better. Praful Mehta is a senior life sciences analyst for IHS and is responsible for the development of new tools, platforms and capabilities. About the Life Sciences BlogIndustry insights from the IHS Markit Life Sciences team covering market access, pricing and reimbursement, emerging markets, generics strategies, therapeutic development pathways, forecasting and market sizing, and general competitive intelligence.
Information identified as archived on the Web is for reference, research or recordkeeping purposes. In fact, the research is pretty clear that exercise during pregnancy provides numerous health benefits to both mother and child.
The evidence in favor of exercise during pregnancy is so strong that the American College of Obstetricians and Gynecologists (ACOG) encourages pregnant women to do moderate exercise for 30 minutes or more every single day.
Studies have even shown that very physically active women can benefit from continuing their high volume exercise routines, as much as 9 hours per week, into pregnancy.


Although exercise is a great thing for both mother and child, it’s important to understand a few exercise dos and don’ts, adjusting your exercise program appropriately. So get all ideas of building muscle and losing fat out of your mind.  Your new focus should be maintaining your fitness while gaining a healthy, but not excessive, amount of weight. Remember, your first responsibility while pregnant is to create the optimal environment for your baby. However, you also need to keep your body temperature and heart rate in check.  In order to do this, you’re going to have to pay close attention to your exercise intensity. This usually means that your heart rate shouldn’t climb higher than 70-75% of maximum (HR maximum = 220-age) during aerobic exercise sessions. Another strategy is to keep your body temperature under 100 degrees Fahrenheit (38 Celsius), especially during the third trimester. While human studies haven’t confirmed this, animal research shows that overheating can cause birth defects. Just to be on the safe side, avoid exercise in extremely hot or humid conditions (including hot yoga) and always remain hydrated during exercise.
Further, avoid traditional recovery modalities like saunas, hot tubs, and steam showers during pregnancy. In addition, it’s a great idea to ingest 500-1000ml of fluid during every workout.  This can help to maintain hydration status and manage body heat. Although your exercise intensity will have to be kept in check, your exercise volume doesn’t necessarily have to decrease. In fact, it’s recommended that pregnant women exercise at least 30 minutes daily and this exercise can consist of a wide variety of exercise modalities.
During pregnancy, certain exercise limitations are obvious; contact sports and sprinting are out.
So, higher impact activities and other exercises that increase soft tissue risk should therefore be minimized. For example, if you take classes, either stick with those designed specifically for pregnant women or those that don’t include high-impact work like plyometrics. Further, choose activities that create less joint stress such as swimming, elliptical exercise, stair climbing, walking, and riding the stationary bike. Also choose exercises that maintain a neutral spine position.  This usually means choosing free weight or body weight exercises over machines.
Avoid using momentum to move the weights; make sure to lift and lower with your prime mover muscles.
You can still work hard, but stick with higher repetition sets (10-15 reps) performed at 65–75% of your 1RM during weight training sessions.  This reduces Valsalva action and may help avoid stressing relaxed joints. Back and hip pain tend to increase during pregnancy.  Fortunately, exercises that brace the core (front and side bridges) can strengthen the core musculature and reduce pain.
In it you’ll learn the best eating, exercise, and lifestyle strategies – unique and personal – for you.
However, in more oppressive heat, the body senses danger and kick-off procedures to cool the body down. Research has also indicated that for every one-degree Celsius rise in core temperature, a typical person’s heartbeat goes up 30 beats per minute. Workers outdoors or in the field, should generally drink water even if they do not feel thirsty.
Let’s prevent heat illnesses NOW! More than the economic importance of these workers to the country, it is hoped that with these proactive approaches, we will never experience the tragedy of workers dying due to heat as this can be easily prevented. This activity gives you the opportunity to raise the public awareness about the importance of a healthy lifestyle in preventing diabetes.
Having diabetes puts you at a greater risk for developing kidney disease also called diabetic nephropathy. It’s important to have regular urine tests to find kidney damage early because early kidney damage might be reversed. Control your blood pressure by checking it on a regular basis and following your doctor’s recommendations for acceptable levels.
If you need help developing a strategy to avoid complications or face other challenges, Diabetes Management & Supplies can assist with diabetes self-management and education services.
There’s nothing new under the sun and you can also reap the benefits of those who have traveled the vacation path before you.
If you need help developing life and treatment strategies, Diabetes Management & Supplies can assist with diabetes self-management and education services. Avoiding illness is a prime goal, but people living with diabetes should be aware of the special needs presented by sick days caused by the flu and other conditions. Meals and eating will play an important role as medication will need to be adjusted to match rising or falling blood sugar levels. This log or report will give insight to the diabetes care team of current health status and allow them to help adjust medication or intake to prevent dehydration or ketoacidosis. Certain foods, testing equipment and testing supplies need to be handy before a sickness occurs.  The phone number of the doctor or diabetes care team should be readily available. The food pantry should contain: broth, both sugar-free and regular Jello, both diet and non-diet soft drinks, both sugar-free and regular popsicles, both thin and creamy soups, regular and sugar free pudding, yogurt, juice and milk. Centers for Disease Control (CDC) reports that across the country, this flu season was significantly less severe than in the last few years, though number of cases have been increasing since early January. Motivation and method are both key to setting new goals and ending your year with a sense of accomplishment.
SMART Goals provide a road map to success because those goals are Specific, Measurable, Attainable, Realistic and Timely.
Beyond those faceless figures, one should focus on goals that bolster your diabetes control. Your diabetes care team should be consulted about ways to reduce your A1C and risk of complications.
Lowering one’s blood sugar is a great goal, but drastic drops can increase changes of hyperglycemia.
Diabetes Management & Supplies offers diabetes self-management and diabetes education services. A CGM automatically takes several blood sugar readings throughout the day, sends alerts for extreme readings and feeds those levels to the insulin pump.
Combining CGM with insulin pump therapy can provide a method to monitor and manage blood glucose levels. For more information on specific monitoring or insulin delivery needs, call our Education Department at 1-888-738-7929.
Resolving to make “a healthier you” in 2016 can start with a good understanding of your device and its disposal parts and ensuring you are always equipped with adequate supplies.
Click HERE for our efficient reorder form or call 1-888-738-7929 to place an order by phone. Whether emphasized by SAD (Seasonal Affective Disorder) or just noticed in contrast to the festive season, depression may be one sign of diabetes or a flag that one’s diabetes is not in good control. Treat yourself to your favorite stuffing or homemade pie on these days.  Keep these treats to the holidays. These foods fill you up, but will not affect your blood sugar. Chicken, turkey and cheese are often on party trays. Just a 15-minute walk before or after a holiday party can help to keep your blood sugar in control when you are celebrating. It is group of similar conditions that fall into the same category because the symptoms and effects on the body may be similar.
Three-quarters of people who develop type 1 are under the age of 18, and most others are under 40 years old, but older adults develop it as well.
Most experts believe it is an autoimmune disorder, which is a condition that occurs when the immune system mistakenly attacks and destroys healthy body tissue. In studies that followed relatives of people with Type 1 Diabetes, researchers found that relatives who later developed diabetes had certain auto-antibodies in their blood for years. It used to be called adult-onset diabetes, but, unfortunately, both children and adults develop this kind of diabetes. Gestational diabetes is still diabetes, which means your blood sugar levels are abnormally high. The company has hailed the drug as better than existing insulin products, with a lower risk of hypoglycaemia, and as offering the promise of a better quality of life.
It is normally used by all patients with type-1 diabetes and when diet and other oral drugs have failed to manage the blood sugar in the body for patients with type-2 diabetes.
It has undergone a tremendous change - from multiple injections routines to twice daily regimen to continuous subcutaneous insulin infusion through pumps. According to the research published in the Journal of Clinical Diabetes, it has been shown that diabetes regimen is multidimensional, and adherence to one regimen component may be unrelated to adherence in other regimen areas.
However, a closer analysis of therapeutic component reveals interesting insights on patient adherence. However, patients who are not managing their diabetes well (poor perceived control, more complications, and diabetes related distress) are significantly more likely to see insulin therapy as potentially beneficial – a behavioural factor affecting adherence to therapy.


One common factor (acknowledged by both physicians and patients) attributable to the low adherence rates and directly affecting patient engagement is the frequency of administration. Poor adherence usually leads to lower success rates for treatment to target levels, increased adverse clinical outcomes (especially CV related), and overall mortality. An additional 79 million have prediabetes, placing them at increased risk for developing type 2 diabetes.
However, it is ironic that in the advent of reducing overall healthcare cost, governments are so concerned about the benefits coverage, product pricing, and deep budget cuts but are completely ignoring patient adherence. It ensures a win-win solution to all the stakeholders in the healthcare system - improving quality of life for patients, increasing access to medicines for the pharmaceutical industry, reducing healthcare costs through systemic savings, and ensuring an overall better quality of human life. Praful has been a long-time advisor to senior teams within the pharma industry on issues of market competitiveness, business integration, and commercialization strategies.
However, other exercises are permissible as long as you consider the changes happening in your body. We may also experience “milaria rubria”, a dysfunction of the body’s sweat glands, locally known as “bungang-araw” which are easy enough to treat by cooling down the body with the use of soap and water. The heart beats faster to increase the flow of blood to the skin, trying to keep critical internal organs from overheating.
It can develop in those exposed to high temperatures over several days who haven’t adequately replaced the water and salt they lose when they sweat.
This occurs when the body can’t regulate its internal temperature — when the sweating mechanism fails and the body is unable to cool down. Toolbox meetings, of 15 minute duration, can be an ideal vehicle to conduct an awareness campaign for the workers. Drinking small amounts more frequently rather than large amounts less often is also recommended.
In the Middle East, a former OFW said that work automatically stops when the temperature hits 40C.
We owe this to our workers to be prepared, especially in these times, when the weather do influence human activities. In type 1 diabetes, hyperglycemia starts in the first decades of life and is usually the only recognized cause of nephropathy. Finally, don’t use tobacco because it narrows your blood vessels including the already tiny ones working deep inside your kidneys. Transportation Security Administration (TSA) has a helpline number to assist patients with medical conditions who want to prepare for the screening process prior to flying.
It will help to remove this bag from your luggage so that the TSA officials can clearly see what is inside. Please notify the TSA officials as you move through the checkpoints that you are wearing a pump or CGM.
The purpose of a sick day management plan and more vigilant testing has to do with limiting hyperglycemia and dehydration. Medications are to be taken on the usual schedule or may be modified to meet the patient’s needs by the doctor or a member of the healthcare team. The most common types of diabetes in our presence society are Type 1 Diabetes, Type 2 Diabetes and Gestational Diabetes.
With Type 1 Diabetes, an infection or some other trigger causes the body to destroy the cells in the pancreas that make insulin. Such factors appear to be more common in whites, who have the highest rate of type 1 diabetes. That excess sugar crosses the placenta and can make your baby grow too large and lead to problems with your pregnancy and delivery.
However, there is a growing trend amongst specialists for adopting the early use of insulin in type-2 diabetes treatment pathways. Then, scientists came up with technological breakthrough to prepare recombinant human insulin in E.coli bacteria--commonly known as synthetic insulin.
Pharmaceutical companies have been very active in inventing better methods of drug delivery, reducing the overall dose frequency and launching re-usable delivery systems, to increase overall adherence. Patients taking a once-daily dose have reported a greater compliance than compared to those taking three or more doses of medication. Non-adherence also leads to increased utilisation of systemic healthcare resources and greater costs for all the stakeholders. Moreover, Diabetes caused $245 billion dollars of total healthcare expenditure in 2012, as compared to $174 billion dollars in 2007. Even slight improvements in adherence could bring substantial systemic cost savings in the long run. Web pages that are archived on the Web are not subject to the Government of Canada Web Standards.
Exercising while flat on the back can diminish blood flow to both your brain and to your uterus. PAG ASA said that we will stop experiencing the “hanging amihan” which brought in cool air since the start of the year. Or in the case of children, dabbing the body with corn starch (“gawgaw”) so sweat stays and not drip off the body.
Another at risk group are those who suffer from diabetes, in part because their nerve fibers don’t signal the blood vessels to dilate.
When the body’s temperature rises past 103 degrees, cell damage can occur and organs begin to shut down. On the concern that drinking water can lead to more toilet breaks, drinking small amounts frequently will normally eliminate such concern as water intake will mostly be sweated off. And in the US, field workers in some companies have requested that they be provided with sun block as a way to ward off possible skin cancers. This year, we hope to welcome even more participants, so bring your friends, family and colleagues along for an early morning run or walk through the French Quarter.
It is a progressive kidney disease caused by damage to the tiny blood vessels in the kidneys that are used to filter waste from the blood. With type 2 diabetes, to the contrary, hyperglycemia starts near middle-age, usually when the kidneys have already suffered the long?term consequences of aging and of other recognized promoters of chronic renal injury such as arterial hypertension, obesity, high cholesterol, and smoking.
Also, in case your checked luggage is lost, you will still have your insulin and supplies with you in your carry-on bag. The goals are to prevent DKA in the Type 1, avoid dehydration of the Type 2 individual and avoid potential hospitalizations for either individual.
Understanding what they have in common, how they differ and the associated risk factors is crucial to raising awareness and encouraging prevention, when possible. Temperatures are expected to soar, more even so that the “El Nino” rages on, bringing drought and damaging much of the crops at some of our provinces. This could decrease the amount of blood brought to the skin’s surface to dissipate heat.
Enzymes in our cells work at certain temperatures, and if it’s too hot, the cells will actually degrade when they reach a critical temperature. Use of pictures or other illustrations can strengthen message of prevention to many workers. Avoid coffee, and alcoholic beverages since these can dehydrate, thus putting further stress to the heart. This is because the pancreas produces less and less insulin over time, so it must be injected to meet the body’s needs. As a tropical country, we say we are “used” to the heat, but with climate change as the buzzword these days, maybe it is high time to amend this attitude, especially for our workers who mostly work outdoors or on the field. But if humidity leaves the sweat with no place to go and it simply drips off the skin, the internal temperature will skyrocket, leading eventually to organ damage (more often than not, the heart) and death.
As an example, the intestines may become more permeable, allowing harmful bacteria to get into the bloodstream. Remember that the industries or sectors involved, such as construction, ship-building, power generation and the service sectors of transportation, and telecommunication are our country’s current engines for economic growth.
When at home or after work hours, drink more water to help the body recover from the heat exposure during the day. It must also be remembered that people react differently and may not have the same set of symptoms.
For hygiene and comfort purposes, it is also advisable to take a bath or a shower when completely rested to further allow the body to cool down and to slough off bacteria that feed on body sweat.
Immediate help should be sought if a worker suspects that he or she is now suffering from the extreme effects of heat. In higher than expected temperatures, employers are enjoined to increase the number of rest breaks and provide more shades and shelters to workers. Newly-hired workers should also be allowed to gradually be acclimatized to the heat by gently easing them to field work rather than thrusting them immediately to highly warm work conditions.



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