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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. Also approved is empagliflozin (Jardiance), an SGLT2 inhibitor from Boehringer Ingelheim and Eli Lilly, in 10- or 25-mg doses, for once-daily use as an adjunct to diet and exercise to improve glycemic control or blood glucose levels in adults with type 2 diabetes.
Approved in April as an adjunctive therapy for patients with type 2 diabetes, albiglutide (Tanzeum), GlaxoSmithKline’s GLP-1 receptor agonist for once-weekly subcutaneous injection, is now available in pharmacies throughout the United States. FDA has approved diclofenac (Zorvolex; Iroko Pharmaceuticals), a nonsteroidal anti-inflammatory drug, in 35-mg capsules, for the management of osteoarthritis pain. Regeneron has announced FDA approval of aflibercept injection (Eylea) to treat diabetic macular edema. Genentech has announced FDA approval of a new use for bevacizumab (Avastin) in combination with paclitaxel and cisplatin or paclitaxel and topotecan, to treat patients with persistent, recurrent, or late-stage (metastatic) cervical cancer. FDA has expanded its approval of alglucosidase alfa (Lumizyme; Genzyme) to include treatment of Pompe disease in patients of all ages and has terminated its risk mitigation strategy (REMS) requirements. Janssen and Pharmacyclics have announced expanded approval of ibrutinib (Imbruvica) to treat patients with chronic lymphocytic leukemia (CLL) who have received at least one previous therapy. Mylan has been first to launch potassium chloride extended-release tablets, USP in 600-mg and 750-mg dosage strengths, generic for Upsher-Smith’s Klor-Con. Amneal has launched oxycodone hydrochloride tablets, USP (C-II) in strengths of 5, 10, 15, 20, and 30 mg. Glenmark announced the launch of its telmisartan tablets, a generic version of Boehringer Engelheim’s Micardis, in 20, 40, and 80 mg, for treatment of hypertension. Pro-Phase Labs is marketing Cold-Eeze Plus Natural Multi-Symptom Relief QuickMelts, which the company says will treat symptoms of a cold while cutting its duration in half.


Europharma’s Terry Naturally brand has launched Clinical Iron, featuring Ferrochel vegetable iron chelated to bisglycinate, an amino acid-based organic molecule.
Folks tired of drinking their instant energy shots can try Energems, a 15-calorie chocolate supplement with B vitamins and caffeine, coated in a hard shell.
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Latest magazines - Diabetes Self-Management, USA Subscribe to to Diabetes Self-Management, USA magazine. With gradual infusion of glucose, as the plasma glucose concentration increases, the reabsorption progressively increases following the line marked reabsorption curve (in red). Insulin Glargine is basically used as a treatment for Type-1 diabetes, a condition in which the body is not able to produce enough insulin, and as a result, is unable to control the amount of sugar in the blood stream. In recent clinical trials, a fixed ratio combination of Insulin Glargine along with Lixisenatide, which is a GLP-1 RA was shown to have superior reduction in the average blood glucose levels as compared to past clinical trials. Insulin Glargine is an analogue of human insulin which has been modified to provide a consistent supply of plasma insulin in those people who have been diagnosed with Type-1 and Type-2 diabetes.
Both Type-1 and Type-2 diabetes can pose major problems for the body, which is one of the reasons why diabetes is called “the silent killer”. Products currently covered by valid US Patents are offered for R&D use in accordance with 35 USC 271(e) +A13(1). This entry was posted in Anti-Diabetic, Drug Research & Development API, Patent Expiration 2023, Therapeutic Classification and tagged anti-diabetic by admin. To see our content at its best we recommend upgrading if you wish to continue using IE or using another browser such as Firefox, Safari or Google Chrome. The National Institute for Health and Clinical Excellence (NICE) said that Forxiga, or dapagliflozin, was a cost-effective option for type 2 diabetes when used in combination with the older medicine metformin, Reuters reported. 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. A boxed warning cites lactic acidosis, and the product is accompanied by a Medication Guide.
It is not indicated to treat asthma or acuter deteriorations of COPD, and is dispensed with a Medication Guide.
The product design reflects an FDA call for treatments that use the lowest effective dose for as brief a period as possible.
Previously approved to prevent stroke and systemic embolism in patients with nonvalvular atrial fibrillation, apixaban increases risk of bleeding, including possibly fatal hemorrhages. Pompe disease causes gene mutations that prevent the body from making enough of an enzyme needed for proper muscle functioning. FDA also approved ibrutinib for CLL patients with del 17p, a genetic mutation that occurs when part of chromosome 17 has been lost.


The generic is an AB-rated therapeutic equivalent to Valeant’s Zovirax Ointment 5%, used to treat certain viral infections including cold sores, shingles, and chickenpox. The product is used to treat Pneumocystis carinii pneumonia, common among patients with compromised immune systems. The Amneal generic is AB-rated and therapeutically equivalent to Mallinkrodt’s Roxicodone, an immediate-release oral formulation used to treat moderate-to-severe pain. A press statement notes that “Perrigo and Impax continue to be in first-to-file Hatch Waxman patent litigation with Meda Pharmaceuticals Inc. The product is formulated with zinc gluconate, elderberry, agueweed, peppermint, myrrah, and licorice, said to relieve cold and flu symptoms such as cough, chest congestion, and sore throat. Ferrochel iron has been clinically studied for its oxygenating properties and is easily absorbed and non-constipating. The milk-chocolate-, mint-, or peanut-butter-flavored products come in new single-serve bags of three, offering the equivalent of one cup of strong coffee, or in boxes of nine. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. One recent article talks about why it is important to manage blood pressure and blood cholesterol levels as carefully as blood glucose levels. At plasma glucose concentrations <200 mg per 100 ml, all the filtered glucose is reabsorbed and there is no excretion. It is also used for the treatment of Type-2 diabetes where the body is unable to use insulin normally. Overall, the fixed ratio combination showed to have a safety profile which reflected those of insulin Glargine and Lixisentide. Rest assured you will get premium quality API products along with the continuous support of our team throughout the R&D process. While the drug could also be used for other medical conditions it is not to be used by patients who are experiencing diabetic ketoacidosis.
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. A boxed warning notes hypersensitivity reactions, lactic acidosis and severe hepatomegaly, and exacerbations of hepatitis. This is the product’s second indication, which FDA approved in October 2013 for mild-to-moderate acute pain in adults. Since its first approval in 2004 to treat metastatic colon cancer, it has been approved to treat several other types of cancer. Original data were inadequate to support safety and efficacy in infantile-onset patients younger than 8 years of age; they have been treated with Myozyme, also made by Genentech. CLL patients with del 17p are considered to have the poorest prognosis, and ibrutinib is the first treatment to be approved specifically to treat these patients.
It should be used to treat only serious bacterial infections when less toxic antimicrobial agents are inappropriate, as it can lead to C. According to the company, mineral co-factors, such as amino-acid-chelated forms of magnesium, zinc and copper, are included to help restore energy and stamina. One helpful entry titled Travelling with Diabetes instructs readers on how they can make it through plane trips and long vacations without eating the wrong foods or going without important pieces of monitoring equipment. Insulin Glargine is a synthetic version of insulin which is long lasting and works by replacing the insulin which is naturally produced by the body in order to move sugar from the blood to other parts of the body, where it is stored and used for energy.
According to the researchers, the meeting of the primary objectives of this clinical trial showcases the clinical value of Insulin Glargine. Those who have Type-2 diabetes are unable to use insulin in the proper way, resulting in an increase of sugar in the blood. 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. Suvorexant, a controlled substance, can cause sleep-driving and other partial-sleep behaviors, as well as impaired driving the following day. Each issue of Diabetes Self-Management magazine contains articles on new diabetes research. While the pancreas does make more insulin at the beginning to make up for the loss, over time, it is unable to keep up and cannot make enough insulin to keep blood glucose levels at a normal range. These patients remained on their treatment regimen for another 26 weeks, after which three out of five patients still maintained good glycemic control without overall confirmed hypoglycemia. This is because the pancreas produces less and less insulin over time, so it must be injected to meet the body’s needs.
One issue explores canagliflozin, a new drug used to treat type 2 diabetes that is said to work differently than other drugs used for the same purpose.
Splay (the curved dotted lines between the actual and theoretical thresholds) represents glucose excretion in the urine before saturation (Tmax) is fully attained, and is explained by some nephrons releasing glucose at a slightly lower threshold, others somewhat higher, and the relatively low affinity of the sodium–glucose co-transporters (SGLTs).
The dotted lines underneath the arrows depict renal glucose handling after SGLT2 inhibition.



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