JDRF & Beyond Type 1 Create New Alliance


JDRF and Beyond Type 1, two forward-thinking, high-impact diabetes organizations, have created the JDRF - Beyond Type 1 Alliance. The alliance was designed to amplify each organization's strengths in order to provide even greater support for people and families affected by type 1 diabetes. The new collaboration will center around three core pillars: Community Programs, Advocacy, and Communications + Education.

“JDRF and Beyond Type 1 both work tirelessly to serve the T1D community, and each brings complementary strengths to this partnership. Through the Alliance, we will work together to create better education, easy connections to resources and programs, and a louder, more powerful voice in advocacy,” said Beyond Type 1 CEO Thom Scher. “The Alliance enables us to drive impact around shared vision while still allowing each organization to excel in its own unique areas of focus. We are honored to be working with JDRF, and excited for all of the ways the Alliance will benefit the T1D community.”

Healthline's Best Diabetes Blogs in 2019

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Looking for fresh input and information on diabetes? Definitely take a look at Healthline's Best Diabetes Blogs of 2019! While managing diabetes can be challenging, connecting with people who are navigating the same condition can make all the difference. In selecting this year’s best diabetes blogs, Healthline looked for those that stood out for their informative, inspiring, and empowering content. Twenty-five blogs are listed with descriptions to help guide you on your journey. Find out more here.

DiabetesWise Offers Unbiased Resource to Help Patients Find Right Diabetes Tech

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This is an amazing resource to check out -- DiabetesWise. On this site, you'll find unbiased comparisons to help people with diabetes find the right devices for their lives and their needs. DiabetesWise could become your new hub for navigating the wide range of diabetes devices and technology available today.

On DiabetesWise, you can start with their "Checkup" - a quiz that will help you personalize how you can make your diabetes device routine easier and more effective. Then you can enter the "Wisdom" section where you can filter by your priorities and concerns, then learn about how other people with diabetes have made their choices. Look at their profiles and stories, and learn from their experiences to find what is right for you. This is a great way to gather real-world wisdom.

Next, learn about different device combos, be it sensor and pump, meter and pump, sensor and injections, sensor and smart pump, or meter and injections - and how they may fit in your life. Beyond this, there are guides galore and more specific information for people coming from different backgrounds of using (or not using) devices of different types.

This looks to us like a great site to visit and explore. Find out more about it in the Diabetes Mine article, DiabetesWise: New Hub Helps Match Patients with the Right Diabetes Technology. The article covers the history and creation of the site, as well as a deeper dive into the opportunities DiabetesWise offers.

dTech Companies Expand Global Reach

Dexcom and Medtronic both shared exciting news last week! Medtronic announced that they have obtained reimbursement in Germany for the MiniMed 670G Insulin Pump System for patients with type 1 diabetes. Learn more.

Dexcom announced last week that they are now accepting orders for the Dexcom G6 CGM System for people with diabetes ages two years and up in Canada. “We are thrilled to offer the Dexcom G6 CGM system to Canadians and are proud of this innovative technology that enables more effective diabetes management,” said Laura Endres, vice president, and general manager, Dexcom Canada, Inc. Learn more.

Getting Started with CGM: A Walkthrough


CGMs (continuous glucose monitors) can reduce the stress and uncertainty related to glucose monitoring. Healthy Living is here to help lessen the challenges of acquiring and maintaining a CGM. And it’s easy to get started! Our team will guide you through the whole process.

Here is a preview of what your first conversation with us might include, plus some other details of the progression of obtaining a CGM system.

Intro: Is this your first CGM system? If not, when was the last time you received supplies?

Basic Information: We ask questions to gather patient demographic info, insurance info, and doctor information.

CGM Options: What system are you looking for? We offer Dexcom G5, Dexcom G6, Guardian Connect, or FreeStyle Libre CGM.

Medicare CGM Requirements: Medicare patients must use the Dexcom G5 or FreeStyle Libre system, because Medicare doesn’t cover Medtronic supplies. Must be testing 4x/day and injecting insulin 3x/day.

Authorization & Documentation: If your insurance requires an authorization, the Healthy Living team will gather the appropriate docs, including prescription, chart notes, and 30 days of continuous logs. Once authorization is submitted, you can expect a response time of 7-14 days for most insurance companies, and 30-45 days for straight Medicaid.

Planning for Payment: We will ask for a credit card to place on file to charge once the order is ready to ship. We will never charge you without your permission.

Follow-Up with the Doctor: We will ask you to follow up with your doctor’s office to request required documents for authorization, and we will also reach out to your doctor every 3-4 days until the necessary documents are obtained.

Updates: We will text or call with updates about your account. You will also receive an email with a summary of our conversation and will be given access to our online portal to track the status of the initial CGM order.

Ready for your CGM?

Contact us using your preferred contact method. We have three different ways of helping you - choose whichever is best for you!

1. Call 866.779.8512.

2. Text “CGM” to 248.577.9903.

3. Fill out the form below.

Name *
Phone *

In the News: Eversense® CGM Real-World Data from First U.S. Users

The Eversense implantable CGM device has been making waves with its innovative functionality. Last week, Senseonics published Eversense CGM real-world data from the first U.S. users. The following information comes straight from the Business Wire press release for accuracy and clarity:

The real-world data demonstrated that the Eversense CGM System showed strong performance and safety over a 90-day sensor wear period, especially in the low glucose ranges. This data provides real-world evidence desired by patients, healthcare providers and payers on the clinical value and benefit of Eversense.


  • Wear-time – 83.6% (American Diabetes Association recommends 70% wear-time)

  • Time in Range – 62.3% between the ranges of 70 to 180 mg/dL

  • Time in Hypoglycemia – 1.2% at <54 mg/dL and only 4% at <70 mg/dL. Users spent only 1.7% of the nighttime in hypoglycemia (<54mg/dL)

  • Safety – No device or procedure related serious adverse events over the 90 days

  • Conclusion – The Eversense real-world data showed excellent glycemic results, sensor accuracy, and safety. This data demonstrates that the Eversense CGM System is a valuable tool for diabetes management.

The Eversense CGM System consists of a fluorescence-based sensor, a smart transmitter worn over the sensor to facilitate data communication, and a mobile app for displaying glucose values, trends and alerts. In addition to featuring the first long-term and first implantable CGM sensor, the system is also first to feature a smart transmitter that provides wearers with discreet on-body vibratory alerts for high and low glucose and can be removed, recharged and re-adhered without discarding the sensor. The sensor is inserted subcutaneously in the upper arm by a health care provider via a brief in-office procedure.

Learn more about the Eversense CGM System.

In the News: For Many Diabetes Patients, Skin Patches and Phones Are Replacing Finger Pricks

The Wall Street Journal recently featured a story that explains why and how more U.S. diabetes patients are using continuous glucose monitors (CGM) to track their blood sugar. Almost 840,000 patients in the U.S. used the devices as of March 31, more than double the 389,000 using them at the end of 2017, according to Seagrove Partners LLC, a health-care research and consulting firm. The Journal's article has a great diagram showing how CGM works and talks about the importance of this technology to improve quality of life for many people with diabetes.

CGM WSG article

Friends for Life - An Unforgettable Conference


"One of the most magical times for people with diabetes happens every year in July, with the annual Friends For Life Conference hosted at Walt Disney World in Orlando, Florida."

Hosted at Disney's Coronado Springs Resort, the Friends for Life conference just wrapped up in July. This is the 20th anniversary of the conference! Friends for Life brings together an international group of world-renowned clinicians, researchers, physicians, adults, children, and families with diabetes, including siblings and children of adults with type 1 diabetes, to learn the most current information in diabetes care. At Friends for Life, participants have the opportunity to gather cutting edge ideas in diabetes management and share their stories to help motivate and inspire others who walk in the same shoes.

Learn more and maybe join the fun next year!

Medtronic’s Next-Gen Hybrid Closed Loop System

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Medtronic's next-gen hybrid closed loop system will be the Minimed 780G, designed to help patients enjoy greater freedom and less burdens. Currently, the 780G is being studied in an in-home trial with 350 adult and pediatric patients with type 1 diabetes participating, using the device over a three-month period. The in-home study is estimated to be completed in January of 2020, with the results presented in July, 2020.

What should you expect from the new Medtronic system?

  • New vertical "modern" look

  • Automatic correction bolusing

  • A new algorithm, that according to Medtronic is more accurate and reliable

  • A function to automatically adjust for missed meals

  • Adjustable target range, down to 100 mg/dL

  • Option for remote software updates

  • Bluetooth connectivity

Stay tuned for a launch date and other news on the Minimed 780G!

Managing Diabetes in the Heat


Summer is finally heating up! The CDC (Centers for Disease Control and Prevention) has some great guidance for understanding the effects of the heat and best practices for managing diabetes during the summer.

Feeling the Heat

People living with diabetes (type 1 and type 2) feel the heat more than others. Certain diabetes complications can affect sweat glands so that your body can't cool as effectively, and people with diabetes get dehydrated more quickly. Also, high temperatures can affect how your body uses insulin. The humidity also plays a part. It's harder to stay cool because sweat does not evaporate as well in high humidity. The CDC recommends checking the heat index and taking intentional steps to stay cool when it reaches 80°F in the shade with 40% humidity or above.

Summer Checklist

  • Drink plenty of water.

  • Test your blood sugar often.

  • Keep medicines, supplies, and equipment out of the heat.

  • Stay inside in air-conditioning when it’s hottest.

  • Wear loose, light clothing.

  • Get medical attention for heat-related illness.

  • Make a plan in case you lose power.

  • Have a go-bag ready for emergencies.

Read more details for managing summer heat here.

Summer at the Farm Market & Diabetes-Friendly Recipes


Summertime is the best time for fresh food and enjoying the local harvest. Have you checked out your neighborhood farm market yet this year? A few favorites in the SE Michigan area are Eastern Market, the Oakland County Farmer's Market, and the Royal Oak Farmer's Market - but big or small, most communities have a local market. Last weekend, I happened upon strawberries, garlic scapes, cremini and shiitake mushrooms, lettuces, herbs and veggies ready to be planted, swiss chard, kale, early tomatoes, microgreens, rhubarb, sunflowers, and the list goes on! The market is full of colors and textures and hustle and bustle and the freshest food you can find (short of picking out of your own backyard).

Summer cooking is great on the grill, and simple creations let the flavors shine! When you're cooking at home this summer, get creative! You may find inspiration from these sources for diabetes-friendly recipes and new flavor ideas:

Some of these sites state that their recipes have been medically reviewed while a couple others don't. Be sure to use your best judgment for your own health needs when choosing recipes. Eat well and enjoy!!

Developing Best Care Practices for Patients with Diabetes Undergoing Surgery

Tamra Dukatz, Certified Registered Nurse Anesthetist

Tamra Dukatz, Certified Registered Nurse Anesthetist

People with diabetes need special care in the surgical setting to control blood sugar. Tammy Dukatz, a certified registered nurse anesthetist at Beaumont Health, has spent a lot of time, with exceptional success, doing research to develop best care practices for patients with diabetes who are undergoing surgery. Tammy has been a nurse anesthetist for more than 25 years and a nurse for 40 years. For the last 15 years, she has taken a great interest in diabetes since two of her three children developed type 1 diabetes. Her research has been aimed at strategies for the best possible glycemic control during surgery. She credits her colleagues and the anesthesia department leadership with phenomenal interest and support for these projects.

Conducting research with endocrinologist Dr. Solomon Rosenblatt and other Beaumont Health staff members, Tammy brought the Hospital guidelines up to date to provide the most appropriate strategies for blood sugar control for people with diabetes having surgery. This is important because high glucose levels during surgery may cause electrolyte imbalances and dehydration, and lows are especially dangerous under anesthesia because signs and symptoms largely can't be observed. The clinical research study on insulin glargine dosing took place from 2005-2008, was published in 2012, and was centered at Beaumont Hospital in Royal Oak, Michigan.

Now Tammy and her team keep up the guidelines up-to-date. It's a constant – reviewing the anesthesia and diabetes literature for current diabetes tech and best practices. Recent updates in diabetes technology have brought up new questions and decisions to be made. For example, a patient’s home continuous glucose monitoring (CGM) is based off interstitial glucose readings. CGM can be used in the hospital to follow the glucose trends, but patients are treated based on lab values using venous blood draws. Expert opinion is being sought to determine if hybrid closed loop insulin pumps should be kept in auto mode or put in manual mode during surgery.

Tammy has been working on her newest project with a team including her daughter, Gwen, who is a student nurse anesthetist at Oakland University. To make it easier for nurses to ensure accuracy, Dr. Rosenblatt and Gwen created an algorithm to guide insulin use after heart surgery. The whole team worked with Beaumont’s IT department to place the algorithm into an electronic calculator. A pilot was performed in one Beaumont department in September of 2018. For further refinement of this algorithm and help with back-end programming, they are soon to be working with the Oakland University College of Computer Science and Engineering. Tammy's son, Carl, has also been involved in the tech end of this project.

If you have diabetes and you're going into a surgery soon, here are some tips to keep in mind:

  1. It does matter how well you are controlling your diabetes before surgery - it can lead to better outcomes.

  2. If you are scheduled for elective surgery and you are not meeting your blood sugar goals, check with your diabetes care physician. Your physician may recommend medication changes to help prepare for the surgery.

  3. Anesthesia prescreening nurses will give you individualized instructions for the day of surgery. These should include what medications to take and how to handle high and low blood sugars before hospital arrival.

  4. Communicate well with your anesthesia team. Your blood sugar will be checked frequently throughout your surgery and recovery time. Because of the stress of surgery, treatment with insulin is common - even if you do not usually take insulin. Be sure to speak up if you feel that your blood sugar may be low.

Lifting Up Healthy Living's Core Values

Healthy Living developed guiding Core Values a few years ago, and I thought today would be the perfect day to highlight them. These values affect our movements on a day-to-day basis, influencing our passion for customer care, our relationships with patients, providers, and manufacturers, and our positive internal culture.

Healthy Living's Core Values

  • Earn Trust: Delight customers, simplify their experience, and surprise them in unanticipated ways.

  • Get Better Every Day: Practice continuous improvement, determined to surpass yesterday over and over again.

  • Own and Learn from Mistakes: Seek to understand your mistakes, make things right, share what you learned, and move on.

  • Pursue Ongoing Learning: Strive for personal and professional growth through curiosity, exploration, and education.

  • Build a Positive Team: Work collaboratively to create a loyal customer following, and have fun along the way!

  • Embrace Change: Be agile and prepared to adjust to the quickly and inevitably changing healthcare environment.

  • Be Humble: Appreciate your teammates, be yourself, and focus on the goal instead of the spotlight.

As a growing company shaped by integrity and our purposeful commitment to customers and employees, we use these values to guide our way and focus our daily vision.

Dexcom Highlights Next-Gen G7 Updates


This month has been full of diabetes tech news as many manufacturers revealed product updates and research at the ADA 2019 Conference in San Francisco. For a great summary article from Diabetes Mine, check this out.

At the conference, Dexcom highlighted their upcoming next-gen G7 updates. Being developed with Verily, the next-gen G7 product will:

  • Have a faster warm-up time than the current G6 startup window

  • Include extended wear time of 14-15 days

  • Offer a fully-disposable, all-in-one sensor-transmitter with a smaller on-body footprint

  • Provide a dramatic cost reduction and more accuracy and reliability

  • Allow direct Bluetooth-to-smartphone communication

Dexcom's slating this for later 2020 with a limited launch at first, and then rolling it out more broadly across the U.S. and internationally in 2021.

FreeStyle's LibreLink App Now Compatible with Android


Starting last week, FreeStyle LibreLink is now available for Android phones, as well as compatible iPhones. FreeStyle LibreLink is a mobile app that enables compatible Android and Apple phones to scan a sensor and display glucose data and trends, including:

  • Current glucose reading

  • Trend arrow

  • Up to eight hours of glucose history

With a quick scan over the sensor, you will have glucose readings anytime and anywhere. You can download the new Android app here.

Learn more about the FreeStyle Libre continuous glucose monitoring (CGM) system by checking out these previous blogs:

Getting to Know Libre CGM

A Review of the FreeStyle Libre Sheds More Light on the New Technology

Healthy Living Now Providing the Abbott Freestyle Libre to Medicare Members