Diabetes Resources

JDRF & Beyond Type 1 Create New Alliance

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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.

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.

OVERALL PERFORMANCE

  • 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.

Managing Diabetes in the Heat

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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

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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!!

Real-World Data from Medtronic's Guardian Connect & Sugar.IQ Shows Improved Outcomes

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This week at the American Diabetes Association (ADA) Annual Meeting, Medtronic announced real-world data on its Guardian Connect continuous glucose monitoring (CGM) system and Sugar.IQ diabetes assistant app. The Guardian Connect system and Sugar.IQ app empower people using multiple daily injections (MDI) to more proactively manage their diabetes with meaningful, personalized insights. The real-world data was recorded by users of the Guardian Connect CGM paired with the Sugar.IQ.

Sugar.IQ diabetes assistant is a separate app that continually analyzes how an individual's glucose levels respond to food intake, insulin dosages, daily routines, and other factors. The Sugar.IQ app combines data from the Guardian Connect CGM system with artificial intelligence technology from IBM Watson Health to detect important patterns and trends for people with diabetes and help them make more informed decisions on how to better manage glucose levels and stay within target range.

The data showed that people using the Guardian Connect system with the Sugar.IQ app experienced 4.1% more Time in Range (63.4%) compared to Guardian Connect alone (59.3%), which represents about one extra hour per day. And those who also used the optional Glycemic Assist feature to review their response to specific foods increased Time in Range by an additional 4% compared to those not using that feature.

Learn more from the official Medtronic press release.

Diabetes Myths Debunked from Beyond Type 2

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Have you heard about Beyond Type 2? We are big fans. This site is chock full of resources and guides for living with and understanding Type 2 diabetes. I want to point out the Diabetes Myths Debunked article. It covers a lot of territory and is definitely worth a read.

From Beyond Type 2... 11 Myths About Diabetes

Check out the entire article to find out the truth about these topics.

  1. Diabetes isn't that serious.

  2. You get Type 2 diabetes after you have been scared.

  3. Being overweight causes diabetes; thin people don't have diabetes.

  4. I can never eat sweets or my favorite foods again and have to follow a strict, bland diet.

  5. Diabetes doesn't run in my family, so I'm good to go.

  6. It's okay to stop taking my medication once my blood sugar is under control.

  7. Type 2 diabetes is a death sentence.

  8. Going on insulin means you "failed" at diabetes management.

  9. Type 2 diabetes can be cured.

  10. Insulin causes blindness.

  11. Eating too much sugar causes Type 2 diabetes.

Don't forget to check out the Beyond Type 2 website!

Encouraging Resources for May - Diabetes & Mental Health

We are nearing the end of Mental Health Awareness Month, but we couldn't have missed this important topic! From small, day-to-day stressors and burdens to larger scale, chronic mental health issues, everyone needs to create their own path to balance and stability. Type 1 and type 2 diabetes bring additional challenges to already complicated lives, but in the midst of this we can strive to find moments of peace, glimmers of light, and hope through connection.

At some point, you may find some encouragement in these resources:

ADA's Mental Health Provider Directory
(Mental health professionals who specialize in diabetes)

Beyond Type 1 Mental Health Resources Page
(Articles on Stress, Diabetes & Type 1, Diabetes Burnout, Diabulimia, Caregiver Burnout, Eating Disorders, Anxiety & Diabetes, Self-Care, and more)

NAMI: National Alliance on Mental Illness
(For a deeper dive on mental health issues and concerns)

Launching Now: The Eversense CGM System

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The Senseonics Eversense CGM recently received FDA approval and is in the process of launching in the United States (it's already up and running in Europe). It has been designed to be the first ever CGM with an implantable sensor that lasts up to 90 days. The Eversense 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. While being light, discreet, and comfortable to wear, the system’s smart transmitter interprets glucose data from the sensor and sends it to the system’s mobile application via Bluetooth, so patients can review their glucose data to help them make daily diabetes decisions.

The Eversense Long-Term Continuous Glucose Monitoring (CGM) System offers many new benefits:

  • No weekly sensor self-insertions: With Eversense, a trained health care provider numbs the area and places the sensor in the upper arm and you’re good to go for up to 3-months.

  • Quickly detects glucose highs and lows: In clinical studies, the Eversense system detected 95% of hypoglycemic episodes (70 mg/dL) and 99% of hyperglycemic episodes (180 mg/dL) within 15 minutes.

  • Alerts you can see, feel, and hear: The Eversense CGM System can be configured to provide three types of alerts - visual, auditory, and on-body vibe alerts, which can provide you with an additional safety advantage, even during sleep.

  • Discreet and flexible: The smart transmitter, with its low profile and flexibility to remove and reattach without wasting a sensor, enables a greater level of discretion.

Learn more here.

Eversense CGM Reviews

Check out this article from Beyond Type 1 with reviews from two people with T1D who have tried out the Eversense. They both have a lot of insight about the nuances of using the Eversense. For example, I learned about the advantages of the adhesive: "The adhesive is by far the main differentiator of the Eversense from their competition – this was easily the best thing for me. Because the sensor is fully below the skin, the transmitter adhesive can be changed as often as you like. Each adhesive patch lasts a day and can be peeled off and stuck right back on multiple times per day. Because the adhesive only has to last a day, it is completely hypoallergenic. Technically, you can stick the transmitter on however you like – while at work once, I ruined my Eversense patch and just stuck the transmitter back using materials from an office first aid kit!"

Definitely check out the article for more practical knowledge about using the Eversense.

Give These Insulin Pump Simulator Apps a Shot

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Researching your pump options? Here are some helpful tools from Tandem and Medtronic to help you understand the benefits of different insulin pumps on the market.

t:simulator App from Tandem
With the App, you can experience the touchscreen interface of the Tandem t:slim X2 Insulin Pump with Basal-IQ Technology using a smartphone or tablet. You can also enable "Tool Tips" for a tour of the pump's key features. The App provides info about the pump's technical specifications and access to a glossary of common terms for better understanding.

Download the t:simulator App at the bottom of this page.

MiniMed 670G System Simulator from Medtronic
This application provides step-by-step instructions on the different features of the 670G and 630G insulin pumps. There are training resources for both systems and the capability to explore the insulin pump through different functionality scenarios. You will find device feature videos that give more info about the Auto Mode and Suspend Before Low features.

Download the MiniMed System Simulator through Google Play or on the Apple App Store.

Tandem's t:slim X2 the First Interoperable Insulin Pump

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The Tandem t:slim X2 has been approved by the U.S. FDA as an "interoperable" insulin pump. An interoperable pump can be used with different components that make up diabetes therapy systems, allowing patients to tailor their diabetes management to their individual device preferences, which opens up huge future possibilities for closed-loop systems and other management technologies. In 2018, the Dexcom G6 was designated the first interoperable continuous glucose monitor by the FDA.

Read the full press release from the FDA here.

The Future of Tandem

In November, Diatribe wrote a fantastic article about what's on the horizon for Tandem, including the Control-IQ hybrid closed loop, the "interoperable" pump designation, the t:connect mobile app, and the t:sport patch pump with hybrid wear.

Dexcom G6 Will Soon Be Available to Ship to Medicare Members

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We wrote about Dexcom G6 becoming available to Medicare members here on the Healthy Living Blog last fall. Over the past several months we've had many Medicare members reaching out to us, asking about availability of the G6 system. This is a quick update that Healthy Living Medical Supply expects to start shipping Dexcom G6 systems to Medicare members on or around on April 1st of 2019.

This is an exciting development because it brings an advanced CGM system that is fingerstick-free to Medicare members. The Dexcom G6 system automatically takes a glucose reading every five minutes and sends the reading to a receiver or smartphone device such as an iPhone or Android (click here for a complete listing of compatible Apple and android devices). The system also has predictive alarms to let patients know if and when they are trending toward a low blood sugar state.

The Dexcom G6 system will be available to qualifying Medicare members who are on an insulin pump or taking insulin three times or more per day via injection AND who are testing four times or more per day.

Interested in being updated when Healthy Living begins shipping the Dexcom G6 system to Medicare members? Fill out the brief form below and we'll be in touch!

Name *
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Healthy Living Now Providing the Abbott Freestyle Libre to Medicare Members

February 18, 2019 -- Today, Healthy Living Medical Supply, a mail-order diabetes supply company headquartered in Detroit, Michigan, announced that they now provide the Abbott Freestyle Libre continuous glucose monitoring (CGM) system to eligible Medicare members across the United States. This fingerstick-free CGM has a small glucose sensor worn under the skin, connected to a circular patch that is slightly larger than a quarter. With a 14-day wear time, it is worn on the upper arm and allows people with diabetes to view their blood glucose levels with the swipe of a hand-held reader for more effective disease management and better treatment decisions.

To receive coverage for therapeutic CGM, with options including the Abbott Freestyle Libre or the Dexcom G5, a Medicare beneficiary must have type 1 diabetes or be receiving intensive insulin therapy for type 2 diabetes, and those eligible must document that their condition requires frequent insulin dosing adjustments, based on checking blood glucose levels at least four times a day. To learn more about eligibility requirements, visit myhlms.com/medicarecgm.


Healthy Living has been providing diabetes supplies to Medicare, Medicaid, and commercial insurance members for over a decade with a focus on world-class customer care and a working model of continuous improvement and innovation. The company is the only locally owned diabetes supplier in Michigan.

February Is American Heart Month!

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This month is a great time to zero in on some of the ways we can keep our hearts healthy. This month, the National Heart, Lung, and Blood Institute has launched #OurHearts, an initiative to encourage everyone to adopt heart healthy behaviors, together. Studies show that if you join forces at home, at work, in your community, or online, you have a better chance of staying motivated.

Start with small steps:

  1. Move more.

    Remember - Some physical activity is better than none.

  2. Aim for a healthy weight.

    Choose - Heart healthy foods and regular exercise help you achieve and maintain a healthy weight.

  3. Eat healthy foods.

    Try - Find an eating plan that is successful for you and supports your diabetes management.

  4. Quit smoking.

    Ask - Your family and friends can support you in your efforts to become a non-smoker.

There is a lot you can do to prevent heart disease. Work with your family, friends, or neighbors to meet your heart health goals! Learn more at:
https://www.heart.org/en/health-topics/diabetes/why-diabetes-matters/cardiovascular-disease--diabetes
https://www.nhlbi.nih.gov/health-topics/education-and-awareness/heart-month
https://www.heart.org/

Awesome Beyond Type 2 Website Launches

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Check out the new Beyond Type 2 website , the sister site to Beyond Type 1 , a well-established favorite of ours. It is a beautiful site with excellent resources on a disease that will benefit from a fresh voice for information and support. I love the Recently Diagnosed? Learn the Lingo page to get started.

In the words of the Beyond Type 2 founders:

"Launched in 2019, Beyond Type 2 is a program of the nonprofit organization Beyond Type 1. Beyond Type 2 is a place for everyone impacted by Type 2 diabetes to share their stories, get connected to the community, and find resources on topics from daily management to mental health...Beyond Type 2 hopes to radically change what it means to live with Type 2 diabetes. We aim to unite the global community and empower everyone living with Type 2 to live beyond it. With the right resources, programs, and power of our combined voices, we can redefine what it means to be a person living with diabetes – of any type."

You won't regret taking some time with this website. Explore Beyond Type 2 at beyondtype2.org.

Eliminating Painful Fingerpricks

In November, Dexcom set up a "coffee and bagels" food truck in L.A. and Seattle but asked for a painful payment - a fingerprick. The video documenting this experiment, embedded on nomorefingerpricks.com, is a great resource for people thinking about CGM (continuous glucose monitoring)...and for anyone trying to wrap their head around the fact that countless people with diabetes prick their finger 3,000 times each year. (Try to imagine!)

Many people with Type 1 aren’t even aware that CGM is an option. The stats from a Dexcom and Beyond Type 1 nationwide survey show:

  • 34% of people with T1D know nothing or little about CGM

  • 80% of people with T1D still prick their fingers more than 3 times a day

  • 96% of CGM users would recommend CGM

Some of the most appealing benefits of CGM include:

  • Alerts and alarms to proactively warn of dangerous highs and lows

  • Continuous glucose readings sent automatically

  • No fingerpricks for calibration or treatment decisions*
    *From Dexcom - If your glucose alerts and readings from the G6 do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions.

We have also learned from our customer community and partners that many people no longer perform fingersticks at all due to the accuracy of the Dexcom G6 system. Most commercial insurances and Medicare cover CGM. Ask Healthy Living to help you get started!

Finding Experienced Mental Health Care for People with Diabetes

Diabetes management is very challenging, and it's completely normal for people to feel exhausted or stressed in the process. If you find that you are feeling worn out, frustrated, or anxious over an extended period of time, there are health care professionals who are trained and experienced to help people with diabetes distress. The American Diabetes Association (ADA) has partnered with the American Psychological Association (APA) to make it simpler for people with diabetes to get high-quality, relevant, mental health care by creating a Mental Health Provider Referral Directory.

Providers in the directory:

  • Are currently licensed as mental health providers

  • Are professional members of the ADA

  • Have demonstrated competence treating the mental health needs of people with diabetes

The providers listed in the directory must have either completed the ADA-APA's continuing ed program in diabetes mental health or have two or more years of experience working with people who have diabetes. Many of the doctors also offer telemedicine services - a method of receiving care from remote locations using technology. Access the provider list here.

Great Websites for People Looking for New Insulin Pumps

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Thinking about a new pump? These websites have discussion forums where people share their experience using different insulin pumps, CGM systems, and other diabetes supplies. They are excellent independent resources to use when making a decision on what products to use, and they are also a great way to connect with other parents and people with diabetes to share experiences, resources, and support.

What a Partnership! Basal-IQ Technology, Tandem's t:slim X2 Pump, and Dexcom G6 CGM

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This sounds stupidly easy. But it’s so effective. And looking at my pump, I can see how many times it kicks Basal IQ into action so I can continue to exercise, or snuggle my kid, or drive my car, or sleep. You know, basic stuff that humans do.Kerri, six until me

Tandem Basal-IQ Technology is wowing all around. Available as part of the t:slim X2 Insulin Pump and integrated with the new Dexcom G6 CGM, Basal-IQ Technology predicts and helps prevent lows, suspending insulin delivery before they happen. Expect less time low: there was a 31% relative reduction overall in sensor time below 70 mg/dL when clinical study participants used Basal-IQ Technology. Zero fingersticks are required for mealtime dosing or calibration when using Dexcom G6 Continuous Glucose Monitoring.

The X2 pump is discreet and easy to use. It features a large, color touchscreen interface for carb counting, bolusing, and viewing blood glucose trends – and it’s the smallest available pump. The Tandem t:slim X2 also offers upgradeable software, so when new features become available, the pump can be updated using a personal computer. You can also share blood glucose information with family members and other key members of the support team via Dexcom share app.

Check out the Tandem video or try out the system via the simulator app. Contact the Healthy Living Insulin Pump & CGM Therapy Team to find out more about getting started at 866.779.8512, Option 2 (phone) or 248.577.9903 (text).