t1d

Let's Celebrate Diabetes Awareness Month!

Diabetes Awareness Month 2018 starts today, and World Diabetes Day is celebrated globally on November 14 to raise awareness about both Type 1 and Type 2 diabetes! Here are some ideas about how to get involved from some of our favorite advocacy organizations!

Together, let’s celebrate Diabetes Awareness Month and the many strong individuals and families who live resiliently with diabetes every day!

In the News: Apple Patent Hints at Non-Invasive Glucose Monitoring Tech for Apple Watch

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News has been circulating that Apple has been developing a non-invasive sensor to continuously measure blood glucose levels since last year. In fact, this tracker has been said to become the “holy grail” in diabetes.

In August, a patent was published that potentially offers clues into Apple’s rumored non-invasive monitoring solution. Apple submitted a patent application in 2015 for “Reference switch architectures for noncontact sensing of substances,” a method by which an electronic device can be calibrated to measure the concentration of a particular substance in a given sample. This is an optical system that enables determination of the concentration of a target substance by applying light with known properties to a sample. Although the patent documentation does not specifically explain what substances this proposed system might be used for, it resonates with rumors that Apple is working on a non-invasive glucose monitoring solution for use in their Apple Watch. Learn more about the science behind Apple’s patent application at appleinsider.

Healthy Living provides leading continuous glucose monitoring (CGM) systems that monitor blood glucose levels in real time for Blue Cross Blue Shield, Health Alliance Plan of Michigan (HAP), Priority Health and Priority Health Advantage, and Medicare members. CGM helps people living with type 1 or type 2 diabetes make more informed treatment decisions that lead to better glycemic control. To learn more, call 866.779.8512 (option 2) to speak with a member of our Insulin Pump & CGM Therapy Team!

The Link Between Diabetes & Heart Disease

There is a substantial connection between diabetes and heart disease. In fact, the American Heart Association reports that if you have diabetes, your risk of developing heart disease is more than double that of the general population. To better understand how cardiovascular disease and diabetes interface in the human body, check out the video, Break It Down: Diabetes & Heart Disease and the associated healthline article. This video, featuring Dr. Priyanka Wali, explains the link between these two diseases and emphasizes that lifestyle changes can have a huge impact on improving health outcomes.

The main diabetes-related health characteristics that can increase the likelihood of cardiovascular disease include high blood pressure, high blood sugar, poorly managed levels of blood fats like cholesterol and triglycerides, obesity, and living a sedentary lifestyle. Dr. Wali recommends being attentive and proactive and making these seven changes to reduce the chances of developing cardiovascular disease:

  1. Quit smoking
  2. Get moving
  3. Reduce stress and get enough sleep
  4. Lose weight
  5. Know your numbers
  6. Optimize cholesterol levels
  7. Take medications as prescribed

Check out the healthline page, Get to the Heart of Type 2 Diabetes, for more related articles. Let’s keep reading, keep learning, and keep moving!

Koala with Diabetes Benefits from the New Dexcom G6 CGM System

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I absolutely love this news that we found about Quincy. He is a male koala living at the San Diego Zoo, who has been diagnosed with type 1 diabetes. Thanks to CGM technology, his life has dramatically changed for the better.

This article explains that, “Diabetes has rarely been documented in koalas, and animal care experts do not know what may have triggered this condition in Quincy.” As part of his treatment plan, the vets at the San Diego Zoo have teamed up with Dexcom to better manage Quincy’s blood sugar levels through the application of a continuous glucose monitoring system. Quincy is using the new Dexcom G6 CGM system.

Koalas normally sleep during the day and are mainly solitary animals. This system markedly increases Quincy’s quality of life because he can avoid pricks to his ears to check his blood sugar and can be disturbed less often overall. Instead, the sensor and transmitter placed on Quincy send his blood glucose levels in real time to a smart device monitored by his caretakers. Check out a video of Quincy and his vets in action

We hope that Quincy's story helps promote a greater awareness of CGM therapy! If you are living with type 1 or type 2 diabetes and have commercial or Medicare insurance, you may qualify to begin CGM therapy. Reach out to our team at 866.779.8512 to learn more and start the enrollment process now.

2018 ADA Standards of Care Bring New Recommendations for Cardiovascular Disease & Diabetes

The American Diabetes Association has released new 2018 Standards of Medical Care in Diabetes. These comprehensive recommendations include the latest advances in evidence-based care, with a new focus on advanced management for people with cardiovascular disease and diabetes. The Standards of Care outline the ADA’s latest recommendations “for the diagnosis and treatment of children and adults with type 1, type 2, or gestational diabetes, strategies to improve the prevention or delay of type 2 diabetes, and therapeutic approaches that reduce complications and positively affect health outcomes.”

Important changes and updates in the 2018 edition include these topics and more:

  • Cardiovascular disease and diabetes
  • Screening youth for type 2 diabetes
  • Health technology and diabetes management
  • A1C test considerations
  • Diabetes management in specific groups

Read the ADA’s press release for more details!

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OmniPod and Abbott FreeStyle Libre Approved for Coverage by Medicare

The Abbott Freestyle Libre flash glucose monitoring system.

The Abbott Freestyle Libre flash glucose monitoring system.

Great news was announced earlier this month to start the New Year off strong for the diabetes community! Medicare is allowing coverage of the Omnipod tubeless insulin pump and the new FreeStyle Libre flash glucose monitoring system. And as Diabetes Mine notes, "since CMS typically sets the stage for what private insurers will cover, this is a big win for PWDs (people with diabetes) of all ages!"

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Advanced Insulin Pump Workshop Offers Great New Insights

A few weeks ago, when Healthy Living attended the JDRF TypeOneNation Summit in Belleville, our team members chose different breakout sessions to attend. We all learned a lot, and I want to take some time to pool our knowledge and share it with you!

Our Insulin Pump & CGM Therapy team attended a workshop that went in depth on insulin pump therapy, presented by Dr. Lowell Schmeltz. Here are some of the things that Crystal and George learned from the course.

Advanced Features Improve Results

Insulin pumps include many advanced features and functions that patients searching for tighter control of their diabetes can utilize. These optional features can make pumping more complicated, but if used correctly can greatly improve the results of pump therapy.  One example is that some pumps offer is a dual-wave bolus, which contains a normal bolus as well as a second wave of insulin that is delivered over time. This is especially beneficial when eating foods that are high in fat and carbs, like pizza.

Insulin Pump Therapy Requires Focus

Pump users and caregivers need to remember a lot of information and continually go through a number of steps to maintain control with their insulin pumps. Dr. Schmeltz explained that the biggest issue that comes up for individuals using the pump goes back to the basics – entering their carbs for meals. He believes that people should read packages and measure their food for accurate carb counting (instead of estimates and guesses).

Simplifying for Encouragement

Dr. Schmeltz really engaged with attendees and had a great way of simplifying complicated concepts to make pump users feel comfortable with the idea of trying new things. One more of his recommendations was for patients to download their pump data between physician visits so their doctor can review their status at appointment time and make any necessary changes to their regimen.

We also were excited to learn about some of the new pump technology that is being tested, including the artificial pancreas. This new technology is much closer to being available to patients than many of us realized!

 

Living His Big Dream Every Day, Ernesto Prado Inspires Us All

Ernesto Prado at Johnson Space Center

Ernesto Prado at Johnson Space Center

The enthusiasm of Ernesto Prado's dad for the space program rubbed off on him from an early age. Ernesto has been fascinated with air and space travel since he was young, when he began his dream of becoming an astronaut. Prado was featured in at least three diabetes publications and resources in 2016 because his story is so encouraging and inspiring. When he was diagnosed with Type 1 diabetes as a teenager, he was told to slow down his recreational activities and sports, so Ernesto focused on learning and preparing for work with NASA. Even though people with diabetes cannot fill the role of an astronaut, Ernesto prepared to work in a job that would be as close as possible to his original goal.

Turning Point to Health

Ernesto went to college at UC Davis, double-majoring in Aeronautical Sciences & Engineering and Mechanical Engineering, and he began working with NASA when he was 20 as part of a college co-op program. After graduation, and while working in the neutral buoyancy lab, Ernesto realized that he had lost focus on managing his diabetes and taking care of himself. This was a turning point when Ernesto came to understand that he needed to be healthy to do the things he was devoting his life to, and he reprioritized his health – eating 5 small meals a day, running, seeing a new, really good doctor, and beginning to use an insulin pump.

Catch More About Ernesto

Prado has continued employment and engagement with the NASA space program since. Recently featured on Stacey Simms’ Diabetes Connections podcast, you can hear the passion and excitement in Ernesto’s voice as he describes walking on the same ground as NASA astronauts.  Ernesto is now a Technical Projects Manager at the Johnson Space Center in Texas.

Learn more about Ernesto Prado, and be wowed by his motivation, determination, dedication, and positivity:

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Growing with Support – Diabetes & Mental Health

At this holiday time of year, stress and busyness can emphasize feelings and emotions and bring them to the surface more quickly. These are the times when support from a doctor, therapist, or support group pays off. Finding good mental health care that matches a patient’s needs and personal preferences can be a challenge.

Mental health is often forgotten in discussions about wellness for people with diabetes. Beyond Type 1 has pinpointed this need and put together an amazing resource about mental health for Type 1 diabetes patients. On a larger scale, Beyond Type 1 creates and funds a portfolio of programs, technologies and innovations that those living with Type 1 diabetes need to manage, live, and thrive. 

Providers

On the Mental Health page of the Beyond Type 1 site, you can share your positive experiences by suggesting a mental health provider, search for and find a provider, and access information to help your mental health provider understand the cross-section of diabetes and mental health. The T1D Guide for Mental Health Providers explains the various emotional impacts and potential mental health outcomes for those living with Type 1 diabetes.

Library of Mental Health Resources

In the Beyond Type 1 library, you can find articles with clinical information, including topics like:

·       Stress – Why and How You Should Reduce It

·       Diabetes Burnout

·       The Truth About Diabulimia

·       Depression and Its Relationship to Type 1

There are also almost 20 personal stories on the site about subjects including:

·       How to Survive a Health Crisis with Your Spirit Intact

·       Bouncing Back and Moving Forward – Diabetes Burnout

·       What Is Diabetes Distress?

·       Body Image and the Pitfalls of Perfectionism

·       The 5 Go-To Yoga Practices That Saved My Life

Check out this resource! It is a great collection of information tailored specifically for patients living with Type 1 diabetes.

WE LOVE TO HELP.

  • Reach us through online chat at myhlms.com.

  • Call us @ (866)779-8512 or text us @ (248)577-9903.

  • Sign up for the Healthy Living blog at myhlms.com/subscribe.

  • Check out our online store at myhlms.com/shop for accessories and over-the-counter medications.

  • Visit myhlms.com/providers to electronically complete and sign prescriptions for patients.