Medtronic Joins the Smart Insulin Pen Market

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Earlier this month, Medtronic announced that it is acquiring Companion Medical and its Bluetooth-enabled InPen. The decision will allow Medtronic and InPen to help more people with diabetes (type 1 and type 2) who take multiple daily injections of insulin (MDI). This acquisition also positions Medtronic in a new market with the opportunity to compete with others developing smart insulin pens, including Eli Lilly, Novo Nordisk, and Bigfoot Biomedical.

InPen is a reusable, Bluetooth-enabled smart insulin pen that works with short-acting insulin cartridges and makes insulin injection safer. This is the only FDA-cleared insulin pen that connects with an app to track data and give users personalized dosing recommendations. The InPen app offers a dosing calculator and also computes and displays real-time active insulin on board (IOB). It also allows remote monitoring; users can set the app to auto text message their dosing info to up to five people. The text message can include every insulin dose, as well as blood glucose and carb values. First cleared by the FDA in 2016, the InPen was later FDA approved for use by all ages in June of 2020.

Medtronic's Executive VP and President Sean Salmon addressed their expanded vision aimed at serving people “where they are in their diabetes journey” regardless of the insulin delivery method, in comparison with Medtronic’s original approach of only selling insulin pumps.

A worthy side note, before the purchase, Companion established agreements with both Dexcom and Senseonics for both CGMs to share data directly with the InPen app. Medtronic has stated that it does not plan to discontinue the ability of the InPen to communicate with the Dexcom CGM, even though Medtronic makes a competing product. It makes sense that down the road, Medtronic also plans to integrate its Guardian CGM with the InPen.

The Wonder of Diabetes Service Dogs

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My pup, Augie, is sitting at my feet right now, full of sweetness. Many people can relate to the experience of their dog being a steadfast and loyal friend. That is why it's so encouraging to learn more about diabetes service dogs and the difference they make in the lives of some very lucky souls. These dogs, also known as diabetic alert dogs, are carefully trained to help monitor their owners' diabetes. This is based on a dog's awe-striking sense of smell. They are trained to identify the fruity-smelling ketones a person’s body produces when they are experiencing a hyperglycemic episode when blood sugar is too high, or the unique scent a person gives off during a hypoglycemic episode when blood sugar is too low. These chemical shifts are normally undetected by the human nose.

Although a diabetes service dog doesn't replace checking blood sugar levels, the committed dog becomes an additional safeguard to watch for these more extreme situations, especially if the owner has a hard time identifying them. There are various ways that the dog can alert their human of low or high blood sugar. These skills require rigorous training from professional service dog trainers. These communications could include jumping on the owner, holding a particular toy, touching the owner with its nose, or sitting and staring at the owner.

In addition to staying alert for blood sugar extremes, diabetic alert dogs can provide an incredible amount of love, companionship, and emotional support to their owners, resulting in an improved sense of security and balance each day.

Communication and Accessibility with Healthy Living

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You have probably heard us say this a few times before: providing stellar customer care is our number one priority. Two very major components of excellent service are communication and accessibility. We would like to remind you about the four easiest ways to connect with us. Which one is best for you?

TEXT

Text your name, date of birth, and any questions to (248)577-9903.

CALL

Speak with a customer care agent live at (866)779-8512.

FILL OUT OUR ONLINE FORM

Fill out the form here and an agent will contact you to assist with your questions or concerns.

CHAT

Chat with us online - click on the icon on the bottom right of the screen.

We love to help, above and beyond. Reach out, and we'll be here for you!


Sun, Sun, Sun, Water.

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We're in the swing of summer, heading into a very hot weekend! Gardening, swimming, boating, walking, hiking, biking, camping, moving...just enjoying good times outside. Dehydration can affect anyone, especially when the sun is out (and bright) and the temperatures are high. For people with diabetes and for those living with other health conditions, staying hydrated is a top priority this time of year.

Our bodies depend on water. Adequate water intake is crucial for a variety of daily functions, including:

  • carrying nutrients and oxygen to cells

  • flushing bacteria from the bladder

  • aiding in the digestion of meals

  • preventing constipation

  • normalizing blood pressure

  • maintaining a stable heartbeat

  • cushioning the joints

  • protecting organs and tissues from a variety of potential damage

  • regulating body temperature

  • maintaining electrolyte/sodium levels

What are your strategies for staying hydrated this summer?
Consider these tips:

Drink plenty of fluids

  • Focus on water or caffeine-free beverages

  • Avoid alcohol

Keep cool when exercising

  • Choose the gym for your workout when it's hot outside

  • Exercise in the early morning to avoid daytime heat

Be on the lookout for heat exhaustion

  • Watch for the signs - dizziness, profuse sweating, muscle cramps, fainting, headaches, nausea

  • Move to a cooler place

Check your blood glucose levels regularly

  • Heat can cause your blood glucose levels to fluctuate, so remember to monitor them frequently in the sun and heat

  • Brings water and snacks with you

  • Keep your insulin cool

Enjoy the summer!!!

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New Tech and Product News from Virtual #ADA2020

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At the annual American Diabetes Association conference this June (held entirely online this year), lots of research was presented, and as always, a slew of new tech and product news was announced.

Here are some of the highlights!

  • Abbott FreeStyle Libre 2 gained FDA approval.

  • Two new types of insulin were presented: Eli Lilly's ultra-rapid Lyumjev and Mylan and Biocon's Semglee basal insulin.

  • Medtronic has collected pivotal trial data for its upcoming Minimed 780G (Advanced Hybrid Closed Loop System), in preparation for filing for FDA approval.

  • Medtronic's 770G has already been filed with the FDA and is considered the "stop-gap" between the 670G and 780G. Read more about Medtronic's tech developments here.

  • Tandem announced FDA approval of its Control-IQ system for children ages six and over.

  • The closed loop OmniPod 5 is expected in 2021.

  • The Dexcom G6 Pro, a clinically focused, professional version of its Dexcom G6 CGM is slated to start shipping to clinics and physicians' offices this month.

Learn more about all of the details of the conference here.

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Learn More : coronavirusdiabetes.org

​COVID-19 isn't new news at this point, but there is a great resource, coronavirusdiabetes.org, waiting for you with information specific to COVID and living with diabetes. 

Members of the diabetes community are among the most vulnerable to serious complications caused by coronavirus.​ This website, brought to us by the JDRF and Beyond Type 1 Alliance, encourages all of us to do our part: "Protect those most vulnerable, including members of the global diabetes community. Protect those who cannot stay home. Protect those on the front lines. Protect our farmers, grocery workers, nurses, and pharmacists. Protect yourself and your family."

Coronavirusdiabetes.org highlights recommendations for people with diabetes that have been endorsed by  The American Diabetes AssociationBeyond Type 1Harvard Medical SchoolISPAD, and JDRF and are being shared by diabetes communities around the world to keep the most vulnerable among us safe. You can download the official behavior change recommendations here.

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Approved by FDA! FreeStyle Libre 2 Cleared as iCGM

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Abbott's FreeStyle Libre 2 has been approved for use in the U.S. for adults and children (ages four and older) with diabetes. In Abbott's June 15, 2020 press release, Jared Watkin, senior vice president, Diabetes Care, Abbott commented: "We're thrilled to bring our next generation technology on our world-leading sensing platform to both children and adults with diabetes in the U.S. With unsurpassed 14-day accuracy and enhanced features including optional alarms at a fraction of the cost of other CGMs, Abbott's FreeStyle Libre 2 system will change the future of diabetes care in the U.S. the same way it has around the globe."

Highlights of the new iCGM system include:

  • FreeStyle Libre 2 is the only integrated continuous glucose monitoring (iCGM) system available that continuously transmits glucose data every minute with customizable, optional real-time alarms to alert users when their glucose is high or low without scanning.

  • Now for children and adults with diabetes, this latest technology is the first and only iCGM that sustains performance for up to 14 days, providing trends, insights and actionable data.

  • The FreeStyle Libre 2 system includes a self-applied sensor (the size of two-stacked quarters) that is easy to apply and worn on the back of the upper arm, eliminating the need for painful fingersticks to test glucose levels.

The FreeStyle Libre 2 has already launched in several European countries and is coming to others soon. It is not yet known when the FreeStyle Libre 2 will officially roll out in the United States, though Abbott says it will be in the coming weeks.

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New Patient Portal for Online Bill Pay and More

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Healthy Living now offers online bill pay through our Patient Portal! This self-service tool allows you to enjoy 24/7 access to view and pay your invoices through a convenient, safe, and secure environment, with no additional cost. This is one more way that Healthy Living is working hard to make our customers’ lives easier.

Access the Patient Portal now. You can also find a link on our homepage, myhlms.com. We hope that many of our customers will find this functionality very helpful!

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More Than Ready to Help with Firsthand Diabetes Experience

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Meet our new Customer Success Advocate, Mike. He is here to provide concierge-style care to our patients who need some extra help. Mike steps in for special situations and troubleshooting, like getting an order out before a customer's insurance is about to expire or an authorization is about to end. Mainly, he reaches out to HLMS customers, three weeks after their new pump or CGM has shipped, to make sure everything is on the right track and to answer any questions that might have surfaced. How is the system working out for the customer? Is training underway or has it been completed? What other questions can we answer?

Because of his own experience living with Type 1 (himself and his son), Mike is the perfect person for this position, and we are so thankful he is part of the Healthy Living team. Mike uses an insulin pump and CGM himself, and he has been working in this field for eight years. He can assist our customers with working through any questions or concerns they might have, or he can point them in the right direction with a phone number to the manufacturer if questions are beyond his scope.

Mike, we are grateful for you and your special skill set that helps our customers so much.

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An Artificial Pancreas Primer

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We have heard the term many times, but there is so much more to understand. What is an artificial pancreas? 

An artificial pancreas (AP) is a system designed to mimic what a healthy pancreas does: monitor glucose levels and deliver insulin as needed. Its goal is to automate blood glucose control as much as possible, so the wearer does not have to perform constant fingerpricks and be so involved in decision making and insulin dosing based on those readings. Although different names have been out there for awhile - artificial pancreasclosed loop system, and bionic system, the technology is now officially being referred to as AID (Automated Insulin Delivery) systems. At this point, the FDA has approved two AID systems - the Medtronic MiniMed 670G and Control-IQ from Tandem Diabetes Care. At least 11 other companies are working hard on inventing their own versions as well, which is extremely encouraging! 

The components of current AP systems include:

  • an insulin pump, which provides a continuous flow of insulin into the body via an “infusion site” or small cannula inserted in the skin

  • a CGM that takes ongoing blood sugar readings via a little sensor worn on the skin that has its own separate cannula from the pump. There are currently two CGMs on the market in the U.S. from Dexcom and Medtronic.

  • a controller (usually a smartphone) that includes the display screen where users can see glucose data

  • algorithm software, the “brain” of the system, that crunches the numbers to predict where glucose levels are headed and then tells the pump what to do

  • glucagon, a hormone that rapidly increases blood glucose, used here as an antidote to hypoglycemia (low blood sugar)

Find out much more about AP technology from Diabetes Mine here.

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A Resource for Insulin & Diabetes Medication Help

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This resource came to our attention at the virtual JDRF TypeOneNation Summit earlier this year and can be indispensable for those who are struggling to pay for insulin and diabetes medication. Check out the ADA's site, insulinhelp.org. The ADA has consolidated the resources you need to receive assistance, helping to expedite the path to getting help. We hope this will be an excellent resource for many of you!

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You and Mental Health - You Are Worth It

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We all have different, winding journeys when it comes to mental health and the challenges before us. May is Mental Health Awareness Month, so this is a good time to talk about it! For some people, it's mostly about maintaining balance in daily life amidst their personal life struggles. Not easy. For others, it comes down to very serious brain health issues and the need to get the support and treatment to live with bipolar, clinical depression, anxiety, or other psychiatric conditions. For all of us, our definition of mental health and the work we need to do to thrive in our lives is constantly changing. We evolve; there is always something new to learn from what is presented before us.

So, with all that being said, where are you on your mental health journey, navigating your life? If you are hurting, I very much encourage you to reach out, talk, and keep asking questions, keep seeking the help you need until you find it. You are worth it. From the bottom of my heart - no matter how hard it may seem, please keep up hope, take care of yourself, and ask for the help you need.

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Practical Resources for Navigating Diabetes & COVID-19

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When it comes to COVID-19, present and future, there are so many questions. But, Coronavirus and diabetes? This brings even more to navigate. A great place for gathering information is a compilation of resources from Diabetes Mine. Their article, Coronavirus and Diabetes: Useful Resources, can be found here. This post will point you in the direction of reliable news relating to the connection between diabetes and COVID-19, and it will offer some practical, hands-on support for staying safe while living with diabetes during these times.

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Family Owned, Diabetes Focused, and Michigan Based

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Our team, at every level, cares so much about our work to serve the diabetes community, in Michigan and beyond. Healthy Living Medical Supply is a family-owned diabetes supply company. Due to our size and the personal investment of our owners, we can be responsive and innovative in the ways we take care of our customers.

Healthy Living was established in Michigan in 2005. We are headquartered in Detroit and serve many health plan members throughout the United States. But for most of our customers, we are a local company with local roots. In fact, we are the only medical supply company specializing in diabetes that is privately owned in the State of Michigan.

All of our ownership is involved in business operations at Healthy Living, at different levels and in different ways. The leadership and, as a result, our entire team, have empathy, compassion, and personal investment in taking the best possible care of our customers who are living with diabetes every day. We hope you experience this every time you interact with Healthy Living Medical Supply.

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Thank You from Healthy Living!

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The Healthy Living team would like to say thank you, from the bottom of our hearts, to our customers, providers, and partners who continue to work closely with us during this time. Although this year has brought many changes for all of us, we always appreciate the opportunity to care for you and provide the best service possible. Our first priority is the safety of our patients and employees, and that continues to shape our decisions as we move forward. Please accept our gratitude as we journey through this time together!

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PBS's Blood Sugar Rising

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A new documentary from PBS just came out; it's called Blood Sugar Rising: America's Hidden Diabetes Epidemic. Watch it here! This film addresses the current statistics of diabetes and goes beyond that, looking at the human side of the disease. Diabetes and pre-diabetes affect over 100 million people in the US. It is now predicted that one in three children born since 2000 will develop diabetes. Blood Sugar Rising also reveals new hope in medical treatments and reports on those taking action to improve diabetes management and prevention.

Diabetes Mine features a review of the new documentary, written by Dan Fleshler. The introduction to his comprehensive review states:

“What makes this film different from other recent documentaries on the rising rate of diabetes — like “A Touch of Sugar” or HBO’s “The Weight of the Nation: Obesity and Type 2 Diabetes” — is that “Blood Sugar Rising” has the backing of the nationwide PBS platform. Millions of Americans will hear its stark warning that “it is now predicted that half of the U.S. population will have either diabetes or pre-diabetes by 2025.” The film also stands out because it is very ambitious, covering a lot of territory in about 2 hours. It showcases compelling stories of people wrestling with diabetes management and trying to fend off complications, fighting social and economic problems that contribute to the epidemic, and working on new technology to bring hope to our D-community.”

Check out Blood Sugar Rising and see what you think! Look for your local PBS listings, or you can watch the film here!

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Many Thanks to Our Shipping Team!

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Thank you, thank you to the Healthy Living shipping team! The team is still working in our Troy, Michigan warehouse, while the rest of our HLMS employees headquarter in their homes. The shipping team is the final step in getting you the supplies you need, when you need them. They wear masks and gloves and maintain social distance, working hard and working efficiently. We appreciate their commitment to Healthy Living and our patients. Many thanks today and always!

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In the News: Hospitals Try Glucose Monitors to Reduce Contact With Covid-19 Patients

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Many hospitals are beginning to use remote readings via CGM to monitor blood glucose levels for Covid-19 patients with diabetes. Through the resulting reduced clinician contact, this is helping to curb virus transmission and to preserve scarce protective gear. The entire article can be found in the Wall Street Journal. By using CGM, manual finger-stick or blood draw methods performed by nurses in patients' rooms can be cut back dramatically.

This month, the FDA told DexCom and Abbott Laboratories that they could provide their remote continuous glucose monitors to hospitals to support care of Covid-19 patients. Previously, the companies didn’t ship them to hospitals because they weren’t FDA-approved for inpatient use, though doctors had discretion to allow patients who already had them to continue using them.

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