diabetes

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It’s Libre, Man! In-Depth Review of the Newly Approved Freestyle Libre

By | 2017-11-21T14:55:30+00:00 November 18th, 2017|November 2017 Newsletter, Thinking Like A Pancreas Blog|

Diabetes educator, Gary Scheiner gives his in-depth review of the newly approved Abbott Freestyle Libre CGM continuous glucose monitor. Faster than the fastest meter. More powerful than point-in-time measurements. Able to leap piles of test strips with a single scan.   Look… on pharmacy shelves (soon).  It’s a meter.  It’s a CGM.  It’s FREESTYLE LIBRE!   Seriously, this is exciting.  Abbott’s Frestyle Libre has finally been approved for sale in the United States.  Why the excitement?  Because it almost eliminates the need for fingerstick blood glucose measurements.  It has features of a CGM (continuous glucose monitor) and a blood glucose meter combined in one device.  And it is simple to use, reasonably accurate, virtually painless, and relatively inexpensive ($60 for the durable receiver/scanner, $40 per sensor; insurance coverage pending).   Super!  How does it work?   An applicator device is placed on the back of the arm.  With one push, a tiny glucose-sensitive filament is inserted just below the skin, with the waterproof transmitter (about the size of two stacked quarters) attached and adhered to the skin.  After a 12-hour warmup period, a signal is sent every minute to a handheld receiver about the size of a small cell phone, and the current glucose level along with a trend arrow and graph of the most recent eight hours of data is displayed.  The sensor/transmitter is replaced every 10 days.  And because of its accuracy, NO fingerstick calibrations are required.     A very similar device has been available in Europe and other parts of the world since 2014.  The hardware is basically the same, but there are a few subtle differences between the US version and the European version.  The European sensors last 14 days [...]

670G and Me: Insights and Incites on Medtronic’s Latest System

By | 2017-09-30T12:49:07+00:00 September 29th, 2017|Thinking Like A Pancreas Blog|

The 670G represents an important step towards fully automating glucose control. However, it is important to put it in the proper context and set expectations at an appropriate level.

Best of the Diabetes Apps of 2016 – How to pick what is right for you

By | 2016-12-08T23:26:32+00:00 November 28th, 2016|Thinking Like A Pancreas Blog|

The National Diabetes Statistics Report from the Centers for Disease Control and Prevention shows that 29 million Americans have diabetes, and 95 percent of them have Type 2, the form most associated with obesity. And interestingly the number of people age 20 or older with diabetes topped 1.7 million. It is also estimated that 86 million Americans 20 years and older may have prediabetes which increases the risk of developing Type 2 diabetes. The increase in incidence of diabetes (both type 1 and type 2) provides a lot of incentive for developers of Apps to create products to aid with management of chronic health conditions like diabetes.  A study published in the journal Clinical Diabetes showed that “the use of mobile phones leads to improved A1C and self-management in diabetes care.”, assuming this is due to apps that aid with improved tracking and awareness of glucose patterns. In a basic count recently, I found 1000+ apps specific to diabetes management – WOW! Great that so much is available, but how can a person with diabetes figure out which app is right for them? Depending on the needs of the individual, health apps can be very beneficial, especially from the standpoint of possible support. However, the person choosing the App needs to consider what they want or need to track as well as how tech-savvy they are, which can improve how they manage. Step one in this process of choice should be to narrow down the apps based on your individual goals. For some people that might be a focus on weight control, while others need help tracking blood glucose and learning about their patterns. Some apps also help you to remember to take medication, change [...]

Medicare and Diabetes Technology Insurance Coverage

By | 2016-10-14T19:10:39+00:00 October 14th, 2016|Thinking Like A Pancreas Blog|

It's awesome that people with diabetes are living normal lifespans, but the current Medicare system is not set up to provide coverage of the technologies that we become accustomed to using when we have commercial insurance coverage to control the disease as well as we can.

Artificial Pancreas Systems – What’s in the Future?

By | 2016-12-08T23:26:42+00:00 July 19th, 2016|Thinking Like A Pancreas Blog|

There are a multitude of different groups working on hybrid closed loop projects, and each one runs on its own unique proportion of automation and brain-power. Here are a few of the projects that were presented and discussed at the ADA Scientific Sessions in New Orleans this past June.

Running a Marathon with type 1 diabetes

By | 2016-12-08T23:26:42+00:00 May 31st, 2016|Thinking Like A Pancreas Blog|

My name is Jacob Seltzer, I am 20 years old, and a Type 1 Diabetic. I was diagnosed with diabetes on my half birthday, November 21, 2011 at the age of 15. I have had diabetes for roughly 5 years and I do not let it get in my way. I am currently going into my junior year of college at Stony Brook University as an athletic training major.

How to Keep Your feet Healthy Living With Diabetes!

By | 2016-12-08T23:26:45+00:00 February 24th, 2016|Thinking Like A Pancreas Blog|

It can be easy to forget to look at your feet, especially if they feel just fine. This is the best time to take a look! If they feel great, you want to keep them feeling this way and it’s the right time to prevent a problem from starting. Diabetes can be hard on feet over time because high blood glucose levels can cause nerve damage. This damage can cause your feet to feel numb or even painful. Without proper sensation, you may not feel when you have an injury or if your shoes fit too tight, which can lead to calluses, blisters, or other wounds. If left untreated, these wounds can get infected and heal more slowly if blood sugar is high and/or you already have poor blood flow in your feet (peripheral artery disease). 5 Tips to help keep your feet feeling their best: 1. Check your feet every day Evaluate your feet every time you take a shower, or every time you put on or take off your socks and shoes. Look for red areas, blisters, sore or irritated skin as well as scratches or cuts. If it is hard to see the bottom of your feet, use a mirror on the floor to look at the bottom and sides. 2. Apply Moisture Avoid letting the skin on your feet get too dry. Rub in a thick, moisture rich lotion, but don’t put it between your toes—these dark, moist areas are great places for bacteria to build up and cause infection.     3. Protect your feet with well fitted shoes Shoes should be snug but not too tight. There should be room to wiggle your toes in the shoe. If you have [...]