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diabetic supplies

/Tag: diabetic supplies

Are you sure? My personal adventures in health insurance verification

By |2019-03-18T16:21:17+00:00March 12th, 2019|Diabetes Bites, March 2019 Newsletter, Thinking Like A Pancreas Blog|

Have there been any documented deaths from waiting too long on hold with an insurance company? I may have come close a few times. The hold times can be anywhere from a lucky few minutes to my all-time record of 37 minutes. Speaking of, I am currently in minute 23 as I type.

Medtronic’s 670G Hybrid Closed Loop System: How to Customize Settings For The Best Performance

By |2019-02-09T17:20:07+00:00February 7th, 2019|Thinking Like A Pancreas Blog|

Medtronic’s Hybrid Closed Loop System: Getting More Bang For Your Buck By, Gary Scheiner MS, CDE, Jennifer Smith RD, LD, CDE, Alicia Downs RN, MSN, CDE, Annette Valle RN, CDE It’s been about a year and a half since we started using and training/managing patients on the Medtronic 670G “hybrid closed loop” system.  And we’ve learned a lot.  We’ve learned that 670G is beneficial for some, but it clearly isn’t for everybody.  Yes, for the “average” person with diabetes, it can produce improvements in glucose control while helping reduce the risk of dangerous hypoglycemia.  But there are limits to the degree of glucose control that can be achieved, and there are many hassles and extra tasks involved with using the system. There are other hybrid closed loop systems that are already in use, despite not being on the “FDA approved” list of systems. Loop and OpenAPS systems are highly effective for improving glucose control, but they require special equipment and an “app build” to get them up and running. Tandem’s T:Slim with Basal IQ is easy-as-pie to use, but it only turns off basal insulin to help prevent lows. Other systems are coming to market soon:  Tandem’s Control IQ, OmniPod’s Horizon, Tidepool Loop and BigFoot Biomedical’s system are all slated to make automated basal adjustments (similar to Medtronic’s 670G, but with less work on the part of the user), but until the pre-launch studies are completed and the FDA signs off, all we can do is picture them in our daytime fantasies. So for those who want 24-hour automated basal adjustment NOW that is FDA approved, that really leaves just one option:  670G. Medtronic has taking steps to cut down on some of the [...]

Why is Insulin so Expensive And What Options Do Insulin Users Have?

By |2019-01-02T15:33:04+00:00January 2nd, 2019|Thinking Like A Pancreas Blog, Type 1 Diabetes|

A recent study showed that the insulin users in North America make up 14% of all insulin users worldwide, but they account for nearly 50% of total world-wide sales. With so many profit-making avenues, you can see why this three-company oligopoly (Lilly, Novo Nordisk, Sanofi) is keen to keep raising insulin prices.

ADA Scientific Sessions 2018: Gary’s Top-5 Observations

By |2018-07-31T16:13:08+00:00July 24th, 2018|July 2018 Newsletter, Thinking Like A Pancreas Blog|

As usual, this year’s American Diabetes Association Scientific Sessions didn’t place much emphasis on a healthy lifestyle.  There was food everywhere, and trust me, we’re not talking fruits & veggies.  But there was a great deal of research presented on diabetes medications and devices. 

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

By |2018-04-19T19:57:00+00:00November 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.

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

By |2017-09-30T12:49:07+00:00September 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.

Medicare and Diabetes Technology Insurance Coverage

By |2016-10-14T19:10:39+00:00October 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+00:00July 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.

How to Keep Your feet Healthy Living With Diabetes!

By |2016-12-08T23:26:45+00:00February 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 [...]