Author Archive | Grace

Best Blood Glucose Meters 2019

Blood glucose meters are small portable devices which are designed used to monitor blood sugar levels. Using a glucometer, patients are able to manage diabetes better by tracking the fluctuations in their blood sugar levels. There are two main types of glucose meters:

CGM(Continuous glucose meter) and there is the manual BGM(Blood glucose meter).

Factors to Consider when Purchasing a Blood Glucose Meter

  • Accuracy

Some glucometers are more accurate than others therefore it’s important to confirm the accuracy of a glucometer before purchasing it. This also helps prevent false readings of your blood sugar level which may have adverse effects in the long-term.

  • Cost of the Glucose Meter

Be sure to purchase a blood glucose meter which is within your budget. It’s also important to consider features such as Bluetooth and smartphone compatibility with excellent data management features.

  • Cost and availability of the test strips

Check the long-term cost of test strip since they are usually the most expensive part of using blood glucose meters. A glucometer may be expensive but its cheap test strips may be affordable and vice versa. It’s also important to choose a meter whose test strips are widely available. Remember, some test strips are only available in online stores which aren’t ideal for emergencies.

  • Data management and connectivity

Choose a glucometer with a good data management system which provides you and your doctor with relevant information required for proper management of diabetes in order to minimize potential adverse long-term health effects. It’s also important to check whether your glucometer can transfer data to other and its ease of use. Mobile applications are better than desktop software because Bluetooth allows your glucometer to instantly transfer your readings to the data management system on your phone. Using some desktop software can be daunting largely because you have to access a computer and use a USB cable for connection. Mobile applications also make it easy to add notes from your phone immediately after taking a blood test which gives you an accurate assessment of your condition.

  • Insurance cover

Since the long-term cost of operating a Glucometer can be high, there are insurance plans which cover the costs of the glucose meter and test strips. One of the potential downsides of using insurance to cover costs associated with purchasing and using a glucometer is that the plan might dictate the specific brands which patients should use. Therefore, you should contact your insurance provider about what brands are covered under your insurance plan to check whether your preferred brand is included. Let’s explore some of the best blood glucose meters available in the market

CONTOUR NEXT ONE

According to third party tests Contour Next One has an accuracy of 99%. Despite having a small display, it features Bluetooth compatibility and also comes with a companion application which allows you to sync readings to your phone. It also allows you to make notes which make data management very easy and you can easily track your readings and trend. Contour Next One also one of the most affordable glucometers in the market and its test strips are widely available in most online stores and pharmacies.

FORA 6 CONNECT

FORA 6 Connect is one of the best glucometers for insulin-dependent diabetics. The glucometer features a big display which is easy to read. This multi-functional Glucometer is compatible with strips for measuring both blood sugar and ketones which makes it ideal especially for insulin-dependent diabetics. FORA 6 Connect is a great device for diabetes patients who are following a keto diet because it aids in effective management of their blood glucose levels. Despite being affordable, this glucose meter is only available in select stores. The meter features a companion application called the iFORA HM App and using the Bluetooth functionality, patients are able to sync readings. The application is easy to use and you can also add notes to specific readings. It also displays data form of graphs and charts for quick and easy analysis.

FORA TN’G VOICE

This is a great glucometer for diabetics with poor eyesight because it has a voice feature which reads out readings to users. The voice feature also helps users navigate through other features without relying on the display. The voice guide is loud and easily understandable. Its test strips are quite affordable and it also features a companion application which allows users to sync their readings. The app comes with excellent data management features.

TRUE METRIX AIR

This is the best glucometer for value largely because its test strips are affordable and easily available. True Metrix Air features a companion app that allows users to sync data via Bluetooth. Its long run costs are also considerably lower compared to other blood glucose meters.

DARIO

This is the best glucometer when it comes to data management. Despite being compatible with Android devices, users must download its companion app. However, it’s quite convenient to use because it does not require a USB cable to connect to the computer or Bluetooth connectivity to connect to your smartphone.  It is ideal for data management and the display size is determined by the size of your smartphone’s screen. The dario companion app is well designed and user-friendly. The app is also designed to display large figures in different colors for easy and quick analysis.

ONE TOUCH ULTRA MINI

One Touch Ultra Mini is the best compact blood sugar meter. It’s an excellent choice for diabetics who are looking for a discreet and compact glucometer to tuck into their pocket or purse.

Since there are many different factors that affect blood sugar levels, it’s essential to keep track of the fluctuating blood sugar levels. Blood glucose meters help diabetes patients manage the condition better and prevent serious complications such as nerve damage (neuropathy), kidney problems and blindness.

 

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Juvenile Diabetes Cure

A practical cure for Juvenile diabetes focuses on results, not potential research pathways. However, any project that is likely to yield a practical cure for the condition is welcome. Although reversing juvenile diabetes would be an ideal outcome, a practical cure encompasses maintenance therapy and periodic treatment.

Therefore, a practical cure research project for the condition draws in a very wide range of possible research projects and pathways. Currently, there are 4 wide research projects in development that could deliver a practical cure. Even though each approach has the potential to yield a cure by itself, it’s also possible that a practical cure will require a combination of various elements from different research pathways. The 4 broad research projects are

   1.  Transplantation of Pancreas and Islet Cells

type 1 diabetes cure 2018Several hundred islet cell transplants have already taken place and the success rate of the procedure has been steadily improving and could soon rival kidney transplantation’s success rate!

Such transplants usually depend on suppressing the system to prevent rejection. However, immune suppression has side effects that rival the complications of diabetes.

On the other hand, transplantation of islet cells requires solutions to protect the cells from attack by the immune system. The main approach to protect the islet cells has been encapsulating the cells in implantable devices that act as physical barriers between the immune attack and islet cells. Despite extensive research, various encapsulation methods have been tested with limited success

    2.  Biomechanical Devices that Mimic the Pancreas

Researchers are developing an artificial pancreas which combines an insulin pump, a glucose sensor and a computer that regulates the pump speed. A device incorporating a glucose sensor and an insulin pump is already being used by many diabetes patients around the globe, and this research field is progressing at a very fast pace.

One of the main problems is that most glucose sensors are not sufficiently sensitive, stable and accurate. To deliver a practical cure, the device would require a closed-loop system that is reliable, stable, and adaptive to each patient. Moreover, studies suggest that a glucose sensor alone cannot regulate the pump in the absence of accurate information about calorie intake.

    3.  Glucose-Responsive Insulin

This pathway aims at developing “smart insulin” in the sense that the insulin is only activated in response to rises in glucose levels. The insulin would remain inactive until the chemical compounds around the insulin detect that blood glucose level has risen above a certain point in order for the smart insulin to kick in and bring blood glucose levels down. The glucose-responsive insulin would become inactive once blood glucose level reaches a normal point, thus preventing low blood sugar.

   4.  Modifying the Immune System

This pathway aims to stop the immune system from attacking beta cells. The three main approaches to modifying the immune system are:

  • Blocking

This is a direct way to stop juvenile diabetes by stopping the autoimmune attack without compromising the body’s ability to fight infection and disease. In order for this approach to provide a practical cure, the body needs to have sufficient residual beta cells that could multiply, mature, and produce enough insulin after the attack is stopped.

  • Balancing

Some scientists believe that type 1 diabetes develops when the immune system becomes unbalanced. This means either the body is producing very few regulatory T-cells (which keep killer T-cells in check) or too many killer T-cells (which fight disease and kill beta cells in T1D). Balancing involves any approach that aims at restoring balance between regulatory T-cells and killer T-cells.

  • Retraining

This approach involves retraining the body’s immune system not to attack and kill beta cells. It may be possible to take immune system cells and retrain them not to attack islet cells, either by a mechanized approach that involves taking, treating, and reinserting immune system cells in the blood or by exposure therapy (periodic injections).

While juvenile diabetes can be effectively controlled, decades of extensive research have not yielded a permanent cure. An ideal cure for diabetes would be to get rid of the cause, but a more practical approach is to maintain normal blood sugar levels without the need for insulin injections.

Check here for the Recent advances in Diabetes Research 2018!

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Recent Advances in Diabetes Research

Diabetic Research News!

Scientists have been working on new techniques that have made this an exciting time in diabetes research. Previously, we only had a few promising approaches to finding a cure for diabetes. Now we have numerous possibilities related to prevention and even a cure for both type 1 and type 2 diabetes.

      1.  Insulin Producing Stem Cell Implants

In July 2017, ViaCyte, a California-based company began clinical trials which involve implanting type 1 diabetes (T1D) patients with the company’s PEC-Direct device. These credit card-sized implants carry cells that are derived from stem cells which are designed to mature into specialized pancreas cells. The implants are placed just below the patient’s skin and are designed to release insulin automatically whenever necessary. The hope is that when these cells mature, they’ll take the place of daily insulin injections by producing insulin when needed.

      2.  Existing Drug may Prevent onset of Type 1 Diabetes

Recent Advances in Diabetes Research 2018Scientists from Florida and Colorado have found that a common blood pressure medication could prevent and even treat type 1 diabetes. While the cause of type 1 diabetes remains a mystery, researchers have found that around 60% of people who are at risk of developing T1D possess a molecule known as DQ8 which previous studies have linked to the onset of T1D. Therefore, researchers believe that blocking specifically the DQ8 molecule could help prevent the onset of type 1 diabetes.

Recent studies show that an existing drug known as Methyldopa which is often prescribed to treat hypertension and high blood pressure could also inhibit the DQ8 molecule without interfering with the immune functioning of other cells. The researchers have confirmed their findings in a clinical trial of 20 type 1 diabetes patients. According to the researchers, these findings could have major implications on both the prevention and treatment of autoimmune diseases including diabetes.

      3.  A New type of Insulin-Producing Beta Cell has been Discovered!

Scientists have found a brand new type of insulin-producing beta cell hiding within the pancreas. This discovery provides insight into how T1D works and also offers new hope into even treating the disease. T1D occurs when the immune system attacks and kills off insulin-producing beta cells. Since insulin helps regulate our blood sugar, T1D patients are left reliant on regular insulin injections.

While type 1 diabetes can be managed effectively, in order to properly treat the condition, scientists need to find a way to regenerate beta cells and prevent the immune system from attacking them in future. Although we are getting better at understanding the mechanisms behind type 1 diabetes and its management, effective treatment for the disease has eluded researches so far. However, the fact that ‘virgin beta cells’ exist opens an entirely new avenue of research on diabetes and potential treatments.

      4.  A Radical low-calorie diet may lead to diabetes remission.

A new study conducted at GP surgeries in Tyne, UK and Scotland has found that a radical low-calorie diet can help reverse T2D (type 2 diabetes). Following a low-calorie diet that involves consuming 850 calories per day for 3 to 5 months helps decrease fats in the pancreas and the liver hence improving functioning of the pancreatic beta cells, which produce and release insulin. In the study, 46% of the 149 type 2 diabetes patients who followed the weight loss plan achieved remission. However, more research is still needed to help established why some people followed the diet program and lost weight but did not achieve remission.

Try the 5:2 Diet for Diabetes!

      5.  Transplant of insulin-producing islet cells

A 43-year old woman with difficult-to-control T1D had insulin-producing cells transplanted into the fatty membrane in her stomach cavity. According to the University of Miami researchers, the islet cells started producing insulin at a very fast rate, and after just one year she is doing quite well and no longer needs insulin injections.  The researchers are currently exploring ways to optimize insulin-producing islet cell therapy in order to use it on a larger population. This study offers a new transplant approach and is expected to aid research toward developing a new mini-organ known as the BioHub which would mimic the pancreas and act as a temporary home for the transplanted cells. This would help avoid the potential complications associated with using the liver for islet cell transplants.

Scientists believe that these findings will inform future research and help to make life-changing treatments and technologies a reality.

FDA Approved – Abbot’s FreeStyle Pro Bloodless Glucose Meter – Read about it HERE

 

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Goji Berry Juice Benefits for Diabetes

How can Drinking Goji Berry Juice Help Diabetics?

Goji Berries have been extensively used in Traditional Chinese Medicine (TCM) for more than 2000 years. Goji berries are tender, orange-red, edible berries that belong to the Lycium barbarum and Lyceum chinese species. These tiny berries are cultivated in various parts of Asia including the Himalayan regions of Mongolia, Nepal Tibet and parts of China. Goji berries must be picked very carefully and dried at low temperatures to preserve their nutritional value. However, goji berries can also be blended into juice, eaten raw, or cooked.

Nutrients in Goji Berry Juice

benefits of goji juice for diabetesFat-free, low in calories, rich in antioxidants and a good source of fiber, some of the benefits of goji juice include the ability to help you manage your weight effectively,  experience better digestion and the ability to help you fight various diseases.  The Chinese use goji berries to treat health problems such as cancer, diabetes, hyperlipidemis, thrombosis, immune system disorders, male infertility, hepatitis, and age-related eye disorders. Their anti-oxidant and anti-ageing properties are also highly rated and these barriers can be used to nourish the blood or as tonic for the lungs, liver and kidneys. Goji berries are also rich in amino acids, beta carotene, polysaccharides, zeaxanthin, lutein, lycopene, flavonoids, vitamins A, C, E, B6, and B1, trace minerals, iron, calcium, zinc, potassium and selenium.

Goji Berry Juice Benefits for Diabetics

  • Goji Berries and Eyesight

It is very important for diabetics to stay on top of their eye health. This is particularly because high glucose levels can easily destroy the small blood vessels that are responsible for supplying oxygen-rich blood and nutrients to the eyes. Goji juice is rich in a compound known as Taurine which helps protect the eyes from diabetes-related vision loss. On the other hand, Zeaxanthin, an antioxidant in goji berries may be very helpful in protecting the retina by absorbing high-energy blue light.

  • Goji Berries are Rich in Antioxidants

Antioxidants help prevent damage of our cells by polluting molecules and free radicals in our bodies. Gogi berries contain the highest level of antioxidants in the superfood world with up to 10 times more antioxidants than blueberries. These antioxidants prevent the development of atherosclerosis (blood vessel disease), cancer, and other diabetes-related conditions.

  • Goji Berries and Blood Glucose

Goji juice is rich in polysaccharides which improve insulin response and help balance blood sugar. They also contain betaine which prevents vascular damage and fatty liver disease which are often seen in people with diabetes. Moreover, antioxidants protect the heart from disease by lowering blood cholesterol levels. Gogi juice has a high fiber content which reduces the risk of high cholesterol and cardiac arrest.

According to MedlinePlus, clinical studies on the benefits of this superfood are lacking. On the other hand, although goji berries offer exceptional health benefits, they have not been proven safe in pregnancy. Therefore, you should consult your doctor before eating goji berries or drinking goji juice while pregnant.

Other goji berry juice diabetes benefits include decreasing blood sugar levels and lowering blood pressure. Be aware though, if you already have low blood sugar levels or low blood pressure, this superfood could worsen the symptoms.

Find out how CHIA can help reduce diabetic swelling!

Read about how YOGA can benefit Diabetics.

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What are Siren Diabetic Socks?

Siren Diabetes Socks To Help You Manage Your Diabetes

Consumer Electronics Show (CES) 2018 just took place and Siren Diabetic Socks scooped an award for being one of the best innovations.

In a bid to help people through the power of prevention, siren smart diabetic socks help detect problems before they become big ones. These socks help prevent foot ulceration in an effort to prevent and reduce amputations in diabetics through early recognition of ulcerative and pre-ulcerative areas. Thanks to these socks, you can easily keep tabs on any kind of injury and inflammation in real time, all from your feet.

Siren diabetic SocksDiabetic Foot swelling is common in both type I and type II diabetes and this can serve as a prelude to serious problems. Therefore, early detection is vital and this is where these cozy socks come into play. Siren Care’s socks use temperature sensors that are woven into the fabric to detect temperature changes. Co-founders veronica Tran and Ran Ma believe they’ve created a novel solution to a serious problem.

How Do Siren Diabetic Socks Work?

Temperature sensors embedded in the socks monitor temperature changes from 6 spots on the feet and transmit them via BLE (Bluetooth Low Energy) to a smartphone. The temperature at each of these specific spots is compared between your feet and if there’s a significant difference, you’ll receive an alert on your smartphone. This helps to reduce false alarms.

Data collected by the socks is stored on your phone and in the cloud in order to ensure that you can monitor your health from any source and from anywhere. Anytime the wearables detect a high-temperature difference, they send data to its companion smart app which will alert you to the potential issue and prompt you to check your feet. This could be as simple as a shoelace that is tucked to your shoe and you can’t feel it and you can easily get injuries from that.

How Long do These Socks Last?

Each wearable lasts 6 months and once you take them off they go to sleep mode to avoid wasting energy. Moreover, they can be thrown to the wash without destroying the sensors and their smart capabilities. According to Ma, the SirenSmart Textile technology can incorporate a wide range of electronics and sensors, including pressure sensors, moisture sensors, light sensors, RFIDs, BLE, MCU, LED’s, etc. seamlessly into fabric.

How Should I Use and Care for the Socks?

Siren Diabetic Socks are sold in a pack of seven pairs to ensure that you have a clean pair of socks each day. Moreover, the socks are waterproof and thus dryer safe and machine washable. You can either connect the sensor data to your smartphone or buy a Siren Plug that you can plug into a wall outlet.

The Siren Plug sends data wirelessly to your wearables to a team of professionals who will notify you of any injuries or potential injuries by texting or calling you. The batteries should last the six months you use the socks without need for replacement. You need to purchase another pack of socks after 6 months.

These socks are designed to comfortably fit your feet and guarantee the highest comfort. They are produced using Neurofabric technology and they feature a padded footbed that cushions the soles of your feet. They are also non-binding to ensure optimum circulation. These socks can be worn at any time with or without shoes just like a normal sock. They can also be worn when exercising.

Is the sock lumpy?

The anklet disk and embedded sensors do not make the socks lumpy because the temperature sensors are incorporated into the fabric and they are designed to send data to the Siren Plug or thee companion app in your phone. The anklet on the sock holds the BLE chip and battery. The anklet has a thin profile and is designed to cover the smallest surface area possible.

Right now Siren Care is calling for all interested parties to join the company’s wait list in order to be among the first to purchase and try their Siren diabetic socks.

Read more about : swelling feetFoot Pain, Smartphone Diabetes Management Apps

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Smartphone Diabetes Management Apps

From medications and blood sugar readings to physical activity and meals, it’s particularly essential for diabetes patients to keep track of lots of important information. Although such information can be recorded with pencil and paper, diabetes management apps may be able to simplify the lives of diabetes patients by giving them a convenient place to log their data, set goals, track progress and see patterns.

Poor glucose control can lead to long-term diabetes, macro and micro-vascular complications leading to higher mortality and morbidity. Therefore, anything that makes your life easier is a win.

Moreover, research shows that using smartphone diabetes apps to keep track of information can keep you in touch with your diabetes and improve your health. You’ll be more engaged with your diabetes and that is the main goal.

With increasing number of smartphone users globally, research shows that it’s possible to apply smartphone app technology to help diabetes patients better manage their condition. In this review, we explore the use of digital health and newer technologies in diabetes self-management to improve diabetes-related outcomes.

Glucose Buddy Diabetes App

Blood glucose Tracker appThis app guides you through the activities of monitoring and recording glucose, carbohydrate intakes, exercise, AIC results and medications and allows data to be synchronized online to glucosebuddy.com (the Diabetes Buddy Website). It’s for both type 1 and type 2 Diabetes patients. Glucose Buddy offers reminders to take your meds and check your blood glucose at specific time intervals. Moreover, the reminders can be easily tailored to your preferences. The app also incorporates various social media platforms such as Twitter and Facebook to communicate to users about changes and updates to the app. There’s also an active online forum that allows users to have questions answered rom other users and share their experiences regarding other topics such as gestational diabetes or insulin pumps.

diabetes apps androidPros

  • Glucose Buddy offers reminders to take your meds and check your blood glucose
  • Apple iPhone users can register at glucosebuddy.com to sync their logs to the site, input their glucose values or print medication and blood glucose logs for healthcare providers. You can also send reports to your healthcare provider via the website or app.

blood glucose tracker appCons

  • The app does not sync with CGMs (continuous glucose monitors), pumps or meters.
  • Both Apple and Android users can access the Glucose Buddy website but only Apple users can sync the app with the web portal. Android users must manually input their data on the website. Since there’s no way for Android users to back-up their logs, if they lose their devices and haven’t manually entered their logs on the web portal, they have to start over.
  • A built-in food database and calories tracker has been planned, but the release date has not yet been set.
  • Users are required to pay a $3.99 fee to enable weight and blood pressure logging.

 Diabetes Pilot App

Diabetes Pilot allows you to record your data in one convenient place: insulin, glucose and other medications, exercise, meals, weight, and blood pressure averages for up to 90 days. It also contains a database that includes important nutritional information on a wide range of food items in addition to information about protein, carbohydrate, fiber, fat, cholesterol, fiber, and other nutrients. Diabetes Pilot also features an insulin calculator that is designed to take into account the protein, carbohydrate and fiber content of foods you enter for meal in order to calculate the number of insulin units you need to reach your targeted blood sugar level.

best diabetes app 2018Pros

  • Record and track your data including medications, exercise, weight, blood pressure, and meals in one place. You can also use the Flexible Note Records to record your events, test results and any other data you may like.
  • The integrated food database allows you to count calories carbohydrates and other nutritional information. Moreover, you can use the updated food database to search and scan barcodes.
  • The app generates comprehensive graphs and reports that allow you to find trends in your medications, blood sugar levels and other areas. Save and print reports in order to share them with your doctor.
  • The app allows you to sync data between devices.

Cons

  • There are additional charges to buy the software to sync food information and data to a computer.
  • The insulin does not take into consideration additional factors such as previous dose, exercise and other factors that could affect your insulin dose.

WaveSense Diabetes Manager

WaveSense Diabetes Manager allows you to keep track of your blood glucose results, insulin doses and carbohydrate intake.

Main features include :

  • video content from dLife,
  • a log book,
  • email reports,
  • trend charts,
  • color-coded results,
  • and fully customizable mealtime schedules and target ranges for hyper-/hypoglycemia limits.

smartphone apps for diabetes managementPros

  • Attractive design and easy navigation
  • Ability to easily customize for target blood glucose range, insulin use, meal schedules, and targets for pre-/post-prandial meals.
  • Easy food lookup
  • Allows for detailed notes regarding exercise, blood glucose entry, abnormalities in medication regime, excessive fat intake, alcohol, sick days, or skipped meals.
  • Recipes with detailed nutrition data.
  • WaveSense Diabetes Manager includes a share function allowing users to email their logbook data to their dietitians or other health professionals.
  • Videos featuring interviews and recipe demos with diabetes patients (both celebrities and regular people).
  • No intrusive advertisements

What's the best diabetes smartphone appCons

  • The app doesn’t include an option for food journaling or a food tracker. A food journal has proven to be very helpful especially for people who have been newly diagnosed with diabetes especially when it comes to understanding how food patterns affect their blood sugar outcomes.

There’s much enthusiasm especially among diabetes patients, caregivers and industry to use a wide range of digital tools particularly for diabetes self-management. Although large control trials are still needed to establish the cost-benefits and effectiveness of digital tools in improving diabetes outcomes, the future is promising.

Dario Blood Glucose Monitoring System

Dario Blood Glucose Monitoring System

Read about the new DARIO smartphone app for Diabetes HERE!

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Non Invasive Glucose Meter Wins FDA Approval

Freestyle Libre ‘Flash’ Glucose Monitoring System.

The United States Food and Drug Administration  (FDA) recently announced the long-awaited approval of Abbott Labs’ FreeStyle Libre Flash Glucose Monitoring System (Bloodless Glucose Meter). This is a meaningful development both for the company and Diabetes patients especially in the United States. However, it was expected. Abbott is already marketing this new non invasive glucose meter and it was just a matter of time before the device received U.S. FDA approval.

When Can we Expect it in Major Retail Pharmacies?

Earlier this year, the company presented data from 50,000 Freestyle Libre users which show that patients are checking their blood sugar levels at least 16 times per day. This frequency is significantly higher compared to other monitoring systems. The high frequency of checking blood glucose levels is largely attributable to the fact that the FreeStyle Libre Flash Glucose Monitoring System does not require any finger pricking.

Since more frequent monitoring is usually associated with better health outcomes particularly for diabetes patients, you can expect high demand for the device in the United States especially after winning FDA approval.

We expect the device to be launched in major pharmacies in the United States by the end of 2017. However, IN the United States, FreeStyle Libre Flash is approved only for adults with diabetes. The FreeStyle Libre sensor can be considered a ‘replacement’ for fingersticks because it provides real time readings and clear trends that are used for insulin dosing. Therefore, this device eliminates the need for any fingerstick calibrations.

In the United States, FreeStyle Libre Flash has three main differences:

  • A shorter wear time (10 days).
  • It will require a physician’s prescription.
  • A significantly longer warm-up period after installation (12 hours).

Outside the United States, the device does not require a prescription, has a longer wear time of 14 days and requires just 1-hour warm-up.

One of the biggest changes is the longer war-up period which means that when you insert a new sensor, it will not provide any real-time blood glucose readings for the first 12 hours. Therefore, some users must go back to fingersticks during the warm-up period. Therefore, it’s recommended that you put a new sensor on before bed in order to get through much of the warm-up period. The other option is to buy two readers, overlap sensor wear times in order to avoid going for 12 hours without glucose data.

FreeStyle Libre Flash is a Continuous Glucose Monitor because it collects glucose data every minute and displays the reading and trend arrow. However, it’s essential to understand that it does not have an alarm and it does not communicate continuously with the reader device as other Continuous Glucose Monitoring (CGM) devices do.

The sensor must be scanned within 1.5 inches using the hand-held reader to get real-time glucose data. You can scan the sensor even through clothing making the process far less painful, visible and obtrusive than a fingerstick.

FreeStyle libre Flash is approved to be worn on the upper arm, is fully disposable, is waterproof (for swimming and showering), is not affected by acetaminophen (Tylenol) and can store 8 hours of recent data. Remember, if more than 8 hours have passed between scans, the device will only capture the most recent 8 hours of data.

This approval comes one year after being submitted to the FDA for approval and a year since FreeStyle Libre Pro was launched in the US. This real-time version of FreeStyle Libre will expand the US Continuous Glucose Monitoring market significantly. The lower price, small on-body footprint, pharmacy distribution, no need for fingersticks, and ease of insertion are all very welcome improvements especially for diabetes patients.

FreeStyle Libre Flash is similar to convention CGM devices in that it measures the glucose levels in interstitial fluid in real time. However the device offers various advantages such as lower cost and longer sensor wear. Moreover in contrast to other CGM devices, FreeStyle Libre is factory calibrated meaning it doesn’t require fingerstick measurements for calibration.

At the initial United States launch, the device will only communicate with the reader device and this means that it won’t support smartphone connectivity. However, we all hope that Abbott will submit the LibreLinkUP (remote monitoring) and LibreLink (android) apps for approval by the FDA soon. Most people are excited to see this version of FreeStyle Libre Glucose Monitoring System coming to the United States. Diabetes patients globally have responded positively to this device and it’s now being used by at least 400,000 people in more than 41 countries.

More on Glucose monitoring on your phone!

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New Type 2 Diabetes Drug

New medication for Diabetes – What is Ertugliflozin?

FDA Approves Ertugliflozin (Steglatro) For Treatment of Diabetes

Ertugliflozin, which will be sold under the brand name Steglatro, is a drug for treatment of Type 2 diabetes. Although more than 30 million Americans suffer from diabetes, about 90% of these patients have type 2 diabetes.

Ertugliflozin is a sodium-glucose co transporter (SGLT2) Inhibitor. It was developed by Merck &Co and Pfizer Inc. and it is classified under drugs commonly known as glifloins. Ertugliflozin recently won USFDA (United States Food and Drug Administration) for treatment of type  2 diabetes.

How does Ertugliflozin Work?

what drug is used to treat diabetes Being a sodium- glucose co-transporter (SGLT2) inhibitor, Ertugliflozin works by increasing secretion of glucose in the urine.

It mainly works  as part of two fixed-dose combinations which will constitute – dipeptidyl peptidase-4 (DPP-4) inhibitor sitagliptin (Steglujan) ; available as five milligram of Ertugliflozin per a hundred milligram of sitagliptin and fifteen milligram per a hundred milligram of sitagliptin ) to be taken once daily and with metformin ( Segluromet ; two and half milligram of Ertugliflozin per five hundred milligram of metformin; two and a half milligram per a thousand milligrams) to be taken twice daily.

For the drug to get approval by the FDA two trials have been conducted; the VERTIS MET and VERTIS SITA trials. These trials show that Ertugliflozin has been able to meet its primary goals and is actually able to regulate blood sugar in the patients who participated in the study.

VERTIS MET was conducted over a twenty six week period. It evaluated the efficiency and safety of the drug in patients with Type 2 diabetes. The study was conducted by administering Ertugliflozin in combination with metformin in comparison to taking placebo and metformin alongside those taking just metformin.

Patients who took Ertugliflozin had lower blood sugar, had lost more weight and had low blood pressure.

In the VERTIS SITA trial, Ertugliflozin was administered in combination with sitagliptin in comparison to placebo with sitagliptin. Lower blood sugars were reported in Diabetes Type 2 patients who were taking Ertugliflozin.

Do the Drugs have any Side Effects?

Patients treated using drugs in Ertugliflozin’s class, sliflozin, have exhibited a few side effects. One of the effects reported is a condition known as KETOACIDOSIS. This is a serious life-threatening condition reported in both type 1 and type 2 diabetes patients. This is a condition that also requires urgent hospitalization.

If Ketoacidosis is detected, Ertugliflozin (Steglatro) should not be administered again. Patients should undergo keen examination before Steglatro is administered. Before initiating Steglatro risk factors such as pancreatic insulin deficiency from any cause, caloric restriction, and alcohol abuse should be taken into account.

Moreover, intravascular volume contraction has been reported in patients using Steglatro. It can also cause renal impairment. Acute kidney injury has also been reported in patients receiving sodium- glucose co-transporter (SGLT2) inhibitors. Factors that may predispose patients to acute kidney injury have to be considered before initiating steglatro. Ertugliflozin (Steglatro) should be discontinued immediately if acute kidney injury occurs and treatment should also be administered urgently.

Renal function should be evaluated before Ertugliflozin (Steglatro) is administered. This is because Ertugliflozin (Steglatro) increases serum creatinine and decreases eGFR which causes renal impairment.

Serious urinary tract infections including urosepsis and pyelonephritis have been reported in patient treated with Ertugliflozin (Steglatro) in clinical trials. Patients should be examined for urinary tract infection symptoms and should be treated urgently.

Even though Ertugliflozin (Steglatro) has not been linked to increased risk of lower limb amputation, factors that may predispose a patient to lower limb amputation should be considered and patients should be informed about it. This is because it has been observed that there is an increased risk of lower limb amputation in patients using SGLT2 inhibitors.

A lower dose of insulin or insulin secretagogue should be administered. This is because Ertugliflozin (Steglatro) may increase the risk of hypoglycemia when used in combination with insulin and/or an insulin secretagogue. Other risks and side effects include genital mycotic infections.

European Medicines Agency is still reviewing Ertugliflozin (Steglatro). However, it’s expected to be available in the USA in early 2018.

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Benefits of Yoga for Diabetes

A large number of people suffering from diabetes are practicing regular yoga training in an effort to improve overall quality of life and keep their condition under control. Many health experts believe yoga can help lower blood pressure, enhance mobility, reduce levels of stress and improve overall wellbeing.

It is also well known that besides improving diabetes, yoga can also protect against other related complications such as heart disease. Moreover, people who undergo yoga training on a regular basis experience significant improvements in their physical and mental health.

Benefits of Yoga for Diabetes

The Benefits of Regular Yoga training include:

  • Reduced depression and anxiety
  • Relief from various chronic illnesses
  • Improved strength, flexibility and posture
  • Enhanced energy levels and concentration
  • Better sleep
  • Improved immunity, circulation and digestion.
  • Feelings of wellbeing
  • Enhanced efficiency of endocrine, neurological and respiratory organs.

How Does Yoga Treat Diabetes or Prevent it from Developing?

  1. Exercising the muscles

Yoga increases the uptake of glucose by muscular cells which helps improve circulation, lower blood glucose levels and reduce the risk of heart diseases.

  1. Rejuvenating pancreatic cells

Yoga postures stretch the pancreas and aid relaxation which stimulates the production of beta cells which are responsible for producing insulin.

  1. Promoting weight loss

Regular yoga practice can improve weight control and help you reduce weight both of which are vital for protecting against various chronic conditions such as heart disease, cancer and type II diabetes, as well as the management of diabetes.

  1. Improving your mental attitude (makes you feel good)

Practicing yoga on a regular basis can help improve mental focus and create the right approach to dealing with conditions such as diabetes. Yoga stretches your muscles, helps you breathe more deeply, shifts your attitude and helps you feel better. Yoga eases the body into recovery mode and helps to release chronic stress. Remember, breathing is both involuntary and voluntary. This basically means that we can choose to change the way we breathe but we don’t stop breathing if we stop paying attention to it. This is why most people who practice yoga consider it a vehicle between our body and mind. Calming your breath can help you calm your mind (it helps you shift from a fight or flight pattern to a more balanced pattern which facilitates complex reasoning).

Stress management (controlling mental stress) is one of the key factors of treatment of diabetes. Blood sugar levels increase when we’re stressed and high blood glucose levels increase the chances of developing various related complications including heart disease. This is one of the main reasons why it’s particularly important to practice yoga, controlled breathing techniques and other mindfulness-based techniques to invoke a relaxation response.

This relaxation response helps regulate stress hormones such as cortisol which increase blood sugar levels and blood pressure. It is essential to understand that both play a key role in the development of type II diabetes and other related complications.

Yoga is a cost-effective and promising option in the prevention and treatment of diabetes. Data from several clinical studies suggest that mind-body therapies such as yoga can improve blood glucose control and reduce stress-related hyperglycemia. However, it is essential to consult with your physician and diabetes healthcare team before starting yoga classes.

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Signs of Diabetes in Dogs

Diabetes is not only confined to humans. Other animals including pets such as dogs and cats can also suffer from diabetes.

can a dog be cured of diabetesDiabetes in dogs is caused by either lack of insulin or insufficient response to insulin when either the pancreas is damaged or not working properly. Insulin is the hormone that facilitates the absorption of glucose into the cells from a dog’s blood stream. When a dog is diabetic its body cannot control sugar levels in the bloodstream. This leads to a condition known as hyperglycemia which means excess sugar in a dog’s bloodstream. There are various signs and symptoms if a dog is diabetic.

Signs and Symptoms of Diabetes in Dogs

  1. Increased or Excessive Urination.

When a dog is suffering from diabetes, the dog’s body tries to get rid of excess sugar in its body through urination.

  1. Excessive Thirst.

Due to the increase or excessive urination the dog also increases its water intake. This is because the dog’s body is trying to cope with the excessive water loss.

  1. Increased Appetite

This happens because glucose is not being absorbed into the dog’s body. When that happens the dogs thinks its starving. This creates a greater than normal hunger.

  1. Weight loss

Even though a dog’s appetite will increase the dog will suffer from weight loss. This happens because nutrients are not properly being assimilated into the dog’s body.

Other Advanced Signs and Symptoms may Include,

  • Unkempt hair coat and the presence of dandruff.
  • Frequently vomiting
  • The dog may also show signs of depression and lethargy.
  • Weakness or lack of energy.
  • Sudden appearance of cataracts in the eyes and in some cases the dog may also suffer from temporary blindness.

There are various factors which can put a dog at risk for diabetes.

These factors include;

  • Age. Although diabetes can occur to a dog at any age, most dogs that develop diabetes are of middle age and old/senior dogs.
  • Pancreatitis in a dog is also a major cause of diabetes. Pancreatitis is the inflammation of the pancreas (which produces insulin). Repeated pancreatitis causes immense damage to the pancreas thus resulting to diabetes.
  • Obesity is also a major contributing factor to diabetes in dogs. This is because obesity contributes to insulin resistance and it is also a risk factor for pancreatitis.
  • Steroid medications are also triggers for diabetes in dogs if used long-term
  • Other health conditions and autoimmune disorders can also trigger diabetes.
  • Any breed of dog can suffer from diabetes though they vary in susceptibility.

Diagnosis of Diabetes in Dogs

Simple tests are done to test glucose levels in a dog’s blood stream and sugar levels in a dog’s urine. However, it’s essential to understand that it’s easier to treat diabetes in a dog if it’s discovered sooner. Treatment should start promptly to increase the chances of your dog living a normal life.

More on Diabetes in Animals

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