Daily Piece: Updated Nutrition Recommendations from American Diabetes Association

When it comes to diabetes, one size does not fit all. So it only makes sense that nutrition and eating for persons with diabetes is not one size fits all. The ADA has released updated nutrition recommendations. Most importantly, it is clear all persons with type 1 and 2 diabetes should be referred for medical nutrition therapy – a refresher on medical nutrition is so helpful. It only makes sense that these recommendations encourage non-starchy veggies, eating whole foods, limiting sugar intake and gives green light for low carb eating — some essentials for healthy eating. Assessing current dietary habits then customizing guidance on carbohydrate to achieve glycemic targets is key.

To learn more, please click on link below.

http://care.diabetesjournals.org/content/42/5/731

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#updated #diabetes #nutrition #recommendations

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Friday’s Daily Piece: Unique Capsule Approved for Weight Loss

Exciting to share a new tool for weight loss! We now have a new novel capsule (Gelesis100, Plenity) that is FDA has approved for weight loss in combination with diet and exercise in those with body mass index greater than or equal to 25%. The capsule contains hydrogel particles that expand in stomach without systemic absorption. When taken twice daily before meals, it makes the person feel full. To learn more, please click below.

https://www.businesswire.com/news/home/20190414005031/en/Gelesis-Granted-FDA-Clearance-Market-PLENITY%E2%84%A2-%E2%80%94

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#weight #loss #tool #capsule

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Daily Piece: Apps for Type 2 Diabetes

Are apps designed for those living with type 2 diabetes all they have cracked to be? While carefully selecting the particular app that a person with type 2 diabetes uses is key, integrating real time support and situation specific (i.e. hypoglycemia) education is key. The analysis by Dr. Car published in JAMA found many apps designed for persons living with type 2 diabetes to lack real time support and situation specific education. It is important to note that apps associated with continuous glucose monitoring were not included in the analysis. One potential action step for improvement is to have more clinicians involved in the development of the apps allowing for evidence based support and education. To learn more about this study, please click below.

https://www.medscape.com/viewarticle/911855

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#apps #type2 #diabetes

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Daily Piece: Sanofi Offers Flat Rate per Month

Very excited to share that Sanofi has expanded its Valyou Savings program. Yes, expanded as of June 2019. All patients (regardless of income level) except publicly insured patients can have access to any Sanofi insulin (in any combination) up to 10 vials or packs of SoloStar pens for fixed price of $99/month.

http://www.news.sanofi.us/2019-04-10-Sanofi-provides-unprecedented-access-to-its-insulins-for-one-set-monthly-price

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#Sanofi #Valyou #savings #program

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Daily Piece: FDA Warning on Pre-Owned Glucose Test Strips

When looking at the cost of pre-owned blood glucose test strips being sold on Amazon, eBay or Craiglist, it is tempting to purchase them because they are much cheaper. However, the accuracy and safety of the pre-owned test strips is questionable. FDA has warned against purchasing the pre-owned test strips. To learn more, please click below.

https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm635478.htm

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#FDA #warning #pre-owned #test #strips

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Daily Piece: Potential Game Changer – Biosimilar Insulin Products

Insulin pricing and cost is at the front of everyone’s mind these days in the diabetes world. FDA is transitioning certain biologic products (i.e. insulin) which are currently regulated under the Federal Food, Drug and Cosmetic Act to be licensed as biologics under the Public Health Service Act. This is a game changer because it will biosimilar insulins to come to market for the first time. Ideally, this competition will help drive down insulin costs. Time will tell.

https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm628121.htm

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#change #insulin #regulation

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Daily Piece: PBM Attempts to Address Insulin Pricing

While the battle over insulin costs continue to wage, Express Scripts is lowering monthly cap for insulin copayments to $25. For a typical patient insured by Cigna or Express Scripts average out-of-pocket cost per month for insulin in 2018 was $41.50. Those in high-deductible health plans paid an average of about $100 for each monthly prescription. The challenge is that the health plan sponsors (i.e. employers) will have to opt-in to an out-of-pocket cap program in order for patients to benefit from it.

While this is certainly a step in right direction, the challenge of insulin cost remains. On a positive note, the U.S. Senate Finance Committee is currently investigating insulin pricing. Within the last week, leading physicians who are expert in diabetes testified regarding this insulin pricing crisis.

https://www.npr.org/sections/health-shots/2019/04/03/709212404/express-scripts-takes-steps-to-cut-insulins-price-to-patients

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#insulin #pricing

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Daily Piece: LibreLinkUp Now Available

LibreLinkUp, remote monitoring app for FreeStyle Libre, is now available in U.S.  In fall of 2018, the FreeStyle LibreLink iphone scanning app was released.  This new remote monitoring app works with the FreeStyle LibreLink iPhone app (use to scan to the sensor) to allow parents and caregivers to remotely view glucose trends in real time within LibreLinkUp app. To learn more, please click below, and make sure to download this new app from the app store.

https://www.freestylelibre.us/system-overview/continous-glucose-monitor-app.html

https://itunes.apple.com/app/librelinkup/id1234323923?ls=1&mt=8

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#FreestyleLibre #LibreLinkUp #remote #sharing

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Blog: The Pharmacist: Amazing Asset When Living with Diabetes

I recall fondly meeting Barbara for the first time just a few years ago while I was providing diabetes education services with a local physician group.  Barbara was at wits end with her diabetes and struggling with momentum to keep the self-management up with all of her “other” life responsibilities.  When I shared with Barbara that I was a pharmacist and diabetes educator, she seemed a bit confused, as often happens, as she had not met a pharmacist who was a diabetes educator before.  I took some time to share how pharmacists work with persons with diabetes all the time.  So, what are pharmacists, where can you find pharmacist, and how can they work with you in managing your diabetes?

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The old joke that pharmacists simply count by 5, put pills in a bottle and give the bottle to the patient is not true.  Pharmacists are truly the medication experts.  Pharmacists complete rigorous training in anatomy and physiology of human body, and pharmacology, medicinal chemistry and therapeutics of medications plus many additional courses.  Today, all pharmacists graduating from pharmacy school earn a Doctor of Pharmacy (PharmD) degree.  You will find pharmacists in community pharmacies, physician offices, clinics, pharmaceutical companies, hospitals (on the various floors and in emergency room), insurance companies, nursing homes and many other settings.  The specific job responsibilities will vary depending on setting.  

 

So how can pharmacist in community pharmacy or physician’s office (clinic) work with you to assist you self-management of your diabetes?  Pharmacists can provide in depth counseling about your medications, such as how they work, any potential side effects, assess for drug interactions, how to administer insulin. Your Pharmacist can perform an annual or even quarterly medication reviews to assist in the selection of medications based on formulary (your insurance company’s list of preferred medications).  Pharmacists who have advanced diabetes training can offer in depth diabetes education for those newly diagnosed or simply needing a yearly refresher, assist you in selection of continuous glucose monitor or insulin pump and provide focused ongoing support for diabetes self-management.  Pharmacists can also provide your annual influenza vaccine as well as additional vaccines such as pneumococcal, singles and Hepatitis B (state laws vary in regard to pharmacist administration of vaccines).

Back to Barbara…Barbara needed ongoing support and a sounding board to manage the challenges of life that created many obstacles in her diabetes self-management.   In addition to being her sounding board, I also collaboratively managed her medication regimen with her and her physician.  It was truly a partnership.  My life is forever changed through the many partnerships that I have formed with persons living with diabetes.  I encourage you to get to know your pharmacist as they are a great asset and support system in living with diabetes.

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#pharmacist #asset #living #diabetes

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Daily Piece: Metformin Preventing Type 2 Diabetes

Metformin has been shown to have to reduce risk of developing type 2 diabetes in those with prediabetes for the last 15 years. Metformin has been proven safe with the added bonus of being inexpensive. Diabetes Prevention Program which began over 15 years ago randomized 3234 participants age 25 and older who were high risk for developing type 2 diabetes to intensive lifestyle modification, metformin or placebo. Metformin was the superior treatment. For those who were randomized to metformin, they were able to continue metformin during the observational follow up study (Diabetes Prevention Program Outcomes Study — DPPOS). Incidence of type 2 diabetes was statistically lower in those taking metformin versus placebo when using fasting and 2 hour glucose tolerance test or hemoglobin A1c test. Please click on the link to below to read more about the findings from DPPOS.

http://care.diabetesjournals.org/content/42/4/601

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#metformin #preventing #type2 #diabetes

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