Reece's Piece's In a Diabetes World
Practical information about medications for people living with diabetes.
Exciting news to share!!! Lilly is now offering $35 monthly copay for insulin through the Lilly Value Insulin Program. This is available for those with commercial insurance and those who do not insurance. Call Lilly Diabetes Solution Center today at 833-808-1234 to obtain this big savings.
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#savings #insulin #diabetes #Lilly
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Well, I have am going away from diabetes on this daily piece. Over the counter (OTC) medications are medications available for purchase without a prescription. OTC ranitidine ( OTC Zantac) has now been discontinued due to impurity of N-Nitrosodimethylamine (NMDA; increases person’s risk of developing cancer) found in some of the products. NMDA within some of the OTC ranitidine increases over time and at temperatures above room temperature. We do not know who long or how these products are stored so discontinuation of OTC ranitidine (OTC Zantac) is best. OTC alternatives for ranitidine within the same drug class (histamine 2 receptor antagonists) are famotidine (Pepcid) and cimetidine (Tagamet). I do advise caution with cimetidine (Tagament) as it interacts with many medications.
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#ranitidine #discontinued #FDA
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We are living in unprecedented days with a real need for resources and vital information. American Diabetes Association and diaTribe have compiled COVID-19 resources for persons with diabetes. Links are provided below.
https://www.diabetes.org/coronavirus-covid-19
On a different note, while physically distancing ourselves from friends and family (who do not live in same household) is necessary, we do not have to technically socially distance ourselves because we have lots of virtual resources such as FaceTime, Skype, Google Hangout and Zoom to stay connected. So reach out to a friend or family member by calling or virtually connecting with them today.
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#COVID-19 #resources #diabetes #stay #connected
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While cost of insulin continues to be a challenge, a light of hope is on the horizon. Back in 2009, Congress passed the Biologics Price Competition and Innovation Act which creates a new regulatory pathway of approval for biologics such as insulin. Now it took 10 years of preparation to make sure all stakeholders were prepared. The new pathway is NOW open which will allow for safe and effective biosimilar and interchangable versions of biologics such as insulin. Ultimate this creates opportunity to reduce costs. This is certainly a step in the right direction. To learn more, please click below.
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#FDA #insulin #pathway
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FDA released a new labelling update this week to SGLT-2 inhibitor drug class. Due to the risk of potential ketoacidosis, SGLT-2 inhibitors should be discontinued prior to surgery and reinitiated after surgery once person is able to eat. Specifically, canagliflozin, dapagliflozin and empagliflozin should be discontinued 3 days prior to surgery, and ertugliflozin at least 4 days prior to surgery. For more information, please click below.
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#SGLT-2 inhibitors #discontinuation #surgery
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I can only imagine how frustrating it must be for a person with diabetes to keep hearing that you are high risk group when it comes to protecting again COVID-19. The reality is that COVID-19 is more real now than ever. I do courage you to stay connected with friends and family via phone calls, social media and FaceTime. Below is guidance from Dr. Anne Peters (a rockstar physician who has a passion for caring for persons with diabetes). Praying for our nation and each person as we face this crisis.
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#prepare #COVID-19 #diabetes
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If you are like me, you feel bombarded by news regarding coronavirus. So as a person with diabetes, what are some practical prevention tips? Wash your hands frequently for at least 20 seconds with soap and water or alcohol-based hand sanitizer, and avoid contact with people who sick. Kelly Close with diaTribe has created a wonderful tool kit of information on coronavirus. Please click below to check out this timely, helpful information.
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#coronavirus #preparation #diabetes
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I love the additional hour of daylight as we spring forward this morning for daylight savings time. However, I often forget to adjust my clocks and other devices with time display. So a friendly reminder to spring forward time by one hour on your insulin pump and clocks. Looking forward to spring and beautiful flowers coming soon.
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#spring #forward #insulin #pumps
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Another potential group of persons who could benefit from metformin are persons without diabetes taking long term systemic glucocorticoid (steroid) therapy for chronic inflammatory conditions. Some of the benefits include lowering of fasting glucose, hemoglobin A1c, and total and LDL cholesterol concentrations.
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#metformin #benefit #glucocorticoid #therapy
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As a person with prediabetes, I have come to appreciate metformin extended release (major benefit of less diarrhea with extended release) although I must admit they are big pills. Good news! The only FDA- approved liquid formulation of metformin extended release (Riomet ER) is now available. The liquid formulation of metformin immediate release (more diarrhea with immediate release) has been available for a good while. Liquid formulation option for the big “horse” pill.
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#metforminER #liquid
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