diabetes bites may 2012 - Integrated Diabetes Services

Diabetes Bites
May, 2012
Integrated Diabetes Services presents a quick synopsis of the latest diabetes
discoveries and happenings. Send your comments or questions to:
[email protected]*
*this e-mail goes to office administration. To reach Gary Scheiner directly, e-mail
[email protected]. To reach Karen Franey, e-mail
[email protected]
For Jenny Smith, e-mail [email protected].
Special thanks to MJ Scheiner for our “bites” logo!
©Copyright 2012, Integrated Diabetes Services LLC
333 E. Lancaster Ave., Suite 204
Wynnewood, PA 19096
(610) 642-6055
(877) 735-3648
Fax: (610) 642-8046
www.integrateddiabetes.com
www.type1university.com
In This Issue
Type-1 University: Call for Partners (2)
News Youz Can Use (3)
App Rap: iBG Star (7)
Jenny’s Fun Facts: Hypo treatment (8)
Trivia Question (9)
Local Philly Happenings (10)
The Diabetes Store (11)
How to trial a CGM (12)
1
Type-1 University,
Brought to you by ? ? ? .
Type-1 University was created to make quality diabetes education accessible to everyone, everywhere. What could be
more convenient than logging in to a live webinar or watching a previous class right on your own computer? Now, to
make T1U even more financially accessible, the search is on for corporate partners. Opportunities are available for
sponsorship, advertising and underwriting. However, corporate partners will not be permitted to influence class content
(gotta maintain our reputation!). This is an outstanding way for the right company (or companies) to reach thousands of
highly motivated insulin users across the country and around the world.
If you, or someone you know, is interested in finding out more about partnership opportunities, please contact Gary
Scheiner, Dean of Type-1 University, at 877-735-3648, or [email protected].
For the summer months, T1U classes will be scheduled once a week. Live classes are still just $29.95, and recordings
may be accessed at any time for just $19.95. Classes are available on the following topics:
Blood Glucose Control During Sports & Exercise
Mastering Pump Therapy
Advanced Carb Counting
Sports/Exercise and Blood Sugar Control
Strike the Spike: After-Meal Glucose Control
Getting the Most from Your Continuous Glucose Monitor
Weight Loss for Insulin Users
Fine-Tuning Basal Insulin
Managing Pregnancy and Type-1 Diabetes
Using Symlin to Improve Diabetes Control
To read the latest reviews of T1U, visit
https://www.type1university.com/index.php?option=com_content&view=article&id=8&Itemid=33
To register for live classes or access a prerecorded class, go to www.type1university.com.
2
News Youz* Can Use
(*Philly for “you all”)
Outpatient testing now approved for use of Artificial Pancreas
The FDA recently approved a key phase in testing to see if the artificial pancreas will work in an outpatient setting. This
device, a hand-held standard smart phone, was developed by Patrick Keith-Hynes, PhD and Boris Koatchev, PhD. They
reconfigured the device to automatically monitor BG levels and provide as much insulin as needed based on the value.
This would mean people with diabetes will not need to check BG at such regular intervals, or inject with insulin based on
the BG levels.
Based on previous inpatient trials at UVA and in Europe, and an ongoing outpatient trial that started in Italy and France
last year which displayed promising results, the FDA has approved the first U.S. outpatient clinical trials. The first eight
type 1 diabetes European participants in the outpatient trial were able to maintain safe blood sugar levels while
spending a night outside of a hospital.
Kovatchev is eagerly anticipating this crucial step in the development of the device after years of research and testing,
saying: "Conducting the first U.S. tests of a portable artificial pancreas running on a cell phone in a real-world setting is
an important step toward evaluating its effectiveness and how it may impact treatment for type 1 diabetes patients in
the United States." He anticipates the U.S. outpatient trial to begin within about six weeks.
The Artificial Pancreas Project is a collaboration of researchers from UVA, the University of California Santa Barbara,
Montpellier University Hospital in France, and the Universities of Padova and Pavia in Italy.
Manage your diabetes AND enjoy college!!
CDN’s mission is to create a support network on college campuses and to create a community of peer support,
both in person and online, which will empower and educate students. Through CDN’s programs and
community, students with Type 1 diabetes will have the resources to thrive in both their healthcare and
scholastic accomplishments enabling them to leave college healthy and ready to pursue their dreams.
CDN strives to:
•
Create connections with other students with diabetes at your college or university
3
•
Create connections with the community to inspire children and young adults in the area
•
Educate the campus and community about diabetes and living a healthy lifestyle
•
Work to improve life on campus through emotional support, personal connections, healthcare, and
nutrition.
•
Create a central resource for prospective students and parents to have access to information regarding
support services at prospective colleges and universities
•
Provide a central resource where parents of college students can connect and share personal stories,
tips, etc. in order to help to relieve the strain on them and their relationship with their college age child
•
Provide resources to college and university administrators to help them to better serve the diabetes
population at their schools
For more information and to find a chapter at your local college or University:
http://www.collegediabetesnetwork.org/schoolchapters/findachapter
JDRF ScholarshipsMay 15th Deadline
The Diabetes Scholars Foundation Scholarship Program is available to incoming freshmen
seeking a higher education at an accredited four year university, college, technical or trade
school. This scholarship recognizes students who are actively involved in the diabetes
community, who have high academic performance, who participate in community and/or
extra-curricular activities and who have demonstrated that they are successfully managing
the challenges of living with diabetes.
Diabetes Scholars Foundation scholarships are not based on financial need. There are now 4
JDRF Scholarships included in the list.
•
•
•
•
The JDRF Medical/Research Scholarship ($1,000) will be awarded to a student majoring in Healthcare
The JDRF Advocacy Scholarship ($1,000) will be awarded to a student majoring in Political Science
The JDRF Outreach Scholarship ($1,000) will be awarded to a student majoring in Mental Health
(Psychology/Social Work)
The JDRF Rising Star Scholarship ($1,000) will be awarded to an incoming freshmen with Type 1 diabetes
The deadline to apply is May 15th
There are additional scholarships on the list as well. To see the complete list and download a copy of the application,
please visit:
www.diabetesscholars.org
4
Who doesn’t like a contest…especially one with prizes!!
DiabetesMine is asking YOU, the empowered PWDs (peoples with diabeteses) to tell them
about your most pressing design needs. Your mission, should you accept, is to create a 2-3
minute video testimonial about the biggest challenges you face in your diabetes care, and
how you would present those concerns to experts.
The DiabetesMine team will select 10 of the top entrants to win an “e-Patient Scholarship”
to attend the 2012 DiabetesMine Innovation Summit at Stanford University in Palo Alto,
CA, on Nov. 16, 2012.
The winners will act as “delegates” for the patient community, expressing needs and
desires to the Powers That Be: Pharma R&D and marketing executives, human interaction
designers, entrepreneurs, physicians, regulatory experts, investors, health gaming
developers, technology gurus and experts in mobile health platforms.
Each of the 10 winners will also receive an iBGStar Blood Glucose Monitoring System, the first meter to directly
connect to an iPhone* or iPod touch*! This exciting new product has just been introduced to the market as of May 1,
2012.
Video entries will be accepted until June 12, 2012, and awards will be announced on June 27, 2012.
http://www.diabetesmine.com/2012/05/announcing-the-2012-diabetesmine-patient-voices-innovation-contest.html
Links to both videos:
http://youtu.be/LNYiCqRBzsE
http://youtu.be/21l5dEu4cN4
T1D Exchange Clinic Registry
The T1D Exchange is a three-year, $26 million project funded by the Leona M. and Harry B. Helmsley Charitable Trust’s
Type 1 Diabetes Program. The T1D Exchange combines critical components of traditional clinical research with the
expanding fields of health information technology and social networking. In addition to this registry, the program will
also have a type 1 diabetes portal where eligible members can connect and collaborate in a social media setting.
Further, a biobanking service is being developed to work with T1D Exchange to allow researchers to easily access
samples from a pre-identified number of consenting individuals.
“The T1D Exchange platform is intended to bring together individuals with type 1 diabetes, clinicians and researchers to
advance the understanding of type 1 diabetes, identify challenges in treatment and control and allow easier access to
meaningful disease-specific data,” said Janak Joshi, Executive Director of the T1D Exchange. “It is very exciting to see the
dramatic pace at which this registry has grown in a very short period of time. This is just the beginning. At a time when
the focus of healthcare in the United States is being directed at patient outcomes, the T1D Exchange is unprecedented in
its potential to change the lives of those living with type 1 diabetes. We look forward to working on many studies and to
launching the biorepository and the social media site, Glu, which is a new approach to social networking for people with
type 1 diabetes.
5
Clinic Registry Objectives:
Collect clinical and laboratory data on a large number of patients with type 1 diabetes to:
• Address pertinent clinical issues
• Conduct exploratory/hypothesis-generating analyses
• Identify patients interested in being contacted about participating in research studies
• Categorize patients for future clinical studies and biobank analyses
Initial Findings from data include:
Increase in frequency of hypoglycemia* as age increases >50 years. (*defined as
needing assistance)
Increase in frequency of severe hypoglycemia* as age increases >50 years (*defined as
seizure or coma or loss of consciousness)
Decrease in frequency of DKA as age increases >50 years.
Frequency of DKA most prevalent in population age 13 – 17 with 18-24 age range close
behind.
Frequency of DKA also climbed from 2% of the time in those with A1C of 6% to 26% for
those with A1C values >11%.
For more information please email: [email protected]
Handy tricks and tools for Pumpers!
Are you familiar with the new "Infusion Set IV 3000" from Smith & Nephew? The product number is 66800786, size is
like the usual IV 3000 (2 3/8" by 2 3/4") except that it is specifically designed with a pre-cut hole to fit around the Quickset, Silhouette, Sure-T and Mio infusion sets. It gives you more "real estate" of
adhesive and still allows you to disconnect without taking the tape off.
Do you have a hard time seeing the information on the screen of your insulin pump?? Then try the Phone Monocle – a
soft plastic band that wraps around any pump with or without the optional antireflective coating. It really transforms
those tiny characters on the pump face to large ones, like magic! The Monocle magnifying lens fits most pumps and
and is available in a variety of shades to reflect your mood and style.
It increases the size of the type by 2x.
6
BeeWell and Make a Difference.
BeeWell is a wellness community that helps you be active and eat healthy while making a difference in the lives of those
touched by diabetes, heart disease, and/or breast cancer. When you complete wellness challenges, or log the miles you
walk, run, or bike, you earn points that translate into donations for these three worthy causes:
+ American Diabetes Association
+ WomenHeart: The National Coalition for Women with Heart Disease
+ Y-ME National Breast Cancer Organization & trade;
This year, Bumble Bee Foods has already donated a total of $150,000 between the three charities, and based on
participation in the site by people like you and me, they will donate up to $150,000 more.
Membership is free and the site also includes great tips from fitness and nutrition experts, as well as exclusive videos
featuring top-ranked US men's tennis pro, Mardy Fish. Join in supporting this great program today at
www.beewellforlife.com
App Rap: iBGStar
Ok, it’s not only an App this month but a fantastic new product too! We can’t wait to give this a try!
The iBGStar® Diabetes Manager Application
IBGStar seamlessly integrates with the iBGStar Diabetes Manager
application. This app for your iPhone® or iPod touch® combines the latest
in interface design, diabetes data management, and mobile technology
— to help you better manage your diabetes.
Whenever you take a reading with your iBGStar while attached to your
iPhone, it automatically syncs your data with the iBGStar Diabetes
Manager app. So your data always goes wherever your mobile device
goes. In addition, this app offers:
•
•
•
•
Tracking of blood sugar readings, carb intake, and insulin doses
Blood glucose tags (for example, mealtimes and exercise)
Integrated data management with dynamic graphing
Shareable data with your family or healthcare team
The innovative iBGStar® is the first blood glucose meter that can be used on its own or connected directly to an Apple
iPhone® or iPod touch® to easily display, manage and communicate your diabetes information. The iBGStar meets
7
today’s industry standards for accuracy. Other unique features include no-coding, a small 0.5 microliter sample size,
and 300-reading memory (the app allows for additional storage as well as various ways to view data, from charts and
graphs to results comparisons by time-of-day)
Jenny’s Fun Facts
On the way to work every day I have seen an increasing number of cyclists. This is likely due to
the increase in sunny days. I can’t help but think of all the time many of you will soon be
spending outdoors doing any number of activities. I thought it would be a good idea to go
over the appropriate treatment of hypoglycemia, or low BG. Since I myself do not live too far
from my office I take the opportunity to walk every day and I always carry something in my
bag to treat a low …just in case.
What is appropriate and how much??
Simple sugar should always be used first. This would include: glucose tablets, skittles,
SweetTarts, jelly beans (1 Jelly Belly has 1 gram of carb – so you get a lot of these) juice or hard
candy.
Treatment amount will vary depending on your body size (weight).
Some general rules to follow:
<60 lbs = 1 gram will raise BG 6-10mg/dl (.33-.55 mmol/l)
60-100 lbs = 1 gram will raise BG 5mg/dl (.28 mmol/l)
101-160 lbs = 1 gram will raise BG 4mg/dl (.22 mmol/l)
161-220 lbs = 1 gram will raise BG 3mg/dl (.17 mmol/l)
When treating a low that occurs during or just after exercise, you will likely need more than the usual treatment since
your BG will be dropping faster than usual. As a general rule, check your blood sugar and take enough carb to raise your
BG to 140-150 (8 mmol/l).
Why should you only use simple sugar to raise BG?
You may think it’s a great time to indulge in your favorite caramel cashew dark chocolate clusters, or some other
favorite food that contains more than just sugar - many times a lot of fat and sometimes protein. These nutrients
(especially fat) do not digest quickly and will not bring the BG up fast enough. This can leave you feeling the low BG a lot
longer and likely lead to overtreatment.
A good rule of thumb is to treat the low BG and then retest in 15-20 minutes to ensure the BG is rising. Consider when
your next meal is planned. If it is >2 hours away, you may need a small snack AFTER the treatment has brought your BG
back up to keep the BG stable until the next meal.
This may also be a time to evaluate how you are planning exercise in your day. An increase in cardio or aerobic exercise
will always bring BG down – this is good!! However, it’s also important to have a plan to avoid or at least be prepared to
treat the lows when they do arise.
8
? ? ? Trivia Question ? ? ?
If you take rapid-acting insulin at meals, how far apart should meals and snacks be to keep BG
levels within your target range as much as possible?
Find the answer at the Type-1 University (www.type1University.com) website homepage.
Students with Diabetes National Conference!!!
An exciting NEW event for young adults with Type 1 diabetes is being organized for the Summer of 2012. June 1-3 in
Tampa, FL will be the Students With Diabetes National Conference. This event will feature 2 1/2 days of diabetes
education, social events and connection opportunities for young adults ages 18-30.
Diabetes celebrities will be speaking, health professionals will be talking about diabetes reality for young adults, and
participants will be engaging in team-building activities like ropes courses and theme park fun.
All young adults living with type 1 diabetes are encouraged to check out this exciting weekend! More information can
be found on facebook.com/studentswithdiabetes or by visiting the following link:
http://studentswithdiabetes.health.usf.edu/wp-content/uploads/2012/02/SWDNationalConferenceedited.jpg
9
Local Happenings in the Philly area
Ace for a Cure Tennis Event
Registration is now open for the 7th annual Ace for a Cure Tennis Event at Germantown
Cricket Club on Monday, June 11th, 2012. This year features an online registration format.
Register for your spot at www.jdrf.org/aceforacure. Follow-up registration forms will be
mailed out shortly. Your participation helps the JDRF.
If you have any questions, please e-mail [email protected].
JDRF Young Leadership Committee Preakness party
The JDRF Young Leadership Committee is proud to be hosting a Preakness Party on
May 19th at City Tap House in West Philly. It will be a lot of fun and, of course for a
great cause. Below are the details of the event and the YLC Facebook page. Please
see the link to the flyer for the event below.
Preakness Party
Saturday, May 19th
3pm-6pm
City Tap House
Facebook Page: http://www.facebook.com/events/392743457414727/?ref=ts
Event Registration Page:
http://citytaphouseticketleap.ticketleap.com/preakness-2012/
- Live music
- 3-hour open bar
- A featured event drink: the Black-eyed Susan
- Dancing (which goes very well with the black-eyed Susans)
- Hors d'oeuvres
- Raffle table
- Viewing of the 137th Preakness Stakes
10
The Diabetes Store Is Open!
The Integrated Diabetes Services store features a variety of useful and hard-to-find over-the-counter products for
making living with diabetes just a little bit easier.
This month we have a CLEARANCE SALE: Polder food scale scale, measures in grams and ounces.
regularly $6 now just $3
•
•
•
•
•
•
Choose from other products including:
Books
* Food Scales
Pump Accessories
* Exercise Videos
Hypoglycemia Treatments
* Supply/Travel Cases
Sharps Containers
* Cooling Pouches
Skin Wipes
* Ketostix
Lancing Supplies
* Injection Aids
NOW AVAILABLE!!!
Think Like A Pancreas, 2nd Edition!
The best-selling guide to managing diabetes with insulin has
been completely revised and updated to include the latest
on:
• Continuous Glucose Monitoring
• New Oral Medications
• Use of Incretin Mimetics
• Web-Based Resources
• Insulin “Cocktails”
• “Smart” Pumps
• Managing Type-1 During Pregnancy
… and much, much more!
And Now Featuring English and Metric Measurements Throughout.
For a complete catalog and to place orders, please visit http://www.integrateddiabetes.com/webstore/
or call 877-735-3648
Visa, Mastercard and Discover accepted.
11
Sample a CGM
Use of Continuous Glucose Monitors is growing steadily as the systems become more accurate & user-friendly, and
insurance coverage expands. Still, many people are hesitant to purchase a system outright without knowing if it’s really
worth all the effort. If you’re interested in trying a CGM (and learning some things that can improve your control),
Integrated Diabetes Services offers a CGM Trial Service. This service is
available just about anywhere since we can ship the necessary equipment
to you and talk you through the sensor attachment process via phone or
video chat (skype). Select either a twoweek Dexcom Seven-Plus trial, or a oneweek Medtronic sensor-augmented pump
trial (you must have a Medtronic 522, 722 or Revel pump). The trial service includes a
detailed analysis of your sensor data as well as specific recommendations for fine-tuning
your glucose control. The cost for the service is $269, including all necessary equipment,
initial
training
and
data
analysis.
Details
can
be
found
at
http://www.integrateddiabetes.com/cg_trialserv.shtml. Call 1-877-735-3648 to schedule.
For mail-order diabetes supplies (test strips, pump supplies, sensors, prescriptions and more), we are proud to
recommend Byram Healthcare. Byram works with most public and private insurance plans, provides a very wide
selection of diabetes self-management products, and offers excellent customer support. Visit
www.byramhealthcare.com or call 877-902-9726, and use referral #126735.
er
12
Diabetes Bites is published monthly by Integrated Diabetes Services LLC and is distributed to more than 5000
individuals who either have or treat diabetes. For advertising opportunities, please contact
[email protected] or call (877) 735-3648.
Diabetes management consulting in-person or remotely via phone and the internet. Please visit
www.integrateddiabetes.com for details.
Gary Scheiner MS, CDE Owner/Clinical Director
Karen Franey, RD, LDN, CDE
Jennifer Smith, RD, LD, CDE
Debbie Liebman, Office Adminstrator (aka “the office mom”)
Karen Bellopede, Receptionist
Debbie Conley, Accounts Receivable
333 E. Lancaster Ave., Suite 204
Wynnewood, PA 19096
(610) 642-6055
Toll-free: (877) 735-3648
Fax: (610) 642-8046
www.integrateddiabetes.com
The web-based school of higher learning for insulin users. Live and pre-recorded courses on a variety of
topics.
www.type1university.com
13