Sunday, November 21, 2010

Diabetes Management Devices

When people with diabetes can control their blood sugar (glucose), they are more likely to stay healthy. People with diabetes use two kinds of management devices:

  • Glucose meters help people with diabetes check their blood sugar at home, school, work, and play.
  • Diabetes management tests. Blood and urine tests reveal trends in diabetes management and help identify diabetes complications.

Without good control of blood sugar, diabetes can cause life-threatening events, such as severe hypoglycemia, hyperglycemia, ketoacidosis and even coma. Every person with diabetes can do several things to help control their blood glucose:

  • Blood glucose testing
  • Taking insulin via injection or an insulin pump
  • Eat a healthy diet
  • Get daily physical exercise
  • Take diabetes medications as prescribed
  • Check your feet daily
  • Don’t smoke

The goal of diabetes management is to keep blood glucose levels as close to the normal range as possible. Thus, people with diabetes must learn to self-test their blood sugar on a regular basis. There are a number of aids and devices that are available to help people with diabetes control their insulin levels. Some of the diabetes supplies that a diabetic may need are:

  • Insulin syringes
  • Insulin pens
  • Blood glucose monitors
  • Lancing devices
  • Lancets
  • Test strips for measuring blood sugar in the urine.

Diabetes care should be designed for each individual patient. Some patients may need to test (monitor) more often than others do. How often you use your glucose meter should be based on the recommendation of your health care provider. Self-monitoring of blood glucose is recommended for all people with diabetes, but especially for those who take insulin. The role of self-monitoring of blood has not been defined for people with stable type 2 diabetes treated only with diet.

Your pharmacist can help you in deciding which product is right for you . Each product has its advantages (e.g. some devices require less blood and are more comfortable).

Diabetes Medicare Coverage

Every state has a responsibility to its citizens. The US government does this by providing Medicare, the country’s insurance program. People may avail of Medicare health insurance ages 65 or older. There are however, cases wherein some individuals are given the privilege in particular to the permanently disabled.

Such program is very beneficial to individuals since having a Medicard helps with the cost of health though it does not cover the whole medical treatments. Medicare is paid in portion by taxes from payrolls by both workers and employers. Moreover, those deductions in your Social Security check goes to Medicare.

In 2006, President George Bush, gave importance to health care needs of seniors by signing the law updating Medicare. Hence, all Medicare and future Medicare members have the privilege of Medicare drug coverage assisting beneficiaries to pay for prescription drugs, beneficiaries can choose among a variety of plan, beneficiaries with high expenses are given extra special attention and advantage, and most especially Medicare can assist those coming from the low-income beneficiaries.

Individuals with diabetes enrolled in Medicare are fortunate to have the benefit of seeking treatment without shouldering all the expenses. The following are Medicare’s coverage of diabetes supplies and services taken from the medicare.gov.


Diabetic supplies:

Self-testing equipment and supplies

Medicare Part B covered diabetes supplies: Coverage for glucose monitors, test strips, and lancets. All people with Medicare who have diabetes are covered (insulin users and non-users).Medicare covers the same supplies for people with diabetes whether or not they use insulin. These include glucose testing monitors, blood glucose test strips, lancet devices and lancets, and glucose control solutions.

There may be some limits on supplies or how often you get them. For more information about diabetic supplies, call your Durable Medical Equipment Regional Carrier. To get your diabetes equipment and supplies under Medicare, you need a prescription from your doctor. The prescription should say:

  • You have been diagnosed with diabetes.
  • How many test strips and lancets you need in a month.
  • What kind of meter you need. For example, if you need a special meter for vision problems, the doctor should say that and state the medical reason why you need a special meter.
  • Whether you use insulin or not.
  • How often you should test your blood sugar.

Points to remember :

  • Ask your doctor or health care provider if regular blood sugar testing is right for you.
  • You need a prescription from your doctor to get your diabetes equipment and supplies under Medicare.
  • Learn the correct way to use your blood sugar meter properly. Your pharmacist, doctor, diabetes educator, or another health care provider can help you.
  • Keep track of your blood sugar readings and share them with your doctor or health care provider at regular visits.
  • Do not accept shipments of diabetes equipment and supplies that you did not ask for.

Therapeutic shoes

Medicare also covers therapeutic shoes for people with diabetes. Medicare covers depth-inlay shoes, custom-molded shoes and shoe inserts for people with diabetes who qualify under Medicare Part B. Your doctor must certify that you:

  • Have diabetes;
  • Have one or more of the following conditions in one or both feet;
  • history of partial or complete foot amputation;
  • history of previous foot ulcers;
  • history of callus that could lead to ulcers;
  • peripheral neuropathy with signs that you have problems with calluses;
  • poor circulation;
  • foot deformity .

Are being treated under a comprehensive diabetes care plan and need therapeutic shoes and/or inserts because of diabetes. In the Original Medicare Plan Medicare pays for 80% of the Medicare-approved amount. You pay 20% of the total payment amount. This amount can be higher if your doctor doesn’t accept assignment, and you may have to pay the entire amount at the time of service. Medicare will then send you its share of the charge.

Referrals for more information (DMERC)

If you have questions about durable medical equipment, including diabetic supplies, call your Durable Medical Equipment Regional Carrier.

Diabetes services:

Diabetes self-management training

Medicare Part B covered preventive services; diabetes self-management training. In the Original Medicare Plan, you pay 20% of the Medicare-approved amount after the yearly Part B deductible.

Medical nutrition therapy services

Medicare coverage; medical nutrition therapy services are covered for people with diabetes (or kidney disease) when referred by a doctor. These services can be given by a registered dietician or nutrition professional and include diet counseling and therapy services to help you manage your diabetes. In the Original Medicare Plan, you pay 20% of the Medicare-approved amount after the yearly Part B deductible.

Flu and pneumoccocal pneumonia shots (vaccinations)

Medicare Part B covered preventive services;
Flu Shot – Once a year in the fall or winter. Pneumoccocal Pneumonia Shot – One shot may be all you ever need. Ask your doctor. All people with Medicare are covered. In the Original Medicare Plan, you pay nothing for flu and pneumoccocal pneumonia shots if the health care provider accepts assignment.

Glaucoma screening

Medicare Part B covered preventive services: Once every 12 months. Must be done or supervised by an eye doctor who is legally allowed to do this service in your state. Cover people with Medicare who are at high risk for glaucoma, including people with diabetes or family history of glaucoma.In the Original Medicare Plan, you pay 20% of the Medicare-approved amount after the yearly Part B deductible.

Health is a precious gift. Unluckily for some people, they do not take pleasure on having a healthy body, hence some in the course neglect health only to be sorry when everything is already late.

As one ages, health complications are unavoidable. Entropy kicks in our body making us feel sick some way or the other. Luckily, the government has given attention to the increasing need of seniors in terms of availing health treatments.

Traveling with Diabetes

People living with diabetes should travel with utmost care, as changes in meal patterns, activity levels, and even time zones can affect their blood sugar levels. Keep in mind these helpful reminders to make traveling with diabetes easier.

Preparation – Before traveling, make sure to consult with your health care provider and discuss your travel plans. Have immunization shots three to four weeks before you travel. You should also inform the airline in advance about your condition. Pack twice as many supplies needed to travel, as well as extra prescriptions and a letter from your doctor stating that you have diabetes. Take note of what health facilities are available in your destination, just in case.

What to bring – For starters, bring a piece of paper containing your doctor’s name and phone number as well as a list of current medicines. Keep your medicines, syringes, blood sugar testing supplies, all oral medications, and even something sweet in a carry-on luggage (never put them in your check-in luggage). Make sure to bring enough medicines and medical supplies to last an extra week in case you get stranded. A sugar source is needed in case you develop hypoglycemia.

At the airport – Always inform security that you are diabetic and that you are carrying medical supplies. If you are wearing an insulin pump, request to security that the meter not be removed. Also, check out the Transportation Security Administration website to see what you can take on board.

Insulin injections while traveling – Taking insulin injections while in an airplane has one difference: put only half as much air into your insulin bottle as you normally to prevent the plunger of the needle from resisting your efforts to inject air into the insulin bottle. Keep your insulin in temperature between 33 degrees F and 80 degrees F. Do not freeze or expose your insulin to direct sunlight. You also need to adjust your insulin dosage when crossing time zones, taking shots every four hours until your body has adjusted.

Foot care while traveling – Pack at least two pairs of shoes so you can change foot wear often. This prevents blisters and sore pressure points. Make sure to wear comfortable shoes and socks. Bring a first-aid kit in case you suffer minor foot injuries. Never go barefoot or wear open-toe shoes and sandals, instead wear special foot wear made for ocean or beach walking.

Coping with emergency – In case an emergency occurs and you do not know where to go, try contacting the American consulate, the Red Cross, or a local medical school. Learn phrases in the local language like "I need help" or "I have diabetes, where is the hospital" or "I need sugar."

Source: Web MD

Myths About Diabetes

Despite the wide array of information about diabetes, many people still have little or no knowledge about this condition. And with many so-called truths going around, it is important to dispel any myths about diabetes.

Diabetes is not that serious of a disease – Diabetes is not like common colds. It has caused more death annually compared to breast cancer and AID combined. In fact, two out of three people suffering from diabetes die from heart disease or stroke.

Overweight and obese people will eventually develop type 2 diabetes – Excess weight is a risk factor for developing the disease. However, there are other factors that should be considered such as family history, ethnicity, and age. Most overweight people actually do not develop type 2 diabetes. In contrast, many people with type 2 diabetes are at normal weight or moderately overweight.

Eating too much sugar causes diabetes – Contrary to popular belief, eating sugar does not develop into diabetes. Type 1 diabetes is caused by genetics and factors that still baffle scientists to this day, while type 2 diabetes is caused by genetics and lifestyle factors such as being overweight.

People with diabetes should eat special diabetic foods – In fact, a simple healthy eating plan is enough for people living with diabetes. It should be low in saturated and trans fat, moderate in salt and sugar, more whole grains, vegetables, and fruit. Do not be mislead by diabetic or dietetic foods, as they could still raise blood sugar levels, not to mention more expensive than regular foods.

Diabetic people should only eat small amounts of starchy foods – Avoiding starchy foods like bread, potatoes, and pasta is not part of a healthy diet. What is important is to control the portion size. For people with diabetes, three to four servings of carbohydrates is enough.

People with diabetes are not supposed to eat sweets or chocolate – As long as they are eaten moderately and combined with exercise, sweets and desserts can be eaten by people with diabetes.

You can catch diabetes from someone else – Although the exact reason why we get diabetes is still unknown, it is certain that it is not contagious like flu or common cold.

Diabetic people are more likely to get colds and other illnesses – Having diabetes does not increase the chances of contracting other diseases. However, people with diabetes are advised to get flu shots because any illness can make diabetes more difficult to manage.

People with type 2 diabetes who are taking insulin failed in taking care of their diabetes properly – For most people, type 2 diabetes is a progressive disease. At first, they can keep their blood sugar levels at a healthy level. However, as the body gradually produces less of its own insulin, even oral medications may not be enough to keep the blood sugar levels normal, which is why they may resort to taking insulin shots.

Source: American Diabetes Association