Pharma Dealt A Disappointment Over 'Doughnut Hole' Change As Lawmakers Reach Agreement On Opioid Package Negotiators for the House and Senate smoothed out the differences between their two versions on the massive opioid package that lawmakers are banking on as a winning talking point before the midterms. Not included in the final version of the agreement was pharma's push to use the legislation to roll back a provision that puts them on the hook for covering more drug costs for Medicare beneficiaries. News on the crisis comes out of Minnesota, D.
Type 2 diabetes is a progressive disease that causes many people who have it to eventually need to use insulin to control their blood glucose levels. Although many people still think insulin pumps are only for treatment of Type 1 diabetes, they can also be useful for some people with Type 2 diabetes.
According to Charles H.
Raine III, MD, a diabetologist in Orangeburg, South Carolina, who himself has Type 2 diabetes and uses an insulin pump, the criteria for a good pump candidate are the same, no matter what type of diabetes a person has. In general, a good pump candidate has uncontrolled blood glucose, but also has a desire to try for better control of his diabetes, is willing to measure and document food intake and blood glucose levels, and is physically, emotionally, and cognitively able to manage a pump or has a caregiver who is.
Another important characteristic is a willingness to keep appointments with members of his diabetes care team. Advertisement Pump basics Insulin pumps are cell-phone-size devices used to deliver preprogrammed and user-adjusted doses of insulin. Depending on the brand and model, they hold between and units of insulin.
Most people use rapid-acting insulin — options include insulin lispro brand name Humaloginsulin aspart NovoLogand insulin glulisine Apidra — in their pumps, with a few using Regular. When a person first begins using a pump, he works with a trainer to determine his basal rates, which are rates of insulin release designed to keep his blood glucose within 30 points of his target blood glucose levels.
Most people use several different basal rates, often an early morning rate, a daytime rate, and a nighttime rate. In the early morning, the body prepares itself to wake from sleep by pumping out counterregulatory hormoneswhich have the side effect of making the body more insulin resistant.
Because of this insulin resistancepeople usually need a little more insulin in the early morning.
The daytime rate is usually set a little lower as the insulin resistance drops. The overnight rate can be set lower or higher, depending on whether you tend to wake up with low blood glucose or high blood glucose. Athletes or people who work out often may also set up rates for during and after their exercise.
People may have different insulin-to-carbohydrate ratios for different times of day, including one for the early morning when a person may need more insulin to compensate for insulin resistance.
Trainers will also help new users learn how to use premeal blood glucose readings to adjust insulin boluses. Too many calculations, you say?
The meter transmits readings directly to the pump via infrared or radio waves. Infusion sets come in a variety of styles, with one main difference being the angle at which the catheter is inserted: For most sets, the tubing disconnects from the hub, allowing people to go pumpless when bathing, swimming, or during intimate moments.
Pump benefits for Type 2 diabetes Increased flexibility in scheduling daily activities such as meals, exercise, and social activities may be the main reason for you to consider using an insulin pump if you have Type 2 diabetes. There is also the potential for tighter blood glucose control and a reduced risk of diabetes complications.
According to the United Kingdom Prospective Diabetes Study UKPDStight control of blood glucose in people with Type 2 diabetes helps to delay or prevent the development of microvascular complications such as retinopathy eye diseasenephropathy kidney diseaseand neuropathy nerve damage.
Simply using an insulin pump is no guarantee of tight blood glucose control, of course, but studies have shown that pumps can help people to achieve control that is at least comparable to and possibly better than that of people on insulin injection regimens.
In addition to the benefits of tight blood glucose control, the UKPDS showed that tight blood pressure control can reduce risks of cardiovascular diseases for people with diabetes. Although high blood pressure is more of a proven contributor to heart disease and stroke than high blood glucose levels, getting better control of your blood glucose may help to reduce at least one risk factor for cardiovascular disease.
According to Philadelphia cardiologist Robert Bulgarelli, DO, people with Type 2 diabetes are assumed to have cardiovascular disease unless proven otherwise.
What you want, he says, is large, fluffy LDL. Because tight control can be easier for some to achieve on an insulin pump, Dr. Bulgarelli is a great advocate of pumping.AUVI-Q is about the size of a credit card and thickness of a cell phone and fits into most pockets, small purses, and diaper bags.
AUVI-Q includes innovative features such as voice instructions.. AUVI-Q is the first and only epinephrine auto-injector with an auto-retractable needle.
The Novolog FlexPen, from Novo Nordisk, is a disposable prefilled pen weighing ounces with a full insulin cartridge and measuring inches long with a inch diameter.
It is designed to look like a writing pen, with a normal pen cap. Luxury Pens, Writing Instruments, Fountain Pen Nibs, Pen Collection, Calligraphy Pens, Writing Pens, Edgar Allan Poe, Crayon, Penmanship Find this Pin and .
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Read Amy Bellette's accusatory letter to the literary criticism establishment, from Philip Roth's Exit Ghost. Bryan Ferry and Roxy Music are earning royalities for the use of 2HB in a commercial for some diabetes medicine called Flexpen. Huh??! Now you can read about the Second Amendment.
I have a huge collection of Silverman.