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Diabetes Care Center |
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Diabetes Testing Supply Guidelines Diabetes Health Information
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DIABETES MELLITUS
What is diabetes mellitus?
Diabetes mellitus is the inability of the body to produce or respond properly to the
hormone insulin. The body needs insulin to convert glucose ("blood sugar") to energy.
Diabetes is defined as a fasting plasma glucose of 126 mg/dL or more measured on two
occasions.
The two major forms of the disease are type 1 and type 2 diabetes. Type 2 diabetes, the
most common form, usually appears in adults, often in middle age. Type 2 diabetes is
often associated with obesity and may be delayed or controlled with diet and exercise.
Obesity and physical inactivity are two risk factors for type 2 diabetes. In a mild form, it
can go undetected for many years. Untreated diabetes can lead to a host of serious
medical problems, including cardiovascular disease.
The other form of diabetes mellitus is type 1 or juvenile diabetes. It typically begins early
in life. People with type 1 diabetes have a primary insulin deficiency and must take insulin
to stay alive.
Diabetes is treatable, but even when glucose levels are under control, diabetes greatly
increases the risk of heart disease and stroke. In fact, most people with diabetes die of
some form of heart or blood vessel disease. Part of the reason for this is that diabetes
affects cholesterol and triglyceride levels. Often people with diabetes also have high
blood pressure, increasing their risk even more.
When diabetes is detected, a doctor may prescribe changes in eating habits, weight
control and exercise programs, and even drugs to keep it in check. It's critically important
for people with diabetes to have regular check-ups. Work closely with your healthcare
provider to manage your diabetes and control any other risk factors. For example, blood
pressure for people with diabetes should be lower than 130/80 mm Hg.
What are the symptoms of diabetes?
People who think they might have diabetes must visit a physician
for diagnosis. They might have SOME or NONE of the following
symptoms:
Frequent urination
Excessive thirst
Unexplained weight loss
Extreme hunger
Sudden vision changes
Tingling or numbness in hands or feet
Feeling very tired much of the time
Very dry skin
Sores that are slow to heal
More infections than usual.
Nausea, vomiting, or stomach pains may accompany some of
these symptoms in the abrupt onset of insulin-dependent
diabetes, now called type 1 diabetes.
What is the treatment for diabetes?
Management strategies should be planned along with a qualified
health care team.
The following information on treatments for diabetes is from the
National Diabetes Fact Sheet: National estimates and general
information on diabetes in the United States (Centers for Disease
Control and Prevention. Atlanta, GA: US Department of Health and
Human Services, 1997):
Diabetes knowledge, treatment, and prevention strategies
advance daily. Treatment is aimed at keeping blood glucose near
normal levels at all times. Training in self-management is integral
to the treatment of diabetes. Treatment must be individualized
and must address medical, psychosocial, and lifestyle issues.
Treatment of type 1 diabetes: Lack of insulin production by the
pancreas makes type 1 diabetes particularly difficult to control.
Treatment requires a strict regimen that typically includes a
carefully calculated diet, planned physical activity, home blood
glucose testing several times a day, and multiple daily insulin
injections.
Treatment of type 2 diabetes: Treatment typically includes diet
control, exercise, home blood glucose testing, and in some cases,
oral medication and/or insulin. Approximately 40% of people with
type 2 diabetes require insulin injections.
Can diabetes be prevented?
A number of studies have shown that regular physical activity can
significantly reduce the risk of developing type 2 diabetes. It also
appears to be associated with obesity. Researchers are making
progress in identifying the exact genetics and "triggers" that
predispose some individuals to develop type 1 diabetes, but
prevention, as well as a cure, remains elusive.
AHA Recommendation
Diabetes is a major risk factor for stroke and is now recognized as a major risk
factor for coronary heart disease, which leads to heart attack. People with diabetes may avoid or delay heart and blood vessel disease by controlling the
other risk factors. It's especially important to control weight and blood cholesterol with a low-saturated-fat, low-cholesterol diet and regular exercise. It's
also important to lower high blood pressure and avoid smoking.
Related AHA publication (s):
Heart and Stroke Facts
Fact Sheet on Heart Attack, Stroke and Risk Factors
Diabetes, Heart Disease and Stroke
An Eating Plan for Healthy Americans... American Heart Association Diet
Scale Down… Managing Your Weight (also in Spanish)
Easy Food Tips for Heart-Healthy Eating (also in Spanish)
Reading Food Labels: A Handbook for People With Diabetes, order from American
Diabetes Association (1-800-232-3472); "How Can I Manage My Weight?" in
Answers By Heart kit (also in Spanish kit)
See also in this
Guide:
Body Composition Tests
Cholesterol
Cholesterol in Children
Cholesterol, Lowering the Levels
Cigarette Smoking and Cardiovascular Diseases
Diabetes Mellitus Statistics
Dietary Guidelines for Healthy American Adults
Dietary Guidelines for Healthy Children
Exercise (Physical Activity)
Heart Attack
High Blood Pressure
Kidneys and Kidney Function
Obesity and Overweight
Obesity and Overweight in Children
Risk Factors and Coronary Heart Disease
Step I and Step II Diets
Stroke
Stroke Risk Factors
Syndrome X
See also in this Web site:
2000 Heart and Stroke Statistical Update
AHA Scientific Statement:
Rationale of the Diet-Heart Statement of the American Heart Association
Dietary Guidelines for Healthy American Adults
Diabetes and Cardiovascular Disease
© 2000 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited.
The information contained in this American Heart Association (AHA) Web site is not a substitute for medical advice or
treatment, and the AHA recommends consultation with your doctor or health care professional.
Here are some items Staats Pharmacy can offer you as your Diabetes Learning Center.
Certified Diabetes Educator
Barbara D. Smith, RPh, CDE, is one of our pharmacists who has been working with persons with diabetes for many years. She became a Certified Diabetes Educator (CDE) in 1995 by fulfilling the eligibility requirements and passing a national certification examination. Barbara is available for consultation on various diabetes-related issues as well as blood glucose monitor training and diabetes self-management training.
Diabetes Self-Management Training
We offer diabetes self-management training to persons with diabetes and their family members/caregivers. Diabetes self-management gives the person with diabetes the tools necessary to better manage their diabetes. Topics covered during the sessions include:
Diabetes Defined
Diabetes – Types and Cause
Blood Glucose (Sugar) Monitoring
Diabetes Medications
Low Blood Sugar Reactions – Cause, Treatment & Prevention
Diabetes Meal Planning
Acute and Chronic Complications
Exercise Guidelines
Foot Care Guidelines
And More . . .
This service is provided by appointment and is covered by many Third Party Insurers with a referral from your doctor. Ask Barbara for more information.
Click here for upcoming classes: FYI
Prescriptions
Entrust us to fill all your and your family’s prescriptions. We offer the following in giving your prescription our utmost care:
Three Registered Pharmacists
Five Registered Pharmacy Technicians
First-quality prescription medications (brand and generic), insulin and syringes
Computerized prescription processing for accuracy and efficiency in filling your prescription
Computerized drug-drug and drug-disease interaction scans
Computerized patient profiles
Prescription counseling service
Prescription information patient leaflet
Computerized prescription purchase summaries
We bill Medicaid, PEIA, Caremark, NPA, Express Scripts and most Third Party Insurers
We bill Medicare, Medicaid and other Third Party Insurers for anti-rejection drugs such as those necessary following kidney transplantation
At present, Medicare does not cover insulin or insulin syringes
Diabetes Supplies and Blood Glucose Monitors
A variety of devices are available to help you manage your diabetes. Blood glucose (sugar) monitoring is a vital method of evaluating the effectiveness of the methods being used to control one’s blood glucose. Meals, exercise and medications are just a few things that affect blood sugar. By checking the blood sugar at home, one can determine–along with their health care provider–what changes, if any, should be made in their treatment regimen.
We carry:
Blood glucose monitors
Blood glucose monitor strips
Lancet devices
Lancets
Blood glucose monitor control solutions
Blood glucose monitor batteries
Blood glucose monitor logbooks
Alcohol / Alcohol Swabs
Sharps disposal boxes (for syringes & lancets)
Syringe magnifiers
Urine ketone test strips
Glucose tablets & gels (for low blood sugar reactions)
Patient education literature & videotapes
We bill Medicaid, Medicare and most major Third Party Insurers direct for diabetes supplies. This means no up-front, out-of-pocket expense and no claim forms to be filled out by you!
A diagnosis of hypoglycemia does not qualify for payment of blood glucose monitoring supplies.
Many Third Party Insurers cover these supplies. Contact us for information concerning your insurance plan’s guidelines.
Diabetes Cookbooks
Come browse our selection of diabetes cookbooks to add variety to your diabetes menu!
Educational Books, Literature & Videotapes
We offer a wide array of educational books, literature and videotapes (some of which are free of charge!) to help you learn more about diabetes.
Specially-formulated Supplements for Persons with Diabetes
Visit our vitamin center for a complete line of vitamins, herbals and dietary supplements to help keep you healthy.