[Diabetes-talk] RTalking Insulin Pump from Pradygee?E: Diabetes-talk Digest, Vol 50, Issue 4

Bonna Williamson bwilliamson at redeemer.net
Thu Sep 8 13:17:54 UTC 2011


Hi everyone:

I went to my doctor  yesterday. I had asked him about the talking Insulin pump that is supposed to be on the market anytime now. He stated that there were some problems of late and that no release date has been set? My Mini Med. Pump is out of warrantee and I am praying that it will continue to work. My husband's just quit and the expense of replacing is pretty tough during these times. So, does any of you have any information. The second question is are they taking any blind individuals for trial purposes? I am so tired of not being able to get the full benefit from my insulin pump. Help is greatly appreciated.
Bonna


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Sent: Wednesday, September 07, 2011 12:00 PM
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Subject: Diabetes-talk Digest, Vol 50, Issue 4

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Today's Topics:

   1. FW: [acb-diabetics] diabetes educators have your	number
      (Mike Freeman)
   2. FW: [acb-diabetics] crippling condition often	misdiagnosed
      (Mike Freeman)


----------------------------------------------------------------------

Message: 1
Date: Tue, 6 Sep 2011 20:48:28 -0700
From: "Mike Freeman" <k7uij at panix.com>
To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org>
Subject: [Diabetes-talk] FW: [acb-diabetics] diabetes educators have
	your	number
Message-ID: <008f01cc6d11$01d80e30$05882a90$@panix.com>
Content-Type: text/plain; charset="us-ascii"

From: acb-diabetics-bounces at acb.org [mailto:acb-diabetics-bounces at acb.org]
On Behalf Of Patricia LaFrance-Wolf
Sent: Tuesday, September 06, 2011 6:47 PM
To: Acb-Diabetics at Acb. Org
Subject: [acb-diabetics] diabetes educators have your number

 


When It Comes to Diabetes, Knowledge Truly Is Power


President, American Association of Diabetes Educators

Donna Tomky, MSN, RN, C-NP, CDE, FAADE
Sep 3, 2011 

When people are diagnosed with diabetes <http://www.diabeteshealth.com/> ,
things can seem pretty overwhelming. In a short time, they have to absorb a
daunting amount of information and start making significant decisions about
the way they live their lives.

For many people, their diabetes diagnosis is the first time they've heard
words like hypoglycemia
<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar
/> , neuropathy
<http://www.diabeteshealth.com/browse/complications-and-care/nerve-care-neur
opathy/> , and microalbuminuria-or even blood glucose. Despite their
unfamiliarity with such terms, they are expected to quickly grasp the
information, change ingrained eating and exercise
<http://www.diabeteshealth.com/browse/fitness/exercise/>  habits, learn how
to monitor blood glucose levels, and remember how and when to take
medications.

Yet another concept with which patients may be unfamiliar is the field of
diabetes education. Many nurses, dietitians, pharmacists, and others are
certified as diabetes educators, with specific training in teaching people
how to manage their condition. Diabetes education is a proven, effective way
to help people avoid some of the serious complications that may arise.

Diabetes is a complex disease that requires daily self-management. Most of
that work takes place outside of the physician's office-in the daily lives
of the patients. So it's necessary for patients to learn healthy behaviors
and make them part of their everyday lifestyle. But how do they do this?

Diabetes educators focus on seven key areas of diabetes self-management,
developed by the American Association of Diabetes Educators and called the
AADE7 Self-Care BehaviorsTM. It's important for patients to understand and
set goals for improvement in each of the following areas:

Healthy Eating - Learning to make healthy food choices by paying attention
to nutritional content and portion sizes
Being Active - Recognizing the importance of physical activity and making a
plan to start moving today
Monitoring - Learning to check, record, and understand blood glucose levels
and other numbers important to diabetes self-care
Taking Medication - Remembering to take medications as prescribed and
understanding how they affect the body and diabetes management
Problem Solving - Gaining skills to identify problems or obstacles to
self-care behaviors and learning how to solve them
Reducing Risks - Understanding the potential complications associated with
diabetes and taking steps to prevent developing them
Healthy Coping - Developing healthy ways of dealing with challenges and
difficult situations related to diabetes

Patients and diabetes educators can work together to create a plan for
approaching these self-care behaviors and implementing them in the patient's
life.

For someone who is newly diagnosed, Medicare and most private insurance
companies cover 10 hours of diabetes self-management training. Every year
after that, patients are entitled to two hours of diabetes self-management
training. AADE recommends that patients ask their doctors for a referral to
a diabetes educator. Diabetes educators can also be found at
www.diabeteseducator.org/find.

  _____  

Categories:American Association of Diabetes Educators (AADE)
<http://www.diabeteshealth.com/browse/community/american-association-of-diab
etes-educators-aade/> , Blood Glucose
<http://www.diabeteshealth.com/browse/complications-and-care/blood-glucose/>
, Diabetes <http://www.diabeteshealth.com/browse/community/diabetes/> ,
Diagnosis <http://www.diabeteshealth.com/browse/health-care/diagnosis/> ,
Glucose
<http://www.diabeteshealth.com/browse/complications-and-care/glucose/> ,
Hypoglycemia
<http://www.diabeteshealth.com/browse/complications-and-care/hypoglycemia/>
, Medications <http://www.diabeteshealth.com/browse/medications/> ,
Monitoring <http://www.diabeteshealth.com/browse/monitoring/> , Nerve Care
(Neuropathy)
<http://www.diabeteshealth.com/browse/complications-and-care/nerve-care-neur
opathy/> 

  _____  

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<https://www.diabeteshealth.com/read/2009/02/10/6087/you-can-help-support-di
abetes-health/> Description: Donate to Diabetes Health

 

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Message: 2
Date: Tue, 6 Sep 2011 20:49:08 -0700
From: "Mike Freeman" <k7uij at panix.com>
To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org>
Subject: [Diabetes-talk] FW: [acb-diabetics] crippling condition often
	misdiagnosed
Message-ID: <009601cc6d11$19891e70$4c9b5b50$@panix.com>
Content-Type: text/plain; charset="us-ascii"

From: acb-diabetics-bounces at acb.org [mailto:acb-diabetics-bounces at acb.org]
On Behalf Of Patricia LaFrance-Wolf
Sent: Tuesday, September 06, 2011 6:29 PM
To: Acb-Diabetics at Acb. Org
Subject: [acb-diabetics] crippling condition often misdiagnosed

 

 


Crippling Condition Associated with Diabetes Often Misdiagnosed and
Misunderstood


1-Sep-2011

Robert Winkler says he limped around on his painful left foot for six
months, suffering unnecessarily from a misdiagnosis by a physician who
didn't know about the symptoms and treatments for Charcot foot, a form of
localized osteoporosis linked to diabetes that causes the bones to soften
and break, often resulting in amputation.

When his primary care physician finally agreed to Mr. Winkler's request for
an x-ray, they discovered the metatarsal bones in Mr. Winkler's left foot
were all broken-a common symptom of this serious and potentially
limb-threatening lower-extremity complication.

A new article in the September issue of the journal, Diabetes Care,
describes Charcot foot and its treatment with a goal of educating medical
professionals about this painful inflammation of the foot. The article is
the product of an international task force of experts convened by the
American Diabetes Association and the American Podiatric Medical Association
in January to summarize available evidence on the pathophysiology, natural
history, presentations and treatment recommendations for Charcot foot
syndrome.

"Even though it was first described in 1883, the diagnosis and successful
treatment of Charcot foot continue to be a challenge because this syndrome
is not widely known or understood by the broader medical profession," said
Lee C. Rogers, D.P.M., co-director of the Amputation Prevention Center at
Valley Presbyterian Hospital in Van Nuys, CA, and lead author of the
Diabetes Care article. "Charcot foot is now considered to be an inflammatory
syndrome most often seen in patients with diabetes which can be successfully
treated in its early stages."

The article describes Charcot foot as a condition affecting the bones,
joints and soft tissues of the foot and ankle, which is characterized by
inflammation in the earliest phase and is associated with diabetes and
neuropathy. The report finds offloading, or removing weight from the foot,
is the most important initial treatment recommendation. Surgery can be
helpful in early stages involving acute fractures of the foot or ankle or in
later stages when offloading is ineffective, according to the article.

In Mr. Winkler's case, he was first diagnosed with Charcot foot in 2004 and
had already undergone one surgery that relieved the problem for several
years. By 2010, though, he was facing the potential amputation of the foot
because of complications associated with Charcot foot syndrome.

His podiatrist referred him to Dr. Rogers at Valley Presbyterian Hospital's
Amputation Prevention Center, an integrated limb salvage center that is one
of only a handful in the nation. Since its December 2009 opening, the
Amputation Prevention Center's specialized multidisciplinary team of highly
skilled professionals has treated patients from all over the country and
around the world with leading-edge technology, achieving a limb salvage rate
of 96 percent.

George Andros, M.D., the Center's Medical Director, performed vascular
surgery to restore circulation to Mr. Winkler's left foot so that it would
heal. Then, Dr. Rogers performed surgery to rebuild the bones in Mr.
Winkler's foot. Dr. Rogers also implanted a bone stimulator that acts like a
pacemaker for bones which encourages Mr. Winkler's body to rebuild and fuse
the broken bones in his left foot. As a result, Mr. Winkler is expected to
be able to recover the use of his left foot.

"I'm very pleased because I had gone to another doctor and he wanted to
amputate my foot," Mr. Winkler said. "When I found Dr. Rogers and Valley
Presbyterian Hospital's Amputation Prevention Center, it's like I found a
blessing and an angel in disguise. I have tears running down my face as I
describe to you how I will be able to get up out of my chair and walk
because of the care I received at Valley Presbyterian Hospital. All the
people there are superb. They treat me like a king."

Source: Valley Presbyterian Hospital

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