3/14/2014. Objectives. What s New in Diabetes Care. Insulin. FlexTouch Pen (novo nordisk) Insulin Pen
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1 Objectives What s New in Diabetes Care Expose you to new products designed to help you manage your diabetes Products mentioned were highlighted in Diabetes Forecast January 2014 issue Stacie Petersen, RN, CDE Insulin Hormone body naturally produces Released in response to sugar Unlocks cells so that sugar can enter Thus lowers blood sugar levels in blood stream Must be injected (cannot take in pill format) Insulin Pen FlexTouch Pen (novo nordisk) Device designed to deliver insulin Different companies have different pen designs Available since 1985 FlexTouch pen Designed for limited dexterity and strength Large doses of insulin Spring loaded mechanism Push button does not extend Easier to depress Released in 2014 FlexPen Push button extends Difficult if larger dose 1
2 NovoLog FlexTouch Pen NovoLog FlexPen NovoPen Echo (novo nordisk) Available outside of United States (U.S.) Released in the U.S. January 21, 2014 Records the time and dose Allows injections in half unit increments 0.5 units to 30 units Reusable-uses Penfill cartridges Available in red or blue Has skins to give it changeable options Designed to target children or adults on low doses of insulin Insulin Pump Portable device for people with diabetes that injects insulin at programmed intervals in order to regulate blood sugar levels Designed for both type 1 and type 2 diabetes In use since 1970 s (Medtronic) MiniMed 530G with Threshold Suspend Insulin Pump Patients wear a sensor and the pump Sensor records blood sugars every 5 minutes Program the pump with preset level between 60 to 90 Shuts off if blood sugar goes below this level Helps avoid nighttime low blood sugars Shuts itself off for up to 2 hours Must wear a sensor Released fall of
3 Injecting Insulin Insulin is injected in subcutaneous "fatty tissue Sites include stomach, arms, legs, and buttocks Insulin must be given in a new site each time If insulin is injected in the same site, lipohypertrophy (fatty deposit under the skin) can develop which can cause varied absorption Avoid moles and scars, stay 2 inches from the belly button Tartoos Temporary tattoos that aide with insulin being injected in different areas Place tartoos on the injection area Wet with cloth and pull away paper backing Remove tartoo with antiseptic wipe before injecting Available at myvisual.com for $9.95 per sheet of 20 Mobile Prescription Therapy BlueStar by WellDoc Not a medicine but requires a prescription Approved by Food and Drug Administration (FDA) Billed through pharmacy benefit Delivers customized self-management support 24 hours a day to various mobile and internet-abled devices People with type 2 diabetes Responds to data you put in Information sent to provider and can make changes in medications (if needed) Face to face training required before using Available in Maryland 3
4 Virtual Diabetes Management Software programs designed to aide people with managing their diabetes Available in different formats Free or for a cost Virtual Diabetes Management Formats Online Data Management Web-based allows data to be uploaded to a computer Some allow data transmission to their health care providers Computer Based Management Software programs work on most home computers Downloaded or have a CD Transfer data from meters/pumps and run reports/graphs Mobile Management Diabetes-related applications (apps) for smartphones, ipads, or ipod touch Track/record data about meals, glucose levels, activity, insulin, etc. Sample Programs/Applications Online Data Management Telcare--$ DiabtEASE-FREE Cornerstones4Care FREE Computer-based Management OneTouch diabetes management software--$29.99 ezmanager Max FREE with pump CoPilot Health Management system--$29.95 Mobile Management WaveSense Diabetes Manager--FREE Glucose Buddy--FREE irecordit--$5.99 Track3--$79.99 How do I decide? Number of software applications is growing What is right for you? Try out software that comes with your product If it works great! If not, consider Features you want/need Use on home computer, smartphone, or internet Cost Resource: Diabetes Self-Management March/April 2012 What does the future hold? 4
5 PaQ Patch Pump (CeQur) 3 day insulin delivery device Disposable patch Only for people with type 2 diabetes No tubing No battery Dispenses set rate of insulin Bolus for meals/food Holds up to 330 units of insulin with 7 preset rates Available in Europe beginning in 2014 Dario Diabetes Management System Pocket-sized gadget Built-in lancing device Pull-out compartment that holds 25 test strips Small piece detaches from meter and connects to smartphone headphone jack Dario app tracks carbohydrates, exercise, insulin, able to export data Expected to be available in Europe in early
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