Diabetes care

According to 2020 CDC Report, 34.2 million people of all ages or 10.5% of the US population had diabetes.

Always follow the ‘4 Ms’ for diabetes self monitoring goals.

  • Medication. Discuss any issues with adherence or side effects.
  • Monitoring. Review the patient’s blood sugar log to identify patterns. Talk about figures being “above target” or “below target,” instead of saying, for example, that their blood sugar is “high.”
  • Meals. Review the patient’s food diary and discuss any changes needed in calories or carbohydrates.
  • Movement. Recognize the patient’s efforts to increase physical activity.

With such a high percentage of individuals affected by diabetes, Forney Pharmacy offers dedicated services to streamline diabetic care and maintenance. We offer a complete line of products including:

  • Blood and glucose meters
  • Test strips
  • Injection supplies
  • Insulin

Recommendations From The Pharmacist:

  1. Encourage early screening. Of the 34.2 million people with diabetes, 1 in 4 don’t know they have the disease. Of the 86 million people with prediabetes, 90% don’t realize they have it. If in the prediabetes state, they may be able to bring their blood glucose levels under control with lifestyle, diet and medication.
  2. Individualize A1C goals. Although American Diabetes Association (ADA) guidelines recommend an A1C level of 7 or less for most people, setting realistic goals requires taking into account multiple factors, including the patient’s motivation, risks for hypoglycemia and other complications. In choosing recommendations for medications, multiple factors also come into play, including efficacy, cost and potential side effects.
  3. Discuss lifestyle changes. Talk with patients about their optimal weight. Keeping a daily food and activity diary can help them track their progress. Explain a new recommendation from the ADA about not sitting for more than 90 minutes, and encourage them to get 150 minutes of activity a week.
  4. Recommend resources. Be ready to recommend other resources, such as a senior center with activities where they may feel more comfortable exercising than a gym, a place where they can have a sleep study performed, and a behavioral health team if they may feel depressed. Since smoking increases the risk of diabetes by 30%, offer customers smoking cessation counseling and support or refer as needed. Offer recommendations for how they can break the triggers for their smoking and develop heathy habits.
  5. Check vaccinations. Check that a patient’s immunizations are up to date, including the pneumonia, shingles and hepatitis B vaccines.
  6. Watch for depression. Depression is also a complication with diabetes. Ask these two simple questions to signal whether to refer patients to their primary providers or a mental health professional: “Over the last two weeks, have you felt down, depressed or hopeless?” and “Over the last two weeks, have you felt little pleasure in doing things?”
  7. Improve testing. Often patients test their blood at the same time every day, which doesn’t give a complete picture of their glucose control. Over a month, Laciak recommends testing at a different time each week: morning, two hours after lunch, right before dinner, and at bedtime. That gives a more complete picture without the patient paying for extra test strips.
  8. Follow up in your workflow. MTM and med sync both offer time to talk with patients regularly about their diabetes. “Med sync triggers them to come in and see me every month, even if only for five minutes,” Laciak said. With med sync, for example, it’s easy for a pharmacist to recognize if a patient isn’t using a medication. The pharmacist can discover what the problem is and help to resolve it. During a comprehensive medication review (CMR), pharmacists can identify, resolve and prevent medication-related problems, including untreated conditions, improper drug selection and adverse drug reactions.

Some of the Key findings of the report include:

  • 34.2 million Americans—just over 1 in 10—have diabetes.
  • 88 million American adults—approximately 1 in 3—have prediabetes.
  • New diabetes cases were higher among non-Hispanic blacks and people of Hispanic origin than non-Hispanic Asians and non-Hispanic whites.
  • For adults diagnosed with diabetes:
    • New cases significantly decreased from 2008 through 2018.
    • The percentage of existing cases was highest among American Indians/Alaska Natives.
    • 15% were smokers, 89% were overweight, and 38% were physically inactive.
    • 37% had chronic kidney disease (stages 1 through 4); and fewer than 25% with moderate to severe chronic kidney disease (stage 3 or 4) were aware of their condition.
  • New diagnosed cases of type 1 and type 2 diabetes have significantly increased among US youth.
  • For ages 10 to 19 years, incidence of type 2 diabetes remained stable among non-Hispanic whites and increased for all others, especially non-Hispanic blacks.
  • The percentage of adults with prediabetes who were aware they had the condition doubled between 2005 and 2016, but most continue to be unaware.

Click Here to Read that report:

We promised to take care… and delivered

Check with our Pharmacist for more information.