The Doctor Is In: Diabetes

Content sponsored and provided by Henry Ford Health System.
On Wednesday, join Deena Centofanti and experts from Henry Ford Hospital as they discuss Henry Ford Hospital's upcoming trial of the new high tech Bionic Insulin Pump.  They will also discuss diet and traveling with diabetes during the holidays.
November is American Diabetes Month.  About 760,000 people in Michigan (10% of the population) have been diagnosed with diabetes; another 250,000 go undiagnosed.  Since 2001, the prevalence of diabetes has risen by 40%  among Michigan adults.
Diabetes occurs when your blood sugar (blood glucose) is too high.  Blood glucose is the main type of sugar found in your blood and your main source of energy.  This is due to the body either not making enough insulin or not being able to respond to insulin, the hormone that helps the body to properly use sugar. Diabetes remains the 7th leading cause of death in the U.S. 
Shiri Levy, M.D.
Endocrinologist, Henry Ford Hospital
Davida F. Kruger, MSN, APN-BC,BC-ADM
Certified Nurse Practitioner Specializing in Diabetes, Henry Ford Hospital
Diabetes and Diet
A healthy diet helps improve blood glucose, blood pressure, cholesterol and keeps weight in check for people with diabetes.  
A registered dietitian can help make a personalized eating plan that takes into account your weight, medicines, lifestyle and other health problems.
People with diabetes have to take extra care to make sure that their food is balanced with insulin and oral medications, and exercise to help manage their blood glucose levels. 
Healthy eating includes eating a wide variety of foods including: vegetables, whole grains, fruits, non-fat dairy products, beans, lean meats, poultry and fish.
Holiday Travel with Diabetes
The key for traveling with diabetes is to be prepared and plan ahead. 
For air travel, always carry-on all of you medications (keep all medications and supplies with you, and make sure everything is labeled); never pack anything in a suitcase that you will need to care for your diabetes. 
Keep copies of all prescriptions with you and, if traveling within the U.S., get prescriptions from a chain pharmacy so you can fill them anywhere. Be sure to keep medications at the recommended temperature. 
Even if it's an overnight trip, always bring extra supplies and medication with you.
If you need changes in your medication or travel letters, schedule an appointment at least 2- 4 weeks before your trip. 
Be ready for low blood sugar and bring food with you. Consider bringing glucose tablets with you and make sure you stay well hydrated.
Keep a pair of comfortable shoes with you at all times; never bring new shoes on a trip. And, wear shoes for all water activities.
If you're traveling to a different time zone, be sure to adjust the timing of your medications accordingly.
Experts also suggest wearing a medic alert ID stating that you have diabetes.
Advanced Treatment Options
Henry Ford's diabetes team carries the largest experience in Michigan in the use of insulin pumps, following more than 500 patients.
Insulin pumps: Small computerized devices that deliver insulin in either a steady measured and continuous dose, or as surge dose, at your direction, around mealtime.
Insulin pens: insulin dose is dialed on the pen, and the insulin is injected through a needle, much like using a syringe.
Glucose meters and continuous glucose monitoring devices, which automatically measure blood sugar levels more than 250 times each day.
All of these advancements help patients to improve diabetes management and blood glucose control.
Bionic Insulin Pump
The Bionic Pump is a new device that uses a smart phone, a continuous blood sugar (glucose) monitor and pumps to automatically deliver the correct quantity of hormones directly into the bloodstream.
How it works: A smartphone receives blood sugar level readings every 5 minutes from a continuous glucose monitor worn on the abdomen. If blood sugar levels are too high, the smartphone signals a pump that gives a dose of insulin, and if blood sugar levels are too low, a signal is sent to a pump that gives a dose of glucagon. 
The bionic pump is designed to mimic what usually happens in the body of someone who does not have diabetes.
Although the separate components of the device have been available for some time, this is the first time they have been made to work with an automated system and trailed in a 'real world' environment.
In 2016, Henry Ford will trial the new device and recently met with the inventors of the "bionic pump." 
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