Nasal Glucagon Approved – Time to Breathe a Sigh of Relief
The FDA just approved Baqsimi, a nasal glucagon powder to treat severe hypoglycemia in people with diabetes ages four and older. This first non-injectable form of glucagon should be available by the end of August. The U.S. list price for a Baqsimi one-pack is $280.80 and for a two-pack is $561.60.* This priceing is comparable to injected glucagon.
For people with diabetes and their loved ones, witnessing and treating severe hypoglycemia is scary. This new nasal treatment offers a fast and effective intervention for people at risk for severe hypoglycemia.
“This new way to administer glucagon may simplify the process, which can be critical during an episode, especially since the patient may have lost consciousness or may be having a seizure. In those situations, we want the process to treat the suffering person to be as simple as possible.”
said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research.
The safety and efficacy of Baqsimi was evaluated in three studies; two with adults and one with pediatrics over the age of four with type 1 diabetes. The participant’s glucose levels increased sufficiently after the powdered glucagon was nasally administered.
Baqsimi comes in a single-use dispenser and does not need to be inhaled, which means it can be effectively administered to a person who is unconscious due to severe hypoglycemia.
Precautions
Baqsimi is not indicated in people with pheochromocytoma, a rare tumor of adrenal gland tissue, or by patients who have insulinoma, a tumor of the pancreas.
Baqsimi also carries a warning that it should be used with caution by those who have been fasting for long periods, have adrenal insufficiency or have chronic hypoglycemia because these conditions result in low levels of releasable glucose in the liver.
The most common adverse reactions associated with Baqsimi are nausea, vomiting, headache, upper respiratory tract irritation, watery eyes, redness of eyes and itchiness. Side effects of Baqsimi are similar to injectable glucagon, with the addition of nasal and eye-related symptoms, such as watery eyes and nasal congestion, because of the way the drug is administered.
*Eligible commercially insured people with diabetes can pay $25 for up to two BAQSIMI devices (1 two-pack or 2 one-packs) with a savings card. This prescription is generally filled on an annual basis. Lilly may also be able to help people who don’t have commercial insurance coverage. Interested persons and healthcare professionals with questions about BAQSIMI can visit www.BAQSIMI.com or call The Lilly Answers Center at 1-800-LillyRx (1-800-545-5979).
More info on Baqsimi approval at FDA Website – Click here
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Free Resource Friday | Preparing for the CDCES Exam Webinar
Join us live with your questions on August 2, 2019 @ 11:30 a.m. PST!
Coach Beverly offers this FREE webinar to help get you prepare for the CDCES Exam. All her tips and tricks are meant to ease your mind and reflect the updates to the CDCES content outline. Register below with a name and email and you can join us live next Friday!
Topics covered include:
- Changes in requirements for 2019
- Exam eligibility and test format
- Strategies to succeed
- Review of study tips and test taking tactics.
We will review sample test questions and the reasoning behind choosing the right answers.
After registering, you will receive a confirmation email containing information about joining the webinar.
Intended Audience: This FREE webinar is designed for individual or groups of diabetes educators, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants and other health care providers interested in achieving excellence in diabetes care and becoming Certified Diabetes Care and Education Specialists®.
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 6 times. She is a nationally recognized diabetes expert for over 25 years.
See our Preparing for CDCES Resource Page >>
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Mindful Monday | Morning exercise, short breaks from sitting lower high blood pressure
An Australian study was published linking morning exercise and short walking breaks throughout the day to blood pressure control.
Society today calls for an increase in sitting for longer periods of time. Prolonged sitting can lead to higher blood pressure and increased blood pressure can lead to cardiovascular disease.
Australian scientists believe adding three-minute walking breaks throughout the day can help regulate blood pressure. Although it is known that exercise and short breaks can help lower blood pressure, scientists studied the benefits of combining the two.
“They recruited 67 men and women who were between 60 and 74 years old and overweight or obese. About 4 in 10 participants also had high blood pressure. Every participant completed three different day-long tests in random order, each separated by a minimum of six days. Researchers measured heart rate, blood pressure, blood sugar, and other blood markers during each test condition. “
During one test, participants sat for 8 hours straight and another they sat for an hour then walked for 30 minutes then went back to sitting for 6.5 hours. However, the last test participants sat for an hour then walked for 30 minutes, then sat back down but got up every 30 minutes for a 3-minute walking break.
The participants showed lower blood pressure throughout the day if any exercise was involved. “The biggest reduction was seen when people did the 30-minute treadmill exercise in the morning and took 3-minute walking breaks throughout the day – although the additional benefit of the walking breaks was seen only among women.”
Scientists were surprised that only women showed the benefits of lower blood pressure through the short 3 minute walking breaks. This finding leads researchers to believe there is a difference in blood pressure response and it could be affected by gender and epinephrine levels.
“We recognize that exercise is good, and we now have the awareness that prolonged sitting can increase blood pressure,” Bhammar told Reuters Health in a phone interview. “Now we need to build breaks into our routines as a default so we’re not sitting for four hours at a time.”
To learn more – Morning exercise, short breaks from sitting lower high blood pressure – Reuters
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Free Resource Friday | Mindfulness & Compassion for Diabetes Educators
Join Heather Nielsen, MA, LPC, CHWC in this free webinar, as she walks you through hands-on strategies to incorporate mindfulness and compassion into our daily lives and professional practice.
This insightful webinar helps show how mindfulness and compassion can positively affect personal and professional relationships.
You can find additional resources and further reading on her webinar here.
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One in five deaths worldwide linked to unhealthy diet
In 2017, a study found that 11 million deaths worldwide were linked to poor diet. The research demonstrated that too much sugar, salt, and processed meats can contribute to diabetes, cancer and cardiovascular disease.
Although there is still debate on the “ideal diet” a recent study recommended people double their intake of fruits, vegetables, and legumes and halve their intake of meat and sugar.
The study reviewed the diets of over 195 countries. “Consumption of healthier foods such as nuts and seeds, milk and whole grains was on average too low, and people consumed too many sugary drinks and too much processed meat and salt. This led to one in five deaths in 2017 being linked to unhealthy diets. “
A study from The Global Burden of Disease, from 1990 to 2017 found that an unhealthy diet was responsible for more deaths than any other health factor worldwide.
“The study found people ate only 12 percent of the recommended amount of nuts and seeds – an average intake of 3 grams a day, compared with the recommended 21 g – and drank more than 10 times the recommended amount of sugary drinks. Diets high in sugar, salt and bad fats are known risk factors for heart disease, stroke, diabetes and many types of cancer.”
The global diet also lacked in consumption of whole grains and doubled the recommended intake of processed meats.
As health care professionals we want to promote a healthy lifestyle and help encourage our community whenever we can. We have created a Plant-Based Eating Resource page and the “Joy of Six” sugar campaign to provide resources for healthy eating. We also invite you to join our Diabetes Education Course September 4-6, 2019, where nutrition expert Dana Armstrong discusses the importance of improving global and individual through diet.
The Joy of Six Campaign Materials
Diabetes Education Course September 4-6, 2019,
To learn more: One in five deaths worldwide linked to unhealthy diet – Reuters
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App for Remotely Managing Hypertension Effective in Type 2
A new study shows a positive outcome for people with type 2 diabetes and utilizing a smartphone application to monitor blood pressure.
The study gave a Bluetooth-connected blood pressure monitoring device to 276 people with elevated BP for 6 weeks. After the device read their BP, the participants were sent their results along with helpful tips, and a reminder to take their medications.
During the study, there was also education provided to all participants with a goal to help lower BP ratings.
“Participants who had the highest blood pressure at baseline were the most likely in multivariable modeling to see reductions in both systolic and diastolic pressure by the end of the study.”
Researchers believe that using the app helped participants not only become more aware of their blood pressure regulation, but also fostered positive medication adherence and lifestyle changes.
To learn more: Smartphone App for Remotely Managing Hypertension Effective in Type 2 – Endocrinology Advisor
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Is Weight Stigma a Barrier to Effective Education? | July Newsletter
July Newsletter Now Available!
Most of us aren’t even aware that weight bias is embedded in our everyday medical language, in scientific papers, and in our client interactions. But with awareness, we start hearing and seeing this bias all around us and realize that change is needed.
In our July Newsletter, we explore weight bias language and provide some examples and fixes. Plus, we invite you to apply for our diabetes education scholarship and highlight the approval for a GLP-1 RA for pediatrics with type 2 diabetes.
July Newsletter Topics
- What is weight bias and how do we fix it.
- You are invited to apply for our Diabetes Educator Course Scholarship in San Diego, CA – Deadline July 22, 2019.
- Approval for a GLP-1RA for pediatrics with type 2 diabetes.
- Digital PocketCards Updated.
- Bring a Friend – $80 discount on the Diabetes Educator Course.
Click here to read our newsletter
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How to Avoid Stigmatizing Kids with Obesity
Sensitive and appropriate language is a real struggle for health care providers when trying to tackle the topic of weight. National Public Radio (NPR) published an article on How Doctors Can Stop Stigmatizing and Start Helping Kids with Obesity, which recognized that many primary care providers may feel awkward in the limited window of time they have to sensitively and effectively find healthy solutions for those struggling with excess weight.
With this struggle, it makes sense that an American Diabetes Association (ADA) study has found many providers, accidentally or otherwise, show weight bias. See, Overcoming Weight Bias in the Management of Patients with Diabetes and Obesity.
The same study explains that weight bias can manifest as an attitude that “patients with obesity are lazy, lack self-control and willpower, personally to blame for their weight, noncompliant with treatment, and deserving targets of derogatory humor.” This is why, NPR explains, “the American Medical Association passed a resolution in 2017 designed to teach health care providers to use ‘people-first language.” Some examples are to avoid the words overweight, obese, or extremely obese and instead use phrases like excess weight or elevated body mass index. And instead of saying “obese patient”, use terms like person with obesity, person with elevated BMI or person with excess weight.
Eliminating weight bias from our written and spoken language is challenging. It requires honest reflection and an open mind. Our whole team at Diabetes Education Services is dedicated to using person centered language. Yet, we are still learning and working on transitioning all of our content to be respectful and free of weight bias.
Language matters and health care professionals are in such an important position to effect change in people’s lives. For more tips on how you can change how you talk about diabetes and weight, see our webinar on Language & Diabetes.
Evaluate your Weight Bias –Harvard’s Project Implicit
Project Implicit is a non-profit organization that provides international collaboration between researchers interested in implicit social cognition – the thoughts and feelings outside of conscious awareness and control. The goal of the organization is to educate the public about hidden biases and to provide a “virtual laboratory” for collecting data on the Internet.
For more information on weight bias and stigma, read our July Newsletter.
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