Is Diabetes Care The Only Way For Survival

Diabetes care or what is commonly known as diabetes management, is one important aspect that needs to be taken seriously since it is through doing this that a diabetic patient can survive for long without major complications. To achieve it, the patient needs to have the right kind  of attitude needed to oversee the whole process. This is why a clear understanding of diabetes is required since it will help build a proactive attitude in the patient towards its proper management. For this reason, knowing that diabetes is a health problem that allows your glucose levels in the blood to either drop or rise above the required levels, may actually help you manage your diabetes successfully.

Once diagnosed with diabetes, an appropriate diabetes care needs to be undertaken. This care may include; constantly visiting your doctor for checkups, changing your diet, engaging yourself in exercises, reducing alcohol consumption, taking appropriate medication, sticking to the prescribed course of treatment among many other forms of management.When all this is done, it will always be hard for the diabetes condition to get out of hand and cause you serious problems.  

By constantly visiting your doctor for checkups, you will be able to always know what amount of sugar level is present in your blood. Having this knowledge, is something that will help you decide the next step of action to take depending on the results. In case your blood sugar level needs to be taken up or brought down, then the doctor will be in a better position to advise you on what to do once this check up has been undertaken.

Changes in food diets being part of the changes taken to manage diabetes, often works depending on the type of diabetes you are suffering from. For cases of diabetes insipidus (low blood sugar levels), food and drinks containing a lot of sugar are usually recommended by the doctors. These may include chocolates, candy, tea full of sugar and so on. However, in instances where you are suffering from diabetes mellitus (high blood sugar level), food and drinks that are very low or do not contain sugar at all, are the ones that doctors may recommend you to take.

Exercising is another way of diabetes care which involves making the body do some activities that make it burn some of the excess calories and fat. By doing this, you help the body reduce the resistance that insulin (a hormone that allows glucose to enter the body cells so that it can be used for energy production) faces when trying to act on the glucose brought in after eating food. Another way that exercises acts as a form of diabetes management is making the rate of blood flow increase. When exercising, blood seems to flow at high speeds. For this reason, it is able to reach its destination points faster, something that also help glucose present in it reach the body cells faster and be utilized at the same rate hence reducing its content present in the blood.

Another way of diabetes care is by taking medication that is appropriate for your diabetes condition. This way, you will be managing the disease by treating it either through the use of oral medicines or through the use of insulin injections. However, this form of diabetes care needs to be done in accordance with the doctor’s instructions in order to achieve needed results and avoid being subjected to unnecessary side effects that can be brought by the medicine.

Wangeci Kinyanjui is an expert on research and reporting on Health Matters for years.To get more information on diabetes care visit her site at DIABETES CARE



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What About A Diet For Diabetic Patient Management That Really Works?

One of the best things about kind II diabetes is that it can be controlled by diet. Nevertheless this is often also one of the worst things, and the overall initially set of a a diet for diabetic patient management mostly becomes a source of friction between the diabetic and the doctor. The difficulty arises, is there a diet for diabetic patient management which truly works as well as one that is acceptable to each doctor and patient.

Establishing the ideal diet for diabetic patient care is commonly a balancing act for the doctor. Most doctors recognise the role that diet plays in diabetes management, and in order that they require to limit the intake of probably harmful food for their patient. Then again, the complete elimination number of here substances is most often met together with a terrific deal of opposition from the diabetics themselves.

Diabetics argue which, as well as controlling their disease, they likewise require to get several room for joy, and they actually have several validity in this! The ideal diet for diabetic management is one that the patient can comply with plus stick to, plus thus so as to have such a diet doctors require to work with the patients and impart dietary restrictions that the patient feels they will be able to handle.

Thus, the extremely best diet for diabetic management is ultimately going to be the 1 that’s adhered to, and given the amount of resistance a good amount of patients have to the complete elimination of everything that they hold dear in the simplest way of food, a degree of compromise is desired to get a Diet For Diabetic Patient management which actually works.

The huge word at each one for doctor-patient relationships is the word “moderation”. It is that a a lot easier job, plus a way more cheap request, to ask yourself your diabetic patient to moderate their intake of gear, rather than totally eliminate them. 1 of the the majority of complex areas shall during this regard has to carry out with the consumption of alcohol. Countless diabetic patients get pleasure from alcohol, and though the doctor may be tempted to absolutely eliminate alcohol from the diet, there mostly is areas of compromise can be reached, depending on the severity of the diabetes. A diabetic patient can be inspired will eliminate spirits plus entire strength beer, but still be allowed to get a glass of wine with their friends. Nonetheless, the patient needs to be devoted in their commitment as well!

There is little doubt that the best management is the one that may be adhered to by the patient! Even as an elimination diet can be preferable to the doctor, a strict diet which is completely ignored is completely useless during the treatment of this disease. Thus cooperation between the doctor and the final diabetic patient is necessary to establish a diet for diabetic patient care that really works, achieving genuine lifestyle changes while still permitting the patient some scope to get pleasure from the finer things in life.

The Best Diet for Diabetic Patient Management?

Diabetes does not have to be the damaging, debilitating disease most folk consider it is. You can learn to respect your health, live a tedious and prosperous life plus do it each one the natural way. For numerous FREE info and a ton of answers, check out Diet For Diabetic Patient



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11th Triennial Conference Of Pacific Women

11th Triennial Conference Of Pacific Women
There needs to be a bold new approach to women’s health in the Pacific to tackle persistent problems of violence against women, poor maternal health and high rates of obesity and cancer, the Conference of Pacific Women in Noumea heard.

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Healthcare Apps for Your Smart Phone

Healthcare Apps for Your Smart Phone
With thousands of apps to choose from on such topics as exercise, stress management, diet and medical reference, trustworthiness is at a premium. “Is there an app for that?” When it comes to consumer healthcare applications for smart phones, the answer, increasingly, is yes.

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The Future Of The Diabetes Care Devices Market To 2016 – The Key Demand Drivers Remain Intact

GBI Research’s new report, “The Future of the Diabetes Care Devices Market to 2016 – The Key Demand Drivers Remain Intact” provides key data, information and analysis on the global diabetes care devices market, a key segment within the medical equipment industry. This medical device report provides market landscape, competitive landscape and market trends information on two diabetes care devices market categories – glucose monitoring and insulin delivery. The report provides comprehensive information on the key trends affecting these categories, and key analytical content on the market dynamics. The report also reviews the competitive landscape, key pipeline products and technology offerings. This report is built using data and information sourced from proprietary databases, primary and secondary research and in-house analysis by GBI Research’s team of industry experts.

Scope
• Key geographies including the US (United States), Canada, the UK (United Kingdom), Germany, France, Italy, Spain, Japan, China, India, Australia and Brazil.
• Global Market size and company share data for three diabetes care devices market categories – glucose monitoring and insulin delivery.
• Annualized market revenues data from 2002 to 2009, forecast forward for 7 years to 2016. Company shares data for 2008.
• Qualitative analysis of key market trends, market drivers and restraints by categories and segments.
• Competitive landscape and key company profiles. Key players covered include Roche, LifeScan, Bayer, Abbott, Becton, Dickinson, Medtronic, Novo Nordisk, Sanofi-Aventis, Eli Lilly, ARKRAY, Terumo, Animas and Smiths Medical.
• Key in-pipeline products and technologies expected to hit the global diabetes care devices market in the near future.

Reasons to buy
• Develop business strategies by understanding the trends and developments that are driving the diabetes care devices market globally.
• Design and develop your product development, marketing and sales strategies.
• Exploit M&A opportunities by identifying market players with the most innovative pipeline.
• Develop market-entry and market expansion strategies.
• Identify key players best positioned to take advantage of the emerging market opportunities.
• Exploit in-licensing and out-licensing opportunities by identifying products, most likely to ensure a robust return.
• What’s the next big thing in the diabetes care devices market landscape? – Identify, understand and capitalize.
• Make more informed business decisions from the insightful and in-depth analysis of the diabetes care devices market and the factors shaping it.

1 Table of Contents

1.1 List of Tables 7
1.2 List of Figures 9

2 Introduction and Overview 11
2.1 Type 1 Diabetes 11
2.2 Type 2 Diabetes 11
2.3 Diabetes Accentuating Cardiovascular Disease 11
2.3.1 Atherosclerosis 11
2.3.2 Diabetic Cardiomyopathy 11
2.3.3 Stroke 11
2.3.4 Renal Disease 12
2.4 Diabetes a Burden on Healthcare Spending 12
2.5 Prevalence and Incidence of Diabetes 12
2.5.1 Global 12
2.5.2 Diabetes Prevalence in Developing Nations 13

3 Diabetes Care Devices Market: Market Characterization 14
3.1 Global Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 14
3.2 Global Diabetes Care Devices Market, Revenue Forecasts ($m), 2009 – 2016 15
3.3 Diabetes Care Devices, Key Market Trends 15
3.3.1 Home Healthcare Driving Growth in the Diabetes Care Devices Market 15
3.3.2 Brand Loyalty in Diabetes Care Devices: Hard To Achieve 16
3.3.3 Reimbursement Issues Restraining the Market 16
3.3.4 Drug Stores to Remain the Major Distribution Channels 16
3.4 Diabetes Care Devices: Technological Trends 17
3.4.1 Enhancing Life 17
3.4.2 Continuous Glucose Monitoring (CGM) 18
3.4.3 Disposable Insulin Pumps 18
3.4.4 Pain Free Monitoring Devices Will Drive Future Growth in the Diabetes Care Device Market 20
3.4.5 Increasing Demand for Pain Free Insulin Delivery Devices 21
3.4.6 Remote Monitoring: Increasing Diabetic Compliance 21
3.5 Diabetes Care Devices, Market Drivers 22
3.5.1 New Technologies to Boost Sales 22
3.5.2 Increasing Prevalence of Diabetes to Boost Sales 23
3.5.3 The Increasing Ageing Population of the World to Increase Patient Population 25
3.5.4 Introduction of New Generation Devices to Drive the Glucose Monitoring Market 25
3.5.5 Increase in Awareness of Better Diabetes Management 26
3.5.6 Lifestyle Changes Bringing About the Increase in Disease Prevalence 26
3.5.7 Product Innovation to Increase Acceptance 26
3.6 Restraints 26
3.6.1 Lack of Affordability and Awareness in Developing Nations 26
3.6.2 Lack of Reimbursement for New Technologies 26
3.6.3 Low diagnosis rate 26
3.6.4 Low Patient Compliance 27
3.6.5 Overall Cost Is a Restraint for Insulin Pens And Pumps 27
3.6.6 Other Factors Restraining the Diabetes Care Devices Market 27
3.6.7 Low Market Penetration Affecting Growth 27
3.7 Global Diabetes Care Devices Market, Key Company Shares (%), 2008 28

4 Global Diabetes Care Devices Market: Cross-Segment Market Analysis and Forecasts 29
4.1 Glucose Monitoring Market 29
4.1.1 Global Glucose Monitoring Market, Revenues ($m), 2002 – 2009 29
4.1.2 Global Glucose Monitoring Market, Revenue Forecasts ($m), 2009 – 2016 30
4.1.3 Market Drivers 30
4.1.4 Market Restraints 31
4.1.5 Glucose Monitoring Market, Revenue by Segment 32
4.1.6 Blood Glucose Meters Market Dynamics 33
4.1.7 Blood Glucose Test Strips Market Revenue 34
4.1.8 Blood Glucose Test Strips Market Dynamics 35
4.2 Insulin Delivery Devices 36
4.2.1 Global Insulin Delivery, Revenue ($m), Global, 2002 – 2009 37
4.2.2 Global Insulin Delivery, Revenue ($m), Global, 2009 – 2016 38
4.2.3 Market Drivers 38
4.2.4 Market Restraints 39
4.2.5 Insulin Pumps Market Revenue 40
4.2.6 Insulin Pumps, Revenue ($m), Global, Forecast 41
4.2.7 Insulin Pumps Market Dynamics 41
4.2.8 Insulin Pens Market Revenue 42
4.2.9 Insulin Pens Market Dynamics 44
4.2.10 Insulin Syringes, Market Revenue 44
4.2.11 Insulin Syringes Market Dynamics 45

5 Diabetes Care Devices: Competitive Landscape 46
5.1 Insulin Delivery Competitive Landscape 46
5.1.1 Strategic Competitor Assessment 46
5.1.2 Insulin Delivery Devices, Company Share Analysis (%), 2008 47
5.2 Key Companies 47
5.2.1 Becton, Dickinson and Company 47
5.2.2 Medtronic 47
5.2.3 Novo Nordisk 47
5.2.4 Others 48
5.2.5 Insulet Corporation 48
5.2.6 NiliMEDIX 48
5.2.7 Medingo Ltd. 48
5.2.8 Debiotech S.A 48
5.2.9 Phluid Corporation 48
5.2.10 Ratio Inc. 48
5.2.11 Insuline Medical Ltd. 48
5.2.12 Aradigm Corporation 48
5.2.13 MannKind Corporation 49
5.2.14 Altea Therapeutics Corporation 49
5.3 Glucose Monitoring Systems Market : Competitive Assessment 49
5.3.1 Overview 49
5.3.2 Strategic Competitor Assessment 49
5.3.3 Glucose Monitoring Systems Company Shares 2008 50
5.3.4 F. Hoffmann-La Roche Ltd 50
5.3.5 LifeScan (Johnson & Johnson) 51
5.3.6 Bayer Healthcare 51
5.3.7 Abbott Laboratories 51
5.3.8 Product Profiles of the Major Marketed Products in the Glucose Monitoring Systems Market 52
5.3.9 OneTouch UltraMini 53
5.3.10 Contour Meter 54

6 Global Diabetes Care Devices Market: Cross-Country Analysis and Forecasts 55
6.1 Revenues, By Country, 2002 – 2009 55
6.1.1 The US Diabetes Care Devices Market, Revenue ($m), 2002 – 2009 55
6.1.2 Canada Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 56
6.1.3 The UK Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 57
6.1.4 Germany Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 58
6.1.5 France Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 59
6.1.6 Italy Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 60
6.1.7 Spain Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 61
6.1.8 Japan Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 62
6.1.9 China Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 63
6.1.10 India Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 64
6.1.11 Australia Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 65
6.1.12 Brazil Diabetes Care Devices Market, Revenues ($m), 2002 – 2009 66
6.2 Revenue Forecasts, By Country, 2009 – 2016 67
6.2.1 The US Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 67
6.2.2 Canada Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 68
6.2.3 The UK Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 69
6.2.4 Germany Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 70
6.2.5 France Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 71
6.2.6 Italy Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 72
6.2.7 Spain Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 73
6.2.8 Japan Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 74
6.2.9 China Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 75
6.2.10 India Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 76
6.2.11 Australia Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 77
6.2.12 Brazil Diabetes Care Devices Market, Revenues ($m), 2009 – 2016 78

7 Diabetes Care Devices: Pipeline Analysis 79
7.1 Glucose Monitoring Key Pipeline Products 79
7.1.1 Strategic Pipeline Assessment 79
7.1.2 Glucose Monitoring Systems – Pipeline by Clinical Phase of Development 80
7.1.3 Profiles of Promising Devices under Clinical Development 80
7.1.4 Glucose Monitoring Systems Market: List of Pipeline Products 83
7.1.5 Glucose Monitoring Systems Pipeline Product Summary by Product Type 86
7.1.6 Glucose Monitoring Systems Pipeline Product Summary: Home Glucose Monitoring Systems 87
7.1.7 Glucose Monitoring Systems Pipeline Product Summary: Hospital Setting Glucose Monitoring Systems 89
7.1.8 Glucose Monitoring Systems Pipeline Product Summary: Both Home and Hospital Setting Glucose Monitoring Systems 89
7.2 Implications for Future Market Competition 90
7.3 Strategic Competitor Assessment 90
7.4 Glucose Monitoring Systems Market: Emerging Companies 91
7.4.1 Introduction 91
7.5 Insulin Delivery Key Pipeline Products 92
7.5.1 Overview 92
7.5.2 Strategic Pipeline Assessment 93
7.5.3 Insulin Delivery Devices – Clinical Pipeline by Mode of Insulin Delivery 94
7.6 Insulin Delivery Devices – Pipeline by Clinical Phase of Development 95
7.7 Insulin Delivery Devices Pipeline Product Summary 96
7.8 Insulin Delivery Devices – Promising Devices under Clinical Development 96
7.8.1 Closed-loop diabetes management system 96
7.8.2 Paradigm Veo System 97
7.8.3 AERx insulin Diabetes Management System 98
7.8.4 Insulin Delivery Devices – Future Market Competition 102
7.8.5 Strategic Competitor Assessment 102
7.9 Reimbursement for Insulin Delivery Devices 103

8 Global Diabetes Care Devices Market: Consolidation Landscape 105
8.1 Deal Analysis-Q1 2009 105
8.1.1 Diabetes Care Devices- Deals of Quarter 1 106
8.2 Deal Analysis Q2 2009 106
8.2.1 Diabetes Care Devices – Deals of Quarter 2 107
8.3 Deal Analysis Q3 2009 108
8.3.1 Diabetes Care Devices – Deals of the Quarter 3 109
8.4 Deal Analysis – October 2009 109
8.5 Deal Analysis – December 2009 110

9 Appendix 112
9.1 Decision Support Database 112
9.1.1 Complications with Diabetes 112
9.2 Diabetes Care Devices: Definitions 113
9.2.1 Glucose Monitoring 113
9.2.2 Insulin Delivery 113
9.3 Methodology 113
9.3.1 Secondary Research 114
9.3.2 Primary Research 114
9.3.3 Models 115
9.3.4 Forecasts 115
9.3.5 Expert Panels 115
9.4 Contact Us 115
9.5 Disclaimer 116

1.1 List of Tables
Table 1: Diabetes Mellitus, Estimated Patient Population (‘000′s), 2030 13
Table 2: Diabetes Care Devices, Revenue ($m), Global, 2002 – 2009 14
Table 3: Diabetes Care Devices, Revenue ($m), Global, 2009 – 2016 15
Table 4: Total Cost, Traditional Glucose Meter Vs Continuous Glucose Monitor 16
Table 5: Disposable Insulin Pumps, Revenue ($m), US, 2005 – 2009 19
Table 6: Disposable Insulin Pumps, Revenue ($m), US, 2009 – 2015 20
Table 7: Non Invasive Glucose Monitoring Products 21
Table 8: Pain Free Insulin Delivery Products, 2009 21
Table 9: Prevalence Estimates of Diabetes, Global, 2030 23
Table 10: Prevalence of Diabetes (Diagnosed And Undiagnosed), By Age Group, US, 2007 24
Table 11: Prevalence of Diabetes (Diagnosed And Undiagnosed), By Gender, US, 2007 25
Table 12: Population Over the age of 65 (‘000′s), 2005 – 2010 25
Table 13: Glucose Monitoring, Revenue ($m), Global, 2002 – 2009 29
Table 14: Glucose Monitoring, Revenue ($m), Global, 2009 – 2016 30
Table 15: Blood Glucose Meters, Revenue ($m), Global, 2000 – 2009 32
Table 16: Blood Glucose Meters, Revenue ($m), Global, 2009 – 2016 33
Table 17: Blood Glucose Test Strips, Revenue ($m), Global, 2002 – 2009 34
Table 18: Blood Glucose Test Strips, Revenue ($m), Global, 2009 – 2016 35
Table 19: Comparison of Insulin Delivery Devices 36
Table 20: Insulin Delivery, Revenue ($m), Global, 2002 – 2009 37
Table 21: Insulin Delivery, Revenue ($m), Global, 2009 – 2016 38
Table 22: Insulin Pumps, Revenue ($m), Global, 2002 – 2009 40
Table 23: Insulin Pumps, Revenue ($m), Global, 2009 – 2016 41
Table 24: Insulin Pens, Revenue ($m), Global, 2002 – 2009 43
Table 25: Insulin Pens, Revenue ($m), Global, 2009 – 2016 43
Table 26: Insulin Syringes, Revenue ($m), Global 2002 – 2009 44
Table 27: Insulin Syringes, Revenue ($m), Global 2009 – 2016 45
Table 28: Diabetes Care Devices Market, Revenue ($m), US, 2002 – 2009 55
Table 29: Diabetes Care Devices Market, Revenue ($m), Canada, 2002 – 2009 56
Table 30: Diabetes Care Devices Market, Revenue ($m), UK, 2002 – 2009 57
Table 31: Diabetes Care Devices Market, Revenue ($m), Germany, 2002 – 2009 58
Table 32: Diabetes Care Devices Market, Revenue ($m), France, 2002 – 2009 59
Table 33: Diabetes Care Devices Market, Revenue ($m), Italy, 2002 – 2009 60
Table 34: Diabetes Care Devices Market, Revenue ($m), Spain, 2002 – 2009 61
Table 35: Diabetes Care Devices Market, Revenue ($m), Japan, 2002 – 2009 62
Table 36: Diabetes Care Devices Market, Revenue ($m), China, 2002 – 2009 63
Table 37: Diabetes Care Devices Market, Revenue ($m), India, 2002 – 2009 64
Table 38: Diabetes Care Devices Market, Revenue ($m), Australia, 2002 – 2009 65
Table 39: Diabetes Care Devices Market, Revenue ($m), Brazil, 2002 – 2009 66
Table 40: Diabetes Care Devices Market, Revenue ($m), US, 2009 – 2016 67
Table 41: Diabetes Care Devices Market, Revenue ($m), Canada, 2009 – 2016 68
Table 42: Diabetes Care Devices Market, Revenue ($m), UK, 2009 – 2016 69
Table 43: Diabetes Care Devices Market, Revenue ($m), Germany, 2009 – 2016 70
Table 44: Diabetes Care Devices Market, Revenue ($m), France, 2009 – 2016 71
Table 45: Diabetes Care Devices Market, Revenue ($m), Italy, 2009 – 2016 72
Table 46: Diabetes Care Devices Market, Revenue ($m), Spain, 2009 – 2016 73
Table 47: Diabetes Care Devices Market, Revenue ($m), Japan, 2009 – 2016 74
Table 48: Diabetes Care Devices Market, Revenue ($m), China, 2009 – 2016 75
Table 49: Diabetes Care Devices Market, Revenue ($m), India, 2009 – 2016 76
Table 50: Diabetes Care Devices Market, Revenue ($m), Australia, 2009 – 2016 77
Table 51: Diabetes Care Devices Market, Revenue ($m), Brazil, 2009 – 2016 78
Table 52: Glucose Monitoring Systems Pipeline Product Summary – I 83
Table 53: Glucose Monitoring Systems Pipeline Product Summary – II 84
Table 54: Glucose Monitoring Systems Pipeline Product Summary – III 85
Table 55: Home Glucose Monitoring Systems Pipeline Product Summary – I 87
Table 56: Home Glucose Monitoring Systems Pipeline Product Summary – II 88
Table 57: Hospital Setting Glucose Monitoring System Pipeline Product Summary 89
Table 58: Home and Hospital Setting Glucose Monitoring Systems Pipeline Product Summary 89
Table 59: Glucose Monitoring Systems Emerging Companies and Products- I 91
Table 60: Glucose Monitoring Systems Emerging Companies and Products – II 92
Table 61: Global Insulin Delivery Devices Pipeline Product Summary 96
Table 62: Closed-loop diabetes management system, Product Status 96
Table 63: Closed-loop diabetes management system, Product Description 97
Table 64: Paradigm Veo System, Product Status 97
Table 65: Paradigm Veo System, Product Description 97
Table 66: AERx insulin Diabetes Management System, Product Status 98
Table 67: AERx insulin Diabetes Management System, Product Description 98
Table 68: AERx insulin Diabetes Management System – Effect of Inhaled Insulin (AERx   iDMS) Plus Pioglitazone Versus Pioglitazone Alone on HbA1c in Subjects With Type 2 Diabetes 99
Table 69: AERx insulin Diabetes Management System – Inhaled Pre-Prandial Human Insulin With the AERx iDMS Versus s.c. Insulin Aspart in Type 2 Diabetes: A 104 Week, Open-Label, Multicenter, Randomized, Trial Followed by a 12 Week re-Randomized Extension to Investigate Safety and Efficacy 100
Table 70: AERx insulin Diabetes Management System – Inhaled Mealtime Insulin With the AERx iDMS Versus Subcutaneous Injected Insulin Aspart Both in Combination With Insulin Detemir in Type 1 Diabetes: A 104 Week, Open-Label, Multicenter, Randomized, Parallel Trial (Followed by a Twelve-Week Re-Randomized Extension) To Investigate Safety and Efficacy 101
Table 71:  Medical Equipment, Diabetes Care Devices, Deals Summary, Q2 2008 – Q1 2009 105
Table 72:  Medical Equipment, Diabetes Care Devices, Deals Summary, Q2 2008 – Q2 2009 107
Table 73:  Medical Equipment, Diabetes Care Devices, Deals Summary, Q3 2008 – Q3 2009 108
Table 74:  Medical Equipment, Diabetes Care Devices, Deals Summary, April 2009 – September 2009 109
Table 75:  Medical Equipment, Diabetes Care Devices, Deals Summary, May 2009 – October 2009 110
Table 76:  Medical Equipment, Diabetes Care Devices, Deals Summary, June 2009 – November 2009 111
Table 77: Prevalence of Diabetes (Diagnosed And Undiagnosed), By Age Group, US, 2007 112

1.2 List of Figures
Figure 1: Diabetes Care Devices, Revenue ($m), Global, 2002 – 2009 14
Figure 2: Diabetes Care Devices, Revenue ($m), Global, 2009 – 2016 15
Figure 3: Glucose Monitoring Devices, Distribution Channel Shares (%), 2008 17
Figure 4: Insulin Delivery, Distribution Channel Shares (%), 2008 17
Figure 5: Disposable Insulin Pumps, Revenue ($m), US, 2005 – 2009 19
Figure 6: Disposable Insulin Pumps, Revenue ($m), US, 2009 – 2015 20
Figure 7: Diabetes Incidence by Diagnosis, US, 2007 24
Figure 8: Diabetic Population by Treatment Type, US, 2007 24
Figure 9: Diabetes Care Devices, Company Share (%), Global, 2008 28
Figure 10: Glucose Monitoring, Revenue ($m), Global, 2002 – 2009 29
Figure 11: Glucose Monitoring, Revenue ($m), Global, 2009 – 2016 30
Figure 12: Blood Glucose Meters, Revenue ($m), Global, 2000 – 2009 32
Figure 13: Blood Glucose Meters, Revenue ($m), Global, 2009 – 2016 33
Figure 14: Blood Glucose Test Strips, Revenue ($m), Global, 2002 – 2009 34
Figure 15: Blood Glucose Test Strips, Revenue ($m), Global, 2009 – 2016 35
Figure 16: Insulin Delivery, Revenue ($m), Global, 2002 – 2009 37
Figure 17: Insulin Delivery, Revenue ($m), Global, 2009 – 2016 38
Figure 18: Insulin Pumps, Revenue ($m), Global, 2002 – 2009 40
Figure 19: Insulin Pumps, Revenue ($m), Global, 2009 – 2016 41
Figure 20: Insulin Pens, Revenue ($m), Global, 2002 – 2009 42
Figure 21: Insulin Pens, Revenue ($m), Global, 2009 – 2016 43
Figure 22: Insulin Syringes, Revenue ($m), Global 2002 – 2009 44
Figure 23: Insulin Syringes, Revenue ($m), Global 2009 – 2016 45
Figure 24: Strategic Competitive Assessment 46
Figure 25: Insulin Delivery Devices, Company Share Analysis (%), 2008 47
Figure 26: Glucose Monitoring, Strategic Competitive Assessment 49
Figure 27: Glucose Monitoring Systems, Company Shares – 2008 50
Figure 28: Diabetes Care Devices Market, Revenue ($m), US, 2002 – 2009 55
Figure 29: Diabetes Care Devices Market, Revenue ($m), Canada, 2002 – 2009 56
Figure 30: Diabetes Care Devices Market, Revenue ($m), UK, 2002 – 2009 57
Figure 31: Diabetes Care Devices Market, Revenue ($m), Germany, 2002 – 2009 58
Figure 32: Diabetes Care Devices Market, Revenue ($m), France, 2002 – 2009 59
Figure 33: Diabetes Care Devices Market, Revenue ($m), Italy, 2002 – 2009 60
Figure 34: Diabetes Care Devices Market, Revenue ($m), Spain, 2002 – 2009 61
Figure 35: Diabetes Care Devices Market, Revenue ($m), Japan, 2002 – 2009 62
Figure 36: Diabetes Care Devices Market, Revenue ($m), China, 2002 – 2009 63
Figure 37: Diabetes Care Devices Market, Revenue ($m), India, 2002 – 2009 64
Figure 38: Diabetes Care Devices Market, Revenue ($m), Australia, 2002 – 2009 65
Figure 39: Diabetes Care Devices Market, Revenue ($m), Brazil, 2002 – 2009 66
Figure 40: Diabetes Care Devices Market, Revenue ($m), US, 2009 – 2016 67
Figure 41: Diabetes Care Devices Market, Revenue ($m), Canada, 2009 – 2016 68
Figure 42: Diabetes Care Devices Market, Revenue ($m), UK, 2009 – 2016 69
Figure 43: Diabetes Care 0044evices Market, Revenue ($m), Germany, 2009 – 2016 70
Figure 44: Diabetes Care Devices Market, Revenue ($m), France, 2009 – 2016 71
Figure 45: Diabetes Care Devices Market, Revenue ($m), Italy, 2009 – 2016 72
Figure 46: Diabetes Care Devices Market, Revenue ($m), Spain, 2009 – 2016 73
Figure 47: Diabetes Care Devices Market, Revenue ($m), Japan, 2009 – 2016 74
Figure 48: Diabetes Care Devices Market, Revenue ($m), China, 2009 – 2016 75
Figure 49: Diabetes Care Devices Market, Revenue ($m), India, 2009 – 2016 76
Figure 50: Diabetes Care Devices Market, Revenue ($m), Australia, 2009 – 2016 77
Figure 51: Diabetes Care Devices Market, Revenue ($m), Brazil, 2009 – 2016 78
Figure 52: Technology Trends Analytic Framework 79
Figure 53: Glucose Monitoring Systems – Pipeline by Clinical Phase of Development 80
Figure 54: Glucose Monitoring Systems Pipeline Product by Product Type 86
Figure 55: Strategic Competitor Assessment 90
Figure 56: Technology Trends Analytic Framework 93
Figure 57: Technology Trends Analytic Framework – Descriptions 94
Figure 58: Insulin Delivery Devices – Clinical Pipeline by Mode of Insulin Delivery 94
Figure 59: Insulin Delivery Devices Pipeline by Clinical Phase of Development 95
Figure 60: Strategic Competitor Assessment 102
Figure 61: Reimbursement for Insulin Delivery Devices 103
Figure 62: Reimbursement Mix – Insulin Pens 104
Figure 63: Medical Equipment, Diabetes Care Devices, Deal Value and Volume, Q2 2008 – Q1 2009 105
Figure 64: Medical Equipment, Diabetes Care Devices, Deal Value and Volume, Q2 2008 – Q2 2009 106
Figure 65: Medical Equipment, Diabetes Care Devices, Deal Value and No. Of Deals, Q3 2008 – Q3 2009 108
Figure 66: Diabetes Incidence by Diagnosis, US, 2007 112
Figure 67: Diabetic Population by Treatment Type, US, 2007 112
Figure 68: GBI Research Methodology 114

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Insulin Administration and Diabetes

Insulin is a hormone secreted by the pancreas – an organ which apart from producing juices that help in digestion of food , also produces certain hormones which have wide ranging effects on body metabolism.While it has other effects, insulin’s principal effect is uptake of glucose by the cells of the body and is mostly released by the pancreas in response to increased blood glucose.

In conditions like Diabetes Mellitus (DM) there is decreased/absent insulin production ( type 1 ) or decreased sensitivity of cells to glucose (type 2 ) , resulting in elevated blood glucose levels that have deleterious effects on the body.

Insulin therefore is prescribed to people with type 1 DM or sometimes in people with type 2 when medication alone doesn’t provide satisfactory results.

 

Insulin is always administered as an injection. It cannot be taken orally because it is a peptide hormone – and peptides get digested in the digestive tract.Being a huge potential market, several efforts are underway to develop an orally administered form of insulin. Intra nasal insulin is also under study. Such options would go a long way in improving diabetes management.

 

Insulin is injected into the subcutaneous layer of the skin. There are various sites on the body where it can be administered this way. These will be described subsequently. Methods include using syringes for each dose or an insulin pump which administers doses throughout the day.

 

 

 

How to administer insulin

It is imperative if you’re injecting for the first time , that you learn this from your health care provider. The following steps are only a rough guide and not a substitute.

 

Get everything needed – insulin vials, syringes, spirit swabs

Check insulin vial. A newly opened vial should not be used more than a month as the insulin would have undergone degradation by then.

Wash hands with soap and water.

Mix the insulin in the vial gently.

Use a spirit swab to clean to top of the insulin vial. Let it dry.

Remove the protective sheath of the insulin syringe – withdraw plunger till the required dose is set. Do not touch the needle at any point during the whole process.

Insert the needle of the syringe into the rubber cap of the insulin vial. Inject the air inside the syringe into the vial by pressing on the plunger.

Turn the vial upside down and withdraw plunger slowly till the amount of insulin in the syringe is slightly more than the required dose.

Remove the syringe from the vial.

Hold syringe with needle facing upwards. Tap gently so that air bubbles if any will rise up. Push the plunger slowly till all the air bubbles are expelled and a little insulin comes out through the needle.

Identify the site where you want to inject and clean with a spirit swab – wait till the skin dries.

Hold the skin between forefinger and thumb gently raising a fold of skin.

With the other hand , take the syringe and enter the fold of skin with the needle at 90 degrees to the surface. With experience you will get to know how deep to enter.

Depress the plunger fully so that all the insulin is injected.

Withdraw the syringe at the same angle.

If there is slight bleeding, apply pressure with the spirit swab. Do not rub the area.

Dispose of the needle carefully. You could have a plastic container where you can dispose the syringes. Do not attempt to resheath the needle after using. These could be regularly disposed of at the hospital or lab.

Do not reuse used syringes. Apart from sterile concerns, a used needle undergoes blunting and wearing away of its protective covering – therefore entering the skin with it causes more trauma and damage to the tissue.

Keep the insulin vial back in the refrigerator.

Keep the other supplies in their designated areas.

 

 

Insulin is injected into the subcutaneous tissue just under the skin.Areas on the body where people can inject insulin most easily are:

the abdomen, except the area around the navel

he upper and outer areas of the arms

the front and the outside of the thighs

the area just above the waist on the back

the buttocks

 

If insulin needs to be administered three or more times a day then it’s wise to rotate injection sites. Injecting in the same place much of the time can cause hard lumps or extra fat deposits to develop. Apart from being unsightly; they can also change the way insulin is absorbed, making it more difficult to keep your blood glucose within control.

Insulin is absorbed at different speeds depending on where you inject, so it’s best to consistently use the same part of the body for each of your daily injections. For eg. if the abdomen has been used for the morning injections it is best to use the abdomen always for the morning doses, and to change this pattern every 2 weeks.Tissues wise insulin absorption rates vary

Fastest from the abdomen (stomach)

Then from the arms

Followed by the legs

Slowest from the buttocks

 

Unless advised otherwise, it is a good idea to inject breakfast and lunch bolus doses into the abdomen. Insulin is absorbed fastest when injected into this area. Fast absorption is needed at mealtimes to cover the carbohydrates.Dinner or bedtime dose of long-acting insulin could be injected into the thigh, buttocks, or upper arm. That’s because the long-acting insulin should take effect gradually and control glucose throughout the night.

 

Other tips

Monitor blood glucose levels carefully while injecting insulin. Over time, it will be apparent which injection sites give you the best blood glucose control at different times of day.

Do not inject close to the belly button, moles or scars. The tissue there is tougher, so the insulin absorption will not be as consistent.

If you inject in the upper arm, use only the outer back area (where the most fat is). It is hard to pinch the upper arm when you are injecting yourself.

If you inject in the thigh, stay away from the inner thighs. If your thighs rub together when you walk, if might make the injection site sore.

Do not inject in an area that will be exercised soon. Exercising increases blood flow, which causes long-acting insulin to be absorbed at a rate that’s faster than you need.

It might seem easier to find a spot that does not hurt and inject there all of the time. However, the result could be unpleasant swelling and lumps.

You can reduce injection pain by choosing a needle length and gauge that are right for you.

Move to a new injection site every week or two.

Inject in the same area of the body, making sure to move around within that area with each injection, for one or two weeks.

Then move to another area of your body and repeat the process.

Use the same area for at least a week to avoid extreme blood sugar variations.

Rotate the sides (right, left) of your body where you inject within your injection sites.

 

 

 

 

Nikhil Abraham

Medical Domain Consultant, Yos Technologies

www.yoscare.in



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Diabetes And Eating Disorders

The combination of diabetes and an eating disorder can have severe consequences. Diabetes does not cause an eating disorder, but often proceeds or contributes to the creation and maintenance of an eating disorder. However, this is a dangerous and potentially fatal combination. Some clinicians and researchers believe that those with diabetes may be a greater risk of developing an eating disorder than those in the general population. In addition, diabetics with an eating disorder may not be identified for many years due to symptoms of diabetes management and bodily symptoms that can mirror those of an eating disorder. Therefore, it is important to be aware of the risks that combining the two can have.

Specific medical risks can include:

Please visit Avalon Hills Eating Disorder Treatment Center for more information about eating disorders and how it can affect diabetes.



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Students work at Ward Drug

Students work at Ward Drug
Two fourth-year pharmacy doctoral students from the University of North Carolina-Chapel Hill are serving a clinical rotation at Ward Drug Co. in Nashville.

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Exercises for Weight Loss, Diabetes and Osteoporosis

Many of our diseases are the result of a sedentary lifestyle as well as an unhealthy diet. Your body is meant to be used and will quickly deteriorate if it is not.
Physical activity should be a high priority in your daily program. Try to engage in some form of aerobic exercise at least five days a week and some form of resistance exercise at least two or three times a week. Here’s why.

Aerobic exercise is essential for building stamina and cardio-respiratory fitness but you also need strength training.
The Australian Council on the Aging has listed the following benefits, based on medical research, of strength or resistance training:

1 Regain and retain muscle strength, no matter what your age.

2 Improve strength, balance, gait, flexibility and coordination, which in turn improves your ability to lift, walk, bend, climb stairs and enjoy life.

3 Is an effective method of preserving bone density and combating osteoporosis.

4 Is an effective strategy for fat loss and management of type 2 diabetes.

For the purpose of this article, I will focus on items three and four.

PRESERVING BONE DENSITY.

Osteoporosis is caused by the gradual loss of calcium from bones after the age of 35, when the bone building cycle changes and bones start to break down faster than they rebuild.
Osteoporosis is preventable and its progress can be halted even after calcium loss has started.

Dozens of studies show that weight bearing exercise, even something as simple as walking, actually strengthens your bones. Resistance training slows down the loss of bone mineral content thus reducing the risk of osteoporosis.

Keeping your bones and muscles strong means you maintain functional strength for everyday activities. Loss of muscle and strength is a natural part of aging, but this will speed up with inadequate diet and lack of exercise.

To be fully effective your exercise should be combined with a bone building diet.
Your diet should include plenty of calcium rich foods. Good sources of calcium include tinned fish, green vegetables, sesame seeds and paste, oysters, almonds and baked beans.
If you take calcium supplements, it is important that you combine with magnesium and vitamin D. Magnesium helps keep calcium in the bones and vitamin D helps keep your bones strong. A major source is sunlight which enables your body to make vitamin D in your skin cells. This is crucial for calcium absorption.

FAT LOSS AND DIABETES MANAGEMENT.

Weight training has much to offer those who are overweight, due to the role of muscle in increasing metabolism. Muscle tissue is a huge user of your available energy supplies and will burn calories even when you are at rest. So the more lean muscle you are able to develop, the more fat you will burn even when you are not exercising.

Those with type 2 diabetes will benefit from resistance training. There is a strong correlation between obesity and insulin resistance, where the body develops an inability to metabolise sugar. Insulin resistance hinders the absorption of glucose from the bloodstream into human cells.

Never start a new treatment before consulting your doctor, especially if you are currently taking medication. The information published in this article is not intended as a substitute for personal medical advice from your physician or other qualified health-care practitioner. It is for information purposes only.

Graeme A Lanham is a health/fitness researcher and author of “Your Life Fitness”, a book devoted to the latest advances in the science of health, fitness and antiageing.
Discover more about exercise,weight loss and combating diabetes,plus receive a FREE subscription to his regular subscribers only newsletter at:
http//www.yourlifefitness.com



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Bitter Melon – Benefits, Uses and Research for Diabetes and Hiv

Bitter Melon Benefits, Medicinal Properties


Bitter Melon is reported to help in the treatment of diabetes and psoriasis. It has also been reported that Bitter Melon may help in the treatment of HIV


Bitter Melon is the English name of Momordica charantia. Bitter Melon is also known by the names Karela and Bitter gourd. Bitter Melon grows in tropical areas, including parts of East Africa, Asia, the Caribbean, and South America, where it is used as a food as well as a medicine. It is a green cucumber shaped fruit with gourd-like bumps all over it. It looks like an ugly, light green cucumber. The fruit should be firm, like a cucumber. And it tastes very bitter. Although the seeds, leaves, and vines of Bitter Melon have all been used, the fruit is the safest and most prevalent part of the plant used medicinally. The leaves and fruit have both been used occasionally to make teas and beer, or to season soups in the Western world.


Does bitter melon have medicinal properties?


Bitter Melon was traditionally used for a dazzling array of conditions by people in tropical regions. Numerous infections, cancer, leukemia, and diabetes are among the most common conditions it was believed to improve. Bitter Melon is reported to help in the treatment of diabetes and psoriasis. It has also been thought that Bitter Melon may help in the treatment of HIV, but the evidence thus far is too weak to even consider. The ripe fruit of Bitter Melon has been suggested to exhibit some remarkable anti-cancer effects, but there is absolutely no evidence that it can treat cancer. However, preliminary studies do appear to confirm that Bitter Melon may improve blood sugar control in people with adult-onset (type 2) diabetes.


Is it true that bitter melon capsules are effective in lowering blood sugar of diabetics?


The blood lowering action of the fresh juice of the unripe Bitter Melon has been confirmed in scientific studies in animals and humans. At least three different groups of constituents in Bitter Melon have been reported to have hypoglycemic (blood sugar lowering) or other actions of potential benefit in diabetes mellitus. These include a mixture of steroidal saponins known as charantin, insulin-like peptides, and alkaloids. It is still unclear which of these is most effective or if all three work together. Nonetheless, Bitter Melon preparations have been shown to significantly improve glucose tolerance without increasing blood insulin levels, and to improve fasting blood glucose levels.


Rich in iron, bitter melon has twice the beta carotene of broccoli, twice the calcium of spinach, twice the potassium of bananas, and contains vitamins C and B 1 to 3, phosphorus and good dietary fiber. It is believed to be good for the liver and has been proven by western scientists to contain insulin, act as an anti-tumor agent, and inhibit HIV-1 infection.


At least 32 active constituents have been identified in bitter melon so far, including beta-sitosterol-d-glucoside, citrulline, GABA, lutein, lycopene and zeaxanthin. Nutritional analysis reveals that bitter melon is also rich in potassium, calcium, iron, beta-carotene, vitamins B1, B2, B3 and C.


Even more effective than a conventional drug in lowering blood sugar!


Recently, the Department of Health in the Philippines has recommended bitter melon as one of the best herbal medicines for diabetic management. And multiple clinical studies have clearly established the role of bitter melon in people with diabetes. Scientists have now identified three groups of constituents that are thought to be responsible for its ‘blood sugar lowering’ action.


One of these, a compound called charantin, which is composed of mixed steroids, was found to be more effective than the oral hypoglycaemic drug, tolbutamide, in reducing blood sugar.


Another, an insulin-like polypeptide, called polypeptide P, appears to lower blood sugar in type I (insulin dependent) diabetics, while alkaloids present in the fruit have also been noted to have a blood sugar lowering effect. As yet, researchers are unclear as to which of these compounds is most effective or if it is the synergistic effect of all three. Further research is required to understand how these compounds actually work.


Compounds known as oleanolic acid glycosides have been found to improve glucose tolerance in Type II (maturity onset) diabetics by preventing the absorption of sugar from the intestines. Bitter melon has also been reported to increase the number of beta cells (cells that secrete insulin) in the pancreas, thereby improving your body’s capability to produce insulin (insulin promotes the uptake of sugar from your blood by cells and tissues).

Evidence:


A two-day Indian study published in 1999 examined bitter melon’s effect on 100 people with type 2 diabetes. On both days, researchers tested the participants’ blood sugar levels in a fasting state and after drinking glucose. Participants took 150 to 200 mi of bitter melon extract on the second day. That day, researchers found that 86 percent of the participants experienced an average 14 percent drop in blood sugar after fasting and after drinking glucose.

Know more details about bitter melon benefits in diabetes here. Also read informative Health Discussion Forum to discuss your health problems, share your own experience and get the most relevent Health Care knowledge here.


Dr John Anne
http://www.ayurvediccure.com



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