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8 Eye-Opening Quotes from Famous People with Diabetes

With more than 100 million Americans living with prediabetes and diabetes, it’s no surprise that people with the diagnosis come from all walks of life. But some may be surprised just how many familiar faces and A-list celebrities balance diabetes management with superstardom. Diabetics in the public eye are often asked questions about their diagnosis, and their answers can be inspirational and enlightening. Here are 8 of our favourite lines from people with diabetes in the spotlight.

Larry King

Diabetes just boggles me. I know when you get a heart pain; I’ve had them. I don’t know what diabetes feels like. … If someone had said to me, “What’s your No. 1 health problem?” I would have said heart disease and then diabetes. And what doctors tell me now is that I can transpose them and say diabetes first.

In this interview with Diabetes Forecast, longtime talk show host and diabetes advocate Larry King points to a very important topic: the relationship between heart health and diabetes. Often considered to be two distinct challenges, the reality is that diabetes and heart disease often go hand in hand. King shared, “My cardiologist said to me, diabetes is heart disease.”

Nick Jonas

“Diabetes sounds like you’re going to die when you hear it. I was immediately frightened. But once I got a better idea of what it was and that is was something I could manage myself, I was comforted.”

In his interview with fellow diabetic Larry King, Nick Jonas describes an experience with which many people with diabetes are familiar – confusion and panic at initial diagnosis, followed by a sense of security after some diabetes education. At No Cost Shoes, we have to tip our hats to diabetes management educators – they are so important to helping people like Nick understand the best way to manage diabetes day to day.

Later in the interview, Nick offers a glimpse of what diabetes management looks like to a touring musician. “I’ve had a few low blood sugars on stage,” he shared. “But, we have an amazing team when we’re on the road who are always prepared. I have juice on the side of the stage and my guitar tech will bring it out and make sure I’m cool. It’s just about knowing how to manage your specific diabetes, I feel like. Once you get a handle on it, it’s okay.”

Dr. Phil McGraw

“One thing that you really have to do is move forward. You’ve gotta really tackle this. You can’t be a passive patient.”

Dr. Phil is no stranger to giving advice, but the tips he offers on diabetes are a bit more personal than his other quips. After being diagnosed with Type 2 Diabetes over 25 years ago, McGraw became an advocate for healthy living and personal care. In this interview with TV show The Doctors, encourages fellow diabetics to take action with five steps, including get educated, get a team, and replace bad habits. Watch his story and advice for others here:

Mary Tyler Moore

(on insulin injections) “It’s just like sitting down to the make up table – I’ve got this I’m going to put on, have a drink of coffee, you know – it’s part of your routine.”

TV darling Mary Tyler Moore’s discussion of insulin may sound casual, but it’s clearly something she takes very seriously – enough to make several television appearances to discuss diabetes, including frank discussion of risks including blindness and amputation. This clip from a 2005 shows how her matter-of-fact approach helped her manage the diagnosis, which she received in 1969.

Tom Hanks

“Everybody’s going to have some degree of health problems, and as we get older I think we’ve gotta maintain.”

Tom Hanks’ revealed his diabetes in a 2013 interview on Letterman, where he lightheartedly poked fun at the diagnosis. In a follow-up interview, he clarified that although he handled the diagnosis well, self-care was a priority. “I know what I have to do. I have access to good doctors, I can eat good food, and after that it’s all up to the individual.”

Halle Berry

“People think it’s hard to cut out sugar, but it can be done. You just have to put some effort in.”

The always optimistic Halle Berry noted in an interview with Marie Claire that the diet required to manage her diabetes had actually contributed to a better quality of life for her whole family. “I’m healthier since the diagnosis,” She told the magazine. “And I think it has made me a better mom, because I’m so aware of how much sugar we consume. I’ve very conscious of what my children eat and how much they take in.”

Jay Cutler

In our profession, you’re supposed to be tough…I thought it was something I would just bounce back from.

This relateable quote from NFL star Jay Cutler explains the process many people go through when first diagnosed with diabetes, especially those expected to be “tough” and healthy for work like professional athletes. Today, Cutler is comfortable discussing the emotional side of diabetes as well as the physical challenges. “Sometimes I take pride in it, sometimes I feel bad for myself. There’s a whole range of emotions you go through.” Cutler reveals the challenges of being a diabetic pro athlete in a series of videos, which you can watch here:

Randy Jackson

[With diabetes] there are so many things that you learn that you didn’t think you wanted to know, but now you have this disease, you’ve gotta do it.

Award-winning producer and American Idol judge Randy Jackson received his diabetes diagnosis while filming the popular talent show. Even though his father had the disease and he admits he wasn’t eating right, it still came as a shock. Luckily, he quickly learned to rise to the occassion. “All your life you’ve heard the doctors say diet and exercise actually works, but as I look back on it I was never really doing it. I had to have major behaviour modification in every way.” After losing 110 pounds and taking control of his diabetes, Jackson is able to share valuable lessons from his journey in appearances such as this interview with The Doctors.

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Note: This article was written by No Cost Shoes, a leading diabetic shoe supplier that provides Medicare-covered therapeutic shoes, inserts, and medical aids to people across the United States. For more information on how to get what you need to manage diabetes at no cost to you, visit nocostshoes.com.

12 Signs It’s Time to See a Podiatrist

Podiatrists are doctors who specialize in feet, ankles, and related structures in the leg. They help people who have issues such as dry heels, ankle pain, toe issues or other challenges related to their feet. For people with diabetes, the stakes are higher – podiatrists are a critical part of any diabetic treatment team, and knowing when to visit them can make a big difference in someone’s overall health.

No Cost Shoes is a supplier of therapeutic and diabetic shoes across the U.S., so we get questions about this a lot: “Why do I need a podiatrist?”, “How often should diabetics and non-diabetics get their feet checked?” and, of course, “What will my insurance cover?”

We think this information is important for anyone to have handy. So, we’ve developed this helpful list of 12 signs it’s time to see a podiatrist. This information can benefit everyone, though people with diabetes will find it particularly critical to follow.

1) It’s the doctor’s orders.

People often first mention foot issues to their family doctor, since this is the medical professional they see most regularly. Oftentimes, this physician will provide a referral to a podiatrist when patients bring up their feet. Like any medical referral, it’s important to follow it and see the recommended specialist.

Note: Individuals with diabetes should also speak with their physicians about filling out a Certificate of Medical Necessity (CMN) to access Medicare-covered therapeutic shoes and inserts. Click here to read the full process for getting diabetic shoes and other aids covered by Medicare.

2) Certain types of swelling.

It is not unusual for feet to swell after some activity. In fact, just about everyone’s feet are bigger later in the day due to natural swelling (this is why we recommend getting a shoe fitting in the afternoon, rather than the morning). However, some types of swelling are cause for concern. For example:

Swelling in just one foot;
Swelling that is extreme, especially if there is also pain;
Swelling that is persistent and doesn’t go down.

This kind of swelling can indicate an injury, blood clot, heart/circulation problems, or kidney issues. A visit to your family doctor or podiatrist is a good idea in these cases.

3) Unexplainable pain and/or numbness in one or both feet.

Numbness and pain in feet can be a sign of neuropathy. Many find this pain particularly flares up at night or in the morning. Those experiencing unfamiliar pains or numbness should speak to a podiatrist right away.

4) A blister, ulcer or sore that won’t go away.

A small blister is usually not cause for concern in most people. However, those with diabetes in particular may find that a small sore can turn into a large ulcer without proper care. The main signs of serious foot ulcers include black tissue or gangrene around the wound.

Keep an eye out for discoloration around a wound (especially dark colors), pain near the area, or sign of infection. Anything unusual such as this should be looked at by a professional right away, especially if diabetes is involved. Depending on the situation, your doctor or podiatrist might request an immediate appointment to look at any abnormalities, as tiny blisters can become serious problems rather quickly for someone with diabetes.

5) Thick corns or calluses.

Corns and calluses can be extremely uncomfortable, and often the right pair of therapeutic inserts or shoes can help soften the issue. A podiatrist will be able to examine the corns and recommend the best treatment options.

6) Split skin and heel dryness.

Dry skin is a common challenge for many people, but can be particularly prevalent in those with diabetes. Therapeutic inserts and shoes recommended by a podiatrist can make a big difference here.

7) Bruising or discoloration on the feet.

It can be quite a shock to see bruising on one or both feet, particularly if you don’t remember any injury taking place. Sometimes, people with peripheral neuropathy can get a foot injury without knowing it – even broken bones might fly under the radar for numb feet! Bruising and discoloration certainly warrant a trip to the podiatrist, especially if the cause of the issue is unknown.

8) Toe issues like ingrown toes or hammertoes

Ingrown toenails, hammertoes and other issues with toes are all things a podiatrist should look into, particularly if toes are causing pain or making it difficult to walk. Any diabetic with such issues should see a podiatrist right away, as the combination of hammertoes and circulation issues can lead to infections and ulcers. Luckily, therapeutic shoes and inserts can often help minimize these risks.

9) Starting a new exercise plan (in some cases).

No, we’re not saying that you need to see a podiatrist every time you plan to go to the gym. However, they should be consulted in certain cases:

If it will be intensive for your feet, such as training for a marathon;
If you have diabetes, particularly if you have had foot issues in the past;
If you need special shoes or inserts to support your new regimen;
If you have had a foot injury, surgery or challenge in the past and need to be cleared for the new venture.

10) Needing advice, fittings or a prescription for therapeutic shoes.

Anyone can buy therapeutic shoes without a prescription, however a podiatrist can be very helpful in clarifying what type of shoes a person needs. They can also write a prescription for shoes to help people qualify for insurance coverage, as Medicare and most insurers cover shoes for certain diabetic patients.

Along with a prescription and Certificate of Medical Necessity, Medicare and most insurers also require therapeutic shoes to be properly fitted before providing coverage. This will ensure shoes and inserts are perfectly customized to a person’s feet, making them far more comfortable and effective. Shoe fittings can often be done at a podiatrist’s office, as well as through an in-home visit from a shoe fitter. Click here to read all the options available for diabetic shoe fittings.

11) Difficulty adjusting to new shoes.

Podiatrists can offer specific instructions for “breaking in” new shoes (especially therapeutic shoes) without risking an injury, blister or other issues. This advice can be extremely valuable, so make sure to call a specialist if new shoes are giving you trouble. Trying to just “push through” can cause damage, especially in those with pre-existing conditions.

12) Insurance/Medicare covers your visit.

Why visit a podiatrist? Well, for many people the question is “why not?”!

Annual podiatrist visits are covered by Medicare for people with diabetes. Others may have the specialist paid for at least in part by a group insurance plan. Check to see if you are covered – if you are, it’s a worthwhile visit to mark on your calendar.

What Medicare Covers for Diabetics Dealing with Chronic Pain

Living with diabetes often involves more than just a change in diet and regular glucose testing. Diabetic individuals in the United States often experience a wide variety of complications that have a significant impact on daily life. One of the most impactful (and frequently misunderstood) issues that many people deal with is chronic pain, often caused by neuropathy.

Those who are experiencing chronic pain with diabetes often have several questions: How do I manage these pain issues while still living my life to the fullest? What treatment options are available to me? What does Medicare or my insurance company cover to treat?

We are here to help clarify how people with diabetes can use their Medicare coverage to live their best lives when faced with chronic nerve pain.

Why is chronic pain common in people with diabetes?

Chronic pain is defined as moderate to severe pain that is felt on a daily basis and continues for over six months. Statistically, people with diabetes are more susceptible to long-term pain than those without the diagnosis. Not all nerve pain has the same root cause, however. Here are some of the reasons a person with diabetes may be dealing with this issue:

Neuropathy. This is a common complication of diabetes that can include pain and numbness in the back, feet or hands.
Arthritis. Type 2 diabetes and arthritis both disproportionately affect people who are older, making the combination fairly common among aging Americans.
Fibromyalgia and pain conditions. While these conditions may not be directly linked to diabetes, chronic pain disorders combined with diabetic neuropathy can exacerbate the challenges people face.

What can I do to manage my chronic pain with diabetes?

Prescription medications are often the first thing discussed when it comes to treating chronic pain, but many different and non-drug treatment options can help support an effective treatment plan. Luckily, Medicare covers many of these things.

For a full list of items covered by Medicare for people with diabetes, click here.

1) Use a Transcutaneous Electrical Nerve Stimulator (TENS Therapy)

TENS therapy uses small electrical impulses to block pain signals and increase endorphins. It is recommended by many pain management professionals as a non-invasive, non-painful and non-surgical way to treat neuropathy and similar conditions.

Besides its effectiveness, this treatment is used by many people with chronic pain because it is easy to do from the comfort of home. The FREEDOM TENS Unit is a device that people can keep on hand to respond to pain flare-ups. It comes with four modes (Burst, Normal, Pulse Width Modulation, Pulse Rate Modulation) allow users to modify the treatment depending on what works for them.

How to get it a TENS unit covered by Medicare: Talk to your doctor to get a signed “durable medical equipment” prescription for a TENS unit. You will need to meet certain standards in order to be approved for coverage, including the verifying that the pain is chronic (3 months or longer). Medicare will typically cover a 30 to 60 day rental of the unit to start, then allow people to move onto a full purchase if the treatment is successful. For more information on the paperwork needed and how to rent or buy a TENS unit, contact Quantum Medical Supply at 1-866-923-2423.

2) Wear the right shoes and inserts.

If you are feeling chronic pain in your feet, ankles, legs or even hips, there is some relief available: Medicare covers one pair of therapeutic shoes and three pairs of inserts for qualifying people each year. Even if the pain has not reached your feet, diabetic shoes can play an important role in protecting from future damage.

How to get diabetic shoes and inserts covered by Medicare: To obtain coverage, your doctor will need to fill out both a Certificate of Medical Necessity and a Shoe Prescription. The shoe prescription can also come from a podiatrist or nurse practitioner. Your shoes will also need to be professionally fitted and ordered your shoes from a Medicare-approved supplier. Some, like nocostshoes.com, are even able to directly bill your insurance company. To see if you qualify, click here to fill out our application.

3) Get back, knee, ankle and/or wrist braces.

Braces are commonly recommended by doctors and physiotherapists to reduce pain from free-moving joints. There are specific types of braces that may be more beneficial for long-term use by someone with chronic pain; for example, this product from TemCare Pro uses an air pump system to help people customize the compression for added comfort.

How to get diabetic shoes and inserts covered by Medicare: Like shoe coverage, a certificate of medical necessity and qualifying diagnosis is needed to get coverage for these items. For more details on what is available and the documents needed for coverage, call 866-923-2423.

4) Control your blood sugar using a continuous glucose monitor (CGM).

Managing blood sugar should be at the top of your list if you’re dealing with any symptoms of diabetes, including chronic pain from neuropathy. Medicare covers various blood sugar/glucose testing aids including test strips, syringes, and insulin pumps. One of the most exciting and often lesser known things Medicare covers for glucose management is a continuous glucose monitor or CGM.

Continuous glucose monitors like the Dexcom G6 are an easy-to-use alternative to a finger prick blood sugar test. Using a small sensor placed below the skin, it keeps an eye on glucose on an ongoing basis. This can improve the accuracy of readings and remove the discomfort of a traditional test. Best of all, this technology is free or deeply subsidized for people with Medicare and certain insurance plans!

What is the difference between diabetic shoes and “regular” shoes or sneakers?

There is a good reason Medicare covers a pair of diabetic shoes each year for qualified people in the United States. The risk of serious complications, up to and including loss of limbs, is very real for people with diabetes. Foot care is a must for this segment of the population, and diabetic shoes are among of the most important preventative tools available. Despite this fact, many people are still unsure whether they need diabetic shoes. What makes these therapeutic shoes different from every day, “regular” sneakers, anyway?

First, let’s clarify the basic differences – if you look closely, you’ll see there are many! Here are some of the characteristics of therapeutic shoes for people with diabetes:

First, let’s clarify the basic differences – if you look closely, you’ll see there are many! Here are some of the characteristics of therepeutic shoes for people with diabetes:

Increased depth for insoles/orthotics: Diabetic shoes have significantly more depth. This added space can accommodate orthotics or insoles (3 pairs of therepautic inserts are also covered by Medicare each year).

Smooth interior for blister prevention: People with diabetes are extremely prone to blisters and ulcers, so these shoes take no chances. Stitching will only be found on the outside of the shoe, while the inside remains completely smooth.

Heel counter to keep the foot in place: A heel counter is a plastic insert that reinforces the heel cup of a shoe. These are built into diabetic shoes to keep the foot in place and increase stability.

Padding for stability: Padding will be found around the collar of the ankle and the tongue of the shoe. Like the heel counter, this helps keep the foot secured in place and prevents twisted ankles and other missteps.

Increased space and protection for toe health: Unlike other shoes which are tight around the toes, these shoes offer more space in the toebox. This is a particularly helpful feature for those with conditions like hammertoes. The toebox also has added protection, so stubbing your toe will be less of a risk to your foot health.

Non-skid soles and proper fitting to prevent falls: Twisting an ankle, tripping over feet or falling over can cause particular issues for people with diabetes, especially those who have nerve damage or pre-existing foot conditions. The stable design of these shoes, professional custom fittings, and no-slip soles can help keep wearers safe and secure.

Diabetic insoles to prevent movement within the shoe: Blisters and other injuries are often caused by an unsecured foot moving back and forth within a shoe. Multi-density diabetic insoles are a critical part of diabetic shoes (that’s why Medicare covers 3 per year!) as they help to prevent this issue.

Can people without diabetes wear these shoes?

Non-diabetics purchasing and wearing therapeutic shoes is actually fairly common! They are extremely comfortable and effective in preventing ulcers, blisters, and other issues, so feet of all kinds can find refuge in a pair.

The most inexpensive way to purchase diabetic shoes if you are not covered by Medicare is to go to an insurance-approved supplier like No Cost Shoes. While No Cost Shoes is mainly used by people approved for direct billing to insurance, it also offers the option to purchase shoes at a lower rate than most storefronts because of its wide inventory.

Can I just wear comfortable sneakers if I have diabetic neuropathy or related issues?

As you can see from the above comparison, there are major differences between even the most comfortable pair of sneakers and properly fitted diabetic shoes. Why take the risk, especially when you can get shoes completely for free through insurance and Medicare? Not only are diabetic shoes the healthier and safer option, but for many Americans, they are less costly as well.

What about special occassions or formal work meetings? Women in particular can sometimes feel pressured to take a risk with their health and wear a strappy pair of heels for “just one night.” The problem with this is that all it takes is one tiny blister to set off a chain reaction that ends with an ulcer and even a lost limb for someone with diabetes. It is a better idea to shop for some attractive therapeutic shoes that will match the occasion, such as the popular Mary Janes from Apex or the “Breeze” and “Paradise” lines from Dr. Comfort. You can find several different styles, colors and options on NoCostShoes.com.

fashion diabetic shoes brown slip on orthofeet — Orthofeet Slip-On w/ Strap Brown

apex mary jane diabetic shoes for women — Janice Black Velcro shoes from APEX

diabetic shoes for going out special occassion women — Paradise Pewter Velcro Shoes from Dr. Comfort

Tips for Managing and Living with Diabetic Neuropathy

Neuropathy, also known as “nerve damage,” is an uncomfortable condition common in people with diabetes. People with neuropathy experience weakness, numbness and pain in their hands and feet. The symptoms of neuropathy can have a real impact on daily life, from sleeping to driving and beyond.

Here are some of our top tips for managing and living with diabetic neuropathy.

Note: This article is a collection of general, helpful tips and should not replace professional medical advice. Talk to your doctor about any treatment techniques when dealing with neuropathy.

What to do when you can’t sleep because of neuropathy at night

For some people, neuropathic pain worsens at night. The reasons neuropathy may feel worse in the later hours include:

Lack of distractions, putting more focus on the pain in your hands and feet;
Change in temperature, sending confusing messages to the neuropathic nervous system; and
Physical and emotional stress from the day.

The best way to manage neuropathic pain at night is to calm the mind, care for the body and control the temperature.

Those who are having trouble sleeping because of neuropathy should try visualizing something positive and non-stressful, like a dream vacation or an upcoming celebration, and focus on that thought rather than the pain. Meditation and music can also help to move a person’s mind from issues with their feet and hands. Additionally, they may want to add some blankets to your bed to keep your body warm. Do not use heating pads or hot water to warm numb or painful feet. People with neuropathy have trouble gauging temperature and can get burns or blisters when they use hot water in this way.

Neuropathic pain at night can also be combatted by changing behavior during the day. For example, people can take a short walk to clear their head each day (as long as their doctors clear them to put weight on their feet). Similarly, they can try alternating physical routines so no day is particularly strenuous.

Is it possible to drive with neuropathy?

With some support, many people with nerve damage are able to drive.

First, let’s understand why driving is a challenge for people with neuropathy. One of the main symptoms of neuropathy is foot numbness. When a driver can’t feel their feet, it can be difficult or impossible to drive safely. Think about it: Without functional nerves, how would you sense where the brake pedal is? How would you know how much pressure you are putting on the gas?

Luckily, there are alternative technologies that can help people with this condition to drive without using their feet to control the brakes and the gas. This is the process for most drivers:

Purchasing and installing car hand controls;
Working with a driver rehabilitation specialist to “relearn” how to drive with these new controls; and
Passing a special needs licensing exam if required by your state.

These controls aren’t always cheap, so it is a good idea for people with neuropathy to look into coverage of adaptive equipment from Medicare or other insurance. These products and services are often covered for qualifying people in the United States.

Is it safe to walk with neuropathy?

Tingling, numbness and pain in the lower legs and feet are common symptoms which can make movement of any kind much more strenuous. At the same time, we are often told that exercise is one of the best ways to control diabetes. What’s a person to do?

The ADA recommends that people avoid weight-bearing exercise when experiencing numbness in the feet. While walking can be a good idea for some with less serious nerve damage, those who are walking with neuropathy should take the following precautions:

Discuss physical movement and exercise with a doctor first;
Walk only in areas where medical aids or emergency help are available if needed (for example, a stroll down the street or through the house is less dangerous than a hike in the woods);
Wearing proper therapeutic shoes, even when moving around inside. One pair of diabetic shoes and three sets of therapeutic inserts purchased from an approved supplier are covered by Medicare each calendar year.

Did you know that therapeutic shoes for walking with diabetic neuropathy are covered by Medicare?

No Cost Shoes is a Medicare-approved company that offers shoe fittings and delivered-to-your-door shoes at no cost to you. Those who have nerve damage in their feet with no diabetic component or who do not have insurance can also purchase affordable shoes through our easy-to-use system. Simply visit nocostshoes.com or call us at 1-866-923-2423 to order a free catalog today.

The Diabetes Circulation Checklist: Are You Doing These 8 Things?

If you’ve seen a podiatrist for diabetes-related concerns, chances are you’ve heard the word “circulation” mentioned a few times. But what does circulation with diabetes really mean? More importantly, how can people avoid the blood flow related risks that come with a diabetes diagnosis?

This article will help you understand and respond to common circulation concerns with diabetes. We’ll explain exactly what risk factors are involved, then provide you an easy-to-follow checklist to stay as healthy as possible on a daily basis.

What is circulation and why does it matter so much for people with diabetes?

Circulation is another word for “blood flow.” When you have poor circulation, it means that one or more body parts are not getting enough blood. Poor circulation can have many causes, from something as simple as bad fitting shoes through to some something as serious as a heart disorder.

Circulation matters for everyone, but people with diabetes should pay particular attention to this issue. High blood glucose levels caused by diabetes can damage blood vessels, limiting their ability to transfer blood to other cells. This can affect the flow of blood throughout the body.

One of the most common consequences of poor circulation in people with diabetes is foot complications. The word for feet or legs with poor circulation is “peripheral artery disease.”

Luckily, there are ways you can prevent and/or manage poor circulation. We’ve created this Diabetes Circulation Checklist to help guide the process.

Your Diabetes Circulation Checklist

□ Quit smoking. This is a tough one for many, but smoking has the biggest impact on your circulation as a diabetic. If you want to prevent circulation issues, putting down cigarettes should be at the top of your “To Do” list.

□ Do some exercise several times per week. Don’t worry, we aren’t asking you to run a marathon (in fact, you don’t even need to hit the gym!). Just a brisk, 30-45 minute walk several times per week should do the trick. Movement stimulates blood flow in legs, which can prevent peripheral artery disease. For more exercise tips for people with diabetes, click here.

□ Wear therapeutic shoes. Medicare and most insurance plans cover diabetic shoes for patients with a prescription. Approved supplier nocostshoes.com will even send a shoe fitter to your home to help you access shoes with no out of pocket cost. If you don’t have a prescription, you can still order shoes at low cost from their website.

□ Visit a podiatrist regularly. The best person to write your shoe prescription is a medical specialist who deals with foot issues. Annual visits to this type of doctor, called a podiatrist, are also covered by Medicare. They’ll also be able to identify any warning signs of circulation issues and give you tips on how to manage other foot conditions you may have.

□ Take a break when in pain. Regular exercise is important for managing circulation issues, but pushing yourself too far can have serious consequences. People with circulation issues may feel pain in their calves when walking, especially if they are moving quickly, uphill, or on a hard surface. Stop to rest if you are experiencing this, and speak to your doctor as soon as you can.

□ Wear warm support socks. Socks that are too tight or thin can worsen circulation issues for people with diabetes. Diabetic support socks can aid in circulation. They also help to warm up chilly feet, which is a common symptom for those experiencing circulation issues. Do not use hot water or heating pads to warm up your feet, as nerve damage may prevent you from feeling burns.

□ Examine your feet on a daily basis. Many telltale signs of poor circulation are evidence in the feet. Keep an eye out for sores that won’t heal, discoloration, shiny skin and slow toenail growth. If you see anything unusual, discuss it with your podiatrist.

□ Elevate your feet when you are sitting. Paying attention to your feet is important even when you’re not moving. Elevation and wiggling toes from time to time are great ways to encourage blood flow.

17 Creative Ways to Care for Diabetes

When most people think about how to care for diabetes, the words “creative” or “easy” probably don’t come to mind. It’s time to change that.

In this article, we go beyond the typical advice of “eat better!” and “check your blood sugar!” to offer super-specific tips on how to manage your own diabetes and/or how to care for a diabetic loved one. From free therapeutic shoes to hacks for remembering medications, here are 17 super-helpful ways to keep diabetes under control.

Do some meal preparation. Healthy eating is critical to diabetes management. Save time and make the diet shift easier by setting aside a few hours each week to prepare food for the coming days.
Go to the Farmer’s Market. People with diabetes should eat lots of fruits and vegetables. What better place to find these items than your local market? Shopping at a local Market can get you on your feet and put fresh produce in your fridge. Win-win! For tips on what to get (and what to avoid) at the Farmer’s Market tips, this article offers some great pointers.
Use free resources to educate yourself on sugars and carbohydrates. The best way to do this is through Medicare-covered Diabetes self-management training. You can also find fact sheets on these topics by reading our article on the Best Free Resources for People with Diabetes.
Create a system for recording blood sugar (glucose) readings. Whether you use an app on your phone, enjoy the convenience of a Continuous Glucose Monitor, or simply keep a written log, make sure you have a way to share recent numbers with your family doctor.
Organize medications by day. When you keep all your medications in the large generic containers used by most pharmacies,
Source

it can be difficult to remember whether you took your pills for the day. Make it easier by purchasing a day-by-day pillbox at the local pharmacy or dollar store.
Set a reminder to take medications using an alarm or a smart pillbox. Missing medications can be a big risk to your health. Using an alarm or Smart Pillbox is a good way to make sure you stay on track with your medical plan.
Wear diabetic shoes. If you have diabetes, you are
at higher risk for foot complications and infections. That’s why Medicare covers one pair of diabetic shoes and three pairs of therapeutic inserts for people with diabetes and foot complications each year. Want to find great shoes that are covered by Medicare? Click here or on the image below to order your FREE color catalog
.
Check your feet for cuts, blisters, red marks, swelling and other issues each day. Diabetic neuropathy may prevent you from feeling foot injuries, so take some time each day to look over your feet. If you can’t bend over to take a look, have someone else inspect your feet for you. Make an appointment with your podiatrist if something is amiss.
Keep medications close to the kitchen to coordinate mealtime with medication time. Many diabetes medications should be taken on a full stomach, so it’s a good idea to keep your pills on hand after lunch and dinner. It’s a good idea to create a healthy routine of eating good meals and taking medications around the same time each day.
Prepare for special occasions and celebrations involving food. That Fourth of July BBQ won’t negatively impact your health if you show up with some sugar-smart alternatives!
Go to the optometrist once per year (make sure you are also tested for glaucoma!). Medicare covers one eye exam and glaucoma test for adults with diabetes each year. Booking a regular appointment is a must to protect your sight from diabetes complications.
Stay hydrated with water, not sugary drinks. Much of the sugar we consume each day is in the form of beverages, including soda, juice, and alcohol. Drinking lots of water will reduce your cravings for these items, helping you to manage your health.
Get regular exercise, even if it’s just a walk each day. Regular exercise is an important part of most treatment plans, but it doesn’t have be complex! Make walking around town or on a nearby trail a regular part of your day, or find an exercise class that you really enjoy. Working this into your normal schedule is a great way to support your health!
Communicate openly with your doctor. Many health concerns that may seem “small” or unimportant, like blurry vision or a foot blister, can be a much bigger deal when combined with diabetes. It’s best to tell your doctor everything you can about your health – open communication can save your life.
Store insulin properly. Insulin is an important part of most treatment plans, but failing to store it properly can render it useless. Make sure insulin is kept in a temperature controlled area and that it is not used after its expiry date.
Set a reminder to brush and floss your teeth twice each day. People with diabetes are more likely to get infections in their teeth and gums. Care for the health of your mouth with regular brushing and flossing. A visit to the dentist is also a good idea.
Take up a relaxing hobby and lower your stress levels. Diabetes and stress is a bad combination for your blood pressure and heart health. Take time to garden, read a book, listen to relaxing music – whatever you enjoy most! This will help you to relax and keep your stress levels under control.

Where to Get Fitted for Diabetic Shoes

The online marketplace is buzzing with websites where you can buy diabetic shoes at the click of a button. This may seem like a convenient option, but if you’re not careful you could miss a critical step: Getting your diabetic shoe fitting from a certified and Medicare-approved shoe fitter.

Many people are surprised to learn that feet can change size from one year to the next. While all diabetic shoe brands available on nocostshoes.com are Medicare approved, picking the right one for you may require some professional help.

Why do you need to get professionally fitted for your diabetic shoes?

There are a few reasons to involve a foot care professional in selecting your diabetic shoes.

Medicare and insurance often require a professional fit. After all, no insurer wants to pay for shoes that hurt more than they help!
Improperly fitting shoes can exaserbate foot problems. When you have diabetes, even the smallest blister can turn into a life-altering ulcer. The impact of this should not be underestimated.
Shoe fittings are covered anyways, so why not? If you are eligible for coverage, Medicare will cover the furnishing and fitting of one pair of therepeutic shoes and three sets of inserts per year.

What is a licensed shoe fitter, exactly?

One common misconception is that a “shoe fitter” is anyone with a measuring tape who works in a shoe store. In reality, fitting people for therepeutic shoes requires a bit more expertise.

The American Board for Certification in Orthotics and Prosthetics, Inc (ABC) is the body that trains and certifies shoe fitters in the United States. Your insurance may require that someone with the certification “ABC Certified Fitter-Therapeutic Shoes (ABC CFts)” or an equivilant background confirm your shoe size before you order shoes.

Now we come to the most pressing question – where in the world can you find these very specific professionals?

Option #1 – Get a Medicare approved in-home shoe fitting.

For most people, the most convenient option is to arrange for an in-home shoe fitting. Medicare-approved shoe supplier Quantum Medical Supply offers fittings from certified professionals who come right to you. In-home shoe fitters can also help you to select and order shoes from approved suppliers, directly billing Medicare or insurance for cost.

To arrange for your fitting, check your eligibility at nocostshoes.com or call 1-866-923-2423.

Option #2 – Visit your Podiatrist’s office.

Podiatrists and their assistants are able to provide shoe fitting services as needed. If you are regularly seeing one of the below professionals, consider asking them about shoe fitting at your next appointment:

A podiatrist
An orthotist
A prosthetist
A pedorthist

If your doctor does not supply shoes directly, they may offer you a recommendation for where to purchase shoes. Having your feet measured by someone connected with the supplier is a good idea, even if your podiatrist has already taken a look. This will help you account for any differences between brands and give you an opportunity to select shoes that are comfortable for you.

Option #3 – Check with your pharmacy.

As of 2012, 25 percent of ABC Certified Fitter-Therapeutic Shoes (ABC CFts) worked in a pharmacy setting. Your pharmacy may have someone on staff with the right designation, or they may be able to refer you to a professional nearby. Pharmacies are also a good source for some types of therapeutic inserts.

Making Sure Your Shoe Fitting is Covered by Medicare

You should always confirm the credentials of your shoe fitter to ensure their services will be covered under your health care plan. The best option is to use someone who can directly bill your insurance or Medicare. This lowers your risk and confirms that they are approved to provide this service.

Finding the right pair of shoes is important, so don’t be afraid to ask for help throughout this process! You can reach out to the a diabetic shoe supplier such as nocostshoes.com, speak with your podiatrist, or contact Medicare directly to confirm the details you may need.

Just 2 weeks of inactivity can trigger Type 2 Diabetes, study finds

Does staying active matter when it comes to preventing type 2 diabetes? According to recent research, the answer is a resounding YES – in fact, movement might be even more critical for prediabetics than previously thought.

The new study measured the impact of 2 weeks of inactivity had on older adults with prediabetes. Here is what they found in people who were inactive for two weeks:

Their skeletal muscle mass and strength significantly decreased;
They started showing insulin resistance, a sign of type 2 diabetes;
The damage appeared to be permanent – after going back to a more active lifestyle, participants did not return to the way they were beforehand.

The last point is particularly interesting. It suggests that it may be impossible for some seniors to return to a healthy state following a period of inactivity.

What considered a dangerous level of “inactivity” for prediabetics?

In this study, “inactivity” was defined as less than 1,000 steps per day. This reflects the activity level of a person classified as “homebound”. According to other studies, 39 percent of homebound seniors have diabetes compared to 11.4 percent of their more active and social counterparts.

Previous research has shown that healthy older adults walk between 2,000 and 9,000 steps per day. The average number of steps for a person of any age in the United States is 4,774.

How to manage diabetes and prediabetes with exercise

When people talk about managing prediabetes and type 2 diabetes, diet is typically the first thing that comes up. There is no doubt that diet is a crucial risk factor for type 2 diabetes, but this study shows that we may have been underestimating the importance of physical activity. Here are a few tips to make sure you’re moving enough each day:

Keep it simple. You don’t need a fancy gym membership or an extensive exercise regimen to move more each day. Go for a daily walk, play with grandchildren, or do some yard work to keep active. While fitness classes and treadmills are great for filling in the gaps and staying active during bad weather, you don’t need to change your life dramatically in order to move enough each day.
Talk to your doctor about your exercise plan. Going from no activity to an intensive exercise program can hurt your body instead of helping it. Discussing your lifestyle with a doctor will help you stay conscious of your blood pressure, heart rate and the sensitivity of joints and muscles.
Stay motivated. Pedometers or “step counters” are great ways to track your progress and motivate yourself.
Make it social. 30 million Americans have diabetes and 84 million have prediabetes, so chances are you can find a neighbor, family member or friend who could also benefit from physical activity. You can also attend group workouts or find local walking and hiking groups to join.
Stay hydrated and watch your blood sugar. Don’t neglect other aspects of your health, like hydration and diet! Bringing a water bottle and light, diabetes-friendly snack on your walks.

Protecting your feet as you exercise

Those who do have diabetes should also consider the health of their feet when taking on an exercise plan. Due to circulation issues and neuropathy, even a small blister can have serious long-term consequences for people with diabetes. For this reason, Medicare covers one pair of diabetic shoes and two pairs of therapeutic inserts per year for people who have diabetes and foot issues.

If you are receiving Medicare or other insurance support for type 2 diabetes and would like more information about diabetic shoe coverage, our team at nocostshoes.com would love to help you out! Click here to order our catalog or call us at 1-866-923-2423 for more information.

The Best Free Resources for Americans with Diabetes

Getting diagnosed with pre-diabetes or diabetes can be overwhelming. Many people find themselves scrambling to find information and support without breaking the bank.

Luckily, there are tons of FREE resources available to help people understand and manage their diagnosis. From Medicare-covered devices to meal planning tools to educational pamphlets, there are many organizations dedicated to connecting you with resources at absolutely no cost.

To make it easier to navigate the many wonderful organizations offering freebies for people with diabetes, we’ve created this master list of FREE diabetes resources from across the country (and the internet). Let’s get started!

How to Access Free Products and Services (Covered by Medicare, Insurance, or Other Programs)

To find an accredited Diabetes Education Program, visit the “Find a Program” Page on the American Association of Diabetes Educators website.

To get diabetic shoes, inserts, and other Medicare-covered products with direct insurance billing, visit nocostshoes.com.

For low-income support to access glucose monitors, medical testing and more, visit the Partnership for Prescription Assistance.

To find a Diabetes Camp for children with Type 1 Diabetes to attend, visit “Find a Camp” on the Diabetes Education & Camping Association website.

Free Medical Support Resources for People With Diabetes

Self Care Diary – This printable diary from Lilly Diabetes will help you record all the information your health care provider needs about your diet, blood surgar, and more.

Medication Pocket Cards – This downloadable template from Diabetes Education Services will help you record your medical regimin, including insulin injections and oral medications, making it easier to get emergency care or share medical history with a new physician.

Monitoring Guide – This printable resource from the American Association of Diabetes Educators will teach you how to record your blood sugar properly.

Blood Glucose Monitoring Tip Sheets – These resources from the American Association of Diabetes Educators offer expert tips on how to properly monitor your blood sugar.

How to Inject Insulin – This guide from the American Association of Diabetes Educators will help you inject insulin properly.

Diabetes and Pregnancy Guide – This guide from the CDC is designed to help women have safe and healthy pregnancies and to control gestational diabetes.

Medication Planning Worksheet – This printable resource from the American Association of Diabetes Educators will help you ask the right questions to your doctor and remember to take the medications you need. Available in English and Spanish.

Medication Taking Tip List and Checklist – This printable resource from the American Association of Diabetes Educators will help put your medical plan into action.

Free Diet and Meal Planning Resources for People With Diabetes

7-Day Diabetes Meal Plan – This meal plan from eatingwell.com is a great starting point for those looking to restructure their diet to manage diabetes.

Best Foods for You: Healthy Food Choices for People with Diabetes – This printable list from the American Diabetes Association is a great guideline for your grocery shopping and meal planning.

Cutting Back on Salt – This printable resource from the American Diabetes Association offers great tips to help salt lovers cut down on their consumption to manage their diabetes.

Healthy Food Swaps – This printable resource from the American Diabetes Association can help you pick better snacks to respond to your cravings and follow doctor’s orders. Great to hang on your refrigerator or in a snack cabinet!

How Much Sugar? – This printable resource from the American Diabetes Association offers a step-by-step guide to measuring the sugar content of food and drinks.

Money Saving Shopping Tips – This printable resource from the American Diabetes Association can help you eat healthy on a budget.

Recipe Makeover – This printable resource and worksheet from the American Diabetes Association will help you adapt your old recipes to your new lifestyle with healthier substitutions.

Smart Snacks – This printable resource and worksheet from the American Diabetes Association will help you plan for healthier snacking.

Fast Food Tips – This printable resource from the American Diabetes Association will help you make better choices when visiting a fast food restaurant.

Alcohol & Diabetes – This printable resource from the American Diabetes Association will give you helpful tips and valuable information on drinking alcohol with diabetes.

Free Active Lifestyle & Exercise Resources for People With Diabetes

8 Week Workout Plan – This 8-week exercise plan from SparkPeople offers a straight-forward week by week plan and physical activity tips for people with diabetes – includes helpful videos to learn new exercises.

Being Active Worksheet – This worksheet from the American Association of Diabetes Educators will help you plan for everyday activity.

Tips for Being Active with Diabetes – This worksheet from the CDC offers tips for a safe and healthy exercise plan.

Free Risk Management Resources for People With Diabetes

Reducing Risk Worksheet – This worksheet and tip sheet from the American Association of Diabetes Educators will help you stay safe and healthy during daily activities.

Diabetes & Cardiovascular Disease – These resources from the American Association of Diabetes Educators will educate you on how to care for your heart health with diabetes.

Free Mental Health Resources for People With Diabetes

Problem Solving Worksheet – This resource from the American Association of Diabetes Educators will help you take on some of the decisions and challenges that come with a diabetes diagnosis.

Healthy Coping – This resource from the American Association of Diabetes Educators will help you adjust to the lifestyle changes that come with diabetes.

Mental Health and Diabetes – This resource from the American Association of Diabetes Educators will help you manage mental health issues like stress, depression, and anger. Available in both English and Spanish.

Peer & Community Support Listing – This list from the American Association of Diabetes Educators will help you find support in your community and online.

Free Holiday Resources for People With Diabetes

Holidays and Special Events Worksheet – This printable worksheet from the American Diabetes Association helps you make a plan for eating healthy during special occasions.

Holiday Tip Sheets from AADE – These tip sheets from the American Association of Diabetes Educators will help you manage your health on a variety of occasions, from Thanksgiving dinner to picnics and even football season. Available in English and Spanish!

Buffet Table Tips for People with Diabetes – This resource from the CDC offers tips to help people with diabetes manage buffets, potlucks, and other special occasions.