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Post by goyocafe on May 19, 2017 12:37:23 GMT -5
"2 week continuous monitoring trial (normal value, more than $500)" What does this include? $13k/year is a lot of money. Could be they are going to introduce CGM loaners during the first two weeks for titration and learning purposes. It may be that insurance will cover that. I read that a lot will cover 2 weeks/year. What a perfect way to capitalize on the existing system to introduce Afrezza with better outcomes and repeat scripts.
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Post by peppy on May 19, 2017 12:45:46 GMT -5
"2 week continuous monitoring trial (normal value, more than $500)" What does this include? $13k/year is a lot of money. Could be they are going to introduce CGM loaners during the first two weeks for titration and learning purposes. It may be that insurance will cover that. I read that a lot will cover 2 weeks/year. What a perfect way to capitalize on the existing system to introduce Afrezza with better outcomes and repeat scripts. aged told us most insurances will cover continuous glucose monitors for two weeks a year. heh. Good point. Use it.
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Post by agedhippie on May 19, 2017 12:46:35 GMT -5
"2 week continuous monitoring trial (normal value, more than $500)" What does this include? $13k/year is a lot of money. The consumable would two sensors and a percentage of the transmitter (arguably a percentage of the receiver as well). Yes, a Dexcom is very expensive to run out of pocket which is why the adoption rate is low. Insurance coverage is patchy for Type 1 and almost non-existent for Type 2. Almost all insurers place pre-conditions on CGMs. The interesting thing is that the offer implies that VDEX have CGMs to loan as part of their program.
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Post by MnkdWASmyRtrmntPlan on May 19, 2017 12:54:17 GMT -5
On Facebook: Vdex Diabetes added 4 new photos. 27 mins · We are pleased to announce the opening of our new dedicated facility in Canoga Park ... Wow, nice find, Sla. The pieces are coming together. If these facilities keep coming, this could be HUUUGE for MNKD!
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Post by peppy on May 19, 2017 12:55:45 GMT -5
On Facebook: Vdex Diabetes added 4 new photos. 27 mins · We are pleased to announce the opening of our new dedicated facility in Canoga Park where previously we had an office share arrangement. With this new medical facility we will be able to deliver a higher standard of care, and better help patients manage their diabetes. Our experience to date has shown us the need for a new and better approach. Currently, the management of diabetes is based on outdated protocols, resulting in less-than-ideal outcomes. In addition, doctors' facilities simply are not conducive to an effective patient experience with respect to diabetes. Now, with Vdex, patients will have the most up-to-date treatment protocols together with an office experience built around the idea of producing demonstrably better control of blood sugar. Through the protocols we've established and implemented with our initial group of patients, we've been able to safely lower HBa1c to levels that were previously unattainable. In some cases, we've seen patients reach HbA1c levels that are physiologically non-diabetic, with no increased risk of hypoglycemia. In fact, we've seen hypoglycemic risk fall at the same time as HbA1c is brought down, something most physicians would say is impossible. We have made extensive use of a new medication, Afrezza, and our conclusion is that we can change the diabetes landscape forever through the use of this medication. We are so confident in this medication, that we believe it really should be the first medication for the treatment of diabetes, assuming the patient meets the necessary criteria. We invite you to our June 1st grand opening event where we will be giving away a 2 week continuous monitoring trial (normal value, more than$500) to three lucky winners. All you have to do is RSVP using the link below with your Name, Email address and Phone number. Vdex Diabetes 21201 Victory Blvd #265 Canoga Park, CA 91367 vdexopening@vdexdiabetes.com Subq insulin analogs. Working blind, or by occasional finger stick. The dark ages. Let the sunshine in.
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Post by akemp3000 on May 19, 2017 12:57:45 GMT -5
Maybe Vdex will be one of the primary national teledocs that can review a patient's history online or via teleconferencing then forward the Afrezza prescription to Amazon for processing and delivery.
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Post by agedhippie on May 19, 2017 14:21:02 GMT -5
Maybe Vdex will be one of the primary national teledocs that can review a patient's history online or via teleconferencing then forward the Afrezza prescription to Amazon for processing and delivery. You are going to run into the states Rx laws. I am not sure how a CA doctor writes an Rx to be filled in FL for example. I expect it's possible but I am not sure what is involved.
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Post by sportsrancho on May 19, 2017 14:37:50 GMT -5
Maybe Vdex will be one of the primary national teledocs that can review a patient's history online or via teleconferencing then forward the Afrezza prescription to Amazon for processing and delivery. You are going to run into the states Rx laws. I am not sure how a CA doctor writes an Rx to be filled in FL for example. I expect it's possible but I am not sure what is involved. The kids got their first prescription mailed to them from NY and filled in CA.
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Post by peppy on May 19, 2017 14:56:49 GMT -5
Maybe Vdex will be one of the primary national teledocs that can review a patient's history online or via teleconferencing then forward the Afrezza prescription to Amazon for processing and delivery. You are going to run into the states Rx laws. I am not sure how a CA doctor writes an Rx to be filled in FL for example. I expect it's possible but I am not sure what is involved. insulin human is legal in all 50 states? and the world?
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Post by lennymnkd on May 19, 2017 16:06:33 GMT -5
Maybe Vdex will be one of the primary national teledocs that can review a patient's history online or via teleconferencing then forward the Afrezza prescription to Amazon for processing and delivery. Akemp / spoke to jeff...onedrop after the breakout/asm. and that's how he explained the perscription to me . But For the record did not mention : vedex : but hope something becomes of it .
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Post by audiomr on May 19, 2017 17:00:24 GMT -5
It is also one of the safest, most widely used anti-diabetic drugs so all of that stuff really doesn't matter. My focus was on advising how to take Metformin with minimal side effects and when to stop taking - I live in the practical world where Metformin is and will remain the number one treatment for diabetes on cost and effectiveness grounds. Metformin is the antithesis of safe. It induces cell death in the brain. Things like oxidative stress, mitochondrial dysfunction, increasing amyloid precursor protein and presenilin that cause aggregation of beta-amyloid. All this stuff is linked to Alzheimer's. You should care. Although it's true that Metformin can cause serious problems, there is evidence that it has anti-ageing properties that can extend the lives of non-diabetics. This first emerged in mouse studies, as so may things do. A short, balanced synopsis can be found at www.forbes.com/sites/melaniehaiken/2013/03/27/common-drug-found-to-slow-aging-boost-cancer-recovery/#3b95f65f314f.
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Post by nylefty on May 19, 2017 18:19:42 GMT -5
You are going to run into the states Rx laws. I am not sure how a CA doctor writes an Rx to be filled in FL for example. I expect it's possible but I am not sure what is involved. insulin human is legal in all 50 states? and the world?
I'm in New York and routinely get prescriptions written by a Florida doc filled by mail order (OptumRx).
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Post by agedhippie on May 19, 2017 19:47:01 GMT -5
insulin human is legal in all 50 states? and the world?
I'm in New York and routinely get prescriptions written by a Florida doc filled by mail order (OptumRx). Then maybe there isn't an issue because New York I thought was a problem state but evidently it isn't!
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Post by sayhey24 on May 19, 2017 20:18:59 GMT -5
Metformin is the antithesis of safe. It induces cell death in the brain. Things like oxidative stress, mitochondrial dysfunction, increasing amyloid precursor protein and presenilin that cause aggregation of beta-amyloid. All this stuff is linked to Alzheimer's. You should care. Although it's true that Metformin can cause serious problems, there is evidence that it has anti-ageing properties that can extend the lives of non-diabetics. This first emerged in mouse studies, as so may things do. A short, balanced synopsis can be found at www.forbes.com/sites/melaniehaiken/2013/03/27/common-drug-found-to-slow-aging-boost-cancer-recovery/#3b95f65f314f. IMO take that study and throw it right in the trash. Metformin brings nothing good to anyone especially T2s. 70+% of T2 are not meeting goal. The goal is usually A1c of 7. Thats an average BG of 154 mg/dl. 140 is now considered the level when microvascular damage occurs. An A1c target of 7 in the "Age of afrezza" is a ridiculous target. IMO 5.5 would be much more realistic. Now I bet you almost 100% of the T2s are exceeding 140 after meals who are not using afrezza and maintaining that high level for hours and hours while their already impaired pancreas is working as hard as it can and burning out more beta cells in the process only to never catch-up before the next meal and never bringing the BG back below 100 let alone the 80-90 range it should be in. There is a session at ADA 2017. Hopefully both Dexcom and MNKD will have vocal representation there. The session is about should T2s be using CGMs. The answer is clearly NO if you are going to continue to treat them with metformin. Once Tim Cook and the rest of the general public see what their real numbers are anyone who cares about their health will take their metformin and throw that in the trash along with your study. My oh my, if you start letting these people see their numbers there are going to be riots. The last thing the ADA who has been recommending metformin for years as the first treatment for T2s wants is for the T2 to see their "time in range". There is no way they can let this happen but can they stop Tim Cook? And, Mango is 100% correct about the link between metformin and Alzheimer's. With metformin its a question of picking your poison. Do you want extended periods of high BG causing microvascluar damage so you can die of a heart attack or do you want to lose your mind. You can have both with metformin. Did you know that heart disease is the #1 cause of death. Do you know how many of them have diabetes? Could you imagine if the cause of death was listed on the certificate as diabetes/heart disease. I bet this would take over as #1.
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Post by nylefty on May 19, 2017 21:26:58 GMT -5
I'm in New York and routinely get prescriptions written by a Florida doc filled by mail order (OptumRx). Then maybe there isn't an issue because New York I thought was a problem state but evidently it isn't! Even out of state prescriptions for controlled substances can be filled by New York State pharmacies. regs.health.ny.gov/book/export/html/4895480.78 Pharmacists; dispensing out-of-state prescriptions; schedule II, III, IV and V controlled substances.
(a) A licensed, registered pharmacist, or a pharmacy intern acting in conformity with the provisions of section 6808 of the Education Law, and regulations thereunder, in a registered pharmacy may, in good faith and in the course of his/her professional practice, dispense to an ultimate user, controlled substances in schedule II, III, IV and V upon delivery to such pharmacist of an out-of-state prescription within 30 days of the date such prescription was signed by an authorized practitioner.
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