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Letter From The Editor

When Walmart first introduced their $4 generic drug program we thought that it would be an oddity for a month or two and then go away. Then everyone jumped on the bandwagon and soon these programs were so commonplace that our patients felt anything over $4 was too much. Studies did show that this pricing program increased adherence and persistence for many patients taking thyroid, blood pressure, diabetes and cholesterol medications and that was a good thing. However raw material prices of these medications are going up and slowly but surely many of these meds are no longer only $4 or $8 or even $10.

During the past three months, drugs like levothyroxine, pravastatin, enalapril, and atorvastatin have increased 3 to 5-fold, and patients are starting to decrease the frequency in how often they fill these maintenance medications.

If you are finding your patients are mentioning this to you, I would encourage you to tell them to shop around as some pharmacies are holding prices lower for a longer period of time, and also encourage them to ask the pharmacist if there is another drug in the same class that is still at the cheaper price....… Read More

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FDA Finalizes Menu, Vending Machine Calorie Labeling Rules 

The FDA has finalized two rules that require chain restaurants, retail food establishments and vending machines with 20 or more locations to list calorie information on a menu or menu board.

Gabapentin Capsules USP 300 mg Recall 

Aurobindo Pharma USA is voluntarily recalling lot GESB14011-A of Gabapentin Capsules, USP 300 mg 100-count bottles to the consumer level. The product lot has been found to contain some empty capsules.

Tool for your Practice


An essential health promotion sourcebook for both large and small employers. This is a total health management strategy to improve care and reduce costs for large and small employers. This program will provide a new perspective on what employee health means from both a personal and organizational perspective. This revised report, Healthy Workforce 2010 and Beyond provides new information and resources to assist decision makers in making planning decisions. (See this week's Item #10.) Healthy Work Force Program

Product of the Week


Pocket Pal is a blood glucose meter with a built-in lancing device and a pull-out compartment that holds 25 test strips. A small piece of the Dario detaches from the meter and connects to a smartphone headphone jack, linking the meter to a Dario app. After logging into their Dario app, users simply turn a knob to eject a single test strip from the body of the meter, insert the test strip into the connection device attached to the smartphone, add a drop of blood, and wait for the app to display the blood glucose level on the phone screen. The Dario app also allows users to log carbohydrate intake and exercise, search a food database, track insulin injected, calculate insulin doses, graph glucose data, and send reports to family and caregivers. The Dario meter-app combo is expected to be available in Europe in early 2014.


Mobile App of the Week

Muscle Trigger Points

Trigger1Trigger 2A reference for the most common trigger points and referral patterns for over 70 muscles. Features 100+ trigger points with their corresponding referral patterns. Each muscle includes the visual referral pattern and point location, plus a written muscle action, referral and comments for each muscle. Your patients can choose to view each muscle individually, or use the zones view to see all the muscles that refer into a specific area, a great help in discovering the source of pain. Just follow this link for more information and to download the app.




Test Your Knowledge Question #757

What is the best first line of treatment for metabolic syndrome?

A. Healthy lifestyle interventions

B. Liposuction and psychotherapy

C. Low dosage daily aspirin therapy

D. Metformin

For the complete question and answer, just follow this link. 


Diabetes In Control Has Over 15000 Studies & Articles In Our Archives

Quote of the Week!

“We must let go of the life we have planned, so as to accept the one that is waiting for us.”
       ...Joseph Campbell


Diabetes in Control gratefully acknowledges the assistance of the following  pharmacy doctoral candidates in the preparation of this week's newsletter: 

LanAhn Doan, Florida A&M University

Paul Dreabit, LECOM University 

Jennifer Piggot, LECOM University


Cast Your Vote
What percentage of your patients should be on insulin but refuse?
CME/CE of the Week
John Steinberg, DPM

Category: Wound Care
Credits: .25


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