handbook

Your Guide toBetterLiving

INSIDE:

free copy

DIabEtES

Your City. Your Drugstore.

Diabetes Overview

what tO expect

heaD tO tOe: A Guide for Living Well

MeDicatiOns & Over-the-Counter

YOur next Doctor Visit

coupon savings

blOOD Glucose Levels

Feature: 6 Healthy Habits

Diabetic recipesmmm mmm Good For YoublOOD GlucOse Self-Monitoring Chart

FOOt care Be Sweet to Your Feet

578

10

111316

1819

DIABETES HANDBOOKFall/Winter 2009

CONtENtS:

lEaDINg thE way…tO Living better with diabetes

According to a recent announcement by the New York State Health Department, 1.5 million New Yorkers have diabetes and it’s estimated that half a million more residents do not know they have the disease. This is an alarming statistic that demands attention. At Duane reade, we’re committed to making a difference.

Duane reade has created this informative handbook to serve as an introduction and reference guide for diabetes care. Inside you’ll find valuable information and helpful tips to help you live a healthy life beyond your diagnosis.

In addition, we’re promoting community awareness and support for those with diabetes. This includes:

Conveniently-located Duane reade Medical Clinics, each with an onsite physician and, at select locations, a LabCorp diagnostic testing facility.

Duane reade HomeCare with free home delivery and a variety of products to meet your healthcare needs.

Convenient Duane reade pharmacies to fill your prescriptions both onsite and online.

Trusted pharmacists equipped with the latest information on diabetes research, treatments, and medications.

For more information, visit www.BDdiabetes.com/us

BD, BD Logo and BD Ultra-Fine are trademarks of Becton, Dickinson and Company. ©2009 BD

The skin may be the largest organ, but it’s also the most sensitive. So BD engineers every BD Ultra-Fine™ Pen Needle and Syringe to be thinner and smoother for a more comfortable injection. Thanks to technology, like:

Electro-polishing: a process that polishes away microscopic burrs. Giving every needle a smooth finish.

Micro-bonded lubrication: a special double-lubrication process that creates more glide and less friction.

Fine Point Technology: a three-step process that shapes the tip of every BD needle as finely as possible for easier penetration.

Millions of tiny nerve endings will be happy you chose BD.

the health information in this publication is meant only to complement the advice of healthcare professionals, and is not intended to take the place of professional medical care.

wOrkINg tOgEthEr,we can help yOu becOMe sYMptOM Free

Reference for select articles in this handbook provided by

EDItOr:William J. MalaveCONtrIbutOrS:Rebecca RabanoEileen Figure-SandlinSheryl Normanart DIrECtION:Hannah Smith© copyright 2009 seltzer Kaufmann Marketing, inc., Bloomfield Hills, MI • All rights reserved.www.skmmarketing.com • Made in the U.S.A.

Today, Duane Reade is one of the most recognized and respected pharmacies throughout metropolitan New York.

2122

Diabetes Overview

what tO expect

heaD tO tOe: A Guide for Living Well

MeDicatiOns & Over-the-Counter

YOur next Doctor Visit

coupon savings

blOOD Glucose Levels

Feature: 6 Healthy Habits

Diabetic recipesmmm mmm Good For YoublOOD GlucOse Self-Monitoring Chart

FOOt care Be Sweet to Your Feet

578

10

111316

1819

DIABETES HANDBOOKFall/Winter 2009

CONtENtS:

lEaDINg thE way…tO Living better with diabetes

According to a recent announcement by the New York State Health Department, 1.5 million New Yorkers have diabetes and it’s estimated that half a million more residents do not know they have the disease. This is an alarming statistic that demands attention. At Duane reade, we’re committed to making a difference.

Duane reade has created this informative handbook to serve as an introduction and reference guide for diabetes care. Inside you’ll find valuable information and helpful tips to help you live a healthy life beyond your diagnosis.

In addition, we’re promoting community awareness and support for those with diabetes. This includes:

Conveniently-located Duane reade Medical Clinics, each with an onsite physician and, at select locations, a LabCorp diagnostic testing facility.

Duane reade HomeCare with free home delivery and a variety of products to meet your healthcare needs.

Convenient Duane reade pharmacies to fill your prescriptions both onsite and online.

Trusted pharmacists equipped with the latest information on diabetes research, treatments, and medications.

For more information, visit www.BDdiabetes.com/us

BD, BD Logo and BD Ultra-Fine are trademarks of Becton, Dickinson and Company. ©2009 BD

The skin may be the largest organ, but it’s also the most sensitive. So BD engineers every BD Ultra-Fine™ Pen Needle and Syringe to be thinner and smoother for a more comfortable injection. Thanks to technology, like:

Electro-polishing: a process that polishes away microscopic burrs. Giving every needle a smooth finish.

Micro-bonded lubrication: a special double-lubrication process that creates more glide and less friction.

Fine Point Technology: a three-step process that shapes the tip of every BD needle as finely as possible for easier penetration.

Millions of tiny nerve endings will be happy you chose BD.

the health information in this publication is meant only to complement the advice of healthcare professionals, and is not intended to take the place of professional medical care.

wOrkINg tOgEthEr,we can help yOu becOMe sYMptOM Free

Reference for select articles in this handbook provided by

EDItOr:William J. MalaveCONtrIbutOrS:Rebecca RabanoEileen Figure-SandlinSheryl Normanart DIrECtION:Hannah Smith© copyright 2009 seltzer Kaufmann Marketing, inc., Bloomfield Hills, MI • All rights reserved.www.skmmarketing.com • Made in the U.S.A.

Today, Duane Reade is one of the most recognized and respected pharmacies throughout metropolitan New York.

2122

Unquenchable thirst

Persistent urination

Numbness or tingling in extremities

excessive hunger

Unusual fatigue

Blurred vision

Irritability

Wounds slow to heal

You’re at a greater risk for type 2 diabetes if you are:

DIabEtESOverview

A person with a family history of diabetes

Overweight or sedentary

A woman who has had gestational diabetes

Over age 45

Hispanic/Latino, African American, Pima or American Indian, or Asian/Pacific Islander

5

gOt DIabEtES? YOu’re nOt alOne.Almost 24 million Americans share this diagnosis, according to the Centers for Disease Control, and statistics show it’s on the rise. But there’s a wealth of information out there to help you live a long, healthy life. The more you know, the better you’ll be at making life work for you.

let’s Get starteD:What is diabetes? It’s a disease that affects the insulin hormone production in your pancreas. Normally, your body breaks down the food you eat and changes it into glucose. Your pancreas then releases a hormone called insulin. Glucose + Insulin = Energy that fuels your body. But when you have diabetes, insulin is not generated or used properly. Consider the three main types of diabetes:

tYpe 1 Diabetes - is when the body stops making insulin. first signs usually appear in childhood and adolescence.

tYpe 2 Diabetes - the most common type happenswhen the body doesn’t make enough insulin or doesn’t use it properly, or both.

GestatiOnal Diabetes - occurs during pregnancy. Women diagnosed with this form have a 20% to 50% risk of developing another type of diabetes in 10 years.

If glucose levels are not managed properly in all three types of diabetes, the bloodstream can become flooded with glucose, which could lead to other serious complications.

me?wh

y

what arE thE sYMptOMs OF Diabetes?

Unexplained weight loss

Itchy, dry skin

Continual infections

Swollen, red, tender gums

Consult your doctor with any concerns. Should your physician suspect diabetes, a blood test can confirm the diagnosis and identify the type of diabetes in question.

You can stay powered up and live a vibrant life beyond diabetes if you manage your blood sugar — or glucose levels. Use the following strategy to reduce, or even free yourself of symptoms altogether.

EmpOwEr yOurSElf wIth INfOrmatION Start with your doctor and ask questions. follow up with research your local library, or online from reputable and official sources. You’ll find these websites helpful: www.diabetes.org (American Diabetes Association - ADA) www.cdc.gov/diabetes (Centers for Disease Control and Prevention) www.niddk.nih.gov or call 301-496-3583 (National Institute of Diabetes & Kidney Diseases)Take advantage of local support groups through your local hospital.

mONItOr gluCOSE lEvElS DaIly… according to your treatment plan and get A1C tests as ordered by your physician. Blood glucose targets recommended by the ADA are 70-130mg/dl before meals and less than 180 mg/dl two hours after the start of a meal. A free blood glucose chart is available on the inside back of this handbook or online at www.diabetes.org/uedocuments/ChooseGuide.pdf. Blood glucose can be checked on a daily basis by a meter that measures levels with a prick of your finger. Clean the area beforehand, as residue on your finger can throw off a reading.

researchers are fast at work on a variety of noninvasive monitoring devices that track blood glucose, such as ultrasound and wireless sensor chips that transmit data to a cell phone. for more information on monitors, visit the food and Drug Administration’s “Glucose meters and diabetes management” online section by clicking on it as you visit www.fda.gov/diabetes/glucose.html.

The A1C test is done at your doctor’s office and indicates your average 2 to 3 month blood glucose level. A result of 7% or more may require changes in treatment.

gEt a phySICal EvEry yEar… and take diabetes medications as per your doctor’s recommendations.

plaN mEalS IN aDvaNCE… and be physically active for 30 minutes every day. Consistency is key. eat meals consistently, using the same portions of proteins, carbs, and healthy fats (see page 19 for more on nutrition).

It’s important to log results.

The results can guide you as

you plan meals, exercise, and

take medications. It can also

indicate if your treatment plan is working or needs

adjustment.

1

2

34

BlOOd gluClOSE levels

16

Unquenchable thirst

Persistent urination

Numbness or tingling in extremities

excessive hunger

Unusual fatigue

Blurred vision

Irritability

Wounds slow to heal

You’re at a greater risk for type 2 diabetes if you are:

DIabEtESOverview

A person with a family history of diabetes

Overweight or sedentary

A woman who has had gestational diabetes

Over age 45

Hispanic/Latino, African American, Pima or American Indian, or Asian/Pacific Islander

5

gOt DIabEtES? YOu’re nOt alOne.Almost 24 million Americans share this diagnosis, according to the Centers for Disease Control, and statistics show it’s on the rise. But there’s a wealth of information out there to help you live a long, healthy life. The more you know, the better you’ll be at making life work for you.

let’s Get starteD:What is diabetes? It’s a disease that affects the insulin hormone production in your pancreas. Normally, your body breaks down the food you eat and changes it into glucose. Your pancreas then releases a hormone called insulin. Glucose + Insulin = Energy that fuels your body. But when you have diabetes, insulin is not generated or used properly. Consider the three main types of diabetes:

tYpe 1 Diabetes - is when the body stops making insulin. first signs usually appear in childhood and adolescence.

tYpe 2 Diabetes - the most common type happenswhen the body doesn’t make enough insulin or doesn’t use it properly, or both.

GestatiOnal Diabetes - occurs during pregnancy. Women diagnosed with this form have a 20% to 50% risk of developing another type of diabetes in 10 years.

If glucose levels are not managed properly in all three types of diabetes, the bloodstream can become flooded with glucose, which could lead to other serious complications.

me?wh

y

what arE thE sYMptOMs OF Diabetes?

Unexplained weight loss

Itchy, dry skin

Continual infections

Swollen, red, tender gums

Consult your doctor with any concerns. Should your physician suspect diabetes, a blood test can confirm the diagnosis and identify the type of diabetes in question.

If yOu’rE DIagNOSED

wIth DIabEtES…

Your mind may race with questions. Discover the answers and you’ll gain a sense of power, control

and direction to develop a healthy mindset in managing

this disease.

what tO expecttaKe MeDicatiOn as DirecteD by your doctor. Depending on the type, this could mean oral medication, insulin injections or a combination of both. Many people with diabetes also need to take medications to manage their cholesterol and blood pressure.

paY clOse attentiOn to your body’s warning signals to avoid complications. Test blood glucose levels as suggested by your doctor. Check your blood pressure regularly, scan your skin and gums daily to rule out redness, swelling or bleeding.

a suppOrt GrOup can offer solutions and answers. It could even be helpful to partner with someone who can offer support, encouragement and guidance as you change old habits and grow into new healthy ones.

MODiFY YOur liFestYle for better health. Plan and avoid skipping meals, keeping a snack handy if mealtime is delayed. Get active so body systems function better and take medications regularly.

Gentle overnight warmth provides a clinically proven method to ease the pain of arthritis, relax

Restless Leg Syndrome, warm legs and feet affected by Peripheral Artery Disease or diabetes.

Sleep More Soundly

to Wake Rested and

Rejuvenated

Bayer_SD 093408->Duane Reade B2&C 6x8.375 Ad.1.indd 1 7/31/09 2:24:26 PM

Standard BedWarmer™ (Model 058)• Single temperature model heats the bed at a steady rate through the night. • Simple lighted On/Off switch makes it easy to see whether unit is On or Off.

Deluxe BedWarmer™ (Model 358) (Shown)

• Dual Temperature switch allows user to heat the unit quickly and then easily switch to low heat, to maintain warmth through the night. • Luxurious fleece cover adds an extra layer of comfort for users that prefer the BedWarmer™ on top of their sheet.

The Battle Creek® “Recipe for Comfort™” combines nightly use of a BedWarmer™ with light daily exercise. Working in conjunction to help maintain circulation for enhanced comfort and cell rejuvenation, this approach can provide proven results.

The BedWarmer™ by Battle Creek®

If yOu’rE DIagNOSED

wIth DIabEtES…

Your mind may race with questions. Discover the answers and you’ll gain a sense of power, control

and direction to develop a healthy mindset in managing

this disease.

what tO expecttaKe MeDicatiOn as DirecteD by your doctor. Depending on the type, this could mean oral medication, insulin injections or a combination of both. Many people with diabetes also need to take medications to manage their cholesterol and blood pressure.

paY clOse attentiOn to your body’s warning signals to avoid complications. Test blood glucose levels as suggested by your doctor. Check your blood pressure regularly, scan your skin and gums daily to rule out redness, swelling or bleeding.

a suppOrt GrOup can offer solutions and answers. It could even be helpful to partner with someone who can offer support, encouragement and guidance as you change old habits and grow into new healthy ones.

MODiFY YOur liFestYle for better health. Plan and avoid skipping meals, keeping a snack handy if mealtime is delayed. Get active so body systems function better and take medications regularly.

Gentle overnight warmth provides a clinically proven method to ease the pain of arthritis, relax

Restless Leg Syndrome, warm legs and feet affected by Peripheral Artery Disease or diabetes.

Sleep More Soundly

to Wake Rested and

Rejuvenated

Bayer_SD 093408->Duane Reade B2&C 6x8.375 Ad.1.indd 1 7/31/09 2:24:26 PM

Standard BedWarmer™ (Model 058)• Single temperature model heats the bed at a steady rate through the night. • Simple lighted On/Off switch makes it easy to see whether unit is On or Off.

Deluxe BedWarmer™ (Model 358) (Shown)

• Dual Temperature switch allows user to heat the unit quickly and then easily switch to low heat, to maintain warmth through the night. • Luxurious fleece cover adds an extra layer of comfort for users that prefer the BedWarmer™ on top of their sheet.

The Battle Creek® “Recipe for Comfort™” combines nightly use of a BedWarmer™ with light daily exercise. Working in conjunction to help maintain circulation for enhanced comfort and cell rejuvenation, this approach can provide proven results.

The BedWarmer™ by Battle Creek®

toehead

tO

8

DIabEtES “…don’t be afraid to seek professional counseling. talking to someone could save your life and open

doors to a happy, healthy world for you.”

9

Whether you’ve been newly diagnosed with diabetes or have coped with the disease for quite some time, you probably know that the condition can impact virtually every aspect of your health. The good news is that good blood glucose control can often stave off many health complications for a very long time — if not forever.

tummy troubleWhen people think of common diabetes complications, stomach problems don’t often come to mind. Yet both type 1 and type 2 diabetes are among the major causes of gastroparesis, or delayed gastric emptying. Diabetes can damage the vagus nerve, which controls the movement of food through the digestive tract, and can prevent the stomach muscles and intestines from working normally. When the movement of food slows down or stops completely, heartburn, nausea, vomiting, acid reflux and abdominal bloating can result. Gastroparesis also makes glucose control much more difficult because the stomach empties slowly or unpredictably. and depression, weight gain and an increased difficulty losing weight could be signs of hypothyroidism.

Cushing’s Syndrome is a rare disorder that occurs due to an excessive amount of the hormone cortisol in the body. Symptoms can vary, but most people are more likely to have a rounded face, increased fat around the neck and upper

body obesity. It can also be brought on by hormones taken for asthma, lupus, rheumatoid arthritis and other inflammatory diseases as well as for immunosuppression therapy after organ transplants.

In addition to these conditions, weight gain can be brought on by insulin therapy for type 2 diabetes, and certain antiseizure, antidepressant and antipsychotic medications.

Our emotional connectionWhether it’s dinner with the family, or a festive celebration, food helps to create a jovial, engaging atmosphere in which family and friends share good times. But for some, the comfort and security of food can create a painful struggle. Overeating and a number of other eating disorders can be attributed to — or even be the result of — anxiety, stress, low self-esteem or excessive alcohol use.

If you think there may be an emotional and/or social obstacle in the way of you or a loved one obtaining and maintaining a healthy weight, don’t be afraid to seek professional counseling. Talking to someone could save your life and open doors to a happy, healthy world for you.

regulating insulin levels tightly, eating six small meals a day and substituting some liquid meals for solid foods can help control gastroparesis. Your doctor may also recommend avoiding both high fat foods (which slow digestion) and high fiber foods (which are difficult to digest). finally, drugs like metoclopramide and erythromycin, which stimulate the stomach to empty more efficiently and control both nausea and vomiting, are also quite effective.

The kIDNEy connection Managing glucose levels effectively can also reap long-term benefits when it comes to keeping your kidneys healthy. Diabetes is the most common cause of kidney failure, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Diabetic kidney

hOw tO take cOntrOlmENtal rEaDINESS

Make lifestyle changes you plan to continue, so weight loss is permanent

reward success with non-food items like taking the day off from work or buying yourself some stylish new clothes

Monitor food intake and physical activity. Noting your progress will encourage you to keep going

Avoid tempting situations

eat slowly to allow your brain to realize you’re full.

Drink at least eight glasses of water a day

thINk “aCtIvE” ■ ride a bike or walk,

when possible

■ Get in a little extra by taking the stairs or parking in the back of the lot

■ Walk the dog, instead of letting him out into the backyard

■ Cook a good meal, instead of microwaving a packaged meal

■ Wash the car by hand

a guide fOr living well

cOntinueD On paGe 15

In the previous issue we examined the impact of diabetes on the heart, eyes and healing. In this issue, Diabetes from Head to Toe will examine several more health implications and some proactive steps to help bring them under control.

toehead

tO

8

DIabEtES “…don’t be afraid to seek professional counseling. talking to someone could save your life and open

doors to a happy, healthy world for you.”

9

Whether you’ve been newly diagnosed with diabetes or have coped with the disease for quite some time, you probably know that the condition can impact virtually every aspect of your health. The good news is that good blood glucose control can often stave off many health complications for a very long time — if not forever.

tummy troubleWhen people think of common diabetes complications, stomach problems don’t often come to mind. Yet both type 1 and type 2 diabetes are among the major causes of gastroparesis, or delayed gastric emptying. Diabetes can damage the vagus nerve, which controls the movement of food through the digestive tract, and can prevent the stomach muscles and intestines from working normally. When the movement of food slows down or stops completely, heartburn, nausea, vomiting, acid reflux and abdominal bloating can result. Gastroparesis also makes glucose control much more difficult because the stomach empties slowly or unpredictably. and depression, weight gain and an increased difficulty losing weight could be signs of hypothyroidism.

Cushing’s Syndrome is a rare disorder that occurs due to an excessive amount of the hormone cortisol in the body. Symptoms can vary, but most people are more likely to have a rounded face, increased fat around the neck and upper

body obesity. It can also be brought on by hormones taken for asthma, lupus, rheumatoid arthritis and other inflammatory diseases as well as for immunosuppression therapy after organ transplants.

In addition to these conditions, weight gain can be brought on by insulin therapy for type 2 diabetes, and certain antiseizure, antidepressant and antipsychotic medications.

Our emotional connectionWhether it’s dinner with the family, or a festive celebration, food helps to create a jovial, engaging atmosphere in which family and friends share good times. But for some, the comfort and security of food can create a painful struggle. Overeating and a number of other eating disorders can be attributed to — or even be the result of — anxiety, stress, low self-esteem or excessive alcohol use.

If you think there may be an emotional and/or social obstacle in the way of you or a loved one obtaining and maintaining a healthy weight, don’t be afraid to seek professional counseling. Talking to someone could save your life and open doors to a happy, healthy world for you.

regulating insulin levels tightly, eating six small meals a day and substituting some liquid meals for solid foods can help control gastroparesis. Your doctor may also recommend avoiding both high fat foods (which slow digestion) and high fiber foods (which are difficult to digest). finally, drugs like metoclopramide and erythromycin, which stimulate the stomach to empty more efficiently and control both nausea and vomiting, are also quite effective.

The kIDNEy connection Managing glucose levels effectively can also reap long-term benefits when it comes to keeping your kidneys healthy. Diabetes is the most common cause of kidney failure, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Diabetic kidney

hOw tO take cOntrOlmENtal rEaDINESS

Make lifestyle changes you plan to continue, so weight loss is permanent

reward success with non-food items like taking the day off from work or buying yourself some stylish new clothes

Monitor food intake and physical activity. Noting your progress will encourage you to keep going

Avoid tempting situations

eat slowly to allow your brain to realize you’re full.

Drink at least eight glasses of water a day

thINk “aCtIvE” ■ ride a bike or walk,

when possible

■ Get in a little extra by taking the stairs or parking in the back of the lot

■ Walk the dog, instead of letting him out into the backyard

■ Cook a good meal, instead of microwaving a packaged meal

■ Wash the car by hand

a guide fOr living well

cOntinueD On paGe 15

In the previous issue we examined the impact of diabetes on the heart, eyes and healing. In this issue, Diabetes from Head to Toe will examine several more health implications and some proactive steps to help bring them under control.

bEfOrE YOur next DOctOr visit

List your questions, including any on blood glucose patterns.

Bring a calendar with symptoms documented, your blood glucose chart (see page 23), and any other necessary notes.

Take your blood glucose monitor, a tape recorder, notebook, and a pencil. Have a loved one also attend the appointment.

Place medications you’re taking (including over-the-counter drugs and vitamins) in a bag and bring this, along with your medication log.

Bring a copy of your list of physicians and their contact information just in case medical tests will be forwarded, along with a copy of any medical emergency instructions and contact numbers.

Ask if you can record the session to retain vital information.

Have your blood pressure and weight checked. feet should be examined every time you see your doctor. A1C should be checked every 3 to 6 months, and cholesterol and microalbumin (for kidney function) annually.

If you’ve recently been diagnosed with diabetes,

you might consider giving your medicine cabinet an

extreme makeover. Create space for new prescriptions

and treatment supplies by removing over-the-

counter medications that contain sugar, alcohol, and

eucalyptus–ingredients that can throw glucose levels off.

Post a chart inside the cabinet door that lists your

medications, dosages, your physician’s name and phone number. Then, keep a copy for your wallet and

another for your workplace.

CabINEt CONtENtS: Oral medications and insulin can manage your diabetes and get your glucose levels to target. Your doctor may prescribe a combination of these for your treatment plan. There are six categories of oral medication:

MeGlitiniDes prevent a rise in blood sugar levels by increasing the insulin amount produced in your body.sulFOnYlureas lower blood glucose levels by increasing the amount of insulin produced in your body.alpha-GlucOsiDase inhibitOrs block enzymes that help digest carbohydrates, slowing the rise in blood glucose.biGuaniDes improve the ability of your body to useinsulin and prevent the liver from releasing stored glucose. thiazOliDineDiOnes make insulin work more effectively and lower the amount of glucose released. DipeptiDYl peptiDase iv (Dpp-iv) inhibitOrs help your body make more insulin after a meal and also reduce how much blood glucose your body makes.

INSulIN: There are four injectable forms of insulin currently available. each delivers the medication at different speeds. Physicians will often prescribe 2 or more types of insulin to reach blood glucose goals:

rapiD-actinG insulin works within 15 minutes, peaks at an hour, and remains in the bloodstream 2 to 4 hours.reGular-actinG or shOrt-actinG insulin begins to work 30 minutes after the injection, peaks 2 to 3 hours later, and stays in the bloodstream for 3 to 6 hours.interMeDiate-actinG insulin gets into the bloodstream within 2 to 4 hours, peaks 4 to 12 hours after the injection, and remains for 12 to 18 hours. lOnG-actinG insulin kicks in 6 to 10 hours after the injection and stays in the bloodstream for 20 to 24 hours.

INCrEtIN mImEtIC is a unique injectible medication that “mimics” the effects of hormones to help the body make more of its own insulin.

OthEr SupplIES COulD bE… Syringes and needles or insulin pen • rubbing alcohol swabs • insulin jet injector • insulin pump • blood glucose monitoring system, test strips, lancets and urine ketone test strips

Rely on your Duane Reade pharmacist to

help you understand all facets of diabetes. You’ll

find highly-qualified professionals within our

pharmacies, Medical clinics, and HomeCare

program who are committed to providing

the guidance and support you’ll need throughout this lifestyle transition.

mEDICatIONS & Over-the-cOunter hElpfulhints

10

DurINg YOur next DOctOr visit

aftEr YOur next DOctOr visit

Call if your symptoms get worse or you have problems with your medicine.

If you had tests done, be sure to call the doctor’s office if you haven’t received the results when expected.

If you have diabetes, you may already know

of your increased risk of high blood pressure and cardiovascular disease. Controlling your blood pressure is one of the most important things

you can do to manage diabetes.

Monitoring your blood pressure regularilly at

home is one of the best ways you can help your

doctor help you.

Accuracy Counts… Trust Omron™

11

bEfOrE YOur next DOctOr visit

List your questions, including any on blood glucose patterns.

Bring a calendar with symptoms documented, your blood glucose chart (see page 23), and any other necessary notes.

Take your blood glucose monitor, a tape recorder, notebook, and a pencil. Have a loved one also attend the appointment.

Place medications you’re taking (including over-the-counter drugs and vitamins) in a bag and bring this, along with your medication log.

Bring a copy of your list of physicians and their contact information just in case medical tests will be forwarded, along with a copy of any medical emergency instructions and contact numbers.

Ask if you can record the session to retain vital information.

Have your blood pressure and weight checked. feet should be examined every time you see your doctor. A1C should be checked every 3 to 6 months, and cholesterol and microalbumin (for kidney function) annually.

If you’ve recently been diagnosed with diabetes,

you might consider giving your medicine cabinet an

extreme makeover. Create space for new prescriptions

and treatment supplies by removing over-the-

counter medications that contain sugar, alcohol, and

eucalyptus–ingredients that can throw glucose levels off.

Post a chart inside the cabinet door that lists your

medications, dosages, your physician’s name and phone number. Then, keep a copy for your wallet and

another for your workplace.

CabINEt CONtENtS: Oral medications and insulin can manage your diabetes and get your glucose levels to target. Your doctor may prescribe a combination of these for your treatment plan. There are six categories of oral medication:

MeGlitiniDes prevent a rise in blood sugar levels by increasing the insulin amount produced in your body.sulFOnYlureas lower blood glucose levels by increasing the amount of insulin produced in your body.alpha-GlucOsiDase inhibitOrs block enzymes that help digest carbohydrates, slowing the rise in blood glucose.biGuaniDes improve the ability of your body to useinsulin and prevent the liver from releasing stored glucose. thiazOliDineDiOnes make insulin work more effectively and lower the amount of glucose released. DipeptiDYl peptiDase iv (Dpp-iv) inhibitOrs help your body make more insulin after a meal and also reduce how much blood glucose your body makes.

INSulIN: There are four injectable forms of insulin currently available. each delivers the medication at different speeds. Physicians will often prescribe 2 or more types of insulin to reach blood glucose goals:

rapiD-actinG insulin works within 15 minutes, peaks at an hour, and remains in the bloodstream 2 to 4 hours.reGular-actinG or shOrt-actinG insulin begins to work 30 minutes after the injection, peaks 2 to 3 hours later, and stays in the bloodstream for 3 to 6 hours.interMeDiate-actinG insulin gets into the bloodstream within 2 to 4 hours, peaks 4 to 12 hours after the injection, and remains for 12 to 18 hours. lOnG-actinG insulin kicks in 6 to 10 hours after the injection and stays in the bloodstream for 20 to 24 hours.

INCrEtIN mImEtIC is a unique injectible medication that “mimics” the effects of hormones to help the body make more of its own insulin.

OthEr SupplIES COulD bE… Syringes and needles or insulin pen • rubbing alcohol swabs • insulin jet injector • insulin pump • blood glucose monitoring system, test strips, lancets and urine ketone test strips

Rely on your Duane Reade pharmacist to

help you understand all facets of diabetes. You’ll

find highly-qualified professionals within our

pharmacies, Medical clinics, and HomeCare

program who are committed to providing

the guidance and support you’ll need throughout this lifestyle transition.

mEDICatIONS & Over-the-cOunter hElpfulhints

10

DurINg YOur next DOctOr visit

aftEr YOur next DOctOr visit

Call if your symptoms get worse or you have problems with your medicine.

If you had tests done, be sure to call the doctor’s office if you haven’t received the results when expected.

If you have diabetes, you may already know

of your increased risk of high blood pressure and cardiovascular disease. Controlling your blood pressure is one of the most important things

you can do to manage diabetes.

Monitoring your blood pressure regularilly at

home is one of the best ways you can help your

doctor help you.

Accuracy Counts… Trust Omron™

11

Visit www.OneTouchDiabetes.com/Saveto find out if you could save more!

Not using OneTouch®?You may be paying too much.

The lowesttest strip

co-pay* could save you

up to $250every year!

© 2009 LifeScan, Inc. Milpitas, CA 95035 3/09 AW 3040464A

*OneTouch® Test Strips have the lowest co-pay on the most health plans.Some health plans may have more than one brand covered at the lowest co-pay.

6"

8.375"

36413IL02.1.ai6-26-09

Approved by/Date_________________

Account Exec____________________Coordinator_____________________Mechanical_____________________ Art Director_____________________Proofreader_____________________

Process Color Inks

Cyan Magenta Yellow Black

SAVE with these valuable Duane reaDe cOupOns

Glucerna Shakes 6 Pak Bottles

$100 OFFExpires 01/31/10. Valid only at participating stores. Not valid with any other offer. Not redeemable for cash. Limit one per customer. Customer responsible for applicable taxes. © 2009 Duane Reade.

All Omron® Blood Pressure Monitors

$500 OFF

SAVE $10MANUFACTURER’S COUPON

EXPIRES 12/31/09

On your next purchase of one (1) 100 ct. Duane Reade® TRUEtrack® Test Strips

13

BARC

ODE

UPC-

A

TO C

OME

BARC

ODE

UPC-

A

TO C

OME

Consumer: Present this coupon to the cashier at time of purchase. Coupon good for $10 off one (1) 100 ct. Duane Reade® TRUEtrack® Test Strips purchase. One coupon per customer. Offer not good with any other offer. Retailer: When this coupon is used for this product, the transaction may not be submitted to Medicare, Medicaid or any private insurer as a claim. We will reimburse you the face value of this coupon plus 8¢ handling provided you and the customer have complied with the terms of this offer. Invoices proving purchases of sufficient stock to cover presented coupons must be shown on request. Any other application may constitute fraud. Coupon is void where prohibited, taxed or restricted. Consumer must pay any sales tax. Cash value is 1/20¢. Reproduction of this coupon is expressly prohibited. Mail to: Duane Reade® TRUEtest® Strips Offer, CMS Dept. #21292, 1 Fawcett Drive, Del Rio, TX 78840.

NICO-1479 06/09 Home Diagnostics, Inc. TRUEtest is a trademark of Home Diagnostics, Inc.

Expires 01/31/10. Valid only at participating stores. Not valid with any other offer. Not redeemable for cash. Limit one per customer. Customer responsible for applicable taxes. © 2009 Duane Reade.

Visit www.OneTouchDiabetes.com/Saveto find out if you could save more!

Not using OneTouch®?You may be paying too much.

The lowesttest strip

co-pay* could save you

up to $250every year!

© 2009 LifeScan, Inc. Milpitas, CA 95035 3/09 AW 3040464A

*OneTouch® Test Strips have the lowest co-pay on the most health plans.Some health plans may have more than one brand covered at the lowest co-pay.

6"

8.375"

36413IL02.1.ai6-26-09

Approved by/Date_________________

Account Exec____________________Coordinator_____________________Mechanical_____________________ Art Director_____________________Proofreader_____________________

Process Color Inks

Cyan Magenta Yellow Black

SAVE with these valuable Duane reaDe cOupOns

Glucerna Shakes 6 Pak Bottles

$100 OFFExpires 01/31/10. Valid only at participating stores. Not valid with any other offer. Not redeemable for cash. Limit one per customer. Customer responsible for applicable taxes. © 2009 Duane Reade.

All Omron® Blood Pressure Monitors

$500 OFF

SAVE $10MANUFACTURER’S COUPON

EXPIRES 12/31/09

On your next purchase of one (1) 100 ct. Duane Reade® TRUEtrack® Test Strips

13

BARC

ODE

UPC-

A

TO C

OME

BARC

ODE

UPC-

A

TO C

OME

Consumer: Present this coupon to the cashier at time of purchase. Coupon good for $10 off one (1) 100 ct. Duane Reade® TRUEtrack® Test Strips purchase. One coupon per customer. Offer not good with any other offer. Retailer: When this coupon is used for this product, the transaction may not be submitted to Medicare, Medicaid or any private insurer as a claim. We will reimburse you the face value of this coupon plus 8¢ handling provided you and the customer have complied with the terms of this offer. Invoices proving purchases of sufficient stock to cover presented coupons must be shown on request. Any other application may constitute fraud. Coupon is void where prohibited, taxed or restricted. Consumer must pay any sales tax. Cash value is 1/20¢. Reproduction of this coupon is expressly prohibited. Mail to: Duane Reade® TRUEtest® Strips Offer, CMS Dept. #21292, 1 Fawcett Drive, Del Rio, TX 78840.

NICO-1479 06/09 Home Diagnostics, Inc. TRUEtest is a trademark of Home Diagnostics, Inc.

Expires 01/31/10. Valid only at participating stores. Not valid with any other offer. Not redeemable for cash. Limit one per customer. Customer responsible for applicable taxes. © 2009 Duane Reade.

cOntinueD FrOM paGe 9

15

disease actually develops quite slowly over time as the kidneys’ ability to filter wastes becomes impaired. At first, the blood protein albumin begins leaking into the urine, which ultimately decreases the kidneys’ ability to filter wastes. As these wastes build up in the body, blood pressure usually also rises and kidney damage occurs. The NIDDK says it may take 15 to 25 years for kidney failure to occur —and then the only options for survival are regular kidney dialysis or a kidney transplant. fortunately, the

risk of ever developing kidney disease decreases in people who have lived with diabetes for more than 25 years without any signs of kidney failure.

High blood pressure is a major factor in developing kidney problems in people with diabetes, so controlling it with medication, like ACe inhibitors or angiotensin receptor blockers, can help slow its progression. Also, high blood pressure can be a result of damage created by the disease or it can be the

cause of the disease. In addition, if kidney disease already exists, high blood pressure can accelerate its progress. The key is early detection and treatment. Happily, not every person with diabetes will develop kidney disease or kidney failure, and there are other things you can do to reduce your chances of developing either condition. reducing the amount of protein in your diet may be beneficial, since excessive protein makes the kidneys work harder. Have your urine checked for protein and blood (a sign

that you’re excreting protein) regularly. Monitor your blood pressure closely using a home monitoring kit (be sure to have it calibrated by your physician for greatest accuracy). And consider replacing animal protein with soy protein, since some studies have suggested soy may have a beneficial effect on both the kidneys and the cardiovascular system. But of course, before you embark on any of these treatments, be sure to consult your primary care physician first. ■

“If kidney disease

already exists,

high blood pressure

can accelerate its

progress. The key

is early detection

and treatment.”

Born in the U.S.A.

A true American value for people with diabetesToday, putting your trust in products manufactured in the U.S.A. means getting more for your dollar. Like with the ACCU-CHEK® Aviva blood glucose meter and test strip combination.1 It’s designed to help make checking blood sugar easy, accurate and more affordable. Plus it’s proven to have 50% fewer wasted strips than other systems,2 providing people with diabetes a true American value.

USAManufactured in the

USA★

USAManufactured in the

USA★

The only meter and strip combinationmanufactured in the U.S.A.

FREE U.S.A. meter skins at accu-chek.com/USA.

1 Using U.S. and imported materials. 2 Patients wasted 4 strips per 100 with competitors’ monitors vs. 2 with ACCU-CHEK Aviva system. Data on fi le.

ACCU-CHEK and ACCU-CHEK AVIVA are trademarks of Roche. © 2009 Roche. 346-45667-0709

45667_Born_DuaneReade_ad.indd 1 7/8/09 11:27 AM

DIabEtES: hEaD tO tOE

cOntinueD FrOM paGe 9

15

disease actually develops quite slowly over time as the kidneys’ ability to filter wastes becomes impaired. At first, the blood protein albumin begins leaking into the urine, which ultimately decreases the kidneys’ ability to filter wastes. As these wastes build up in the body, blood pressure usually also rises and kidney damage occurs. The NIDDK says it may take 15 to 25 years for kidney failure to occur —and then the only options for survival are regular kidney dialysis or a kidney transplant. fortunately, the

risk of ever developing kidney disease decreases in people who have lived with diabetes for more than 25 years without any signs of kidney failure.

High blood pressure is a major factor in developing kidney problems in people with diabetes, so controlling it with medication, like ACe inhibitors or angiotensin receptor blockers, can help slow its progression. Also, high blood pressure can be a result of damage created by the disease or it can be the

cause of the disease. In addition, if kidney disease already exists, high blood pressure can accelerate its progress. The key is early detection and treatment. Happily, not every person with diabetes will develop kidney disease or kidney failure, and there are other things you can do to reduce your chances of developing either condition. reducing the amount of protein in your diet may be beneficial, since excessive protein makes the kidneys work harder. Have your urine checked for protein and blood (a sign

that you’re excreting protein) regularly. Monitor your blood pressure closely using a home monitoring kit (be sure to have it calibrated by your physician for greatest accuracy). And consider replacing animal protein with soy protein, since some studies have suggested soy may have a beneficial effect on both the kidneys and the cardiovascular system. But of course, before you embark on any of these treatments, be sure to consult your primary care physician first. ■

“If kidney disease

already exists,

high blood pressure

can accelerate its

progress. The key

is early detection

and treatment.”

Born in the U.S.A.

A true American value for people with diabetesToday, putting your trust in products manufactured in the U.S.A. means getting more for your dollar. Like with the ACCU-CHEK® Aviva blood glucose meter and test strip combination.1 It’s designed to help make checking blood sugar easy, accurate and more affordable. Plus it’s proven to have 50% fewer wasted strips than other systems,2 providing people with diabetes a true American value.

USAManufactured in the

USA★

USAManufactured in the

USA★

The only meter and strip combinationmanufactured in the U.S.A.

FREE U.S.A. meter skins at accu-chek.com/USA.

1 Using U.S. and imported materials. 2 Patients wasted 4 strips per 100 with competitors’ monitors vs. 2 with ACCU-CHEK Aviva system. Data on fi le.

ACCU-CHEK and ACCU-CHEK AVIVA are trademarks of Roche. © 2009 Roche. 346-45667-0709

45667_Born_DuaneReade_ad.indd 1 7/8/09 11:27 AM

DIabEtES: hEaD tO tOE

You can stay powered up and live a vibrant life beyond diabetes if you manage your blood sugar — or glucose levels. Use the following strategy to reduce, or even free yourself of symptoms altogether.

EmpOwEr yOurSElf wIth INfOrmatION Start with your doctor and ask questions. follow up with research your local library, or online from reputable and official sources. You’ll find these websites helpful: www.diabetes.org (American Diabetes Association - ADA) www.cdc.gov/diabetes (Centers for Disease Control and Prevention) www.niddk.nih.gov or call 301-496-3583 (National Institute of Diabetes & Kidney Diseases)Take advantage of local support groups through your local hospital.

mONItOr gluCOSE lEvElS DaIly… according to your treatment plan and get A1C tests as ordered by your physician. Blood glucose targets recommended by the ADA are 70-130mg/dl before meals and less than 180 mg/dl two hours after the start of a meal. A free blood glucose chart is available on the inside back of this handbook or online at www.diabetes.org/uedocuments/ChooseGuide.pdf. Blood glucose can be checked on a daily basis by a meter that measures levels with a prick of your finger. Clean the area beforehand, as residue on your finger can throw off a reading.

researchers are fast at work on a variety of noninvasive monitoring devices that track blood glucose, such as ultrasound and wireless sensor chips that transmit data to a cell phone. for more information on monitors, visit the food and Drug Administration’s “Glucose meters and diabetes management” online section by clicking on it as you visit www.fda.gov/diabetes/glucose.html.

The A1C test is done at your doctor’s office and indicates your average 2 to 3 month blood glucose level. A result of 7% or more may require changes in treatment.

gEt a phySICal EvEry yEar… and take diabetes medications as per your doctor’s recommendations.

plaN mEalS IN aDvaNCE… and be physically active for 30 minutes every day. Consistency is key. eat meals consistently, using the same portions of proteins, carbs, and healthy fats (see page 19 for more on nutrition).

It’s important to log results.

The results can guide you as

you plan meals, exercise, and

take medications. It can also

indicate if your treatment plan is working or needs

adjustment.

1

2

34

BlOOd gluClOSE levels

16

6Managing mealtime with diabetes doesn’t mean food has to be boring. It just means that meals should be nutritionally balanced, with consistent portions, and eaten at about the same time each day. The National Diabetes Information Clearinghouse has a website to help you create meal plans using foods you love. Visit http://diabetes.niddk.nih.gov/dm/pubs/ eating_ez/index.htm.

Discover more useful information about nutrition; lifestyle; prevention and more at www.diabetes.org.

healthY habits

fEaturE: healthy eating

18

weiGh in with YOur DOctOr Are you within your recommended weight range? If not, ask the doctor about a plan to combat diabetes and shed pounds.

FiGure Out Meals beFOre theY happen Prepare and freeze entrees for when you don’t have time to cook. Make wise food choices by selecting lean meats, whole grains, fruits and vegetables, and non-fat dairy products.

GO liGht On suGar, salt anD Fatread food labels, stay away from processed foods and choose oils like canola and olive oilover solids like margarine, shortening and butter.

Quench YOur thirst with water Take your body weight and divide that figure in half. Drink this number of ounces daily. Add more water for exercise or if drinking caffeinated beverages.

be phYsicallY active FOr 30 Minutes DailY Not only will you improve your mood, sharpen your thinking, tone up your body, and get rid of stress, but you’ll also help the insulin work better by lowering your blood glucose, cholesterol and blood pressure. To vary your routine, pick an activity your whole family can enjoy, like swimming or biking. Before starting any physical activity, consult your physician.

taKe nOtesKeeping notes on when and what you eat and drink will help you get into healthier mealtime habits. At least at first, try to keep a log of your glucose levels before and after meals and workouts, keep track of your mood and energy level throughout the day, and jot down what exercise you did and for how long.

12

34

5

6

19

Making changes will require patience on your

part. for some, these changes might seem

overwhelming, for others only a few changes

are necessary, but by developing a plan, you’ll

be able to take action. With action comes a

routine, and with a routine comes success in meeting

your goal of leading a healthier life.

“with action comes a routine, and with a routine comes success in meeting your goal of leading a healthier life.”

trOpICal

1 Papaya, mango, and/or pineapple, fresh seeds removed2 tsp fresh lemon juice1/4 tsp ground allspice3/4 cup orange juice2 tsp. honey1 cup low fat buttermilk 4 ice cubes

In a blender puree the fruit, lemon juice, 1/8 tsp. allspice and half of the orange juice. Add honey, buttermilk, remaining orange juice and ice cubes. Blend until smooth. Pour the shake into glasses and sprinkle remaining allspice on top. Garnish with additional fruit if desired.

Breakfast shakemakes 4 servings

MOre recipes On paGe 20

6Managing mealtime with diabetes doesn’t mean food has to be boring. It just means that meals should be nutritionally balanced, with consistent portions, and eaten at about the same time each day. The National Diabetes Information Clearinghouse has a website to help you create meal plans using foods you love. Visit http://diabetes.niddk.nih.gov/dm/pubs/ eating_ez/index.htm.

Discover more useful information about nutrition; lifestyle; prevention and more at www.diabetes.org.

healthY habits

fEaturE: healthy eating

18

weiGh in with YOur DOctOr Are you within your recommended weight range? If not, ask the doctor about a plan to combat diabetes and shed pounds.

FiGure Out Meals beFOre theY happen Prepare and freeze entrees for when you don’t have time to cook. Make wise food choices by selecting lean meats, whole grains, fruits and vegetables, and non-fat dairy products.

GO liGht On suGar, salt anD Fatread food labels, stay away from processed foods and choose oils like canola and olive oilover solids like margarine, shortening and butter.

Quench YOur thirst with water Take your body weight and divide that figure in half. Drink this number of ounces daily. Add more water for exercise or if drinking caffeinated beverages.

be phYsicallY active FOr 30 Minutes DailY Not only will you improve your mood, sharpen your thinking, tone up your body, and get rid of stress, but you’ll also help the insulin work better by lowering your blood glucose, cholesterol and blood pressure. To vary your routine, pick an activity your whole family can enjoy, like swimming or biking. Before starting any physical activity, consult your physician.

taKe nOtesKeeping notes on when and what you eat and drink will help you get into healthier mealtime habits. At least at first, try to keep a log of your glucose levels before and after meals and workouts, keep track of your mood and energy level throughout the day, and jot down what exercise you did and for how long.

12

34

5

6

19

Making changes will require patience on your

part. for some, these changes might seem

overwhelming, for others only a few changes

are necessary, but by developing a plan, you’ll

be able to take action. With action comes a

routine, and with a routine comes success in meeting

your goal of leading a healthier life.

“with action comes a routine, and with a routine comes success in meeting your goal of leading a healthier life.”

trOpICal

1 Papaya, mango, and/or pineapple, fresh seeds removed2 tsp fresh lemon juice1/4 tsp ground allspice3/4 cup orange juice2 tsp. honey1 cup low fat buttermilk 4 ice cubes

In a blender puree the fruit, lemon juice, 1/8 tsp. allspice and half of the orange juice. Add honey, buttermilk, remaining orange juice and ice cubes. Blend until smooth. Pour the shake into glasses and sprinkle remaining allspice on top. Garnish with additional fruit if desired.

Breakfast shakemakes 4 servings

MOre recipes On paGe 20

21/2 cups cooked chicken breast, shredded1/2 cup parsley or cilantro, chopped1/4 cup red onion, chopped2 tbs. relish, pickle, sweet1/2 cup light mayonnaise1 long cucumber, cut into thin slices lengthwiseSoy & flax Seed Tortilla Chips for garnish

mmm mmm gOOd fOr yOuDIabEtIC recipes

fIESta ChICkENcucumBer salad

20

cOntinueD FrOM paGe 19

1/4 cup low sodium soy sauce1 tbsp fresh ginger root, peeled and chopped1 tbsp honey1 tbsp fresh lemon juice1 garlic clove, crushed

1 lb salmon fillet, skinless

In a bowl, whisk together first five ingredients, until dissolved. Place salmon in a large plastic zip top bag,

Combine first 5 ingredeints together in a large bowl. refrigerate. Pack salad into a 2 1/2 diameter cup or mini cake moldand invert onto plate. Wrap one slice of cucumber around each chicken salad serving. Garnish with soy and flax seed tortilla chips

glazEDsalmOn

add marinade. Seal bag, pushing out the air. evenly coat salmon. refrigerate for six to no more then 24 hours. remove salmon and put remaining marinade in a bowl. Spray a pan with nonstick spray and cook the salmon over medium heat for five minutes. Turn and brush with marinade. Cook salmon five more minutes until opaque in the center.

1/4 cup Peanut Butter, creamy1 tbsp water1 tbsp vegetable oil1 large egg1 egg white9 oz devils food cake mix, with pudding (only use half of cake mix)

pEaNut buttErchOcOlate BrOwnies

Preheat oven to 350˚f. Whisk the peanut butter, water, oil, egg and egg white in a bowl until well mixed. Stir cake mix until the com-bination is thick. Spray the bottom of an 8 x 8-inch pan with cooking spray. Pour the batter evenly in the pan. Bake for approximately 15 minutes. remove from oven, let cool, then cut evenly.

21

makes 6 servings

makes 4 servings

makes 16 BrOwnies

777 THIRD AVENUE NEW YORK, NY 10017

LEGAL RELEASE STATUS

AD APPROVAL

Release has been obtained Legal Coord:

Acct Mgmt: Print Prod:

Art Director: Proofreader:

Copywriter: Studio:

JOB #: AH5-HH-368_A PROOF: 4

CLIENT: Eli Lilly & Company OP: LW

SPACE/SIZE: B: None T: 6” x 8.375” S: 5.5” x 8”

DATE:

THIS ADVERTISEMENT PREPARED BY GREY WORLDWIDE

CLIENT: Eli Lilly & Company SIZE, SPACE: 6” x 8.375”, None

PRODUCT: Humalog PUBS: Catalina Reminder Ad

JOB#: AH5-HH-368_A ISSUE: None

ART DIRECTOR: M. Bogard COPYWRITER: None

Humalog® is a registered trademark of Eli Lilly and Company and is available by prescription only.Humalog® KwikPen™ is a trademark of Eli Lilly and Company and is available by prescription only. HI58493 0609 PRINTED IN USA ©2009 LILLY USA, LLC. ALL RIGHTS RESERVED.

Humalog is also available by prescription in the original Humalog Prefilled Pen.

Talk to your pharmacist or healthcare provider today about Humalog® KwikPen,™ and for more information, go to KwikPen.com.

T:6”

T:8.375”

21/2 cups cooked chicken breast, shredded1/2 cup parsley or cilantro, chopped1/4 cup red onion, chopped2 tbs. relish, pickle, sweet1/2 cup light mayonnaise1 long cucumber, cut into thin slices lengthwiseSoy & flax Seed Tortilla Chips for garnish

mmm mmm gOOd fOr yOuDIabEtIC recipes

fIESta ChICkENcucumBer salad

20

cOntinueD FrOM paGe 19

1/4 cup low sodium soy sauce1 tbsp fresh ginger root, peeled and chopped1 tbsp honey1 tbsp fresh lemon juice1 garlic clove, crushed

1 lb salmon fillet, skinless

In a bowl, whisk together first five ingredients, until dissolved. Place salmon in a large plastic zip top bag,

Combine first 5 ingredeints together in a large bowl. refrigerate. Pack salad into a 2 1/2 diameter cup or mini cake moldand invert onto plate. Wrap one slice of cucumber around each chicken salad serving. Garnish with soy and flax seed tortilla chips

glazEDsalmOn

add marinade. Seal bag, pushing out the air. evenly coat salmon. refrigerate for six to no more then 24 hours. remove salmon and put remaining marinade in a bowl. Spray a pan with nonstick spray and cook the salmon over medium heat for five minutes. Turn and brush with marinade. Cook salmon five more minutes until opaque in the center.

1/4 cup Peanut Butter, creamy1 tbsp water1 tbsp vegetable oil1 large egg1 egg white9 oz devils food cake mix, with pudding (only use half of cake mix)

pEaNut buttErchOcOlate BrOwnies

Preheat oven to 350˚f. Whisk the peanut butter, water, oil, egg and egg white in a bowl until well mixed. Stir cake mix until the com-bination is thick. Spray the bottom of an 8 x 8-inch pan with cooking spray. Pour the batter evenly in the pan. Bake for approximately 15 minutes. remove from oven, let cool, then cut evenly.

21

makes 6 servings

makes 4 servings

makes 16 BrOwnies

777 THIRD AVENUE NEW YORK, NY 10017

LEGAL RELEASE STATUS

AD APPROVAL

Release has been obtained Legal Coord:

Acct Mgmt: Print Prod:

Art Director: Proofreader:

Copywriter: Studio:

JOB #: AH5-HH-368_A PROOF: 4

CLIENT: Eli Lilly & Company OP: LW

SPACE/SIZE: B: None T: 6” x 8.375” S: 5.5” x 8”

DATE:

THIS ADVERTISEMENT PREPARED BY GREY WORLDWIDE

CLIENT: Eli Lilly & Company SIZE, SPACE: 6” x 8.375”, None

PRODUCT: Humalog PUBS: Catalina Reminder Ad

JOB#: AH5-HH-368_A ISSUE: None

ART DIRECTOR: M. Bogard COPYWRITER: None

Humalog® is a registered trademark of Eli Lilly and Company and is available by prescription only.Humalog® KwikPen™ is a trademark of Eli Lilly and Company and is available by prescription only. HI58493 0609 PRINTED IN USA ©2009 LILLY USA, LLC. ALL RIGHTS RESERVED.

Humalog is also available by prescription in the original Humalog Prefilled Pen.

Talk to your pharmacist or healthcare provider today about Humalog® KwikPen,™ and for more information, go to KwikPen.com.

T:6”T

:8.375”

BlOOd glucOseselF-MOnitOrinG chart

Copy blank chart to use week by week.Write the type and amount of insulin dose or oral diabetes dose each time you take it.

fill in your blood sugar results in the “Pre” and “Post” spaces.Use the “Comments” section to record different events that happen during the day.

mO

Nt

uE

wED

th

ufr

ISa

tSu

N

breaKFast lunch Dinner eveninG

Blood Sugar

Medication Pre POST

Blood Sugar

Medication Pre POST

Blood Sugar

Medication Pre POST Medication Bedtime

Comments: example: L low blood sugar episode E exercise :( ill/stressed UK urine ketones test, record result

Comments:

Comments:

Comments:

Comments:

Comments:

Comments:

weeK OF: / /

1

2

3

4

23

SensiFoot™ is designed to provide comfort and protection for people with diabetes.

Mini-CrewCrew

Knee

56252 R1 ©2009 BSN medical Inc. Rev. 08/09

®

by

Give your feet the Comfort and Protection they need with

Comfort and Protection in every step.

SensiFoot™Diabetic Sock

fOOt careBe sweet tO yOur fEEt

22

because peOple with Diabetes…often have nerve damage and lose sensation in their feet, it is important to be proactive about preventing further problems. Do this by checking your feet every day. Look for cuts and blisters, don’t try to clear them up yourself instead see a doctor right away. Use a mirror to check the soles of your feet, or have someone do it for you. Also, wash your feet every day and dry them carefully, especially between the toes. Never walk barefoot, inspect your shoes for foreign

objects and protect your feet from extremes of hot and cold. finally, don’t cross your legs for long periods of time and don’t smoke, since both can reduce circulation.

Take further steps to maintain healthy feet, by improving the circulation in your feet and legs by making daily exercise a habit. Poor circulation can impair the healing of injuries and lead to dryness and swelling. The best way to improve circulation is by walking. Start slowly, being careful not to overdo it, and check with your physician who may be able to recommend specific exercises, and the right shoes to meet your specific needs.

To prevent painful peeling and cracking, avoid very hot showers and baths. Apply lotion after you bathe to seal in moisture and drink lots of water to further help keep skin hydrated.

BlOOd glucOseselF-MOnitOrinG chart

Copy blank chart to use week by week.Write the type and amount of insulin dose or oral diabetes dose each time you take it.

fill in your blood sugar results in the “Pre” and “Post” spaces.Use the “Comments” section to record different events that happen during the day.

mO

Nt

uE

wED

th

ufr

ISa

tSu

N

breaKFast lunch Dinner eveninG

Blood Sugar

Medication Pre POST

Blood Sugar

Medication Pre POST

Blood Sugar

Medication Pre POST Medication Bedtime

Comments: example: L low blood sugar episode E exercise :( ill/stressed UK urine ketones test, record result

Comments:

Comments:

Comments:

Comments:

Comments:

Comments:

weeK OF: / /

1

2

3

4

23

SensiFoot™ is designed to provide comfort and protection for people with diabetes.

Mini-CrewCrew

Knee

56252 R1 ©2009 BSN medical Inc. Rev. 08/09

®

by

Give your feet the Comfort and Protection they need with

Comfort and Protection in every step.

SensiFoot™Diabetic Sock

fOOt careBe sweet tO yOur fEEt

22

because peOple with Diabetes…often have nerve damage and lose sensation in their feet, it is important to be proactive about preventing further problems. Do this by checking your feet every day. Look for cuts and blisters, don’t try to clear them up yourself instead see a doctor right away. Use a mirror to check the soles of your feet, or have someone do it for you. Also, wash your feet every day and dry them carefully, especially between the toes. Never walk barefoot, inspect your shoes for foreign

objects and protect your feet from extremes of hot and cold. finally, don’t cross your legs for long periods of time and don’t smoke, since both can reduce circulation.

Take further steps to maintain healthy feet, by improving the circulation in your feet and legs by making daily exercise a habit. Poor circulation can impair the healing of injuries and lead to dryness and swelling. The best way to improve circulation is by walking. Start slowly, being careful not to overdo it, and check with your physician who may be able to recommend specific exercises, and the right shoes to meet your specific needs.

To prevent painful peeling and cracking, avoid very hot showers and baths. Apply lotion after you bathe to seal in moisture and drink lots of water to further help keep skin hydrated.

Ask your Duane Reade Pharmacist

how generic drugs can

save you money!

J O B T I T L E V E R S I O N F I N A L S I Z E C L I E N T D E S I G N E R P R O O F C U R R E N T P R O O F D A T E

51580_DR_Medizine_Ad.indd 5.25”W x 7.3125”H JW 4 7/2/09

51580_DR_Medizine_Ad.indd 1 7/2/09 3:33 PM