Diabetes

COPEDS provides comprehensive care to children and adolescents with type 1 diabetes mellitus (juvenile-onset, insulin-dependent) and type 2 diabetes mellitus (adult-onset, non-insulin dependent). We offer an individualized approach to each child with diabetes and to the family as well as extensive experience managing both Type 1 and Type 2 diabetes in young patients. We have an active pump program, treating children of all ages, and have particular expertise in using glucose sensors and continuous glucose monitoring systems (CGMS).

Topics below:

  • COPEDS Pump Program
  • COPEDS Continuous Glucose Monitoring Systems (CGMS) Programs
  • COPEDS Diabetes Communication Technologies

 

COPEDS Pump Program

COPEDS feels strongly about the benefits of insulin pump therapy for youth with type 1 diabetes. The insulin pump permits a high degree of flexibility but also mandates intensive monitoring. Many young people at COPEDS also use a continuous glucose monitoring system (see programs below). The insulin pump is not the right choice for ALL children with type 1 diabetes. However, our commitment to every family is the same: to achieve the best level of blood sugar control possible for each child we follow. If your child is interested in starting insulin pump therapy, the COPEDS insulin pump program includes extensive diabetes and pump education, saline trial, and close in-home and clinic monitoring upon starting insulin in the pump. We will present pump possibilities to you at the first pump education visit (which is called a pump 1 visit) so that you and your family can make the best choice of therapy for your particular lifestyle. COPEDS providers are certified-trainers for all systems and will educate you and your family on how to use each system. No hospitalizations are needed for learning the systems. The following pumps are offered as choices for pump therapy at COPEDS:

 

Medtronic Minimed 630G Pump (with or without enlite sensor):

 

JDRF Arizona cute video 'All About That Pump (and Cure)': 

 

COPEDS Continuous Glucose Monitoring Systems (CGMS) Programs:

Continuous Glucose Monitoring Systems (CGMS) devices monitor blood glucoses every 5 minutes and thus offer real-time glucose trend information. The data is extremely helpful to caregivers and patient themselves as it can be used to avoid high and low glucoses in real-time (rather than looking at glucometer glucose trends that were checked over the past week). All COPEDS providers are experts in training and interpretation of CGMS systems. The following CGMS programs are currently available at COPEDS:

 

Dexcom G4 and G5 Sensor Programs:

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Medtronic Minimed Sensor Programs

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Hear how CGM with the 'threshold suspend' artificial pancreas feature helps make excellent diabetes control safer and easier:

 

 

COPEDS Diabetes Communication Technologies

COPEDS feels that communication between office visits is critical for good diabetes care. Therefore, we are active users of communication technologies so that we may assist you when you need help with insulin dosing adjustments. If you are not computer savvy, do not worry. Our helpful staff will guide you at each clinic visit so that you feel comfortable using this technology. The following technologies are used to communicate with us between visits:

 

Carelink Software 

Carelink software is used for all Medtronic Minimed pump systems. Using the Bayer contour meter, which has a USB port, users can download pump information onto their home computer. COPEDS can then look at glucoses and sensor data for any dosing changes that might be needed. Anytime you download your data and want COPEDS to look at that data for any dosing recommendations, please email a request to: contactus@copeds.com 

 

Diasend Software

Diasend software is used for Animas, Omnipod, and Tslim pump systems as well as dexcom systems. It can also be used to download all glucose meters if you are not using an insulin pump system. Using system-specific USB cords, users can download pump and/or glucometer information onto their home computer. COPEDS can then look at glucoses and/or sensor data for any dosing changes that might be needed. Anytime you download your data and want COPEDS to look at that data for any dosing recommendations, please email a request to: contactus@copeds.com 

 

Pump Apps

MyMedtronic Connect app allows families to order supplies and accessories, access helpful tips and explanations, set reminders, and prepare for travel. It is now available for download on both iOS and android phones.

 

CGMS Apps

Minimed Connect app connects the MiniMed insulin pump and continuous glucose monitor (CGM) to your iPhone® or iPod Touch® (android version not yet released). MiniMed Connect app allows your family and friends to monitor glucose levels online via CareLink® anywhere, anytime. 

 

Dexcom apps (share, follow) connects the dexcom real-time glucose readings to up to 5 phones to allow your family and friends to monitor glucose levels online anywhere, anytime. Currently available for both iPhone and android. 

 

Glucose Logging Apps

  • If you are not using an insulin pump system, glucoses logging apps can be used to communicate with COPEDS providers. mySugr is our favorite app system which can be downloaded on both apple and android devices. 

 

Anytime you want COPEDS to look at your data for any dosing recommendations, you can convert data into a pdf and then email a request to: contactus@copeds.com 

 

  • Another good app choice for glucose logging is Glucose Buddy which not only allows communication with our office but also gives you an A1C estimation.

 

  • We also highly recommend the Glooko System if you do not want to hand enter glucoses into the phone. However, you must purchase a cord to transfer your glucometer data to your phone.

 

  • You can also check out the app that Dr. Dyer created for download on both Apple and Android devices: EndoGoal. EndoGoal glucoses can be emailed to COPEDS and features a golden retriever named Cooper that you can feed by checking your glucoses daily: