FROM THE DIRECTOR’S CHAIR Harold Starkman, M.D.

B D D I A B E T E S C E N T E R

F O R

C H I L D R E N

A N D A D O L E S C E N T S The Glucose Monitor S P R I N G 2 0 1 4

Goryeb Children’s Hospital

Morristown Medical Center

100 Madison Ave.

Morristown, NJ 07960

Phone: (973) 971-4340

Fax: (973) 290-7367

The Team

Physicians:

Harold Starkman, MD, Director

Barbara Cerame, MD

Sunita Cheruvu, MD

Daisy Chin, MD

Marianna Nicoletta, MD

Lawrence Silverman, MD

Nurses:

Frances Melchionne, EdD, RN, CDE

Clinical Coordinator

Sascha Dougan, RN, BSN

Laurie Ebner-Lyon, RN, APN, CDE

Kristin Sabanosh, RN, APN, CDE

Christine Wagner, RN, MS, CDE

Nutritionist:

Connie Shirtz, RD, MS, CDE

Social Worker:

Nicole L Pilek, MSW, LCSW

Administrative Staff:

Donna Parente, Office Manager

Debby Ace, Endocrine Coordinator

Cheryl Baldwin

Ashaki Graham

Sheryl Irons

Joann Millman

Christie Murillo

Medical Assistants:

Pamela Solomon

After a long, cold and snowy winter, it seems as if spring has finally arrived. The days are longer and the piles of snow appear to be slowly shrinking. The arrival of spring also signals the time of year when new diabetes research is presented at the American Diabetes Association Scientific Meeting which takes place during the second week of June, this year in San

Francisco.

It was during the spring and summer of 1921 that insulin was first injected into a dog with diabetes, lowering the dog’s blood sugar into the normal range. By the end of 1921, with the help of Canadian chemist James B. Collip and Scottish physiologist J.J.R. Macleod, Banting and Best purified insulin for human use. In January of 1922, for the first time in history, insulin was successfully administered to Leonard Thompson, a 65 pound, 14 year old with severe diabetes, changing type 1 diabetes from a fatal disease with an average life expectancy of 2.4 years, to a disorder which could be effectively

treated with medication.

In 1922, when Lilly began distributing Isletin, a relatively impure, short acting insulin, type 1 diabetes management was characterized by painful injections, multiple times daily with reusable glass syringes requiring sterilization after each use. In addition, monitoring was limited to boiling urine and testing it four times daily for sugar, an unpleasant and inaccurate chore. Due to the lack of quick and easy fingerstick blood sugar measurements, severe high and low blood sugars were not uncommon. Even at medical laboratories, blood glucose testing required a large blood sample and

hours of lab analysis.

Although the availability of insulin allowed people with type 1 diabetes to survive longer, normalizing their blood sugars was not possible. In addition, the role of high blood sugars as a cause of diabetes complications was controversial until relatively recently. This knowledge and technical gap resulted in a high incidence of severe diabetes complications, which remained unchanged from the 1930’s until the

1970’s.

During the 1970’s and 1980’s, the introduction of finger stick blood sugar testing, utilization of hemoglobin A1C as a marker of blood sugar control and Diabetes Control and Complication Trial, which confirmed the relationship between high blood sugars and diabetes complications, improved diabetes management, resulting again in improved prognosis. Subsequent advances in diabetes management including the development of genetically engineered insulins starting with Humulin in 1982, commercial release of insulin pumps in 1981 and FDA approval of continuous glucose monitors in 1999 continued

this trend.

With newer research projects targeting closed loop insulin delivery systems (artificial pancreas), more effective islet cell transplantation and even the development of new medications to prevent type 1 diabetes, it is likely that diabetes management will continue to improve. Monitoring news releases during this year’s ADA meeting in mid-June, as well as checking out the American Diabetes Association, Juvenile Diabetes Research Foundation and

Diabetes Research Institute websites can also provide a reassuring overview of what’s happening in

type 1 diabetes research.

Although the pace of research often feels slow to those forced to live with diabetes, a look backward, into even the recent past, shows a pattern of continuing advances, and one can be optimistic that these improvements in diabetes care will continue in the future. In the meantime, as Dr. Elliott Joslin, the father of modern diabetes care, first wrote over 75 years ago, “Diabetics, take this lesson to heart! Keep your urine sugar free, your blood sugar normal and your diabetes controlled….and thereby keep alive

to profit by some new discovery!”

For further information on the fascinating history of type 1

diabetes and its management:

*The Discovery of Insulin by Michael Bliss University of Chicago 2007 ( if you prefer seeing the movie version you can find “Glory

Enough for All” 1988 on Amazon)

*Breakthrough: Elizabeth Hughes, the Discovery of Insulin, and the Making of a Medical Miracle Thea Cooper and Arthur Ainsberg, St

Martin’s Press, 2010

*Bittersweet: Diabetes, Insulin, and the Transformation of Illness, Chris Feudtner, John Christopher Feudtner, University of North

Carolina Press, 2003

Pierre the Pancreas

P A G E 2

T H E G L U C O S E M O N I T O R

#THROWBACK“THURSDAY”

“First Insulin Pump -1963”

Come expand your knowledge at an advanced pumping class! “Making Your Pump Work Smarter Not Harder”

The BD Diabetes Center is offering an education program to help you get more from your insulin pump. Come join other

pumpers and together discover the tools and information you need to take insulin pump therapy to the next level.

Class Dates:

Thursday, May 15, 2014

Thursday, June 26, 2014

Thursday, September 25, 2014

Goryeb Children’s Hospital, 2nd Floor. Community Conference Room

7:00 to 9:00 P.M.

To Register call Fran Melchionne @ 973-971-4340

Or Frances.Melchionne@atlantichealth.org

P A G E 3 S P R I N G 2 0 1 4

T H E G L U C O S E M O N I T O R

WHEN IN ROME… BY DAN CURRY

As a former high school student and college student with type 1 diabetes, there are two statements that are important to keep in mind when making the transition from high school to college. The first - having diabetes will only hold you back if you let it. The second – nobody is responsible for you (and your health) but yourself.

While managing your diabetes comes first and foremost, please take my advice – never let it get in the way of doing anything you want to experience during college whether it is academic, professional, or social.

Even as a person with type 1 diabetes, I took advantage of one of these opportunities and was fortunate enough to spend a semester studying abroad in Rome, Italy during my junior year at the University of Massachusetts. I highly suggest taking advantage of this type of experience if you are at all interested. I would like to share some quick tips from my personal experiences in case you have any doubts that diabetes is preventing you from doing something similar.

Having diabetes was not something I was going to let stop me from taking advantage of this life changing opportunity no matter what

difficulties arose. To be honest, between all the traveling, foreign languages, and different cultures I had hardly any issues while abroad. Most people who I came into contact with were familiar with diabetes and knew about insulin pumps. Through all the planes, trains, and automobiles I only was questioned about what my insulin pump was once and made sure to keep my medical bracelet on at all times.

It can be a bit frightening to be surrounded by foreign languages and in the event an issue or emergency might arise, I thought it was useful to know how to say “diabetes” in whatever language was spoken in the country I was visiting. Another important point is to make sure when traveling that you always have a supply of insulin with you in a carry-on bag, because if a checked bag becomes lost you will be unable to get what you need shipped. Shipping supplies across borders is possible, but takes a long time to go through customs and insulin often cannot be shipped overseas. If you are without it or become separated from it, there would be no way to get more. I brought a full four month supply of everything I needed (including insulin) with me as a carry on item and had no issues by doing that.

Another helpful tip to keep in mind is that

in different countries stores often close or do not open certain times or days of the week you might be used to here at home. It is important to always have glucose tabs and juice to treat lows at all times so that you do not run out without a way to pick something up. Your daily routine and food intake will also change dramatically and it is crucial to keep in mind what type of new foods you’re eating and how active you’ll be. It is very likely you will walk A LOT, like I did when exploring new cultures and cities, which led to many lows when I first arrived.

As I said, I had no other major issues during my time in Rome and other European cities. I attribute that to being over prepared for every situation. The “culture shock” phase when you first arrive is the hardest and most important time to monitor yourself even more so than you otherwise would but after you adjust, studying abroad will be no different than living at school.

I hope that your transition from high school to college is a great one and I wish you the best of luck. By staying healthy, being responsible, and taking advantage of opportunities I hope you will feel as fortunate as I have felt to grow into an adult and have a great time along the way.

(If you would like to contact Dan, please e-mail

Nicole, the social worker and she will

be happy to pass

along his e-mail.)

P A G E 4

SWEET TALK with team member CONNIE SHIRTZ Connie started working at

Morristown Medical Center

26 years ago as the outpatient

Dietitian.

She worked as the nutritionist

for the Adult Diabetes Center

for eight years before switching

to pediatrics nine years ago.

She is a Certified Diabetes

Educator, and has her Master’s

Degree in Human Nutrition.

Connie enjoys spending

time with her children, Jeff and

Jamie. She can often be found

sitting in the bleachers or stands

cheering them on during their

sporting events, which include

baseball and volleyball. Jeff is

a freshman in college, and

Jamie is in her junior year of

high school.

Anyone that knows

Connie, can tell you which

professional team she is a

die-hard fan of...any guesses?

The NEW YORK METS!!

Connie also loves the

beach and the warm weather.

She vacations every summer

with her family down the

Jersey shore. You will find

her on the beach, soaking up

the rays and reading; catching

up on all her magazine

subscriptions and books on her

“must-read” list. She also plays

a mean game of mini-golf.

Connie has an altruistic

side to her. Whether it be

assisting others in need, or

helping to organize events to

raise money for a good cause,

Connie is always willing to

lend a helping hand!!

Connie’s perfect day is

relaxing at home with friends

and family with a good home

cooked meal, and a fire in the

fireplace.

She truly loves working with

our patients and their families.

T H E G L U C O S E M O N I T O R

Connie’s pride and joy...Jeff and Jamie

The Shirtz Kids wearing sweatshirtz!

P A G E 5 S P R I N G 2 0 1 4

BY: DR. MARIA PEREZ

Pediatric Gastroenterologist @ the Goryeb Children’s Hospital, Morristown, NJ

Celiac disease is a chronic condition that affects the small intestine. It is a permanent

sensitivity to gluten (a protein found in wheat, rye and barley). In patients with celiac disease,

eating foods that contain gluten leads to damage to the villi (finger-like projections) in the small

intestine. Celiac disease, just like type I diabetes, is considered an autoimmune disease –

meaning it causes a person’s immune system to attack itself.

Patients with celiac disease can have a variety of symptoms including abdominal pain,

bloating, constipation, diarrhea, poor growth, and delay in puberty. They can have anemia, an

increased risk of fractures, rashes, and abnormal liver tests. Patients with celiac disease can also

have no symptoms at all.

It is estimated that 1 in every 100 people in the United States have celiac disease. Certain

children are at higher risk for celiac disease including those that have type I diabetes,

autoimmune thyroid disease, dermatitis herpetiformis, Down syndrome, Turner syndrome,

Williams syndrome, or have a relative with celiac disease. According to the guidelines from the

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

(NASPGHAN), it is recommended that children in these high-risk groups (even without

symptoms) should be tested for celiac disease after 3 years of age after the child has been on an

adequate gluten-containing diet for at least 1 year before testing. The initial test of choice is the

tissue transglutaminase (TTG) antibody. If this TTG is negative, it is unlikely that the child has

celiac disease at this time. However, children in these high-risk groups should be tested at

regular intervals (usually yearly). If this TTG is positive, children should be referred to a

pediatric gastroenterologist for further testing – including an endoscopy with biopsy to confirm

the diagnosis of celiac disease. (A flexible tube-like instrument is placed through the mouth,

down the throat, past the stomach and into the small intestine to obtain small tissue samples).

Treatment of celiac disease consists of lifetime avoidance of gluten-containing foods.

Initially it can be difficult to change to a gluten-free diet. This can be even more difficult when

you are given the “double diagnosis” of type I diabetes and celiac disease. Dietitians and

support groups can help children and families adjust to this lifestyle change. There are some

reports that suggest that patients with type I diabetes and celiac disease have fewer episodes of

hypoglycemia (low blood sugar), better overall blood glucose control, and improved weight gain

and growth if they strictly follow a gluten-free diet.

Additional Resources:

www.celiachealth.org

www.CDHNF.org

www.NASPGHAN.org

www.gikids.org

Celiac Disease & Type I Diabetes

P A G E 6 S P R I N G 2 0 1 4

T H E G L U C O S E M O N I T O R

The SOCIAL(Net)WORK(er) notes from Nicole

“Providing service

and extending

charity towards

others helps us

overcome our own

difficulties and

makes them seem

less challenging." -

Silvia H. Allred

We are never too young and it is never too late to begin thinking outside ourselves and considering others. Empathy, compassion and altruism are significant to human survival and help enable the human race to not just exist, but actually flourish. So much good comes out of “paying it forward”. I am so impressed and deeply moved by the selfless acts I have witnessed here at this center. It is awesome when a patient decides, that instead of birthday gifts, he wishes for his friends and family to buy stuffed animals so they can be donated to children in the hospital newly diagnosed with type 1 diabetes. It is incredible when a patient that notices the pediatric floor is missing a really good movie that he thinks other hospitalized children will enjoy and uses his own gift card to purchase it for them. Not to forget all the community service projects that helped other patients in need, the walks taken to raise money for worthy causes and the countless hours donated to making sure programs and events are a huge success.

There are so many ways and opportunities to donate your time, talent or treasure. You could volunteer in your community, you could get involved here at the center or hospital, and you can even make a difference while you shop! Here are some ideas to get you thinking about giving back:

*The website for information about becoming a junior volunteer at the hospital...

http://www.atlantichealth.org/morristown/ways+to+give/volunteering/volunteering+at+morristown+medical+center

*There is also a Kids4Kids committee through the Foundations Department of the hospital…

http://www.f4mmc.org/Ways-to-Give/Donate-Your-Time/Community-Based-Events/Kids-4-Kids.aspx

*If you shop online and like to order from Amazon.com you can go to the website Smile.amazon.com. It is the same products, same prices, and same service; Amazon just donates 0.5% of the price of your eligible AmazonSmile purchases to the charitable organization of your choice. You can select charities such as JDRF (Juvenile Diabetes Research Foundation) and FDR (Foundation for Diabetes Research) and ADA (American Diabetes Association).

Send me an e-mail (Nicole.pilek@atlantichealth.org) or give me a call (973.971.6465) if you are interested in volunteering here at the center and keep an eye for e-mails that offer opportunities to get involved!

The BD Pediatric Diabetes Center will be presenting a program for

school nurses on October 13, 2014. It is titled:

“Insulin Pump Therapy in Pediatrics” and will run from 9:00am –

4:00pm. The objective is to increase the understanding of insulin

pump therapy in the pediatric population for school personnel and

provide a “hands on” workshop for insulin pumps. Topics to be

discussed include a history of the insulin pump, infusion sets, insulin

on board, advanced pump features, carbohydrate counting , indications for pumps in

pediatrics and small group demonstrations of a select number of insulin pumps. If there

are any questions please call Fran Melchionne at 973-971-4024. Please feel free to pass this

information along to your school nurse.

P A G E 7 S P R I N G 2 0 1 4

T H E G L U C O S E M O N I T O R

As senior year comes to a close and the summer approaches, students eagerly look forward to beginning college, a new and mysterious chapter in their lives. It is an exciting time filled with unfamiliar chances, such as meeting a different group of friends and designing a schedule on your own! Although it may seem daunting initially, the entire process is extremely rewarding, as there are a multitude of new

opportunities just waiting to be explored.

I was diagnosed with diabetes during November of my senior year of high school while I was in the midst of college applications. The news flipped my world upside down and made me reconsider all my options. I was overwhelmed by everything happening at once, as it was hard to imagine myself handling the rigors of the disease on my own. Thankfully, I was able to master it quickly and acclimate to my new life. In order to avoid difficulties, it is important to find different ways to incorporate diabetes into a daily routine that establishes comfort and familiarity with

the condition.

The college application is a long and nerve-racking process for any student, and is only made more difficult by the added stress of having diabetes. Although we often want to forget that we have the disease, it is important to consider your health throughout the college search. For some, living at home is the best option, as it can save money and will not disrupt his/her organized routine. Others may desire to live away at school, possibly in the hopes of becoming more independent or needing a change of scenery. Personally, I decided to live at home for many reasons, including the prestige of the program that I chose to study, but I would be lying if I said that my diabetes

was not a factor in that choice.

The first few weeks of college may seem intimidating, as you must acclimate to a large campus with groups of new faces. This can be overwhelming, but in no time, the school will begin to feel like home. Since every freshman are new to the college environment, there so many chances to make friends. You will be surprised by how friendly everyone is, including people who live on your dorm

floor, peers in your classes, and students who frequent the library or gym. The most important part of meeting new people is to be friendly and keep an open mind. A person may seem "different" from anyone you have ever been friends with, but he/ she may turn out to be your best friend. You will make friends with some of the most exciting, interesting people, who will

expose you to new opportunities.

In college, there is a great deal of freedom due to flexible schedules, which grants students with the ability to make many- if not all- of their own choices. This is a liberating yet terrifying feeling- we are still so young when we enter college, but we are given the ability to act as adults. In order to stay on track while forging for independence, it's important to create a routine that you will maintain. If you ignore your school work so that you can go out with friends every night, your grades will drop. On the contrary, if you let your work become so overwhelming that you never let yourself have fun, you will suffer from a dwindling social life. College is a balancing act of choices and consequences; be smart in managing your time and your life will be way less

stressful.

In the first few weeks of college, it is important to establish a reasonable routine for yourself in order to maximize your time. At the start of each semester, I plan out what times I will be in the library between classes in order to study and I use a notepad to record the dates of all my upcoming assignments and tests. This keeps me organized, especially when there are multiple long-term projects to work on. Also, it is important to leave room for other events, such as time to meet up with friends, go to the gym, or enjoy a relaxing day off. In order to avoid lows during class, I plan out my meal times so that my blood sugar stays stable throughout my time at school. It is hard adjusting to a new schedule where my meals aren't at the same time every day, so it takes a few

days to figure out the best routine.

Diabetes presents its own set of challenges in the college experience. Initially, I was apprehensive to tell my friends about my condition but I did not want to be known as "the diabetic girl," a

title I had hoped to abandon after high school. I kept it hidden for a few months, but eventually told a few people, who were extremely normal about it. It is up to you if you want to tell others, but I have had only positive experiences when telling others. In fact, by opening up, I have met many others with diabetes and talked to students who have been affected by the condition. It is always comforting to know others who have the same condition, as it offers the opportunity to share similar experiences or provide help to another

person with diabetes who is in need.

Additionally, it is important to manage stress levels because added pressure is often dangerous to blood sugar. In my experience, this Spring 2014 semester has been the hardest due to a challenging course load of six classes; it can be difficult to balance classes, work, and diabetes. Unfortunately, the stress can raise your blood sugar, which adds more chaos to an already rough time. During these times, I try to find ways to manage it all without losing track of what I need to get done. I found that a simple 15 minute yoga session or a nice long talk with a friend can help alleviate the stress and reduce my elevated blood sugars. College has shown me that you can't sweat the small because not every day will be perfect, but you have to find a way to

make it all enjoyable.

As the old saying goes, college truly is the best four years of your life. Enjoy every day of it, because it goes by extremely fast. It is a very busy time, so it is important to stay focused, because it can be easy to let stress become overwhelming. Although having diabetes can be quite the nuisance during these years, it can be managed with little stress. My best advice is to take good care of yourself because your health is the most important value that you have. Some days may seem chaotic, while others are blissfully relaxing; take each day in stride

and enjoy the fun of these four years!

MAKING THE TRANSITION TO COLLEGE AND TAKING DIABETES ALONG: WORDS OF WISDOM FROM A COLLEGE STUDENT BY: HAYLEY L.

P A G E 8

Lumiere’s Tip:

If you are having

guests, this sweet

treat is just the thing

to serve. Pint-size

chefs can use their

hands to work the

dough, and then they

can zest the lemons.

Alice’s Tip:

No tea party----

or unbirthday party---

- is complete without

these sandwiches!

For safety’s sake, ask

kids to use a plastic

knife instead of a

sharp one to cut the

grapes.

CARB COUNTING WITH CONNIE, the dietitian

recipes courtesy of

Dishing it Up Disney Style: A Cookbook for Families with Type 1 Diabetes T H E G L U C O S E M O N I T O R

LUMIERE’S

Luscious Lemon Bars

Ingredients:

FOR THE SHORTBREAD: FOR THE FILLING:

¾ cup butter, at room temperature 2 Lemons

1 ½ cups all-purpose flour 4 eggs

½ cup confectioners’ sugar 1 ½ cups sugar

¼ cup all-purpose flour

Instructions:

Heat the oven to 350 F. For the shortbread crust, use your fingertips to work the butter, flour, and confectioners’ sugar in a large bowl until the mixture holds together. Transfer the dough to an ungreased 9 X 13-inch pan and press it into the pan. Bake for 20 minutes, or until the edges begin to brown.

While the shortbread is baking, make the lemon filling. Wash and dry the lemons, then grate the rinds using the small holes on your grater (you will need 2 tablespoons of zest). Slice each lemon in half and squeeze the juice into a measuring cup until you have ½ cup. Remove any seeds.

In a large mixing bowl, whisk together the eggs and sugar. Whisk in the flour. Stir in the lemon zest and juice. When the shortbread has baked, pour the filling over it and return the pan to the oven for another 20 to 25 minutes or until the filling no longer jiggles and the edges are lightly browned. (Test by inserting a knife in the middle.) Cool and dust with confectioners’ sugar. Refrigerate any leftovers.

Serving: 1, 2-inch square; Calories: 157; Total Fat: 7 grams; Total Carbohydrate: 22 grams; Fiber: 1 gram; Protein: 2 grams

ALICE’S

Chicken Salad Tea Sandwiches Ingredients: 1 ½ pounds raw boneless, skinless chicken breasts

1 small onion, quartered

1 ½ teaspoons tarragon

½ to ¾ cup mayonnaise

20 green grapes

Salt and pepper, to taste

1/3 cup slivered almonds (optional)

16 slices of bread of choice

Instructions:

To make the salad, cut the chicken into 2-inch cubes and place in a saucepan. (Thoroughly wash your hands and cutting board afterward.)

Add water to cover, mix in the onion and 1 teaspoon of the tarragon, and cook over high heat.

Once the water boils, reduce the heat and simmer for 20 minutes. For best results, check the chicken for doneness: the center should be white with no traces of pink.

Drain the water from the saucepan and transfer the chicken to a cutting board. Remove the onion, but don’t remove the tarragon.

Cut the chicken into small pieces and place it in a large bowl.

Add the mayonnaise and toss well.

Slice the grapes and add them to the bowl, stir in salt, pepper, and additional tarragon to taste. Stir in the almonds, if desired. Cover the salad and refrigerate.

To assemble a tea sandwich, remove the crusts from 2 slices of bread, add the chicken salad fill-ing, and cut the resulting sandwich into squares or triangles. Makes about 3 cups chicken salad, enough for 8 full-size sandwiches.

Serving: 1 full-size sandwich, or 4 tea sandwiches; Calories: 429; Total Fat: 18 grams Total Carbohydrate: 40 grams (depending on the bread selected); Fiber: 3 grams; Protein: 26 grams

******Chicken salad alone contains 4 grams total carbohydrate per 1/3 cups serving

P A G E 9

T H E G L U C O S E M O N I T O R

Trying to Understand the World of Insurance...

Medical insurance seems to be the topic of conversation with many Americans lately.

It can be very challenging to try to understand your policy and what it provides.

Our office is communicating with insurance companies every day to attempt to get

the services and supplies that are needed for our patients.

Be aware that insurance companies many times place limits on the number of test

strips and lancets they are willing to pay for each day. When this happens we must

submit for a prior authorization to override the limit of supplies your policy pro-

vides. Prior authorizations require paperwork to be completed and sent back to the

insurance company. They will review the request and communicate to us if the

request is approved or denied. This process takes time to occur.

Sometimes insurance companies place “exclusions” on items. This means they have

decided they will not pay for certain supplies or services and no prior authorization is

allowed.

Another issue we would like to bring to your attention is that your medical

insurance or pharmacy coverage determines their formulary brand of medications

and supplies. When prescribing medications our physicians will use the formulary

medications chosen by your insurance company or pharmacy benefit manager in

order to pass along the lowest copay for you. This will be the case for meters and

insulin. We will need to order the “preferred” brands.

Employers make changes to insurance policies frequently. An item that you

received the last time you filled your prescriptions may no longer be available the

next time you reorder. Employers should provide you with a list of approved

medications and supplies. It is up to you to keep current with your policy.

Also, in the event you change insurance plans or pharmacy benefit managers your

formulary of medications and supplies may change and we may need to order a dif-

ferent brand of supplies for you. Please notify our office if your insurance plan has

changed. This will facilitate our ordering the correct prescriptions from the correct

pharmacy or mail order. We do not participate in all insurance plans. If you plan to

change insurance you may want to call our office and confirm that our services will

be in network.

Please know we are always here to try to get the equipment you need so you can

maintain the highest level of care possible. Sometimes all of our best efforts cannot

overturn the decision of an insurance company.

P A G E 1 0 S P R I N G 2 0 1 4

T H E G L U C O S E M O N I T O R

Be sure to schedule your appointments

with the doctors and nurses early. Try

to make your appointment when you

leave from your present appointment.

The Goryeb Children’s Hospital is going

to be converting to an electronic

medical record in July. There will be

no more paper charts. The doctors,

nurses and ancillary staff will have

extensive training that will be taking

place, making available appointment

times limited for the summer. We plan

to be back to our regular scheduling

practices in the fall.

WARNING!!...PLAN AHEAD!!...

THE EMR IS COMING!!...THE EMR IS COMING!!..

(ELECTRONIC MEDICAL RECORD)

STOP! READ! STOP! READ!

The maginative Site:

P A G E 1 1

S P R I N G 2 0 1 4

Wanna share your artistic talent with others? Submit your paintings, drawings, photography or poems!!

The section to inject your creativity!!

T H E G L U C O S E M O N I T O R

Amazing and super talented artist, Christy, shares

her love of Anime character drawings...

Oh WOW!!!

Goryeb Children’s Hospital at

Morristown Medical Center

100 Madison Ave

Morristown, NJ 07962

Office Phone #: 973.971.4340

Fax #: 973.290.7367

Easier Prescription Refills!

There is a fast, and easy way to get your prescriptions refilled and it’s free!! Our office participates in Relay Health, a web-based secure service for requesting prescription refills. We strongly encourage patients to use Relay Health for efficient and timely renewals. Simply register online at www.relayhealth.com or provide your e-mail address

when you register for your next appointment.

Remember – After hours and weekends,

on-call physicians do not have access to your

child’s chart and cannot authorize

prescription refills.

A Pharmacist can dispense 3 days of diabetes related

supplies without a prescription; this may be an

out-of-pocket expense. It’s always best to request

your prescriptions at your scheduled diabetes

appointments, or by using Relay Health.

BD Diabetes Center for Children and

Adolescents

T H E G L U C O S E M O N I T O R