Inside the Patient Entrepreneur’s Mind: Jon Margalit

Jon Margalit

Managing a chronic illness is challenging, whether it is your own or a loved one’s. Starting and running a business also poses unique challenges. If you struggle with a chronic illness, have started a business, or want to start a business, this blog series can help guide you. “Inside the Patient Entrepreneur’s Mind” offers key insights into chronic disease and mission-driven entrepreneurship by some of the most innovative patient entrepreneurs in the world. 

Jon Margalit is CEO & Founder of Complete Start. 

As a patient entrepreneur, can you describe your personal experience with IBD from diagnosis through your current daily management and how this experience drove you to innovate the space?

To make a long story short, I am a very social and outgoing person who enjoyed immensely being out with friends networking, in all types of social settings. I was also an avid gym goer and black belt martial artist. Once diagnosed with Crohn’s, I had to deal with all kinds of drugs and steroids to mitigate the ill effects of the disease and as a result transformed into a guy with acne all over who was afraid to leave the house at the risk of being too far from a comfortable bathroom.

With that being said, after trying different types of drugs, I realized really quickly that this wouldn’t change until I took matters into my own hands to find solutions. After some research, the one thing I found I really had control over was what I was consuming. I focused on what I could control and immediately thought to myself if I study this, and become an expert in food science, perhaps I might be able to make some drastic changes in how I’m feeling and looking. Inflammation causes the digestive tract to shrink so we [the IBD community] have difficulty digesting whole vegetables and roughage. I had the idea to freeze dry and grind them into a powder to consume micronutrient rich vegetables without digestive issues. I bought a freeze drier on amazon to test the idea.

What makes Complete Start unique and how does it meet an unmet need of the IBD community?

There are products on the market that are similar in nature, but we are the only ones completely organic and non-GMO. Our goal is to deliver the most complete and clean digestible nutrition for customers. As a result, the cost to produce has vastly increased. I quickly realized why our competitors didn’t produce the same quality of product because it narrowed the customer base. We are sticking to offering a premium product at price, staying true to our goal. 

Are there any other unmet needs of the IBD community that you think take priority in working to address? How are patient entrepreneurs well-suited to meet these needs?

 I think that the key to making a widespread, massive impact is to create more awareness for the products, services, and support that are available, so I’d love to focus more on community building. When I was first dealing with Crohn’s, I was not aware of the products, services, and people out there that were available to help me overcome. Out of instinct and pain I sought them out and created resources for myself, which was key to remission. If I could go back in time where that community already existed, and someone introduced me, then things would’ve been easier to deal with and I would’ve found a way out much faster. My goal is to try and bring us together in a community form beyond just introducing patients to Complete Start.

Where do you draw your inspiration and motivation from to keep forging ahead as an entrepreneur in the healthcare industry?

The real answer is I was initially afraid to leave the house. I was afraid to be seen and covered in acne—steroids destroy you. Now, I want everyone to know that the fear they are feeling is not just them and someone like me can help alleviate those fears and show them the path. If I was able to breakthrough and overcome, they can too. It’s others in the community and the validation that I get from them when they reach out and say I read your story and it made me believe that perhaps I can get there too who inspire me. Other people continue to fuel my fire and my desire to keep getting out there to make sure that others are aware and can receive the comfort of a blueprint for healing. 

Lastly, what do you do for fun to manage the stress of running a business as both a person with IBD and an entrepreneur? Do you have any similar advice on work-life-disease management balance to others out there thinking of starting a business to meet an unmet need of a chronic disease patient community?

Absolutely. There is one key and I think that it is just as important as food—it’s exercise. I mean it very passionately—I am a daily hardcore gym goer and when I go to exercise, I go hard. When I do, I feel tremendously better. Movement and consistent exercise is the only way to complete the healing puzzle and again, that is another element that people have control over. Jon Margalit exercise fitnessI would recommend to anybody who is suffering out there first to test, then heed to Dr. Sandborne’s advice of eating what makes you feel good, and you’ve got to be consistent with exercise. Don’t just go through the motions—do it with purpose and passion. Push yourself physically because there is no bigger healing element in the world. The blood flow, endorphins and sense of accomplishment after a workout is the single most impactful driver to get me into remission. Two things people will never regret are eating vegetables and working out. The exercise is the stimulus to the right blood flow and right state of mind to tackle disease and career—both mental and physical battles. There is no better way to deal with the pain and discomfort of IBD than exercise.

On Letting Go + Self Acceptance While Living With Multiple Sclerosis

The Ideal Self is an idealized version of yourself created out of what you have learned from your life experiences, the demands of society, and what you admire in your role models.

My former ideal self was a smart business owner and writer who had a funny blog and a thriving consulting business. She also wrote a book.

My real self was, and is, a person living with a chronic illness with symptoms that would never allow for any of that to become true. Symptoms like brain fog, racing thoughts, and clinical depression. I’ll get into specifics of each symptom in subsequent posts but here’s the definition of brain fog so you can get an idea.

Brain fog can make a person feel as if the processes of thinking, understanding, and remembering are not working as they should. It can affect their: memory, including the ability to store and recall information.

I clunge so desperately to my vision of what life should be. Of who I should be. Even though I could never be.

I wanted to be like everyone else.

But my brain isn’t like everyone else’s. I kept getting disappointed. And depressed. I remained insecure and I was my own biggest bully. Brain fog made me feel stupid, like a loser, and to me, there was nothing worse I could be. It was unacceptable.

It felt like my mind was a melting pot of chaos. And I wasn’t making it any easier. I was too busy trying to improve myself instead of healing myself.

It was a vicious cycle that was powered by a disturbed mindset. A mindset that said I was the problem. And if I would just change the bad qualities that were bestowed upon me by MS, I would be able to live a happy ideal-self life.

My mind was an unsupervised circus and I attempted to reign myself in with therapy, meditation, medication, spiritual stuff, Instagram quote stuff, religious stuff…ALL THE STUFF. I just wanted to feel better. But mostly, I wanted to achieve whatever goals I set for myself at any given time.

I probably released an ocean’s worth of cortisol during this time because as I’ve said, that is impossible.

CUT TO:

My mind didn’t allow me to let go of my expectations until it was ready.

It was a Thursday in January 2019 when it finally clicked. I was in therapy and verbalizing my racing thoughts. It just came out.

“I am a sick person playing the role of a healthy person.”

I shocked myself, and when the doctored uncharacteristically nodded his head yes, I knew it was time.

Saying it out loud made it real. But also, I had reached a dead end. Each time I tried something new, I did some mental gymnastics and found ways to convince myself this time was different. I wouldn’t fail because (insert skillful justification here.)

This time I tried to become a freelance writer and editor on Upwork. I was chill about the process but quickly learned I’m not capable. The market demands 5000 words for $2 and quick turnaround times. I’m slow like molasses. I realized there was no way I’d be able to deliver quality work consistently.

I gave up one last time. I retired. I was tired, mostly of myself. Things needed to be different. I had a new goal: no new goals. Retirement was about taking it easy. I had spent so much time on my self-help journey so I was already equipped with a mental health tool kit to take me through my days. I also had a new responsibility that was more important: Valentina.

Not trying to live up to an unreachable standard set me free. I felt empowered because I suddenly released the blame. Surrendering made me feel in control. I accepted my lane and no longer felt stupid. I felt like a person who has multiple sclerosis.

I let go and accepted my messy life. I try my best and give myself space when I don’t think it’s good enough. I’m figuring out what I think is good enough. It’s always going to be a journey. For now, I’m buckled in and ready for what’s next. I will certainly keep you posted.

Originally posted on Medium.

Inside the Patient Entrepreneur’s Mind: John Wilcox

Managing a chronic illness is challenging, whether it is your own or a loved one’s. Starting and running a business also poses unique challenges. If you struggle with a chronic illness, have started a business, or want to start a business, this blog series can help guide you. “Inside the Patient Entrepreneur’s Mind” offers key insights into chronic disease and mission-driven entrepreneurship by some of the most innovative patient entrepreneurs in the world. 

John Wilcox is the CEO & Co-Founder of Diatech Diabetic Technologies, Inc. 

As a patient entrepreneur, can you describe your personal experience with diabetes from diagnosis through your current daily management and how this experience drove you to innovate the space? 

In 2005, I was diagnosed on my ninth birthday. I figured the only way to come out on top was to make it a positive experience. Growing up, I really identified with the disease and now use it as an opportunity to empathize with others with chronic disease. I wanted to go to medical school, and still might, but this opportunity came up in college to develop intellectual property—what is SmartFusion today.

I took on the business full-time post college graduation of May 2019. My diagnosis gives me a leg up on how to develop technology to help diabetes patients. As a collective community, we can appreciate when someone with a disease can relate to us and effectively create change. My condition is something that I can share and allows me to connect to people and understand how other people are struggling—it is one of the best gifts that I could ever ask for. I don’t know what I would do with my career without this diagnosis because it has turned into a passion to help others and a lesson on how to make the best of situations.

What makes SmartFusion unique and how does it meet an unmet need of the diabetes community?

SmartFusion is a new infusion set that can more accurately tell you if insulin delivery is actually getting into your body. SmartFusion is unique in the fact that it helps patients understand if they are getting insulin.  Insulin pumps on the market right now are not really meeting the standard of being able to tell patient users if their insulin delivery is effectively working. We noticed the issue of infusion set insulin delivery failures where pumps can have issues with insulin delivery efficacy.

Personally, I have had issues going into DKA because of insulin mis-delivery.  I went to an endocrinologist in college who blamed me for poor A1C control rather than it being a technology/pump failure. I want to provide technology that can deliver alerts before hyperglycemia because it happened to me and it is very dangerous. Fixing this unmet need of pump reliability can take one thing off the list of what patients and caregivers go through regarding issues with diabetes care.

Are there any other unmet needs of the diabetes community that you think take priority in working to address? How are patient entrepreneurs well-suited to meet these needs? 

In the future, I would love to focus on software for pumps. There has been great work on hardware that is safe and effective for patients with diabetes but a real gamechanger could be software that pairs any type of CGM with any type of pump. The diabetes “hacker” community is already pairing their own CGMs with pumps but are not following standards of the industry.

Additionally, there is a lot that needs to be addressed in education, especially how to learn to effectively use diabetes technology for parents of children with the disease.

Where do you draw your inspiration and motivation from to keep forging ahead as an entrepreneur in the healthcare industry?

 My inspiration and motivation comes from talking to people who have the condition. I want to make sure the diabetes community is affected and impacted in a positive way. Stories from patients about issues with diabetes care like insulin mis-delivery keep me up at night.

Lastly, what do you do for fun to manage the stress of running a business as both a person with t1d and an entrepreneur? Do you have any similar advice on work-life-disease management balance to others out there thinking of starting a business to meet an unmet need of a chronic disease patient community?

I love to run whenever I can and I find it a very clearing activity. My goal is to John Wilcox 5k racerun the Boston marathon for the JDRF. In terms of advice for other patient entrepreneurs, we have a disease that can help connect us to other people that have the same chronic illness. However, each patient story is unique so taking the time to recognize that is important. For example, my parents helped me get appropriate care at a young age by providing insurance coverage. How dare I compare my journey to patients I meet now, who are in their twenties, who are still without coverage to get insulin. In a nutshell, know that your story is unique and craft a connection to fellow patients based on that fact.

 

 

Going Digital When You Have MS

ORIGINALLY PUBLISHED ON MS SOCIETY| 07 SEPTEMBER 2018

Technology is so embedded in our everyday lives that I’d challenge anyone to go more than a couple of minutes without using something digital.

 

But what is the future for digital when it comes to helping people with MS? When I was diagnosed ten years ago, I ended up feeling very disengaged from the healthcare system. Now I wonder whether digital solutions could have helped me have a better experience.

How technology helps me with my MS

I use technology for many things relating to my MS and the biggest emphasis is on information and knowledge. When I was diagnosed with MS, I gathered enough literature to fill a bookshelf.

Now, the majority of my information needs are met digitally. I have access to a wider variety of digital information, via the internet, smart devices and patient portals. I’m more informed and can make shared decisions with my healthcare team. The next step is that I want to be able to more easily share my health records with all my doctors, because I’m not just my MS.

CLICK HERE TO FIND OUT HOW TRISHNA USES TECHNOLOGY TO SUPPORT THE MANAGEMENT OF HER MS! 

 

SuperBetter Partners With Psych Hub To Provide Videos About Mental Health

People around the world play SuperBetter to be stronger and more successful at achieving goals and overcoming challenges across many areas of their lives, including their mental health.

Today, we have great news to share — especially for those playing SuperBetter to tackle depression, anxiety and other challenges related to mental health. Psych Hub has partnered with SuperBetter to provide access to a library of high quality educational videos featuring mental health topics. These videos are available at no cost to the SuperBetter Community.

Psych Hub is a mission-aligned organization that has created a library of short, educational videos on various topics related to mental health such as depression, anxiety, bipolar, PTSD, eating disorders, and evidence based treatments. It was founded by Marjorie Morrison, former CEO of PsychArmor Institute, (a non-profit organization dedicated to providing free online courses about an array of issues of interest to the military community and their families), and Patrick J. Kennedy, former congressman of Rhode Island, mental health advocate, and founder of The Kennedy Forum.

Psych Hub’s mission is to spread greater knowledge and awareness about mental health issues and to decrease the stigma associated with them. By combining clinical research with the art of storytelling, Psych Hub videos provide mental health education that is accessible to everyone.

Psych Hub is partnering with respected organizations like SuperBetter as part of its commitment to bringing accurate and reliable information about mental health to a broader audience. As a partner we have our own page on Psych Hub for the SuperBetter Community. On this page are many videos that we think SuperBetter fans and users may find of interest. We invite you to click over, check them out, and share them with your family, friends, colleagues, and communities!

Two and a Half Years After Chemo, I Take Inventory of My Healing

Part of my goal with ABSOT is to create a resource for the newly diagnosed to understand what lies on the road ahead. I detailed nearly every moment of my chemotherapy treatments and began writing a series of posts of how recovery was going after finishing chemo. I wrote these posts at the two monthsfive months, and twelve months post-chemo marks, respectively. However, after the last one, I really dropped the ball on continuing the series.

But today marks thirty months post chemo, or two and a half years for people who don’t count anything over a year in months. Looking at you, new moms who insist on telling me your kid is 16 months, 3 weeks, 2 days, and 6 hours old. Your kid is one. Move on.

But I digress. True to the fashion of the other “Months Later” pieces, I’ll give an update on how my physical and mental recovery, after facing chemo, has been going since the last update.

Physical healing remains strong, with a few slight problems.

 

In the “Twelve Months Later” piece, I mentioned that I wasn’t feeling any nausea or fatigue anymore. This remains true today. I haven’t vomited at all since the ‘BRATman Begins’saga and I would even venture to say I’m in the best shape of my life.

I also mentioned in that post that my hair fully grew back and I was contemplating a new style. I’ve finally decided on a new one… a year and a half later. Stay tuned! Another holdover from that same post is my disdain for plain water. While I don’t hate it anymore, I still prefer it with lemon – or even a lime if I’m feeling wild.

However, a number of new strange symptoms have cropped up in the past six months or so. Mainly, I’ve been experiencing excessive sweating (even in cool temperatures) and had some weird pains here and there. So far, blood work has ruled out thyroid or hormonal issues, and I’ve had an ultrasound that I am still waiting on the results (as of this publishing).

Overall, aside from these new symptoms, I would be confident in saying that my physical health is 99.9999% back to normal – a full 0.0009% higher than in January 2018.

Mental health continues to ebb and flow.

I still have some slight difficulties with memory and attention, which I credit to chemo brain. Over the weekend, I participated in an online study that confirmed my short term memory and concentration are below average and my spatial awareness and ability to split my attention are right on the money. Interestingly, my ability to quickly scan and process information is actually above average. However, I don’t have a baseline to draw from originally, so who knows if that’s actually due to chemo brain, “old age,” or undiagnosed ADHD?

Worrying about scans is a constant, too

Probably the single biggest difference between January 2018 and now is mental health fluctuations. Back then, after realizing how I was experiencing depression, I had just started on antidepressants. At first, they didn’t seem to help too much. Finally the correct dosage kicked in and has been helpful in keeping me balanced since then.

Recently, I’ve noticed that I’ve been struggling a bit more than usual with my mental health, so I’ve begun seeing a therapist who I’ve seemed to connect well with. I’ve gone twice thus far, and we’re working on a roadmap to help me navigate the sea that is cancer survivorship and life. In a few months, I’ll probably write a more detailed post about therapy and how it’s been helping.

All in all, my mental health is doing much better than it was right after facing cancer, but it’s always in the forefront of my mind.

I’ve said it once, and I’ll say it again: Being a cancer survivor is complicated.

I firmly believe in the value of sharing my full story in hopes of letting others know that it’s ok to not be ok. While this piece was largely the same as the “Twelve Months Later” piece, it’s important to share these moments so others know what to expect on the road ahead.

It’s also critical to note that my left testicle has still not grown back, even after all this time.

Though I still hold out hope, the local hospital has told me that, “infusing your DNA with that of a salamander will not help you to spontaneously regrow a testicle and for the last time, please stop calling us unless you have a true medical emergency.”

A self exam is how most cases of testicular cancer are detected early. Click the image for video directions or click here for a larger version

 

Want to work with Justin? Click here to learn more.

All Roads Lead To Wellness: How Our Different Backgrounds Led Us To Lyfebulb

Katie:

In May of 2019, I joined Lyfebulb as the new Community Manager. Like many patients (including Ambassadors and Entrepreneurs) part of the Lyfebulb community, my health journey has not been easy. I struggled with chronic, neurological Lyme disease for close to a decade. The lack of awareness of this chronic illness prolonged my receiving of adequate treatment because of the inability to get properly diagnosed. Once diagnosed, I spent years researching all that I could about chronic Lyme and making all possible lifestyle changes within my control (diet, exercise, sleep hygiene, chemical-free product substitutions) to get myself out of a state of illness and into one closer resembling “wellness”.

After I could finally see the light at the end of the tunnel and observed marked changes in my symptoms, I learned how important support drawn from shared chronic illness experiences are to improved disease management and in certain cases, remission. Through this realization, I went to culinary school to learn the intricacies of preparing healthy yet still delicious food so that I could more thoroughly stay true to my commitment to wellness. My chronic illness ultimately taught me how to thrive in life, directing me towards likeminded people who have had similar health journeys.

At the age of 27, I now work for Lyfebulb in order to help build the chronic disease community that I wish I had from the start of my health journey–especially during my sickest years. Chronic illness strips you of hope and the natural instinct of a chronically-ill person is to curl up and isolate from the rest of the world. My goal is to encourage others who are either creating community or innovation around their disease to come together so that we can make the impact of patient-driven innovation and messages of how to thrive with chronic illness, or of wellness, that much stronger.

Jamie:

I joined Lyfebulb in June of 2019. My role includes the development of partnerships, execution of Innovation Summits, and the management of Lyfebulb’s Patient Entrepreneur Circle. I came to Lyfebulb with a different background than most of my colleagues. Unlike Katie, Karin, and our extended community, I do not suffer from chronic disease, nor do I have loved-ones who do – or so I thought prior to joining Lyfebulb.

Though fortunate on to this end, health and wellness has always been a high priority. With northern California roots, it was instilled upon me at a very young age that it is more than just a lifestyle choice – it is necessary to keep the body and brain sustainable.

Formally, I geared my educational studies towards art history and business. After school, I landed a dream job in the field at an art market transparency company. Four years later, I found myself feeling unfulfilled. Though art will always be a passion, I sought out to find a field where I could make more of an impact.

I found Lyfebulb by chance, attending the UnitedHealth Group Summit activation event for depression and anxiety. Shortly thereafter, I joined the Lyfebulb team and brought the UHG Summit to fruition. Though grateful for my time spent in art, I am grateful to have returned to my path of wellness and health, and look forward to where it will take me.

Lyfebulb and UnitedHealth Group Announce The Winner of Their 2019 Innovation Challenge for Patient Entrepreneurs

Challenge brought together 10 finalists who are building solutions for those affected by depression and anxiety

MINNETONKA, Minn., and NEW YORK (July 24, 2019) Lyfebulb LLC and UnitedHealth Group (NYSE: UNH) are pleased to announce that Rohan Dixit of Lief Therapeutics was selected as the winner of the “Addressing Unmet Needs in Depression & Anxiety: An Innovation Challenge.” Lief Therapeutics has developed an intuitive, data-driven wearable consumer product for anxiety used to teach the skill of mindfulness using heart rate variability.

Rohan was selected from a group of passionate innovators who were finalists in the Challenge, including Jay Brown of Health Behavior Solutions; Matt Loper of Wellth; Lisa McLaughlin of Workit Health; Katherine Ponte of ForLikeMinds; Jan Samzelius of NeuraMetrix; Dr. Ryan Stoll of COMPASS for Courage; Dr. Mehran Talebinejad of NeuroQore; Quayce Thomas of Timsle; and Keith Wakeman of SuperBetter.

Dennis Urbaniak, Chief Digital Officer of Havas Health & You, who served as Chair of the Jury commented, “Rohan not only has a mission and purpose that aligned with the criteria of the challenge, but also has taken a conventional approach and reimagined it through the patient experience with evidence-based science behind it. Additionally, he has identified viable pathways to commercialization.”

The Innovation Challenge was open to established companies of all sizes that are founded or led by an entrepreneur who has been affected by depression and anxiety, whether as a patient or through a loved one, and who has created a product or service to address an unmet need identified through personal experience. The 10 finalists gathered at UnitedHealth Group’s headquarters for two days of meetings, workshops and pitch presentations. The event culminated with a panel of esteemed judges selecting Rohan Dixit for the $25,000 award.

“Partnering with UnitedHealth Group for a second year in a new therapeutic area which impacts all of healthcare is tremendous for Lyfebulb,” said Dr. Karin Hehenberger, Founder and CEO of Lyfebulb. “We have established a community of people affected by and caring about depression and anxiety, from which we sourced ten exceptional patient entrepreneurs to join us in Minnetonka over the past few days. Their passion and determination to solve daily issues that burden so many individuals came through clearly during the pitches.”

The judges included experts from the patient, business and medical communities including Mike Christy, Senior Vice President of Venture Development at UnitedHealth Group; Dr. Raja M. David, Founder and Owner of Minnesota Center for Collaborative/Therapeutic Assessment; Matt Kudish, Executive Director at NAMI-NYC (National Association of Mental Illness); AnnMarie Otis, Patient Advocate; Dr. Bethany Ranes, Research Associate at UnitedHealth Group; and Dennis Urbaniak, Chief Digital Officer at Havas Health & You.

“Through this innovation challenge, we learned from patients and caretakers who live and breathe the challenges of this disease every day,” said Dr. Deneen Vojta, Executive Vice President and Chief Medical Officer of Research & Development at UnitedHealth Group.  “We see depression and anxiety touch all populations we serve and we valued the opportunity to bring together entrepreneurs, health care providers, patient advocates and business leaders at the summit. Together, we can help bring the most innovative, effective tools – inspired by personal experiences – into the marketplace.”

New Workout App for People With Diabetes – And Christel is an Instructor!

Have you ever dreamt of working out with a trainer who understands diabetes, who might even live with diabetes, and who gets what it takes to get through a workout without wonky blood sugars?

Well, that trainer could be me!

Today, my 12-week fitness program “STRONGER”, that I developed for GlucoseZone, is available in the GlucoseZone app. I’d like to personally invite you to come train with me. To join me for a program that will push you to be a stronger version of yourself.

Sign up HERE and use the “STRONGER” code to get 30% off your monthly subscription

The beauty of joining GlucoseZone is that you’ll get access to not only my program but to 6 other exercise programs, as well as live workouts, all developed specifically for people living with diabetes. You can do all of the workouts in your own home or bring it to the gym.

Regardless of your fitness level, you can find qualified instructors to take you through the workouts that are right for you, and always with your diabetes in mind.

One of the reasons why I’m so excited about working with GlucoseZone is that it’s the first-ever clinically validated digital exercise therapeutic for people living with diabetes, and it’s endorsed by the American Diabetes Association.

Stronger Getting Started

Sign up HERE and use the “STRONGER” code to get 30% off the monthly retail (You’ll only pay $9.09 per month) when you sign up for the GlucoseZone app.

 

Connect with Christel on Facebook: @DiabetesStrong; Instagram: @diabetesstrong_ig.

Wearing a Diabetes Medical ID On-The-Go!

Medical ID Bracelets

Living life on-the-go can be fun and busy, however, doing so with a chronic illness requires a few extra steps and planning along the way.

 

Hi, my name is David and I have been living with Type 1 Diabetes for 10 years now. I was diagnosed at the age of 11 and let me tell you… I have been through a lot. In living with this disease, I have been able to experience so much and learn from my mistakes. In doing so, I have come to realize that as a diabetic, I am one of those who should wear a medical ID and why it’s important for all life’s experiences.

For years on end, I never wore a medical ID bracelet. I could never find a bracelet that I simply liked or wanted to wear daily. When I became a part of the Diabetic Online Community (DOC) back in 2014, I was exposed to several different people who shared the same struggle. I also saw a variety of amazing brands and companies who understand this struggle and have found ways to make ID bracelets, dog tags, necklaces, and more so much nicer and pleasing to the eye and the patient. I own several different medical ID bracelets, I think when one finds their style with Diabetes, it’s always nice to have options and create your own look, which is why owning multiple forms of emergency ID that go with different looks is a great idea!

I have mentioned several times on my Instagram, @type1livabetic, that when wearing my personalized Paracord bracelet from American Medical ID, I felt so very safe. I felt as though if anything Diabetes related could go wrong, I would be prepared. On my engraved bracelet, my name, condition, and emergency contact information were all located on a small piece of metal, attached to the Paracord bracelet. At a recent trip to Disneyland with a large group of people who also had Type 1 Diabetes that could vouch for me if there were to be an emergency, I still encountered times in which I was alone at the park (walking to and from my car, walking to meet the attendees, or simply stepping to the side to grab a snack), rest assured, I was confident with my Diabetes at the time.

So why is it so important to wear a form of medical alert jewelry for Diabetes? Well, not to get too dark or technical, however, the fact remains that we do have Type 1 Diabetes that does come with some symptoms and consequences. If our blood sugar drops significantly low, we could pass out and become unconscious or go into a coma. Same with high blood sugar, if we are severely high and go into DKA, we could in fact experience some symptoms that could limit our ability to function, which can prevent us from acting in the moment to get help. Say you were in public, alone, and you experienced one of these symptoms, if you were wearing a medical ID, someone nearby would mostly likely come to check for various hints or signs on you if something doesn’t look entirely right and search for an alert jewelry in particular sites on the body: wrists, around the neck, tattoos, etc.

In being diagnosed with any chronic disease and being told you have to take extra care of yourself can be a lot, however, allowing yourself some relief by wearing a form of ID can truly reduce a lot of the stress surrounded by various diseases. One should never leave the house without some form of ID as you never know when these emergencies could happen.

American Medical ID Healthy Packing List

The CDC includes having a form of medical identification such as alert bracelets, necklaces, or wallet cards as part of a healthy travel packing list.

I believe that some may also feel safe in knowing that they have a medical ID card in their wallet as well, for added peace of mind. One should also wear a form of ID at home, just in case. For those who live alone, I understand that it may feel as though you are not in need of wearing an ID at home as you will be alone, but that could just be the very tool that can keep you alive, say you have an emergency, it could be that neighbor walking by and seeing something isn’t right that could barge in and save your life and being able to identify you have a particular medical condition that needs attention.

We each have our own busy lives that takes up so much time and mental focus away from our health, which is why wearing medical alert jewelry can protect us as we are on the move, daily. School, work, the playground, a coffeeshop, wherever you may be, ID is necessary. No matter how old the patient is, whether a child, teen, adult, or elder, wearing a medical ID all the time can protect us from the dangers of our diseases and more.

 

Live well,

David

The Implications of Using CBD for Chronic Conditions: Here’s What We Know

Cannabidiol (CBD), a non-intoxicating compound in cannabis, has become a popular alternative to pharmaceuticals. CBD users can sometimes find relief from their conditions without harsh side effects. 

41% of cannabis users surveyed report swapping out other medications completely in favor of cannabis, while another 58% use cannabis and other medication or alternate between them,” researchers stated in a survey by Brightfield Group

While CBD may be a beneficial alternative for chronic conditions, it’s important to consider the implications of using CBD before changing your current regimen.

Diabetes

Studies have suggested that inflammation has a correlation with insulin resistance. This may be the result of the body not moving sugar from the bloodstream into cells, causing excessively high blood sugar. Obesity-related inflammation particularly limits glucose metabolism, resulting in high blood sugar. 

Researchers still don’t know exactly how CBD improves insulin resistance, but often credit it to the compound’s anti-inflammatory effects

According to a report on Type 1 diabetes from the Diabetes Council, “CBD can save insulin-forming cells from damage so that normal glucose metabolism can occur.”

It’s important to note that most claims being made are based on studies with animals, not humans. Using CBD to treat diabetes without more substantiated research and medical oversight could be dangerous. Until further human studies are conducted, CBD can’t be considered a direct treatment for diabetes. 

However, the anti-inflammatory effects of cannabidiol may be beneficial for managing secondary symptoms from the disease. For example, CBD has neuroprotective qualities and may prevent retinal damage.

Cancer

While there is anecdotal evidence of successfully treating cancer with CBD, no definitive studies can back this up. However, we do know that CBD plays a role in cancer prevention and seems to have anti-tumor effects. In a 2012 report, researchers explained, “Evidence is emerging to suggest that CBD is a potent inhibitor of both cancer growth and spread.”  

The U.S. National Library of Medicine explains that CBD is anti-proliferative, meaning it can stop, slow down, or reverse the growth of cancerous tumors. It is also anti-angiogenic, meaning it does not support the generation of new blood vessels, specifically ones that allow cancerous tumor growth. Lastly, it is pro-apoptotic, which means it induces cellular suicide of cancerous cells. 

In addition to these cancer-specific effects, CBD may help patients dealing with pain related to cancer treatment, such as pressure on the organs and nerve injuries. Patients with cancer are commonly prescribed opiates to manage pain, but managing pain with CBD may be just as effective with fewer side effects.

Unlike opiates, which mimic our bodies’ natural endorphins, CBD actually encourages the production of natural endorphins by interacting with a neurotransmitter called anandamide. As a result, CBD is a non-habit-forming pain-reliever. 

It’s important to consider the legal implications before using CBD for cancer, or any other chronic condition. Hemp-derived CBD is legal across the United States, with specific guidelines per state. Idaho, Nebraska, and South Dakota have strict, conflicting rules regarding CBD, so caution should be taken if you live in those states. 

Whatever state you’re in, be sure to get high-quality CBD from producers who follow the guidelines of the law. 

Multiple Sclerosis

According to Neurology.org, “inflammation occurs in the brains and spinal cords of people with a specific kind of MS called relapsing-remitting MS.” CBD has been shown to protect against this harmful inflammation

In a 2011 study with mice, researchers found that CBD diminished axonal (nerve) damage and inflammation. CBD also reduced microglial activation, an inflammatory process that occurs in the central nervous system and is attributed to conditions like MS, Parkinson’s, and more. 

CBD may help users get relief from their MS without causing the sometimes intense side effects that come with pharmaceuticals. Still, CBD may cause some side effects that users should be aware of. Side effects may include:

 

  • Anxiety
  • Changes in appetite
  • Changes in mood
  • Diarrhea
  • Dizziness
  • Drowsiness
  • Nausea

Anxiety and Depression

The hippocampus, the most widely studied portion of the brain, is responsible for the regulation of memories and emotions. Researchers believe the hippocampus plays a major role in depression, and have found that this region of the brain can shrink or decay in those with depression.

Fortunately, the shrinkage does not have to be permanent. The brain is very regenerative and can bounce back as new neural connections are made. This process is known as “neurogenesis” and is an important process to target for antidepressants, contrary to the prior belief that they just work to increase serotonin. 

Where does CBD come in? Research has shown that cannabidiol signals a serotonin receptor called 5-HT1A. This receptor is responsible for controlling many neurotransmitters, and is also the target of some anti-anxiety medications, like Buspirone. Activating this receptor can encourage neurogenesis, and potentially relieve symptoms of anxiety and depression. 

While each individual case is unique, anxiety and depression tend to go hand-in-hand. CBD may encourage the neural regeneration necessary to find relief from either or both conditions. 

Inflammatory Bowel Disease

Inflammatory Bowel Disease (IBD) is caused by — you guessed it — inflammation. A 2009 study found CBD was beneficial for colitis, a form of inflammatory bowel disease. Researchers induced colitis in mice and tracked their gut inflammation, finding that “cannabidiol, a likely safe compound, prevents experimental colitis in mice.”

Another review found “this compound may interact at extra‐cannabinoid system receptor sites, such as peroxisome proliferator‐activated receptor‐gamma. This strategic interaction makes CBD as a potential candidate for the development of a new class of anti‐IBD drugs.”

If you’re considering using CBD with other medications, consult your doctor first. Much like grapefruits, CBD inhibits the cytochrome P450 enzyme, which can prevent drugs from metabolizing properly. 

CBD could also negatively affect the liver by increasing liver enzymes. A 2014 review of CBD saw changes in the liver function of 10% of the subjects, and 3% had to drop out of the study to prevent further damage. Again, consult with a doctor if you want to use CBD for a chronic condition like IBD but are worried about the effects on your liver.

The Bottom Line

Americans spend around $1,200 on prescription drugs each year, which is more than the residents of any other developed country. The price of pharmaceuticals has risen without any improvements or innovation, according to CNBC. This makes CBD an exciting avenue as a potential alternative to standard pharmaceuticals.

It’s important to remember that the effects of CBD will vary by person, and that a lot of the claims we hear about CBD are in relation to animal studies and not humans. It’s also important to be as informed as possible before diving into the complicated world of buying CBD.

Still, many people find success with CBD for their chronic conditions. 

 

Macey Wolfer HeadshotMacey is a freelance writer from Seattle, WA. She writes about natural health, cannabis, and music.

Celgene, Lyfebulb put patient spin on MS innovation challenge

Innovation challenges continue to proliferate in the pharma industry, and Celgene’s is the latest, seeking crowdsourced solutions for multiple sclerosis (MS) patients. Its partnership with Lyfebulb is unique, however, in that it only accepted entries from patients or direct relations of patients.

In the MS challenge with Celgene, Lyfebulb and its Big Biotech partner have narrowed the field to 10 patient entrepreneur finalists, with a “Shark Tank”-style finish set for June 12-13. Each finalist will get 10 minutes to present to a professional panel of judges that will include a patient advocacy group lead, patient ambassador and venture capitalist, plus reps from pharma and the insurance industry. At the end of the second day, one winner will be chosen for the top prize of $25,000. But even more valuable than the money, said Lyfebulb founder and CEO Karin Hehenberger, is the exposure to pharma executives, additional funding sources and other influential industry players.

Celgene first approached Lyfebulb last year in an effort to better understand MS patient needs as it readied its first multiple sclerosis treatment for market. Since then, the FDA has pushed back on Celgene’s candidate ozanimod with a refuse-to-file notice and a request more data on preclinical and clinical pharmacology, delaying the company’s NDA filing until March of this year. The new ozanimod data hit its targets, though, and analysts project the drug could still reach $2 billion in sales in the already competitive oral MS drug market. In the meantime, Celgene has also become an M&A partner for Bristol-Myers Squibb in a $74 billion deal approved by shareholders in April.

The Celgene challenge for multiple sclerosis is Lyfebulb’s seventh patient-sourced contest, with previous partners including Novo Nordisk for diabetes, Helsinn Healthcare for oncology and United Healthcare for depression and anxiety solutions.

Hehenberger, a physician and Type 1 diabetes patient who has walked the walk of chronic disease with two transplants and a pacemaker implant, launched the company in 2014 to help give patients a voice in industry solutions.

“We believe insights and solutions from patients can be leveraged by pharma and by tech and device companies to enhance their pipelines, to get closer to patients and to learn what it’s like to live with these diseases,” she said. “For the patients, they finally really get heard. For pharma companies, instead of just being patient-centric, they now work side by side with patients.”

Tuesday, May 21, 2019

Source: Beth Snyder Bulik, FiercePharma

Interests - Select all that apply