Customer Care Department M-F 9am to 5pm E.S.T.  Call 1-800-489-8165

faq's & resource center

Have questions about your product, disease, qualifications or rental process?  Don't understand the Medicare process or what they are thinking? Maybe we can help.  Also visit our Caregiver Corner

Travel Oxygen                 

 

Diabetes Questions (Disease Management) Orlando and Central Florida

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Lymphedema Pumps

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How do I know which machine is best for me?

It depends on your liter flow and your overall need for continuous oxygen.  The Eclipse will provide someone with a continuous flow during sleep and when needed on exertion while the Inogen will only give you a continuous flow if it detects the patient is not breathing.  The Homefill system is an option for patients who will be more stationary and perhaps longer term away from home.  The Inogen and Eclipse can still be used for longer periods of time but the Homefill has very small 4.5 pound tanks and over a period of time this can make a difference in mobility to the patient....and of course, those tanks can be refilled and used over and over again while the patient can also use the concentrator for sleeping or resting within the home. Click here for a comparison.

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How do I know if my airline approves of the machine I am renting?

You may use the links below to find out which Airline approves the unit you are wanting to rent.  If you are choosing:

Eclipse Airlines

Inogen Airlines

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What is my first step?

The first step is to determine which airline you will be flying and then make a choice of the unit which is approved for that respective airline - or - choose which portable concentrator will best suite your needs then choose an airline that accepts that respective unit.  If you still can't decide, just call customer care.

You may click here to get product comparisons.

You may click here to get approved airlines for each unit. 

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I am not very good at new things.  How hard is it to operate one of these?

All three of the machines are relatively easy to operate.  For the portable concentrators, all you need to know is how to plug the unit in to charge and how to turn it on and off.  You also need to make sure you know how long you will require battery life during a given time period such as a flight.  Upon your reservation, we can assist you with batteries and how many you might need.  Each unit comes with a "how to start up guide" and we are always available 24 hours a day for technical response and support.  If you are having trouble or would like to see our technical support page and/or user manuals click here and scroll to your product.

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How do I get the machine and how do I get it back to you?

Upon your reservation, we will determine the date you need to receive the unit and make sure you receive it in plenty of time.  Then the unit is shipped to you 1-2 days prior to your departure or need and when you are finished with it, you simply put it back in the same box and use the prepaid call tag to send it back.

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What Liter flow do the machines go up to?

All of the machines are a little different and this is one of the facts you need to get before making a decision on which one is best for you.  This is a prime example of why Vienna Medical offers three different units.  Please click here, then select each unit individually to see product specifications on each. 

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What documents or paper work will my airline require?

You need to communicate with your airline as they all have their own set of rules and regulations.  Most of them have online instructions and requirements.  Please use our airline links to find this information. 

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What happens if my machine malfunctions when I am on my trip?

To begin with, most malfunctions are easily fixed.  It is usually the machine trying to tell you something.  However, there are times when machines have their own agenda.  For this we have worked very hard to create a backup situation for you.  First, you would call our customer care department who would run through a trouble shooting process.  Second, If this does not work or we can't determine the problem, we also belong to  a nationwide respiratory network of providers that can quickly provide you with backup oxygen.  Third, all transport carriers have emergency oxygen on board if you have a malfunction during the transport.  This can be used until we can provide the troubleshooting or the backup. For reference you may look at our technical support page.

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Can I sleep with my machine?

Yes you can, but you do need to speak with your physician prior to rental to determine your nocturnal needs.  Most patients on oxygen are on a continuous flow when sleeping at home.  The Eclipse concentrator and the Homefill provide a continuous flow while the Inogen only provides on demand conserver technology. However, sometimes the physician may say it is ok for you to sleep with the conserver for a week or so.  You must consult your physician on this one as we cannot be responsible for you making the wrong choice.

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Where can I purchase a portable oxygen concentrator?

Vienna Medical sells new and used Sequal, Eclipse and Invacare Homefill units.  Visit our "for sale" page for sale items.  For specific questions on different products for sale, call our customer care department.

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I don't understand how to use the machine.

You can reference your instructions that came with the unit, you may call our customer care department or visit our online support page by clicking here.

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How quickly can I get one?

Vienna Medical understands there are certain situations where our clients need immediate help.  Your in the right place, just call us as soon as you can and we will expedite your order and ship overnight.  Please have your information ready when calling.

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How long will the battery last?

The units can last up to 4.4 hours depending on your settings, such as pulse or continuous flow in combinations with your liters per minute usage.  For further details for each type of unit visit the products page by clicking here.  Keep in mind that if your battery does go down you may plug the Eclipse and Inogen into a cigarette lighter in a car or into any wall outlet to use and recharge the batteries.  There are no batteries on the Homefill unit.  The portable's are compressed oxygen that can last up to 4-5 hours depending on settings.  You receive two of the tanks with a rental.

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Can I get the equipment insured?

Vienna Medical offers different types of insurance.  You can ask your travel agent about travel insurance that may cover this item.

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Will my Primary Insurance pay for portable concentrators?

Primary insurance companies will usually not cover portable concentrators on a short term basis.  If you feel that you could benefit from a long term rental it may be wise to discuss this with both your physician and oxygen provider.  

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Information compiled from the American Diabetes Association.  Please check with your physician before utilizing any information.  Shenk Enterprises L.L.C. and Vienna Medical not responsible for any misprints or misinformation.  Read and apply at your own risk.

WHAT IS DIABETES AND THE STATISTICS

Diabetes mellitus is a chronic disease that affects the lives of about 16 million people in the United States, 5.4 million of whom are unaware that they even have the disease. Every day, 2,200 new cases of diabetes are diagnosed, and an estimated 780,000 new cases are identified each year. The disease is marked by the inability to manufacture or properly use insulin, and impairs the body's ability to convert sugars, starches, and other foods into energy. The long-term effects of elevated blood sugar (hyperglycemia) are damage to the eyes, heart, feet, kidneys, nerves, and blood vessels.

Part of keeping your diabetes in control is testing your blood sugar often. Ask your doctor how often you should test, and what your blood sugar levels should be. Testing your blood and then treating high blood sugar early will help you to prevent complications.

The socioeconomic costs of diabetes are enormous. The dollar costs have been estimated at $98 billion annually, about $44 billion of which are direct costs from the disease with $54 billion indirectly related. Diabetes is the sixth-leading cause of death by disease in the United States, and individuals with diabetes are two to four times as likely to experience heart disease and stroke.

The growth of the disease worldwide is especially alarming. The World Health Organization (WHO) expects the number of new diabetes cases to double in the next 25 years from 135 million to nearly 300 million. Much of this growth will occur in developing countries where aging, unhealthy diets, obesity, and sedentary lifestyles will contribute to the onset of the disease.

According to a recent survey, about 86,000 lower limbs are amputated annually due to complications from diabetes. Diabetes is the leading cause of end-stage kidney disease, accounting for about 40 percent of new cases. Diabetes is the leading cause of new cases of blindness among adults, age 20 to 74.

While there is currently no cure for diabetes, there is hope. With a proper diet, exercise, medical care, and careful management at home, a person with diabetes can keep the most serious of the consequences at bay and enjoy a long, full life.

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HOW IS DIABETES TREATED?

The major goal in treating diabetes is to minimize any elevation of blood sugar (glucose) without causing abnormally low levels of blood sugar. Type 1 diabetes is treated with insulin, exercise, and a diabetic diet. Type 2 diabetes is treated first with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugars, oral medications are used. If oral medications are still insufficient, treatment with insulin is considered.

Adherence to a diabetic diet is an important aspect of controlling elevated blood sugar in patients with diabetes. The American Diabetes Association (ADA) has provided guidelines for a diabetic diet. The ADA diet is a balanced, nutritious diet that is low in fat, cholesterol, and simple sugars. The total daily calories are evenly divided into three meals. In the past two years, the ADA has lifted the absolute ban on simple sugars. Small amounts of simple sugars are allowed when consumed with a complex meal. For more, please read the Diabetic Diet article.

Weight reduction and exercise are important treatments for diabetes. Weight reduction and exercise increase the body's sensitivity to insulin, thus helping to control blood sugar elevations. For more, please read the Weight Loss and Fitness articles.

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1. Why do I need to see a dietitian?

Registered dietitians (RDs) have training and expertise in how the body uses food. RDs who understand diabetes can teach you how the food you eat changes your blood glucose level and how to coordinate your diabetes medications and eating. Do you know how many calories you should eat each day? How to cut down on the fat in your meals? How to make eating time more interesting? An RD can help you learn the answers to these, and lots of other questions. Your dietitian will work with you to create a healthy eating plan that includes your favorite foods.

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2. Can I eat foods with sugar in them?

For almost every person with diabetes, the answer is yes! Eating a piece of cake made with sugar will raise your blood glucose level. So will eating corn on the cob, a tomato sandwich, or lima beans. The truth is that sugar has gotten a bad reputation. People with diabetes can and do eat sugar. In your body, it becomes glucose, but so do the other foods mentioned above. With sugary foods, the rule is moderation. Eat too much, and 1) you'll send your blood glucose level up higher than you expected; 2) you'll fill up but without the nutrients that come with vegetables and grains; and 3) you'll gain weight. So, don't pass up a slice of birthday cake. Instead, eat a little less bread or potato, and replace it with the cake. Taking a brisk walk to burn some calories is also always helpful.

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3. Why does losing weight help my diabetes?

Weight loss helps people with diabetes in two important ways. First, it lowers insulin resistance. This allows your natural insulin (in people with type 2 diabetes) to do a better job lowering blood glucose levels. If you take a diabetes medicine, losing weight lowers blood glucose and may allow you to reduce the amount you're taking, or quit taking it altogether. Second, it improves blood fat and blood pressure levels. People with diabetes are about twice as likely to get cardiovascular disease as most people. Lowering blood fats and blood pressure is a way to reduce that risk.

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4. How can I cut the fat in my diet?

Here are some beginning hints. See a dietitian for more advice. Stir-fry foods in tiny amounts of oil and lots of seasonings. Choose nonfat or low-fat selections, such as nonfat or 1% milk or low-fat cheese. Keep portion sizes on target. Avoid fried foods -- bake, grill, broil, or roast vegetables and meat instead.

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5. Are some fats better than others?

Yes. Unsaturated fats are the healthiest for your body. This includes both monounsaturated and polyunsaturated fats. You can find these "healthy fats" in foods like nuts, vegetable oils, olives and avocados.

The fats to cut back on are the saturated and trans fats. Saturated fats are found in full-fat dairy products like ice cream, half and half, sour cream, cheese, and meats, chicken skin, bacon and lard. Trans fats are found in margarines and shortening as well as many processed packaged foods and sweets. Trying to cut back on how much saturated and trans fat you eat is important to help reduce your risk of heart attack and stroke.

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6. What foods can I eat a lot of?

Forget about eating with abandon. The key to healthy living is moderation. Air-popped popcorn may be low in fat, but it still has calories. And calories count. If you can control the portion sizes of the food you eat, you will be able to eat a wider variety of foods, including your favorites, and still keep your blood sugar in your target range.

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7. What can I do if I overeat over the holidays?

Put on your walking shoes and head for the pavement. Being more active helps lower your blood sugar, blood pressure and cholesterol. Physical activity uses up extra sugar in your blood and helps your insulin work better.

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8. Can I use low calorie sweeteners?

Low calorie sweeteners are safe for everyone except people with phenylketonuria, who should not use aspartame. Calorie-free sweeteners like aspartame, saccharin, sucralose and acesulfame-K won't increase your blood glucose level. The sugar alcohols -- xylitol, mannitol, and sorbitol -- have some calories and do slightly increase your blood glucose level. Eating too much of any of these can cause gas and diarrhea.

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9. How much weight should I lose each week?

Limiting your weight loss to 1/2 to 1 pound a week will keep you healthy, and let you enjoy the foods you love in small amounts. A slow steady weight loss is the key to keeping lost weight off.

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10. Can I drink alcohol?

Yes, in moderation. Moderation is defined as two drinks a day for men and one drink a day for women. A drink is a 5-ounce glass of wine, a 12-ounce light beer, or 1-1/2 ounces of 80-proof distilled spirits. Make sure that your medications don't require avoiding alcohol, and get your doctor's okay.

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11. Isn't glucose control easier if I eat the same things every day?

Probably, but this method of blood glucose control isn't very nutritious, not to mention boring. One of the keys to nutrition is eating a variety of foods each day. By checking your blood glucose two hours after starting to eat a meal, you can learn how different foods affect you. Over time, you will be able to predict how foods, and combinations of foods, affect your blood glucose level.

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12. What vitamins will help my diabetes?

If you have a vitamin or mineral deficiency, it could be causing problems with your glucose control. For instance, one study found that taking the trace element chromium improved glucose control in subjects who had a chromium deficiency. More studies need to be done. If you choose a variety of fruits, vegetables, grains, and meat each day, and keep your blood sugar close to your target range, you probably don't need to take vitamin supplements because of diabetes.

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13. Are there herbs that will help my diabetes?

Many herbs supposedly have glucose-lowering effects, but there are not enough data on any herb to recommend it for use in people with diabetes. Herbs are not considered food by the Food and Drug Administration and are not tested for quality or content. Therefore, products can be promoted as helping health conditions without having to show evidence of this. Discuss the herbal dietary supplements with your doctor or dietitian before trying them. They may interact poorly with your diabetes medication.

Select all of you Medicare Diabetic Products today!  We offer Diabetic compression therapy (Lymphedema pumps) Florida, Diabetic shoes, Diabetic socks, Wound care supplies. Deltona, Deland, Orange City, Debary, Daytona, Orlando, Jacksonville, Volusia County, Seminole and Orange County.  Elderly Diabetic products? We can help.  Diabetic product reviews. 

 


HOW CAN DIABETIC SHOES HELP ME?

Diabetic Shoes are just one of the many tools you can use to fight Diabetes one or two. Many doctors recommend patients purchase shoes specifically designed for diabetics. When looking for a pair of shoes, you want to make sure it has proper ventilation, which allows the feet to reduce dampness and heat. Sweat often is an ideal environment for bacteria and infection to grow. You want to make sure the toe and heal curve slightly, forcing your feet to be in balance when you walk. To prevent injury to susceptible and sensitive toes, the shoe’s toe box should be high and durable. The shoe should also be lightweight and seamless to prevent any irritation like calluses, infection or blisters.  (Courtesy of Medical Supply guides)

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How do you measure for diabetic shoes and inserts?


Common Questions About Compression Pumps

 

What is Lymphedema?

Lymphedema is a condition in which lymph fluid fails to circulate properly, which results in swelling and reduced movement in the arms or legs. It may also result in infection and skin breakdown. Lymphedema can be caused by damaged lymphatics, missing vessels, and by poor venous circulation. Although there is no cure for Lymphedema, the symptoms can be managed by elevating the legs, applying compression hosiery and the use of compression pumps.
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What are the benefits of compression therapy?

There are several benefits to compression therapy including:

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How do I qualify for a Lymphedema Pump?

Medicare and major insurance carriers recognize these pumps as safe and effective treatment of:

Compression pumps are covered for treatment of true Lymphedema as a result of: Primary Lymphedema resulting from a congenital abnormality of lymphatic drainage or Milroy's disease, or

Secondary Lymphedema resulting from the destruction of or damage to formerly functioning lymphatic channels such as:

  • radical surgical procedures with removal of regional groups of lymph  nodes (for example, after radical mastectomy),
  • post-radiation fibrosis,
  • spread of malignant tumors to regional lymph nodes with lymphatic obstruction,
  • or other causes

Before you can be prescribed a pump, your physician must monitor you during a four-week trial period where other treatment options are tried such as medication, limb elevation and compression garments. If, at the end of the trial, there is little or no improvement, a Lymphedema pump can be considered.

The doctor must then document an initial treatment with a pump and establish that the treatment can be tolerated.

- Lymphedema pumps also are covered for the treatment of chronic venus insufficiency (CVI).

Before you can be prescribed a pump for this condition, your physician must monitor you during a six month trial period where other treatment options are tried such as medication, limb elevation and compression garments. If at the end of the trial the stasis ulcers are still present, a Lymphedema pump can be considered.

The doctor must then document an initial treatment with a pump and establish that the treatment can be tolerated, that there is a caregiver available to assist with the treatment in the home, and then the doctor must prescribe the pressures, frequency, and duration of prescribed use.

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What is an external compression pump (EPC)?

External compression pumps are medical devices that help stimulate blood and fluid movement. They come in a variety of sizes and with several different features. Click here for more information on products.

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What is DVT?

DVT stands for Deep Vein Thrombosis. It is a condition in which there is a blockage in a deep vein, caused by long durations of little or no body movement. Symptoms may vary, although some experience no symptoms at all. DVT can be dangerous since these blockages can travel to the lungs and a life threatening pulmonary emboli.
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What are compression pumps used to treat?

Compression pumps are often used for patients who suffer from venous stasis ulcers, Lymphedema (swelling of the extremities) and also the treatment of blood clots, also known as deep vein thrombosis (DVT). Compression pumps are either used for acute care (in the hospital, temporary) or chronic care (long term, often at home or an extended care facility). These pumps are designed to treat either venous insufficiency, Lymphedema or the treatment of DVTs, and differ in the cycle time of the squeeze. Both augment blood and lymphatic flow. Note: Lymphedema and DVT pumps are not interchangeable, meaning a Lymphedema pump should not be used to treat DVT and vice versa.
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What are acute care DVT pumps?

Acute care DVT pumps are primarily used in the acute hospital setting for the treatment of blood clots. The pump mimics regular walking-like activities by altering leg compression. The standard DVT pump has a cycle time of 12 seconds of inflation and 48 seconds of deflation. The cycle timing provides effective movement of venous blood out of the limb, while allowing adequate time for venous refill prior to the next inflation cycle. The recommended pressure setting is 40 mmHg. The garments extend from the ankle to below the knee or from the ankle to the upper thigh.

The purpose of this pump is to move blood in the veins, thereby preventing venous stasis and stimulating fibrinolytic activity. This aids in the treatment of DVTs and the life-threatening condition of a clot forming and dislodging to the lung, called a pulmonary emboli (PE). This type of pump is most often used in the acute care setting until the patient is fully ambulatory (walking at least five minutes every waking hour). This pump can also be used in the home care setting depending on the needs of the patient. The sleeves or garments used in the hospital for the treatment of DVTs are not interchangeable to treat swelling or lymphedema.
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What are chronic care DVT pumps?

Chronic care compression pumps are primarily used to treat swelling due to venous or lymphatic problems, like venous stasis ulcers and intractable lymphedema. This pump has a much longer cycle time (two to three minutes or greater), with a longer inflation cycle. The longer cycle time is used to assist in the movement of fluid from the interstitial spaces into the venous or lymphatic system for re-circulation and/or elimination. The full leg garment looks and fits like a boot that extends to the groin fold, and the full arm sleeve covers the hand and extends to the axillary (arm pit) region. There are also half leg garments and half arm garments. The pumps' pressure varies depending on the patient's condition, the goal of the therapy, and the patient's response to treatment.
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Is there anything I should know before using a compression pump?

If a compression pump is used to alleviate symptoms of Lymphedema or DVT treatment, care must be taken that infection or metastic disease is not present. In the case of pulmonary edema or phlebitis, extreme caution must be exercised. People with the following conditions should not use an external compression pump:

Please consult your physician to discuss any change in symptoms or treatment before any new therapy is attempted.
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Is my compression pump reimbursable by Medicare or Medicaid?

Consult your insurance plan representative or call us today to find out if you qualify. See How do I qualify for a lympedema pump.

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I have compression sleeves from the hospital. Can I use those with my compression pump?

Compression sleeves given at the hospital are designed for DVT treatment, not Lymphedema. Also, sleeves are specialized to that particular pump. It is not recommended that patients use sleeves other than the ones authorized by the manufacturer.
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How will I know what size of DVT compression pump garments or Lymphedema compression pump garments to order?

Please call.
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