The Types of Diabetes and How to Manage Them at Home

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Diabetes is a lifelong severe and chronic metabolic disease indicated by increased blood sugar levels and is one of the leading causes of death in the Philippines.
If you or a family member has diabetes, follow the proper diabetes treatment prescribed by your doctors. Careful diabetes care can considerably reduce the risk of serious complications.
Managing your diabetes is challenging and, when overlooked, can lead to severe or life-threatening complications. To better manage your diabetes, it is necessary to become familiar with the different types of diabetes.

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4 Common Types of Diabetes
Type 2 Diabetes 
Type 2 diabetes is the most common type of diabetes. A person with type 2 diabetes has developed a resistance to insulin because of the overproduction of insulin caused by the pancreas. Because of this, glucose begins to collect in your bloodstream. Type 2 diabetes develops over time. People who have excess weight or are not physically active are susceptible to type 2 diabetes.
Managing type 2 diabetes can be done by changing your lifestyle. Doctors recommend eating healthier, exercising, and losing excess weight. Insulin may also be needed as well as medications to manage related conditions.

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Type 1 Diabetes 
This type of diabetes progresses more rapidly than type 2 diabetes. A person with Type 1 diabetes’ immune system mistakenly attacks healthy cells in the pancreas. When enough cells are destroyed, the body will no longer produce insulin resulting in the build-up of glucose in the bloodstream. Genetics plays a substantial role in the development of type 1 diabetes. It is also commonly diagnosed in children and young adults.
It is essential for people with type 1 diabetes to monitor their glucose levels and take their insulin on time to control their blood sugar levels. It is also vital to eat a balanced diet and exercise regularly.

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Gestational Diabetes 
A type of diabetes common in pregnant women, which causes glucose levels to rise during pregnancy. Some risk factors include having excess weight, a family history of diabetes, prediabetes, or having polycystic ovary syndrome (PCOS).
If left untreated gestational diabetes can increase the risk of developing type 2 diabetes. Pregnant women with Gestational diabetes can manage it by keeping their blood sugar levels low through proper diet and exercise. In some cases, they may need to take insulin.

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Prediabetes
This occurs when your blood sugar levels are higher than normal. Having prediabetes means that your body is becoming resistant to insulin. Genetics and lifestyle are factors contributing to the development of prediabetes. If left untreated, this type of diabetes can develop into type 2 diabetes.
This type of diabetes can be treated with lifestyle changes. Help regulate your blood sugar levels by eating healthier, exercising, and taking medications prescribed by your doctors.

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Sources:
Other Types Of Diabetes: Diabetes Education Online (ucsf.edu)

Types of Diabetes | Diabetes Research

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5 Tips to Better Manage your Diabetes

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Diabetes is a lifelong severe and chronic metabolic disease indicated by increased blood sugar levels and is one of the leading causes of death in the Philippines.
According to the International Diabetes Federation, there are approximately 3,993,300 Filipino adults that have diabetes. That means 1 in every 14 Filipinos suffers from diabetes.
If you or a family member has diabetes, follow the proper diabetes treatment prescribed by your doctors. Careful diabetes care can considerably reduce the risk of serious complications.
Here are 5 tips to help you better care for diabetes at home.

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Learn About It
The essential step in managing your diabetes is to learn about it. Talk to your doctor to learn the basics of diabetes care. Follow their instructions, monitor, manage your blood sugar levels, take your medication on time or as directed by your doctor. Make sure you understand everything you need to know about your condition.

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Eat Healthier
Changing your eating habits can be difficult but, it can be helpful to your health since it can normalize your blood sugar levels and help you avoid health complications.
To help you change your eating habits, you should:
– Learn and research about your diabetes.
– Join classes and support groups.
– Meet with the proper professionals. Talk to your doctor or see a dietician and learn about the best diet strategies to make better meal choices.

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Don’t Smoke
Smoking is harmful to your health and can increase the risk of Type 2 diabetes and other various complications. Smoking can also make your body immune to insulin leading to higher blood sugar levels.

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Observe Your Feet 
Diabetes can cause pain, tingling, and even loss of sensation in your feet. The increase in blood sugar levels can reduce blood flow and damage the nerves in your feet.
Prevent complications by:
– Washing your feet in lukewarm water.
– Gently dry your feet.
– Moisturize your feet.
– Check your feet for cuts and calluses.
– Wear slippers both indoors and outdoor.
If left untreated, cuts on the feet can lead to infection.

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Exercise Regularly 
An active lifestyle is helpful to diabetes patients since it lowers your weight, improves your heart and lungs, and gives you more energy. Check with your doctor before exercising since they can help you find safer routines that best suit your condition.
Make your routine easier by working out 5 to 10 minutes a day and work your way up to 30 to 45 minutes. Always carry a snack in case your blood sugar drops.

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Sources:

Diabetes care: 10 ways to avoid complications – Mayo Clinic

Daily Diabetes Care: Sleep, Weight, Checking Blood Sugar, and More (webmd.com)

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DIABETES WATCH: 6 Products You Need to Better Manage Your Diabetes

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Managing your diabetes can be troublesome and a hassle when you’re not prepared. Aside from having a healthy lifestyle with a proper diet and exercise, some products and items can make your life easier
Here are six (6) products you NEED to have to manage your diabetes better

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1. Glucose Measuring Supplies
A glucose monitoring kit can help you manage your diabetes by tracking your sugar levels, helping you better manage your diabetes. A glucose meter displays the amount of glucose in your blood.
A Glucose Measuring kit usually has:
– Testing Strips
– Glucose Meter
– Lancet and lancing devices

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Suggested Product: Gluneo Lite Starter Kit Promo | The Diabetes Store
This kit comes with the GlueNeo Life Glucose Meter, Gluneolite strips, and Blood Lancets. The Diabetes Store has a limited-time promo that can save you up to PHP 960 when you buy this kit.

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2. Sharps Container
Keep your used insulin syringes and pen needles in one place. Sharp containers are made of leak-proof, puncture-resistant materials and have a snap-lock lid, convenient disposal of used sharps.

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Suggested Product: BD Home Sharps Container| The Diabetes Store 
The BD Home Sharps Container helps you store all your used sharps, keeping your area clean and safe.

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3. Pen Needles
Pen needles are disposable needles used for insulin. They are to an insulin pen and are small thin, and painless. They offer convenience and less pain than insulin syringes.

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Suggested Product: BD Ultrafine Pen Needle 4mm 32g | The Diabetes Store
The BD Ultrafine Pen Needle is compatible with ALL brands of insulin pens, making it the only insulin pen you need!

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4. Alcohol Swabs
It is always a good practice to prep your skin before an insulin injection. Sanitizing your skin can reduce skin bacterial counts by 82-91%

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Suggested Product: BD Alcohol Swabs | The Diabetes Store 
These alcohol swabs are softer and thicker. They ensure reliable skin preparation for hygienic and safe insulin injections. You can also double it up for household uses!
It has 70% Isopropyl Alcohol, a four-layer wrapper, providing an air-tight seal that prevents leaks and drying, and each piece is wrapped individually.

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5. Meal Measuring Plate
To better control your sugar levels, experts suggest managing your food portions. Eating correctly portioned food can help manage your blood glucose levels. Meal measuring plates can enjoy food without having to count calories.

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Suggested Product: Costcoma Meal Measure Plate | The Diabetes Store

 

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6. Diabetic-Friendly Snacks
Help yourself to the sweeter things in life! The American Diabetes Association recommends that diabetes patients drink low-calorie drinks to prevent a spike in their blood sugar.

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Suggested Product: DiabetaMil ND Chocolate | The Diabetes Store e
The DiabetaMil ND Chocolate is a drink suitable for diabetes patients. This drink is a good source of vitamins, minerals, and protein and is formulated for diabetes patients.

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Check out the diabetes store for more amazing and diabetic-friendly products!

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Significance of HbA1c Testing During COVID-19

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In every aspect imaginable, the COVID-19 pandemic has absolutely reshaped how we experience healthcare. Aside from its toll on our medical providers’ efforts and resources, how those with pre-existing conditions access their usual medical needs has also drastically changed. Hospitals are now mostly allotted to the rising demand of COVID-19 cases, making it a highly hazardous place for persons with co-morbidities.

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Impact on Persons with Diabetes
People with diabetes, in particular, have to adjust their regular check-ups. Routine doctor visits have now transformed into telemedicine to minimize contact. With their restricted access, people with diabetes are less likely to have monitoring tests like HbA1c which are necessary to control glucose levels and prevent possible complications.

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Steadily Rising Numbers
It should be noted that, according to the 2019 estimates of the International Diabetes Federation, half of the individuals living with diabetes worldwide (232 million people) do not know they have it. Those who are unaware of their diabetes may encounter a higher risk of severe COVID-19 complications. That is why it is crucial for them to be screened for HbA1c. An A1c test is a reliable marker used to help detect diabetes mellitus and maintain long-term glucose management for individuals with diabetes mellitus.

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Clover A1c Self HbA1c Analyzer

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The Need for HbA1c Testing
Delaying the required medical care could likely increases morbidity and mortality during a health crisis such as the COVID-19 pandemic. Patients who have type 2 diabetes or are pre-diabetic are the ones who benefit the most from HbA1c testing. Lack of diabetes testing for diabetics with COVID-19 could have detrimental impact to their chances of full recovery. HbA1c testing could also function as a screening test for asymptomatic patients to detect pre-diabetes. This would then introduce them to lifestyle adjustments which could minimize the damage that could be caused by the coronavirus.

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For hospitals and laboratories ready to upgrade their diabetes diagnostics with the leading HbA1c technology, MAN Pharma is offering the Clover A1c Self Analyzer, a boronate affinity-based point-of-care HbA1c analyzer. To know more about our Clover A1c Self, please feel free to fill out the form below.

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Sources:
Diabetes facts & figures – International Diabetes Federation

Coronavirus offers new challenges to people trying to manage diabetes and kidney disease – Los Angeles Times

Worldwide toll of diabetes – IDF Diabetes Atlas

 

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What to Consider Before Purchasing a Vet Equipment

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Every proficient veterinarian requires the aid of diagnostic equipment to deliver reliable results to their animal patients. The fast-changing landscape of today’s veterinary technology has allowed for a widened range of brand and model options for diagnostic analyzers. These could leave searching vets overwhelmed or confused. Before locking down on an analyzer, you must make sure that your purchase would not lead to inconvenience or regret down the line. For clinics planning to purchase their own equipment, here are some tips on finding the best option for your veterinary business.

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Establish Your Budget
One of the foremost factors you should take into account is how much you’re willing to pay for a new equipment. Consider your clinic’s current and projected financial situation. You may opt to buy with cash or find offers which would let you lease the equipment. Certain equipment providers could also arrange for flexible terms that would better fit your paying capabilities.

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Opt for Trustworthy Brands
Certainty is a prerequisite in the medical field. For equipment that are integral in your diagnostic practice, it is advised to choose brands with proven reliable technologies. While these may pose potential clashes with your cost-saving efforts, the quality of your services must never be compromised by a cheaper purchase. Remember that, at the end of the day, you get what you pay for.

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Explore our Companion Animal Care Products

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Find the Right Fit
When searching for diagnostic equipment, numerous models will likely pop up. To find the best fit for your practice, know the exact parameters you need. This would significantly help you in zeroing in on that device that would fulfill your requirements. Consider the physical attributes of the machines as well. Space, positioning, and power connectivity within your clinic are some of the integral factors that you must look into.

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Know What Your Clientele Needs
Always keep in mind that your equipment purchases are essentially for your customers. You must be conscious of the tests and treatments that your clientele requires. Being in tune with their demand would guide your purchasing decisions. Having an extensive diagnostic capability is also a tremendous edge for your clinic in today’s saturated veterinary market.

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For veterinary clinics ready to upgrade to practice with the best in animal diagnostics, MAN Pharma can offer a wide range of analyzers and devices from renowned manufacturers such as IDEXX and Asaveterinary. To know more about our product offerings, please feel free to fill out the form below.

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How to Help Pet Owners Prioritize Preventive Care

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Discussing preventive care to pet owners can be tricky. Usually, our clients bring their pets over only when they’re feeling sick or for health emergencies. To most pet owners, setting aside time and money for routine check-ups may seem unnecessary and even extravagant.

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Establish its value.
When the topic of preventive care is brought up to clients, vets are likely to receive “I don’t have the money for that” as a response. This is a valid reason to not opt for preventive care. But the underlying implication of this common reply is that clients do not see the worth of routine check-ups. As their trusted vet expert, it is up to you to make them see the longterm value of  preventive care – not just for their finances but for their pet’s welfare as well.

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Know how to initiate the conversation.
Make their pet’s wellness an ongoing discussion. Habitually ask about the pets’ behavior and surroundings before and during visits. Suggest the services that would fit the pet’s lifestyle. Additionally, have preventive care materials available for browsing. Avoid discussing it at the end of the visit. It would give off the impression that preventive care is just an opportunity to upcharge.

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Also, don’t just list down the individual tests. Instead, take the roadmap approach. Frame diagnostics as part of a comprehensive wellness program. Talk about the tests that the pet needs immediately and the ones that could be postponed. Establish that their pet’s overall well-being is a partnership effort between the owner and you, the primary healthcare provider.

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Explore our extensive line-up of IDEXX SNAP tests.

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Talk about their pet specifically.
Effectively educate your client by appropriating your message to their pet’s specific circumstance. It’s not enough to say “Outdoor cats must have all their vaccines.” Consider saying “Because your cat spends a lot of time outdoors, he is at high risk of coming in contact with unknown wildlife. Let’s talk about how we could protect him from these risks.”

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Moreover, you could also highlight which diagnostics could be prioritized more. For example, a young outdoor dog without heartworm prevention would probably need a fecal exam more than a CBC. An indoor adult cat with no gastrointestinal complications, on the other hand, would require CBC more. Always emphasize how your preventive care services could aid their pet specifically. This would not only deviate your services from being just another business opportunity but also show that you pay close attention and care to your patients.

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Always be open.
Listen to your client’s input, whether it be about their pet or their budget and availability. Respond to their questions as thoroughly as possible. If possible, offer flexible service bundles to fit their needs and capacities. Let them know that this is a collaborative endeavor. Above all, the common goal will always be to provide what is best for their pets.

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Lastly, if they decline, do not take it personally. It is difficult to shift anyone’s mindset in one go. Just know that you have said your part and that they’re now more informed about the importance of preventive care. Maybe they’ll consider it somewhere down the line. Most importantly, do not shame pet owners who do not subscribe to routine check-ups. Be understanding of their current limitations and help them provide the best care for their pets within their capabilities. 

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How Dry Slide Technology Assures Quality Pet Diagnostics

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Utilized by the Catalyst One Vet Chemistry Analyzer of globally renowned manufacturer, IDEXX, the Dry Slide Technology grants veterinarians with the confidence in their in-house diagnostics. Learn more about how this unique technology guarantees more reliable results for our pet patients’ chemistry tests.

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How It Works

Catalyst One Analyzers use slides to analyze the samples from our pets. These slides employ the dry slide technology through its extensive layers. The samples are placed on these slides which then undergo the five layers beneath the sample area. Each layer has its own distinct purpose: the spreading layer, the filtering layer, the reagent layer, the indicator layer, and the support layer.

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According to studies, up to 73% of veterinary samples are compromised. The dry slide technology, with its meticulous sample processing, minimize impurities for the most accurate results. Once the slides and sample have been inserted into the analyzer, the Catalyst One analyzer incubates the slides and sample. The sample is then accurately dispensed onto the slides, the analyzer measures the color development of the slide, and then all used materials are removed from the analyzer.

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Testing Flexibility

The Catalyst One analyzer can perform a wide range of in-house tests through the use of its slides and CLIPs. For increased flexibility and rechecking purposes, veterinarians can utilize the individual slides for their practice. IDEXX has also developed preloaded clips to deliver the vital parameters needed for standard in-house testing in a single run. Through MAN Pharma, the exclusive Filipino distributor for IDEXX, you can maximize your chemistry diagnostics by employing the Catalyst One and its array of slides and clips.

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Chem 10 Pre-anesthetic Panel
ALB, ALB/GLOB, ALKP, ALT, BUN, BUN/CREA, CREA, GLOB, GLU, TP

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Chem 15 Feline Gen. Health Profile
ALB, ALB/GLOB, ALKP, ALT, BUN,BUN/CREA, Ca, CHOL, CREA, GGT, GLOB, GLU, PHOS, TBIL, TP

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Chem 17 Canine Gen. Health Profile
ALB, ALB/GLOB, ALKP, ALT, AMYL, BUN/CREA, BUN, Ca, CHOL, CREA, GGT, GLOB, GLU, LIPA, PHOS, TBIL, TP

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Equine 15 Equine Gen. Health Profile
ALB, ALB/GLOB, ALKP, AST, BUN, BUN/CREA, Ca, CK, CREA, GGT, GLOB, GLU, LDH, TBIL, TP

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LYTE 4
Cl,  K, Na, Na/K                                                                                                                       

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NSAID 6
ALKP, ALT, AST, BUN, BUN/CREA, CREA                                                                   

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QC
ALB, ALKP, ALT, Ca, GLU, NH3                                                                                          

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Featured Tests
SDMA, Progesterone, C-reactive Protein (CRP)                                   

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Single Slides
ALB, ALKP, ALT, AMYL, AST, BUN, Ca, CHOL, CK, CREA, FRU, GGT, GLU, LAC, LDH, LIPA, Mg, NH3, PHBR, PHOS, TBIL, TP, TT4, TRIG, URIC

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Saliva Samples for COVID-19 Testing Eyed by Filipino Experts

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The Philippine government is considering saliva as a sample alternative for COVID-19 PCR testing. This comes after the US government’s approval for the use of saliva-based testing.
Health Undersecretary Maria Rosario Vergeire stated that a panel of local health experts have already begun deliberating on this new method for around a month now. Part of the panel’s studies is observing the current application of saliva-based sample collection in other countries and whether or not it is appropriate to the Filipino context. Vergeire announced that the panel will share their findings to the public as soon as possible.

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Not a Testing Method
The Health Undersecretary wishes to clarify that this is not a testing method. It is a different means of collecting samples. The saliva collected will still undergo the same processs under the RT-PCR testing. While it is less invasive than our current nasal swab method, there are other factors to take into consideration. The panel has already expressed the possibility that saliva-based method may be more tedious for healthcare workers. This is due to the food particles and other debris found in the patients’ saliva which could complicate the PCR process.

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In the Philippines, real-time reverse transcription-polymerase chain reaction (RT–PCR) remains as the gold standard for COVID-19 testing. MAN Pharma is currently providing our local laboratories with a range of PCR diagnostic products. This includes the GeneFinder COVID-19 RealAmp Kit which garnered a 100% specificity and 100% sensitivity from its RITM evaluation. For medical institutions and LGUs interested in our lineup of PCR testing products, please fill out the form below.

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Sources:
Philippines looking at possible use of saliva-based COVID-19 testing – Inquirer
PH lab experts eye possible use of saliva for Covid-19 test – Philippine News Agency
New saliva-based COVID-19 test could be a fast and cheap ‘game changer’ – CNN Philippines

 

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Pool Testing: The Government’s Latest Strategy Against COVID-19

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The Philippine government is turning to pool testing to boost our diagnostic capacity against COVID-19.
With the number of confirmed COVID-19 cases breaking records by the day, our country’s response to the pandemic is being aptly revised. Our strategy is now at its critical phase, as stated by chief implementer of the National Action Plan Against COVID-19, Carlito Galvez, Jr. Efforts will be concentrated towards aggressive testing, isolation of positive patients, and localized lockdowns.
Our government is also in its initial stage of implementing the pool testing system. This testing strategy involves “combining respiratory samples from several people and conducting one laboratory test on the combined pool of samples” according to the United States’ CDC. Presidential spokesperson Harry Roque surmised it this way: “If we now have one million test kits, we can test 10 million in this pooled testing.”

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Explore our Molecular Diagnostics Product Line

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Through batch testing, we could effectively narrow down our testing towards batches with confirmed cases. According to the American CDC, if a pooled test result is negative, then all the people who provided samples can be presumed negative. If the pooled test result is positive, each of the samples in the pool will need to be tested individually to determine which ones are positive. This strategy is not only more economical in terms of the use of PCR test kits, but more time-saving as well, especially for our already brimming testing laboratories.
Pool testing has already been utilized in other countries such as China, South Korea, Vietnam, Germany, and Israel to address the pandemic. The IATF and DOH have both given their approval for this method to be implemented. Our government intends to conduct a pilot run for pool testing in Metro Manila where most of the country’ COVID-19 cases are situated. The PSP is currently working on a pilot study on pool testing which would support the strategy’s feasibility and prompt its immediate implementation.
PCR testing, being the backbone of our country’s nationwide testing efforts, must be both dependable and efficient for strategies like this to succeed. Our country has recently amplified the number of authorized facilities for COVID-19 PCR testing to 91 laboratories. MAN Pharma hopes to assist these laboratoires by providing them with the GeneFinder COVID-19 Plus RealAmp Kit. Our PCR kits have achieved 100% sensitivity and specificity from its RITM evaluation, ensuring reliable results for every run. For testing laboratories interested in purchasing our PCR test kit, please fill out the form below.

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Sources:
Phl To Ramp Up COVID-19 Testing Through Pooling; Metro Manila To Be Pilot Area – One News
DOH approves pool testing for COVID-19, but result of pilot study still pending – CNN Philippines
Interim Guidance for Use of Pooling Procedures in SARS-CoV-2 Diagnostic, Screening, and Surveillance Testing – CDC

Featured Photo:
VOA News

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The Growing Impact of Drive-by COVID-19 Testing

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Last July 15, the government of Manila launched their city’s first free drive-by testing project situated at the Plaza Lawton near City Hall. This initiative is open for all, not just Manila residents. The response, as described by Mayor Isko Moreno, “is a clear indication that so many people would really want to undergo testing but simply do not have the money or are afraid to go to the hospitals.” He also announced that due to the project’s success, their team will open more drive-by testing sites across the city.
Taguig City was the first to set up a drive-by testing site on April 22. Their project, however, is not for all residents. It is targeted towards those included in their city epidemiology and surveillance unit’s “suspect list”. Testing is scheduled through appointments for suspected individuals. The testing site is an effort to aid their city’s contact tracing and disease management.
Quezon City has also taken an unorthodox method of boosting the accessibility of COVID-19 testing to their residents. On June 29, their mobile lab began its rounds across the city’s high-risk areas. As the city with the second highest of COVID-19 cases, the Quezon City government hopes to trace and isolate more COVID-19 positives. The modified truck is equipped with a generator, a mini laboratory, negative pressure, and a self-decontamination area. It can provide rapid screening and PCR testing for suspected cases.

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What We Could Expect
With the precedent set by these cities, we can expect the other LGUs to take their cue and launch their own screening programs. These projects will no doubt impact the Filipino’s accessibility to testing. This comes at a time when public activities are heightened due to our country’s slow transition towards restarting the economy. As Manila Mayor Isko Moreno stated, “We merely want those living, working, passing by, or doing business in Manila to feel a certain sense of confidence that they are safe and healthy, at the same time to be responsible toward others by making sure they are not carrying the virus and may be transmitting it unknowingly.”
What this increase in testing efforts could also impact is the volume of samples sent to PCR labs. As per DOH protocols, all screened samples that yielded positive results must be forwarded to PCR labs for confirmation. With the current backlog that our accredited laboratories are still striving to process, the spike in samples for confirmation could overwhelm their workload.

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The Status of PCR Testing in the Philippines

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MAN Pharma hopes to aid our PCR laboratories to cope with this influx of samples with our PCR diagnostic products. Through their high throughput and assured performance, these devices can greatly contribute in processing the laboratories’ growing sample volume. For laboratories interested in upgrading their workflow with these products, please feel free to fill out the form below.

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Sources:
Free drive-thru COVID testing center for all – Manila Bulletin
Manila sets up 2nd drive-thru COVID-19 test site due to high demand – Inquirer
Taguig kicks off drive-through testing in Bonifacio Global City – CNN Philippines
QC LGU launches mobile COVID-19 testing unit – Manila Bulletin

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