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October 6th, 2008
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I was a little shocked, actually, to have gotten a real answer instead of a blow off "It's in medical review" answer.
My pump rep and my endo's nurse have jumped through hoops giving my insurance company the information it needs/wants in regard to approving my CGMS claim. I thought there was going to be a conversation between the insurance folks and my doctor's office, not just a flat out "No." I really thought that giving them all this information and stressing that I have hypo unawareness would surely make them say yes. Like I said, I was shocked.
I have mixed feelings about this. On one hand I'm still ready for a fight. I've called my pump rep to fill him in and see where we go from here--not to say, "I give up, thanks for trying." On this hand I feel a little angry that they have all this information detailing medical necessity and still say no. (READ MORE)


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It's strange sometimes how the tide can shift so quickly. Where I was this time last week is not where I am today. I've gone from thinking my endo was off his rocker to even consider me as a candidate for the pump, to going full-tilt toward pump therapy.
When B. first told me about MiniMed's pump with the integrated CGMS I really poo-pooed the idea, telling him that although I have high and low swings, I didn't feel like I was "bad enough" to warrant having a CGMS. I pay attention to my body, I test when I'm feeling low, etc. (It's that "I'm 'only' type 2" mentality.) (READ MORE)


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55, 48, 35. These numbers mean nothing really until you see them on the One Touch after testing because you feel a little off. Not low, just a little off. Or maybe you don't even feel off, you're just testing because you're about to eat lunch. These are the moments (like this one!) you start shoveling Skittles down your throat because the second you see that low is when you start to feel it. And it feels like s%$t!! (It's not easy to type when you're low, by the way.)

 

Happens on the other side of the spectrum for me, too. Sure there are times when cotton mouth, fatigue and a hideous headache clue me in to a ridiculous high, but there are just as many times when I feel perfectly fine and I find that I'm well over 200 or 300.

 

(READ MORE)


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Caller ID said "Nevada." I don't know anyone in Nevada. Last time my caller ID indicated a state in which I don't know anyone, I took a chance and it was a sales call. A flippin' sales call on my cell phone. But, I answered Nevada anyway. Good thing I did because it was the Dexcom rep for my area returning my call. (This poor guy is in Las Vegas and his territory covers Vegas, Phoenix and north to Montana or some other "M" state.)

 

He asked me about my situation and why I wanted to try a CGMS. I told him I had been a pumper since January and that I had tried the MiniMed CGMS earlier this year and liked it but couldn't get my insurance to cover it and decided to give up after continued denials. I told him about my hypo- and hyper-unawareness and that I wanted something that will clue me in to where I am between tests.

 

(READ MORE)


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 CGMS Denial Day

 

 

I want to be healthy. I want to live as long as I can. I want to be complication free. I want to not have diabetes.

 

3 of those 4 statements above I can actually do something about. I can watch what I eat, exercise, and check my blood sugar all the time. I cannot cure myself but if I can take care of the other three then I would be doing pretty good in my book.

 

(READ MORE)


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It had been more than a week since I had talked to Mom. This is nearly unheard of in our world, but it does occasionally happen. My busy life with three kids and their busy retirement life are the culprits.
So last night when Dad called to see if I knew about my brother's trip to Korea encountering problem after problem that eventually required him to come home to Missouri from Seattle, I was finally able to catch Mom up on what's going on in our lives.
"Did you know No. 2 has a double ear infection," I asked her.
"No, no didn't know that," she said.
"No. 3 is recovering nicely from her upper respiratory nastiness, but The Mr. is still battling a rough cough," I told her.
"OK, OK. And how are things going with the pump?" she wanted to know. (READ MORE)


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I happened to mention to my pump rep, B., one day on the phone that I needed to check my overnight basals, but that getting up several times a night just didn't seem all that appealing.
"Well, do you want to do something fun?" he asked.
"Um," I chuckled, "sure."
"I know... you're thinking how can we talk about fun and diabetes at the same time, right?"
He read my mind. Turns out he had a loaner CGMS sensor that he could let me use for a few days. That would allow me to get a feel for the system, give me some real-time data--including overnight!--and perhaps even offer fuel to our push to get my insurance company to approve the sensors.
When B. showed up in my office this morning to give me a little training and insert the device, I was ready to go. "Where do we put it? What do I do?" I may have overwhelmed him with my questions. The light on the sensor made me feel so...connected. (READ MORE)


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Most days I'm the one who grabs the mail before coming in the house. Most days I'm the one who sorts through and throws the bills in a pile and the junk in the trash. Most days I ignore pretty much anything from an insurance company.
Which is exactly what happened the day before yesterday. I didn't notice the envelope from my insurance company until this morning while I was battling with No. 2 to get dressed/eat breakfast/quit fussing/stop acting like a brat. (READ MORE)


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I can't seem to take my eyes off the CGMS (I may use up most of my battery scrolling through the screens), yet the constant attention I've paid to this thing since last Thursday is definitely not doing me any favors.
After the two-hour wetting process, I entered a pretty decent blood sugar of 131 into my pump to calibrate my finger stick with the sensor. Minutes later when I was showing it off to The Mr., the sensor had me at 136. I was psyched about the near accuracy. It was his day off and snowing those big, fat snowflakes we love so much. We grabbed some fast-food lunch and headed to our favorite lunch spot to watch the snow fall on the lake. I knew it was morbid, but I really wanted to watch the line on the CGMS to see how this meal--any meal, really--affects my blood sugar. (READ MORE)


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My pump rep, my endo, my endo's nurse and I have really been through the ringer with my insurance company in an effort to get the CGMS approved for me.
First the insurance company needed a letter of medical necessity, then diagnosis codes, then my endo's tax ID! It seemed insane, but we were willing to give them almost anything they needed to show them we were serious and meant business.
When I wore the MiniLink for a one-week trial, I mostly enjoyed it. It was a fun toy, but it was also something I sort of relied on. It was able to predict at least one low, which is what I really need it for. Since I started on this quest in January, I've had a number of pretty low lows: two in the 30s that I didn't detect until I was already pretty low. (READ MORE)


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George Simmons
George Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)

Latest Posts: 18 Years and Counting | Is There An Easy Way? | Uncomfortable Lunch

Andy Bell
Andy Bell has lived with diabetes since the age of 14. He controls his type 1 diabetes by taking multiple daily injections. Andy is 27 years old now and despite his diabetes, still maintains a very active lifestyle. Andy works for the Juvenile Diabetes Research Foundation (JDRF) in the National Outreach Department.(Read More)

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