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November 21st, 2009
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We found 10 result(s) that match your search "CGMS":

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Someone should have taken a picture: my dad and I checking our sugar roughly two hours after we ate Thanksgiving. He: 114. Me: 86.

 

"You must have overestimated your insulin," Mom said.

 

"Yes, but I'll spike later," I said.

 

Sure enough, an hour later I was 206. Would have been nice to have had a CGMS on my side for Thanksgiving. Between the smooth mashed potatoes, stuffing, pumpkin pie and pumpkin cheesecake Thursday was not only a carb fest but a complex-carb fest leaving me hanging out in the upper 200s for most of the Thanksgiving evening no matter how much insulin I doled out (actually, I listened to my pump's recommendations in an effort to avoid a low).

 

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The CGMS seems to be working out okay this time around. Maybe my numbers are more stable. Maybe it's just a "fresher" sensor. Maybe it's just the heavens smiling down on me for once. But since Saturday night, I've had very few bumps in the continuous monitoring road.

 

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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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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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I don't think I've ever been more undecided about a health-care issue than I am right now.
 

To DexCom or not to DexCom?
 

Last week, I wrote that I was up in arms about my insurance company saying it wouldn't pay for the DexCom sensors because my policy doesn't have "disposable coverage" and that I was going to fight for the coverage. Today has been a pretty good day, and I've been thinking that I don't really need a CGMS.
 

I know, that's totally weird coming from someone who has been saying for months how beneficial the system would be to my life.
 

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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.

 

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Topic 1: 

It's like the CGMS people were in my space today. I sent a text message to my Dexcom rep this morning (because he seems to respond better to a text than a phone call) to see if he could give me some information about my insurance company's new policy regarding CGMS. I didn't hear from him (no surprise), but I did get an e-mail from the nurse who is working on my behalf to see what the *&%$ is up with this disposable coverage crap.

 

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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.

 

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I get a lot of questions about how I like my CGMS. And sometimes, I just don't know how to answer. I love the IDEA of my CGMS. I love that there is something out there that shows me a constant stream of blood sugar information. I love that it will alarm me before I get a crashing low or start soaring high.

 

But in the execution of it all, I really don't like it. Yes, I'm very grateful that I have access to this technology. Insurance pays for it, which makes it less burden and more blessing. But overall, it isn't as great as everyone thinks it is.

 

Let me just outline my most recent use of the CGMS so you can see and decide for yourself if it's worth the hassle:

 

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It's the end of the week.

 

He said I'd know something by the end of the week.

 

I called Monday. I called today. I don't know anything yet.

 

I know that his territory covers three enormous states, but doesn't he know that he's dealing with the world's most impatient person?

 

I really thought that by calling on Monday he'd have called by now. But nothing.

 

I'll be a pest and call tomorrow, too. I know, so not likely to be productive, but I want to know what I'm dealing with.

 

A potential complication, though, is my decision not to be seen at Mayo anymore. You have to have a doctor sign off on the prescription, which makes sense. And with me technically not being seen by M2 anymore, she can't sign off on it.

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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
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