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February 9th, 2012
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We found 10 result(s) that match your search "CGMS use":

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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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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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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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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 things I remember most about this morning's surgery: I seemed like a diabetes marvel with all my gadgets and I was a little shocked that the procedure was expected to take about an hour (thought it would be much shorter).

 

Seriously, I can't tell you how many times this morning I heard "Hey, come look at this!" after I had explained Dexcom to a medical professional. It was actually pretty cool to be able to explain Dex to a bunch of doctors and nurses.

 

The best part, though, was when the anesthesiologist came in and we were discussing my blood sugar and where it was (over 250 mg/dL) and where he wanted it (around 150 mg/dL). He told me his brother had just been diagnosed with diabetes and had just gotten a pump. He was pretty sure it was Minimed and was surprised that his brother had been diagnosed with type 1 as an adult. "I was 30," I told him.

 

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Do you ever have that "D'oh! Why did I make such a big deal out of that" feeling/moment/day? That's kind of what I've been going through lately.

 

I feel really terrible saying this, but I think I'm doing OK without Dex. Which is kind of weird to me considering the amount of energy I put into getting my insurance company to approve the sensors.

 

I think one reason I fought so hard to get the sensors is because I had just started exercising again and I was (still am!) terrified of going low while walking. In the last twoish months since I started walking I haven't had any blood-sugar-related issues.

 

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I wanted to update you on my CGMS and let you know my thoughts on it so far.
 
 
First off I must tell you, and those of you who have the Minimed CGM can give there two cents here, but EVERY time I get ready to insert a new sensor, I stop and stare at that needle!
 
 
That needle is intimidating! 
 
 
"Wow, that looks like a sewing needle," my son said and I stood there holding the inserter against my skin finding the courage to push the button on the plunger.

 
And so far, it has not hurt at all. It has just been freaking out on my part. 

 
So once I get past that, I love it.



Over the past month, it seems like I've had a lot of "intuitive" feedback. No, I'm not talking about my own psychic revelations. I'm talking about diabetics citing intuition and their body's signals as their diabetes beacon. It seems readers across the web are using their body's feedback as their guiding light to treat blood sugars. And I have to say...I'm not all that pleased.

 

I can definitely understand where they are coming from in these statements, but I also have to say that I don't think it's a wise choice. At least not for me. For me, it could be a life or death situation.

 

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Last week I wrote about how I had decided to go back to using my CGMS. Not long after I placed my order I received an email from the medical supply company that I use that I needed to contact them about my order.

 

I was sort of used to this; last year and the year before I had trouble either with insurance or with the medical supply company getting the order processed. I was on a first-name basis with my customer service rep. I wouldn't even talk to anyone else since J knew exactly what I needed and what we were dealing with.

 

So when I got the email the other day I assumed it had something to do with the issues I had before, especially since I hadn't renewed the prescription in quite some time. I figured I'd just need to call my insurance or call the doctor's office or something pretty easy.

 

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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)
Brenda Bell
Brenda BellBrenda was diagnosed with high blood pressure, high cholesterol, and Type 2 diabetes in July 2002. After a rocky start, her diabetes has been diet-controlled since January 2004 and she hopes to keep it that way for as long as possible. (Read More)
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