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How often do you worry about diabetes complications?

May 24th, 2012
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The recession has finally caught up to my employer, who has painstakingly tried to shield us from it as much as possible. However, next month may bring a restructuring that may include layoffs. No one knows yet who may or may not be on the chopping block.
 

I’ve been unemployed before and it sucks. And I don’t want to do it again. But then, I didn’t have diabetes. Then, I didn’t rely on an insulin pump to stay healthy. Now, I think being unemployed would be a much worse situation.
 

When I heard the news about what may happen next month my first thoughts were about how we would continue to pay the two mortgages (no, the house in Missouri hasn’t sold yet!), buy groceries and continue to provide the basics for our family without losing our minds. The thoughts of how I would continue to pay for my health care needs were delayed, strangely.
 

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Thanks for all the fabulous comments on my last post.  I got some great suggestions that I was able to follow up on.

 

Going on COBRA is considered an open enrollment event, meaning I can change anything and everything about my coverage.  If I drop to the least benefit plan that still has prescription coverage, I can cover just myself for under $200 a month.

 

Then I can put the kids on a good preventative plan to cover all the well-kid visits, vaccines and inevitable ear infections or pinkeye or strep, the usual stuff that comes up. Hubby can go on a high deductible catastrophic type coverage with an HSA.  We ought to be all covered, at least somewhat, for around $500 a month.  Much more palatable than $1200 a month.  It's still a ridiculous amount, but you really can't go "naked" anymore, since one incident can bankrupt a family.

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My job will be ending sometime this summer. Consequently, I am investigating our health insurance options. Since hubby is self-employed, we have always covered the family under my work policy.

 

Now, I know that "health care in this country is in crisis"!  I know this is a huge touchpoint for political candidates.  Yes, I know all this intellectually. 

 

Now it's PERSONAL.  COBRA, offered by my employer by federal mandate, is more than a house note EVERY month.  Private insurance is still pricey - more than what we paid on 2 car notes.  And it carries a $2000 deductible per person.  Some sloppy math later and it could be $15,000 a year before they pay any expenses for us.

 

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I should have known he'd ask about diabetes. Of course he would, I mean he's a rep for an insurance agency for Pete's sake. (Who is Pete, anyway?)

 

I'm on the hunt for short-term health insurance. My new job has a 90-day probation period, which means I don't get health benefits until Sept. 1. I'm currently covered under COBRA, but the premiums are nearly $900 a month for me and the kids. That really puts a dent in the wallet. And really all I need at this point is catastrophic coverage since I have enough pump supplies and meds to get me through and the kids have all had their well-child checks and are up to date on all their shots.

 

The rep had a few questions, he said, before he could get me a quote. I should have just hung up then because I knew he was going to ask about diabetes and I knew that would be the end of it. But I stuck through it, just in case.

 

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ADM logoThat's right, after LOWERING my dosage of metformin (generic glucophage) six months ago; my HbA1C went DOWN to 5.5 from 5.8.  Yes, I brought my average blood sugars DOWN by reducing my medication and increasing my cardio and strength training.  It's only a decrease of about 8 mg/dl but that's an average over 24/7.  AND I went from 2000 mg metformin to 1500 mg.   I know "they" say it can and should work that way, but I'm the first to admit I didn't believe it.  (Or that was my excuse for not trying harder).

 

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Begin rant. 

 

So, um, my CGM is typically a very cool tool.  And I like it.  Not enough to wear it for more than three weeks at a time, but still an awful lot.   But damned if it isn't a bitch for me to put in without getting gushing bleeders and damned if it hasn't become a bitch for me to keep it in.  

 

I'm sure it has something to do with my activity level.  I work out at least 3 days a week, sometimes more often.  Many times, one of those work outs involves boxing.  Three times now, I have dislodged a site during a work out. 

 

Once, my stumbly feet after a round of leg presses landed the site up against the weight machine, scraping the site just right and pulling it completely out.  There was blood.  It was enormously painful.  

 

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A friend of mine has just found a new endo and is loving it. I'm very excited for her because I know how much trouble she went through with her last endo. I remember telling her the difference between her reluctant-to-listen-to-the-patient doctor and Dr. C: "After having never spoken to Dr. C about Symlin before, I came into his office for a regular check up, said I wanted to try Symlin and 15 minutes later the nurse was hooking me up with a sample pen."

While I had a lot of freedom when I spoke with Dr. C, I have often wondered how much latitude he gave me because he knew how involved I am in the diabetes community, knew that I was up on the latest information and technology, and was proactive. I was sad to leave him behind. (Maybe there's a little too much ego there, but I really got very little resistance from Dr. C about anything.)

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That's right, after LOWERING my dosage of metformin (generic glucophage) six months ago; my HbA1C went DOWN to 5.5 from 5.8.  Yes, I brought my average blood sugars DOWN by reducing my medication and increasing my cardio and strength training.  It's only a decrease of about 8 mg/dl but that's an average over 24/7.  AND I went from 2000 mg metformin to 1500 mg.   I know "they" say it can and should work that way, but I'm the first to admit I didn't believe it.  (Or that was my excuse for not trying harder).

 

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A month ago, dLife sent out an invitation to join their new Tummy Trim Challenge.  It's a six week program to trim an inch off your waist.  This is important because abdominal, or visceral, fat increases your risk of heart disease and other diabetes complications.  I thought it was perfect for me -- a great way to get re-motivated on my weight loss journey.

 

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There has been much heat in the diabetes online community concerning the new Medicaid/Medicare restrictions on paying for blood glucose testing supplies for people with diabetes, including the belief that these limitations will quickly replace current private-insurance coverage policies. We're seeing some of those repercussions here as The Other Half has just been informed that instead of covering testing supplies ad libitum (as many as his doctor writes for, for whichever brand she writes for), they will only cover OneTouch or Accu-Chek strips, to a maximum of 51 strips per month for people with diabetes who do not require injectable insulin, and 204 strips per month for those who do require it. (READ MORE)


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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)
Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
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