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November 20th, 2008
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Between the time I got on the phone with S., a Dexcom rep, and the time I hung up my emotions swung wildly. I went from being moderately happy about contacting a CGMS rep to being beyond excited that I was actually in a place where I could get the process started.

 

"How much success have you had getting approvals with my insurance company?" I tentatively asked S.

 

Things are getting better, he told me. More insurance companies are getting on board all the time. I was skeptical, telling S. that I had been told that in January when I was with a different insurance company and was denied three times. Enough denials that I quit trying.

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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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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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 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.

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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 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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Julia
Julia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)

Latest Posts: Insurance-less | Freakin' Health Insurance | Fine

Nicole Purcell
Nicole has lived successfully with type 1 diabetes for 25 years. She hopes that by writing about her experiences, she can help others to face diabetes - and its challenges - head on.(Read More)

Latest Posts: Family Onslaught | You Can't Always Lose... | From the Shore

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