Wednesday, January 30, 2008

Trip-Part 1

I am going to take a few days to tell you all about my trip. I went with a friend of mine (M) to visit another friend (A) in the D.C. area. A recently told us she was pregnant and we wanted to go visit her since she is going this whole experience alone. Not to mention that we just flat out missed her. I hadn't seen A since October and M hadn't seen her since May. So it was time for a visit.

We drove up. It took us around 8 1/2 hours from M's house (it's 2 hours from my house to M's on top of that). I usually don't like to drive, but with 2 of us going, it was cheaper than trying to fly up. Friday was pretty much shot as far as spending time with A went, since we didn't get in until around 12:30. It wasn't a horrible drive, just long. But any drive can be more bearable if you have good company.

There were no real blood sugar issues on the trip up. Things stayed pretty normal. I let the levels run in the mid to high 100's just because I didn't want any sneak attacks from the big D.
Saturday was actually when all of the fun started...

A, M, and I drove to Annapolis, Maryland to meet some friends of A. They were involved in a charity drive for Special Olympics of Maryland. It was called the Polar Plunge. Basically, what it boils down to, it people pay money to jump in the Annapolis Bay in January.

Go ahead, say it: THESE PEOPLE HAVE TO BE CRAZY!!!!!

I did. :) Only 1 of the friends actually plunged, but there were hundreds of people plunging. It was very cold and I wasn't even getting wet! But, all the money went to charity, so who am I to complain.

Although, just between you, me and the fence post, I would just pay the money and not actually jump in the water.

It was definitely an interesting day. They had all kinds of other stuff going on inside tents. The had games, and even pig races. Yup, you read correctly: pig races. I am from Tennessee, people. I grew up all around farms, although not on one. I have never seen pig races in my life. It was hilarious. It was just these little pigs running around in circles. And some guy dressed up like Old McDonald. I guess it was a novelty for the northerners...but it was a novelty to me, too!

I also did a bad D thing. I had a wonderful, sugary batch of heaven. Also known as a funnel cake. And surprisingly enough, my blood sugar didn't actually suffer too much.
Just 2 hours later it was around 150. I can't complain there.

We headed back to A's apartment after that and just hung out. We grabbed a bite to eat a California Pizza Kitchen (which I LOVE!) and watched Heath Ledger movies all night (R.I.P. Heath).

I'll finish up my weekend in the next few days. Keep on reading!

Friday, January 25, 2008

Going Away. And Just One Word.

Okay all, I am headed out of town today and won't be back until Monday night, so don't expect any posts for a few days. I will have lots of pictures when I get back I'm sure. As well as lots to blog about. I am taking a road trip with a friend to go visit another friend.

I am leaving you all with the post that's been going around the Diabetes OC lately.
Use just one word to describe me....

Have a great weekend everyone!

Wednesday, January 23, 2008

Questions answered....and a meme!

There were a few of you who asked questions about what I did to get approved for the CGMS. Sadly, I don't have a lot of information to give you all. I talked to my doctor about it at my last visit in early December. He said he would write the request letter. About 2 weeks after that one of the MiniMed reps contacted me (Hi, Danny!) and asked me several questions and asked me to fax him some of my blood sugar and pump data. I did all this and he put the packet together and sent it to my doctor. Then my doctor sent it in.
I do have some hypo unawareness, but I haven't even been to the hospital since 2004, so I know that wasn't a deciding factor. When I spoke with the rep again the other day to confirm the next steps, he told me they had put together a packet that was basically "trial and error" until they found something that worked. He also told me he had half a dozen or more approvals in the past several weeks with my insurance company. So evidently, they found something that works.
I didn't have to fight or appeal. They approved it the first time through. I have my next endo appointment in March, so I may ask them to see the info they sent in. I'd like to know also.
Side note: my insurance is Blue Cross Blue Shield of TN. I have heard from others on some sites (like tudiabetes.com) that BCBS is really good about this stuff (not just the TN version).

Now onto the meme. I did this one, I think, not long ago. But I can always think of things that are weird about myself, so it's no problem to do it again. I am not going to tag anyone, just consider yourself tagged if you want to do it! :)

1. I hate talking on the phone to people I don't know or don't know well. I was nearly out of college before I ever called the doctor's office myself to schedual an appointment. I also hate calling in pizza orders. The very strange part is that my job requires me to do this on a pretty regular basis. My dislike isn't improving, I am just getting used to doing it.

2. I have had glasses since I was 15. Today was the first time I ever wore contacts. I'm 26. And darn it if my right eye didn't give me the most trouble. It took forever to get it in and forever to get it out. :(

3. The first time I ever saw a beach was 2005. I was 24 years old.

4. I still like cartoons. I'm an adult. And I like cartoons. Some of the new ones are weird and annoying, but I love Disney movies, older cartoons, and the Pixar films. My favorite movie from last year was Cars.

5. I have no idea what I want to do with my life. I got my degree in one thing, did that for a year, and now I am in a totally different field. And thinking about what I could do next... I can be very indecisive at times.

6. I hate to wash dishes. It's my least favorite thing to do when cleaning. I tend to put it off to the very last minute. I told a friend of mine one time that if I could find a guy who would wash dishes on a regular basis, I'd marry him. :D

7. If you have ever seen the movie Beaches with Bette Midler, I have a friend like her. We met when I was 16 and she was 15 at church camp one summer. We didn't spend much time together, but exchanged addresses. 10 years later we still write, e-mail, etc. And we couldn't be more different. We are like night and day and we still are friends. We just don't want the sad ending from Beaches!

Tuesday, January 22, 2008

APPROVAL!!!!


I just got my letter from the insurance company about my request for the CGMS! They approved it! First time through. I am so excited I can hardly breath! I have already talked to the rep from MiniMed and they are going to get the process started. Basically, this means I should be hooked up by no later than the end of February, if I am figuring correctly.

This is so exciting!

Monday, January 21, 2008

"Do you ever feel like you're not accomplishing anything?"

I watched a movie last night. It was one I have seen about a million times. St. Elmo's Fire. It was an 80's movie about these seven friends and their life the year or so after they graduate college. I am a huge 80's movie fan. I have several. I don't know why I like them so much, but I do.
There's a scene in the movie where Wendy (Mere Winningham) is working as a social worker. She's trying to get this woman with about 5 kids to go into some sort of training program so she can get off welfare. The woman demands that Wendy just hand over her check. After the woman leaves, Wendy's love interest Billy (Rob Lowe) walks into the office and starts talking to her. Wendy looks at him and says, "Do you ever feel like you're not accomplishing anything?"
That is kind of how I feel right now. In general. Not necessarily with my diabetes. Just about life in general.
Some days I just feel like I'm a little hampster on a wheel running in circles, but not every really getting anywhere. Do any of you feel like that?
I think it might be SAD (seasonal affective disorder). Really I do. It's just right around this time of year, every year, I start feeling like this. A little bit depressed. Not really unhappy, just not content. It usually passes in a month or so. But sitting right in the middle of it is no fun.
So, do any of you every feel like you aren't getting anything done? Like you aren't doing enough? Or that you just aren't doing what you should be doing in the world in general?
I didn't mean to depress anyone, I am just curious to see if I am the only one feeling like this lately.
Here's the clip from St. Elmo's Fire. I just have to note that there are some wonderful actors and actresses in this movie. Demi Moore, Emilio Estevez, and Andie MacDowell are also in this movie. Demi, by the way, is almost unrecognizable compared to what she looks like today!


Thursday, January 17, 2008

Eyes and Teeth

Today I had a dental appointment and an appointment for my yearly dilated eye exam. To be honest about it all, I have not been to the dentist in quite some years. I have good teeth and haven't had a cavity in my life. Due to this, and lack of money (dental care's not cheap!) I hadn't been going to the dentist. Well, I went today. It wasn't good news. Basically, people, don't stop going to the dentist! I have five, count 'em: 1, 2, 3, 4, 5, cavities! I am so disturbed. I didn't even know they were there. They caused no pain at all and until he told me they were there I was clueless. Sadly, I have 2 dental appointments in the next 2 weeks to get my teeth fixed. And I have learned my lesson: don't quit going to the dentist!!!
As for the eye exam, it went pretty well. There was no change to my vision (i.e. no need for new glasses) and no bleeding in my eye! I have to say, twenty two and a half years into diabetes, I count my blessings that there is no diabetic bleeding in my eyes. However, I do have the start of cataracts on both my eyes. I knew this last year, and the doctor said they had worsened some. But fortunately, they do not interfere with my vision in any way and the doctor said there is no need to do anything about it right now.

I also had to post my eye picture after viewing Scott and Landileigh's blogs of their January eye exam pictures. I figured I might as well join the group! :)

Tuesday, January 15, 2008

Melancholy

I haven't felt the greatest in the world today. I woke up this morning at 59. I hung out the rest of the morning right around 70 to 75. Not low, but just low enough to scare me that I was going to drop quickly. With my hypo unawareness, it was nerve wracking.
After lunch the blood sugar rebounded and hung out in the upper 100's.

With the highs and lows, I have felt a little bit "off" all day today. And a little bit anti-diabetes. Mostly I just wanted to take a break. But as we all know, there never is a break. Diabetes is always there, Every Day, Every Hour, Every Minute.

Friday, January 11, 2008

CGMS Update

I called my insurance company today to see if they had gotten the paperwork requesting they approve CGMS for me. They received it January 9th and the lady told me it was due to be reviewed by their doctor and should be done in 14 business days.
Let's just pray they approve and that I don't have to fight it!

Thursday, January 10, 2008

A Moment of Weakness

An afternoon snack. A moment of weakness.

Price: $3.00 and.....

Tuesday, January 8, 2008

Numbers

In school I had 3 subjects that I hated with every little bit of passion in me. The first was Physical Education. I hated it. I used to fake sick at least twice a week just to keep from having to run or play volleyball or do whatever else was on the agenda for the day. I am not an athletic person. I am not even a very active person. I don't know why, but it is something that I am having to work daily to correct. It's a goal I struggle with all the time.

Another subject I hated was science. I just wasn't good at it, therefore, I didn't like it.

The last subject that I really hated was math. This was also something I was never really good at. Numbers and I just don't get along.

Yet in some weird way, numbers control my life.

-Blood sugar numbers

-Grams of carbs

-Insulin to carb ratios

-Basal rates

-Prescription numbers

-A1c

-Cholesterol

-Grams of fat

-Grams of fiber

Even my picture for today's post represents a number. The juice box that sits next to my bed in case of a nighttime low: 13 grams of carbs.

Numbers rule my world, yet they are something that I hate to think about. Something I hate to do. Ironic, isn't it?

Thursday, January 3, 2008

New Year's

I know it's a little late, but I was out of town. This might be a terribly long blog, but I have lots to say.
First off, I have to thank Amylia for the wonderful postcard she sent me before leaving Taiwan. It's beautiful. And a really cool souvenir. Also, lots of healthy thoughts I am sending her way since she and Figgy are not feeling well right now.

Secondly, I hope everyone had a safe and fun New Year. I had a really good night New Year's Eve and managed to be in bed by 1:30. Pretty good by my standards. I'm getting way too old to pull the all nighters. I was ready to crash by 10:00.

Thirdly, I have made some non-resolutions. I really don't like to call them resolutions because I will end up breaking them. Here are my non-resolutions:

1. Start exercising. I hate to exercise, but I know I need to.

2. Start taking fiddle lessons and/or violin lessons. I need to use my Christmas present!

3. Travel somewhere new. I am not sure where or when or even how. But I want to go somewhere that I haven't been before.

These may seem pretty easy to do. They are basic. That's how I need 'em. Otherwise, they will never get done!

Lastly, I want to share one of my bad diabetes moments from this weekend. I don't know about everyone else, but when I am out of town or out of my normal routine, my blood sugars can be completely crazy. Having an insulin pump helps a lot, but sometimes, not enough. I spent the long weekend with a friend and her family. They have really treated me like one of their own and have done a lot to make me feel like a part of their family. I love to spend time with them.

Saturday we spent most of the day working on the farm. They have a working farm with horses and cattle. That day, they were putting shavings in barn stalls. I always work when I'm with them. I like it. It's different. Some of it is stuff I've never done before. Some of it is.

It's also more physical exercise than I am used to. All day on Saturday I was chasing high blood sugars with insulin. I had nothing under 180 all day long. I even started stacking insulin, which I try desperately not to do since I know it can lead to lows, which I typically don't catch.

We ate dinner late that night; around 8:00. It was fast food and a type of fast food that I don't typically eat. I knew that I needed to be careful about how I gave my insulin since my blood sugar was already around 100 (my first normal reading all day long!). I bolused with a pretty good guess (so I thought), ate, and went with my friend and her brother to get on the Internet. I wanted to check my e-mail (I was having major e-mail withdrawls!) and they were looking up songs.

It couldn't have been more than 30 to 45 minutes after eating dinner when I started to feel sick. Not a sick that would say "Hey! You are having a low!" It was more like an "I'm really tired and dinner made me sick to my stomach." type of feeling. I even started feeling a little claustrophobic. I asked my friend's brother, who was sitting in front of the door, to move so I could get out. I vaguely remember walking to the kitchen and laying my head on the table.

I must have fallen asleep for a minute because I jerked back awake when I heard someone come in the kitchen. Then I just picked up my meter, opened the case & checked. I don't remember looking at the number, but the next thing I know my friend's mother asks me how the result was. She had to ask me twice for me to answer her.

I remember saying "I'm low. I need juice." In my mind, I knew I had a juice box upstairs in my purse, but my body wouldn't move. She must have told me there was juice in the fridge because the next thing I know I was in front of the fridge with the door open just staring. I couldn't focus. I couldn't find the juice. She came over, handed to me and I sat back down at the table.

I tried to open the bottle of juice, but couldn't. I don't remember him coming in, but my friend's brother was sitting at the table and I pushed the juice at him and said, "Open." He did. I downed the whole bottle in one gulp and then just started crying. I just cried and cried.

By this time, pretty much everyone in the house was in the kitchen with me. My friend's sister and boyfriend were also there. They told me later I cried and said it was because I thought my friend's sister was going to make fun of me.

I also started eating cookies. I know better than to do this, but when your blood sugar after juice is 66, you just start to eat automatically.

I remember bits and pieces of the whole thing. The rest they filled me in on. I haven't had a low that bad in several years. One where I had no control or ability to care for myself. It scared me. I hate crying, but when I have a low that bad, that's all I can do.

I hate that feeling of helplessness. That feeling of knowing what I need to be doing and having the inability to do it for myself.

I felt guilty. I hate depending on others to care for me. I know they didn't really care. My friend's father has Type 2 diabetes. They deal with this also. But I still hate doing that to someone. I think that's part of the reason I cry.

The rest of my weekend was good. I had a good time. Got to spend some quality time with my friend, whom I don't see nearly enough.

But to ruin a perfect weekend, the big D had to rear it's ugly head.

There is not cure for diabetes. Yet. (Thanks for that line Amylia)

Thursday, December 27, 2007

Type 1/Type 2: A Moment That Made Me Proud

As many of you know, I have often been upset by the public's lack of knowledge concerning diabetes and the differences between Type 1 and Type 2 diabetes. I have often been disturbed by lack of knowledge among diabetics themselves, such as Ms. Berry. In fact, I get upset and frustrated by it so often, that I could probably write a blog post for every day of the year, just focusing on the above mentioned things.
But I have to say I had an experience on Christmas day that made me quite proud and made me think that maybe, just maybe, people are listening. When I went with my church to Nashville for our bridge ministry I rode in a church van with several people I didn't know. My church is a large church and although I recognized everyone on the van, I didn't know any of them by name.
On the way back on Christmas night we stopped to get a quick bite to eat. My blood sugar was low. I knew it. I usually can't feel my lows, but that was one of the rare exceptions. I tested and confirmed a 64. At the convenience store I grabbed a blueberry muffin (I know, not the best of dinner choices, right?) and ate it. I knew, however, that it wasn't going to bring my blood sugar up fast enough. I asked them to let me back in the van so I could grab a juice box, explaining that I was diabetic.
When we got back on the road, one of the women started asking me some questions. The first of which was, "How long have you had diabetes?" This is a standard question. "Since I was 4 years old," I replied. And then, another lady says, "Oh, you are Type 1 then?" and she turns to another lady in the van and says, "That means she can't ever get rid of diabetes. It's not a diet issue."
I couldn't believe it. How could this woman know the difference? It's so rare to find a person who does. I asked her a few quick questions and found out that she worked at a school in which there was a diabetic child and she had learned quite a bit in dealing with him.
I was blown away. And proud. And slightly hopeful. That woman may not have known everything about diabetes, but she could, at least basically, tell the difference between Type 1 and Type 2 diabetes.
I also have to note on here Diabetes Mine's blog post for the day. It was regarding diabetes etiquette. How wonderful to know that someone is thinking about diabetes etiquette and how to spread the news to all the non-diabetics in the world!
In regards to my recent Christmas gift, I leave you all with a clip of the great fiddle player, Mr. Charlie Daniels, and his timeless classic The Devil Went Down To Georgia. I'm not delusional enough to think I'll ever play like that, but seeing him play could be inspiration to almost anyone.
On a separate note, I will not be posting again until after the New Year. I am going out of town tomorrow and won't be able to post. I leave you all this year of 2007, praying that you all have a blessed and HEALTHY 2008.

Wednesday, December 26, 2007

Christmas Under the Bridge

Yesterday was Christmas. And it was a very special Christmas for me. Christmas Eve, I spent with my dad and his side of the family. We had a wonderful time. Christmas morning I went to my mom's. I was truly blessed there also. I got a fiddle for Christmas (or a violin; I guess it depends on how you want to play it!). I don't play. I don't ready music. But I have said for years that I would some day learn to play the fiddle. I love to hear that instrument. It makes me smile!

Now I have the fiddle. Time to learn to play! :) I am currently trying to locate someone in my town that will teach me all I need to know about playing a fiddle. Wish me luck on that one.

The second part of my day was spent with my church, traveling 2 1/2 hours to Nashville to minister with the Under the Bridge Ministries to the homeless community. Our church raised close to $12,000 to buy 300 sub-zero sleeping bags. The ministry has a service and feeds the homeless under Jefferson Street Bridge every Tuesday night.

It was a very humbling and an experience that I will never forget. To know that I was there for several hours and how cold I was made me think how very lucky I was to have a bed to sleep in, an apartment to live in, and food to eat. I had never done anything like that before and I felt blessed to be a very small part of it all. I truly hope to go back to the bridge in the future.

I hope that you all had as wonderful a Christmas as I did.

Monday, December 24, 2007

Merry Christmas!

My Christmas has already started! I had Christmas Eve dinner and exchanging of presents with my dad and his side of the family earlier this evening. Tomorrow morning I head to my mom's and tomorrow afternoon I am going with my church to Nashville to deliver Christmas dinner to the homeless population that lives under Jefferson Street Bridge. Along with dinner, we will be ministering and handing out sub-zero sleeping bags.
A full and happy Christmas is what I am receiving already this year. I have been truly blessed and feel fortunate in so many ways.
I hope you all know how much I appreciate you! It means so much to have this community!
I pray you will all have a wonderful day tomorrow and that you all have a blessed time with family and friends.
Here's a little bit of holiday cheer for you. God bless!
(Just to note: this isn't my church, but my church youth group did this program for Christmas. It was AWESOME!)

Wednesday, December 19, 2007

Pharmacy Hopping!

Okay. As most of you who check out my blog on a pretty regular basis know, I have been having trouble with my insurance company & my prescriptions. I went to get a couple of other prescriptions filled today. One for my insulin and for my cholesterol medicine and I was running out of some vitamins that I also needed to pick up.
About 2 months ago I switched pharmacies because the one I was at took FOREVER to fill anything and you had to wait FOREVER to pick it up, even if they had it filled and all they had to do was hand it to you. I got sick of dealing with that and decided to switch pharmacies.
Every since I have switched pharmacies, things have been going nuts! My insurance won't pay for 3 months on the "new" strips. And today I was told that my insurance company had pulled the 3 month prescription contract with all the pharmacies and would only do 3 month supplies by mail.
I HATE mail order meds. Mostly cause I can't remember to order them on time. Call me spacey, but it's true. Not to mention I like to see who I am dealing with when it comes to my medicines. Someone who knows me cause they see me so often. And someone with whom I can talk if there is a problem with my prescriptions or I have a question.
I was highly upset and wanted to talk with my insurance company to find out what was going on. When I called them, the guy I spoke with was very nice, but didn't seem to know what I was talking about at first. I explained it to him in the exact way that it was explained to me at the pharmacy: Company X, which contracts all the prescriptions for Insurance X, was bought out by Pharmacy X (which is NOT my pharmacy!). Due to this, the only pharmacy in which you can get a 3 month prescription with Insurance X is through Pharmacy X (which isn't located withing an hour of my home).
The insurance guy started looking through whatever computer program or manual or whatever he had in front of him and then asked me what county I lived in. He then told me that Pharmacy A (my pharmacy) didn't contract with Company X and that's why I could no longer get prescriptions for 3 months from Pharmacy A. Then he told me that there were 2 pharmacies in my county in which I could get a 3 month prescription.
The first one he listed was Pharmacy B (the pharmacy I JUST SWITCHED FROM!!!!) and another, local pharmacy which I will call Pharmacy C.
On the plus side, I am going to switch my prescriptions to Pharmacy C so I can continue to get my cholesterol medicine and insulin in 3 month supplies.
On the negative side, this will be the 3rd pharmacy change for me in less than 3 months.
Sigh. Why does diabetes have to be so difficult??

Monday, December 17, 2007

For These Times


I experienced my first bit of sussy from the Diabetes OC late last week. I hadn't yet posted about it because I've been really busy this weekend and simply haven't had time.

I have to give my heartfelt thanks to Bernard, who read my impassioned rant about test strips and the current cost of my diabetes life. He contacted me and offered to send me a box of test strips, an extra meter, and the software & cable to download all of my pump and meter information. I have to say that is one of the nicest things anyone has ever done for me. I have gotten the chance to experience the wonderful generosity of the Diabetes OC and it makes me thankful that I found you all.

And on that note, while I was cruising around on the Internet today, I found the video for Martina McBride's new song. The song is touching. It fits in with my mood and my idea of what people are really about. The video is also shot in one of my favorite cities, NYC.

I have listed the lyrics below:



In these times in which we live

Where the worst of what we live

Is laid out for all the world on the front page

And the sound of someone’s heartbreak

Is a soundbite at the news break

With a close shot of the tears rollin’ down their face

Blessed be the child who turns a loving eye

And stops to pray

For these times in which we live



In these most uncertain hours

Where the balance of power

Is a fight that is fought every day

And freedom is a word

Some cry out and some whisper

And some are just too quick to give away

Blessed be the one who stands by the one

On the battle line

For these times in which we live



Well give me a heart full of tender mercy

And arms I will open wide

For these times in which we live



Seems like the only answer is

Givin’ up on findin’ one at all

And we hide behind unsure

Pull the blinds and lock the doors

And hang a pleasant picture on the wall

Blessed is the believer who knows love is our redeemer

And the only breath of life

For these times in which we live



Well give me a heart full of tender mercy

And arms I will open wide

Yeah give me words full of loving kindness

And hands ready to hold up a light

For these times in which we live

For these times in which we live



I hope God truly grants me the heart to open my arms to those who need my help.

Wednesday, December 12, 2007

Picking My Battles

Last time I posted, I was discussing going into battle with my insurance company over the cost of test strips. I had intended on calling Monday, but got busy and work and forgot. Tuesday, I planned to call on my lunch hour. As I was walking through the door to my apartment for lunch, my phone rang. It was a representative from MiniMed calling me to discuss my CGMS. My doctor's office had contacted them to get help on writing the request for my CGMS that has to go to my insurance company.

The gentleman was calling from a local Tennessee office only a few hours from my home. He asked me a series of questions, requested my pump and meter download information, and gave me both his name and phone number to call if I had any questions about anything. This is basically the first real step to getting the CGMS. If the insurance company denies the request (which they nearly always do), we will work on appealing it.

While I had him on the phone, I asked him when it looked like the meters were going to be changing to the One Touch meters. He said they are still saying spring, but he had heard rumor that they were looking at March. That piece of information made my life very happy. March is only a few months away.

With that on my mind, I decided to pick my battle. I know they keep records of all our phone calls, complaints, requests, etc. at the insurance company. Due to this, I do not want to cause too much of a fuss until I get my CGMS approved. If March is an accurate date for the One Touch switchover, then I will suck it up, pay the extra cost, and wait on the One Touch.

This reminds me of the recent posts of Amylia, over at Amazing Grace. She has been discussing the cost of diabetes. With or without health insurance, diabetes is expensive. In this instance, I am going to have to pay $40 per month, for several months, for my test strips. I understand that this is a great deal cheaper than if I had no insurance at all. I am always thankful for my access to good health insurance. But it is still hard to make it on one income (and not a very big income at that!) when you are paying out of pocket-costs every month. It's like another loan payment. But this one never gets paid off.

Friday, December 7, 2007

Test Strip Wars

I went to check with my pharmacy today about my test strips. I kind of guessed that I was going to have to pay another $40 for the rest of my test strips, but I was hoping to just go ahead and get my 90 day supply. I was just going to let it go and pray that Medtronic switches to the One Touch meter A.S.A.P. Right now it is saying Spring 2008. So I am hoping before May... but you know how companies can be. Sometimes they end up pushing stuff off for months.

The had gotten in my strips. They had to order them from the new company since the BD company is no longer making test strips. I knew this was going to happen. When the pharmacist handed the bag to me he said, "There are 6 boxes in there. That should be for 10 times per day."

What? That is 10 times per day for one month, but not for 3 months, like my prescription was written for. I asked him about this right away. He said that my insurance company denied the claim since it was a new company. They basically said they would only pay for 30 days at a time. This pretty much sucks. $40 for 3 months is much better than $40 per month.

Oh, dear Lord, I can't wait for the One Touch meter! I know my co-pay for those strips is only $20. And I know I can get a 3 month prescription.

So, now to the title. Basically, I am getting ready to fight the test strip wars with my insurance company. The only reason I didn't call them today is because I wanted to calm down before I call them a BLESS THEM OUT! It is the SAME STRIP! Just made by a different company.
So wish me luck on Monday when I take up my armor and head into battle with the insurance company....

Wednesday, December 5, 2007

Endo Appointment and the Crazy A1c

Yesterday I had my check-up with my endo. I got all my prescriptions straightened out. That's a plus. I also got some good news about my CGMS. They are going to have to re-submit the letter as it did not have the correct codes, but the nurse in charge of the whole CGMS thing said that she's had another patient in the office with the same insurance that I have and he was approved. This gives me hope. Hope for a lower A1c.

Lately I haven't been being as diligent as I should be with my blood sugars. I've been testing regularly, but not being so careful what I eat and when. Because of this my blood sugars have been running a little bit on the crazy side. My 3 month average, according to all my meter downloads, is 136. This is higher than I would have like. I've also been having fewer lows, which for me means higher blood sugars overall.

I went into my doctors office toting a stack of graphics and print-outs from my pump and meter software, a list of all the vitamins and medicines I take, a list of the prescriptions that I needed him to write for me, and a list of questions that I wanted to ask him. Call me the good diabetic. :)

The last time I was in the office, my endo had not written me a lab order to get my A1c done. And to be honest with you, I had forgotten about it (bad diabetic!). Maybe it was my subconscious not wanting to know what my A1c actually was...

When I sat down with my doctor we looked over my blood sugars and made some major changes to my pump settings. We changed almost all of my basals, 2 of my carb/insulin ratios, and we also changed the active insulin time from 6 hours to 5 hours. This was after looking over the last 4 weeks of graphics and discussing the trends. He sees stuff I never can.

I also asked him some questions about Dr. Bernstein and what he thought about low carbs and no carb diets. He, of course, did not agree and spouted off something from the ADA that says we need at least 160 grams of carbs per day. I am not sure that I agree with that. I would much rather keep my carbs per day under 100. Although I have trouble doing it most of the time.

I also asked him about the vitamins I have been taking. He told me he wanted me to take more Vitamin D. So that's next on my list of stuff to buy.

Before I left the did an in office A1c. It was one of the home-type tests, I think. When it came back it was 5.6. That is CRAZY! I know there is no way that my A1c is 5.6. Not when my average of blood sugars is 136. It doesn't add up. If I believed it was correct, I would have jumped up and down and screamed for joy. I just don't think it was. So basically I am pretending like that A1c never happened and I made sure to get an order for lab work for my next appointment.

Honestly, I don't know what the deal is. I just know that my doctor called me "motivated," which I took as a complement. I figure that I have a right to be obsessive compulsive about my diabetes care. I want to live a long and healthy life. I want to still be alive when there is a CURE!

Sunday, December 2, 2007