Replies to This Discussion

Permalink Reply by olu Oog on January 11, 2011 at 11:38am

Thanks Pete, you encourage me so much, . I will reseerch one of the pumps and ask thm to get in touch with my doc. ia m suprised the dex people dont make pump!

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Permalink Reply by marti w on January 11, 2011 at 12:13pm

my insurer includes a 'best practice' in their coverage language for CGMS - they don't want to cover CGMS unless you are on a pump already. so watch out for that when investigating your coverage

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Permalink Reply by olu Oog on January 11, 2011 at 12:24pm

that's a dilema now,. I ve just sent my prescription and all paperwork to the dex people, today!. what do u think could be a better route for me?

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Permalink Reply by marti w on January 12, 2011 at 8:41am

oh it may not not be necessary for you but if you have access to your insurer through their website, they probably have their medical policies available online and you can check the coverage language

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Permalink Reply by Tom T on January 11, 2011 at 12:35pm

I'd follow your docs recommendations on what it takes to get the pump. It's usually something like testing 4x per day and having an A1c > 7.0. If you're already doing that, or you do it and the doc still has reservations, then maybe look for a new doc:)

The one angle you can play up on the CGM, if you want that first, is if you don't feel symptoms when you are low. Most insurance companies that cover cgm will cover it in that situation, though you may have to document that to some extent. Even if it seems pointless to test when you know you are low, do it anyway so you have a record of how often you're going low.

It wouldn't hurt to get all of the paperwork done at once, but actually staring both at the same time would probably be overwhelming for anyone but a computer genius! So you can get both and start them whenever you feel comfortable.

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Permalink Reply by olu Oog on January 12, 2011 at 7:33am

Thanks...

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Permalink Reply by DMurray on January 11, 2011 at 2:34pm

Are you taking insulin ??? How many times do you check your BG a day??? If on insulin how many shots a day ????

I was taking Lantis and Humolog ,Check BG 5 to 10 times a day, 6 to 8 shots a day .

No problem getting the Animas One Tuoch Ping Insulin Pump

Didn't get a Dexcom but was approved. Waiting for the combo Ping and Dexcom

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Permalink Reply by olu Oog on January 12, 2011 at 7:32am

Yes I am on Insulin.
Average of 4 times check of BG/day
4 Insulin shots/day both lantis and Humolog

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Permalink Reply by Lizzie on January 14, 2011 at 2:38pm

you take lantus four times a day?

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Permalink Reply by Terry Keelan on January 12, 2011 at 8:55am

Fear not. The Dexcom reps are highly motivated to get you a CGM and to get it paid for. They have people who will work with you whose primary job is to get authorization from your insurance company to pay for all or part of the CGM. If your insurer refuse you either appeal or pay out of pocket.

The Dexcom people will guide you through the whole process.

Terry

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