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Permalink Reply by LiL MaMa on February 9, 2011 at 11:34am

wow thats good to know...is it still accurate after the first week?? well obviously or ppl wouldnt do it but just wonderin how some ppl get more wear out of em.

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Permalink Reply by onesaint on February 9, 2011 at 12:21pm

No, idea on how to ger more wear. Its one of those YDMV things. For me (and from what Ive heard) port first week trends are more accurate than the first week itself. I try to keep it to about 21 days or so.

as for tissue issues, I don't have red dots post removal nor toughened tissue as far as I can tell. Honestly, I think I would give up ther pump before the dexcom if it came to that.

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Permalink Reply by onesaint on February 9, 2011 at 10:33am

Having a 3 month log is the best way to go. Your highs from late will be good ammo as well. They will question if you have lows too and once you start on insulin that can be a concern. That might be the sales pitch you need to get it. Also, try to get your doctor behind you. That can be helpful for writing letters and what not. Good luck!

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Permalink Reply by Brian (bsc) on February 9, 2011 at 11:41am

Gosh, I am just not in a hurry for a pump or a CGM. Not that I would have any luck getting them. Perhaps you could get a loaner from your endo for a week or two. So far, I'm lookin pretty good, I don't have hypos, not a lot of unexpected wild stuff goin on. If I'm dealin with this insulin thing for coming decades, maybe I don't want to scar up my body if I don't have to.

If I had to spend that kind of money, I've kinda had my eyes on a dumbell set. Oh, wait, maybe dumbells is the answer to Karen's trivia question. Hold on, I gotta go.

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Permalink Reply by LiL MaMa on February 9, 2011 at 11:47am

lol yeah I know it's just that I have young children and my husband travels all over the country on business leaving me here for days at a time and all of my family is 9 hours away so I would just feel much more secure and confident having a CGM.
Do they really cause bad scarring??

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Permalink Reply by Xanthasun on February 9, 2011 at 12:52pm

less if any scarring than a pump because it's a tiny sensor going into your skin.
As far as accuracy usually at the beginning of a sensor use it's less accurate but improves over time and for me the second week tends to be more accurate than the first week.
I haven't had more than 2 weeks since the adhesive wears off or the sensor or extra adhesives start irriating my skin
Check out the dexcom group on this site too, which has discussion about these issues.

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Permalink Reply by Kate on February 9, 2011 at 12:33pm

I am looking into getting the Dexcom, too. I contacted Dexcom directly and they have been helping me with the process. I am currently waiting to hear back on my insurance's decision (BCBS).

However, I am wearing a CGMS system right now. It is a 3 day blind study. I wear the sensor, but not a transmitter and log everything all day long. At the end of the 3 days I see my endo to review the results.

I'm hoping it's a good dry run to see how I like wearing the sensor. Also, I just went on the OmniPod pump, so I want to see what that's doing. I am sure the information is not as good as a real-time CGM. But it's what I've got for now.

I am trying the MiniMed iPro CGMS (http://www.minimed.com/professionals/cgms/index.html). Dexcom has one too, but my endo doesn't offer it. You may want to see if that's an option for you.

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Permalink Reply by LiL MaMa on February 10, 2011 at 7:29am

Awesome! I have BCBS as well, let me know how it goes, good luck!

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Permalink Reply by Unicornzzz on February 9, 2011 at 12:53pm

My endo surprised me and when she wrote the letter of necessity for the new pump, she did a letter of necessity for a CGM. I got a phone call from Dexcom and I thought it was just and advertising call. It was not until the person on the other end told me she had the letter of necessity in her hand that I realized it was true. I had figured that the insurance company had just paid $7000.00 for the pump I was not going to push it by asking for a CGM right away. I was approved and I love the CGM.

I would do everything I could to get the insurance company to pay for the CGM before I would go ahead and out of pocket it. I saw somewhere online that the transmitter and receiver is like $1200.00 and the monthly supplies are a little over $300.00. The transmitter and receiver are only warrantied for a year. That is if the insurance company pays for it.

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Permalink Reply by LiL MaMa on February 10, 2011 at 7:30am

Glad you got what you needed with no hassle thats awesome! Trust me, I will do all I can to get the insurance to pay before I do out of pocket.

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Permalink Reply by Tom T on February 9, 2011 at 3:44pm

Wow, you're really jumping into this!!! If you pay out of pocket, you should just be able to ask your endo to write the script (Dex will ask for you, but you should let them know ahead of time). But try to get insurance coverage. It's a decent chunk of change, more the monthly supplies than anything else. Some insurance companies have policies online, look for yours. Some require certain conditions (like readings <50, hypo-unawareness, A1c > X). If you have any low bgs that you don't feel come on, report them to your endo so they can document it and get you some cgm!

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Permalink Reply by LiL MaMa on February 10, 2011 at 7:31am

lol head first!! that's how I roll!
I will def remember your tips, thanks Tom!

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