Replies to This Discussion

Permalink Reply by JIM on October 27, 2010 at 10:00am

It just happened to me. I had to have ny doctor send a bunch of stuff in to the insurance and to minimed to get my supplies covered. Hope all your tests go as expected.

Permalink Reply by Carolyn Deans on October 27, 2010 at 10:04am

In my understanding, the c-peptide test should show clearly whether you are Type 1 or Type 1.5, regardless of your age at diagnosis. Good luck!

Permalink Reply by Patrick on October 27, 2010 at 10:34am

What exactly is a type 1.5? Is this what they use when they have no clue what type you really are?

Permalink Reply by Patty on October 27, 2010 at 1:30pm

type 1.5 is adult onset type 1 from what I have read.

Permalink Reply by Carolee Noury on October 27, 2010 at 10:29am

Did you ask minimed to tell you what the need is? I.E. if there's any chance you'd lose coverage? If they can't tell you, my next call would be to the insurance company to find out what's going on.

My guess is it's just some new form of justification, but many states have laws about keeping diabetics on insulin pumps once we're on them, so I'd think you're safe.

Good luck!

Permalink Reply by Patty on October 27, 2010 at 1:32pm

good idea, I will call now. Thanks all for answering.

Permalink Reply by Patrick on October 27, 2010 at 10:33am

GAD antibodies is one of the tests they use to determine how much of your pancreas may still be working. It's one of the major determining tests to determine what type you are. The higher the percentage the worse your pancreas is.

Basically it measures the saturation level in your body of the GAD antibody which is what killed the beta cells in your pancreas.

Permalink Reply by Jennifer on October 28, 2010 at 12:33pm

I believe the C peptide tells us how our pancreas is working, not the antibodies.

Permalink Reply by wallskev on October 27, 2010 at 11:41am

Although it was my first pump, the Insurance company did require those 3 tests to approve my Pump and release Medtronics to allow to ship even though my Endo had a letter of need sent to them.

Permalink Reply by David C Weisberg on October 27, 2010 at 1:55pm

iddm 1.5 is type 1 in that the beta cells have been wiped out and the pancreas produces -0 insulin. The extra .5 indicates that the body resists injected insulin in the sam way that type 2 bodies reject pancreatic insulin. Type 1.5 will yield the same test results as type 1. I passed the antibody test even though I was first diagnosed at age 55.

Permalink Reply by Ruth on October 27, 2010 at 2:26pm

I don't know if this is applicable to any of you, but if you've recently gone on Medicare, that could be the reason for the new requirements. Medicare will ONLY pay for pumps for T1's (and possibly 1.5's, not sure about that.) Medicare will NOT pay for pumps for T2's.

I go on Medicare next August, and I am dreading it. I was never tested back in 1984, as it was assumed I was T2 from my age. I've been insulin-dependent since 1989...so it's possible I was a 1.5, but won't know until they do the tests.

Ruth

Permalink Reply by Patty on October 28, 2010 at 3:13pm

I'm not on medicare but my insurance has rejected me for other things (cgm) because I didn't meet medicare's guide lines. I don't understand , why now? They approved my last pump 2 years ago. Well, I have to make some calls. I didn't have time yet.

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