I am writing this just so people know who I am and tomorrow is my birthday 8-26, So let me start out:
My real name is Josh but you can call me J-Andrew. I was diagnosed on 12-28-08. That is when i joined the 250 Club Sub-charter 02. I have been on metformin, janvia, novolog, lantus, as well as many other drugs for other complications, (ya know the high cholestrol, blood pressure etc..)
So the question that was posed to me is what happened when i was diagnosed. Well to tell you the truth the actual events are blurry to me, from what i remember i was at a friends graudation/xmas party and passed out. I was away from my normal hospital so I was taken to the County General. when i was semi concioius i was told i had a low blood sugar related event and they asked if there was any history of diabetes in the family, (which there is on both sides) and he said I may be a diabetic.
Now due to me being out of the county they set up an appt to follow up with my family dr. At the time i did not have one so I was seen by a resident at a local clinic. After going over results with him he recommended that i started Orals. I started out on 500mg of metformix 2x a day and was not having any luck. The doctor moved it up to 1000mg twice a day and that was starting to help but my a1c spiked. Januvia was added to the mix but by that time my dr was graduating from his residency and I was going to get a new dr. When i seen this dr (who by the way was awesome) she didnt want to start me on insulin but after some talking to other dr's she thought that Lantus would be a good place to start.
So i started doing 15 units at bedtime. After a month of that and having labs ran I still was not getting the results she wanted so we moved to 15/15 lantus. That still was not enough and I was told to see a diabetes educator about getting counseling before being put on novolog. At the time that is what the insurance required for them to approve it. At that time i was put on a sliding scale which did not work and I was starting to get frusterated.
I kindly asked if I could be referred to and endocrinogist. She agreed and 3 months later I was seeing endo. Recently that dr completed her residency and moved on to bigger and better things. My endo has made changes in dosage so now im doing 68/68 of lantus and 45 of novolog with meals plus a sliding scale. Im supposed to start Actos starting in september pending blood test results. So as of tomorrow I will be 28 years old living with Diabetes, and now we get to see what another year of the 250 club brings.
Now your asking what is the 250 club? 250 is the ICD9 code used in medical billing do identify diabetes. the 02 means that it is uncontrolled. so my ICD9 for my diabetes is 250.02 (sorry thats the Medical Billing/Medicare Navigation geek in me)