Diabetes is so easy to manage!

I think that anyone who has actually dealt with diabetes can hear the sarcasm dripping from that title. Or they were shocked and wondered what kind of snake oil I was going to sell. No snake oil here!

We are back to the insurance company only wanting to cover 1 test strip per day. “102 every 90 days”. Part of having any semblance of control is knowing where you are at. How can anyone do that on ONE test strip per day? I shouldn’t have done this, but I gave up. I said I would just pay out of pocket for them. I know that this gives the insurance  company what they want, which is more money in their pocket, but come on!

To break it down again, my husband has double insurance coverage. Generally the secondary picks up any co-pays or costs that the primary did not pay for. So, 3 test strips a day, leaves a $50 co-pay for us, which the secondary was picking up. They refused to pick up the $50 co-pay for 4-6 strips per day. It didn’t cost them any more, but they still denied it. Now they are back to saying that they will only cover the 102 every 90  days. We tried to explain that he is type 1, because the 102/90 is what they pay for type 2, while they do 102/30 for type 1, but somehow it’s not getting through. I just need the darn test strips, ok?

We have started the process to get an insulin pump for my husband. This should be helpful in managing his diabetes, if the stress of the process doesn’t kill him first. We met with the doctor, who sent  the information to the pump supply, who contacted insurance. Insurance will not consider paying for the device until he does a blood test that shows the level of c-peptides in his body. A Type 1 diabetic has low or no c-peptides, while a type 2 could have normal peptides. From my research, it seems that they would require a person with normal or high peptides to control their diabetes through diet and exercise. Since my husband is type 1, this is  not going to happen. 45 years of medical records seem to make little difference.

There are two requirements for the test:

  • fasting after midnight
  • blood sugar below 150

The first night, I woke up shortly before midnight and checked his blood sugar. It was 82, so I had him drink some chocolate milk. I woke up again at 3, and it was 62, so he had more chocolate milk. He could not do the test because he was no longer “fasting after midnight”. Last night, I checked him at midnight and he was a little on the high side, so I woke him up and had him take a shot. He was still too high this morning for the test, so we will have another go at it tonight.

It’s really frustrating that I know other diabetics who have taken this test, but they were not required to have a blood sugar under 150. Generally, he is under 180 in the morning, but it is rare that he is under 150. Even if he was under 150, there is no guarantee that it won’t go up between  here and the doctor’s office and waiting to be called in for the lab. Or, it could go the opposite way, he could be under 150, but drop rapidly because he has been fasting since midnight.

We will do this. WE WILL. I am flabbergasted at the amount of frustration that a insurance company is willing to cause a diabetic. He wants a pump to have better control over his diabetes. He wants a pump to have more normal blood sugars. Making my husband meet a list of requirements, although short, makes him feel like a failure when he doesn’t meet them.

We would love your prayers for better results tonight. If he could get this part out of the way, I know he will feel victorious.

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Have You Tried Essential Oils?

Ahem. I might step on a few toes today. That is not my intent, but sometimes the suggestions given to my husband are crazy, even if they are well intentioned. Nobody likes to see a friend or a loved one suffer from a disease that *might* be cured or managed. My husband has heard some zingers. These are a few of the suggestions he has heard from others regarding his diabetes and the reason(s) why he is not/ has not/ will not try(ing) them.

1. Have you tried essential oils? No. His doctor doesn’t really recommend essential oils has a viable method of controlling his diabetes.

2. I heard that okra in water will cure diabetes. No. I think if this worked, we would all know about it and there would be an okra shortage. (Source: http://www.diabetesdaily.com/blog/2014/03/why-okra-will-not-cure-your-diabetes/)

3. If you just had more faith, your diabetes would be cured. Do I believe that God COULD cure diabetes? Yes, but so far He hasn’t. My husband said that he was approached at a family wedding by an aunt who thought she could cure him with her faith. This many years later, he’s still diabetic. This has become an inside joke for us though. When his blood sugars are whacked, I tell him to get “in the word”. I’ve heard it’s a cure for all that ails ya. (Don’t hate us, we’re believers. We also think we are funny)

4. Medifast.  I can’t tell you how many times Medifast has been recommended for my husband for weight loss and diabetes control. I have seen Medifast work wonders for some people. I am not discounting that it’s a great product for some people; however when we looked into it we were told that my husband needed to check with his health care provider before starting this program. In fact, straight from here is this: If you have type 1 diabetes, it is essential to discuss Medifast with your health care provider or diabetes specialist before you start any of our plans for weight loss. He has been seeing the same doctor for 15 years. He has a good relationship with him. He asked him about Medifast. His doctor said that he did not think this was a good option for my husband. Rather than leave the people hanging that had recommended this to us, I politely informed them that his doctor did not recommend this route. These were the responses:

  • “What? Really? I have never had a doctor say no before” (There’s a first time for everything?)
  • “He obviously doesn’t understand what it is. Let me give you information to take with you next time. In fact, do you want me to come with you?” (no)
  • “That’s weird. Our doctor said it was okay for my diabetes.” (ok)
  • “Why would he say no? That doesn’t even make sense!” (none of your business)
  • “If his doctor said no, he has a good reason. Honestly, I sell it and wouldn’t recommend it for your husband.” (smile)

5. What about an insulin pump? Yes. Yes. Yes! We have looked into this before, but at the time, the cost was prohibitive. Now my husband has double coverage. I just checked his benefits and BOTH insurances cover the insulin pump! He has had some major medical expenses in the past two years and our out of pocket costs have been minimal. It looks like this will be the case for the pump. He has an appointment with his doctor soon and we will be asking about this again!

Did I step on your toes? I hope not, but when you are a diabetic (I am not) you have heard it all…. for the most part. To keep our patience, we try to remember that people are just trying to help because they care. It’s actually the people who are offended that we are not taking their suggestion that test our patience. We have learned to say “Thank you” rather than give the reason why what they said will not work for him. If you are diabetic, what are some helpful/ unhelpful things you have heard to cure or manage your diabetes? 

ETA: Out of all these things, the only one he has tried is prayer, although he isn’t praying that he’s cured. He’s praying that he manages well. So he can’t say without a doubt that none of these will work to manage his diabetes. 🙂

P.S. in an earlier post I talked about how my husband’s insurance only wanted to cover 100 test strips a month. We talked to a different pharmacist the last time we filled his test strips and she knew the work around/ coding needed for insurance. They just needed to know that he had a condition that required the test strips, because people like to fake diabetes, you know. 

Test Strips, Test Strips Everywhere!

My husband goes through a lot of test strips. 4-6 per day on a good day, up to 8-10 on others. He says he throws them away, but I am telling you, I FIND THEM EVERYWHERE! I’ve heard other people say the same thing about their family members, friends, or self with diabetes. Test strips everywhere. When we were on vacation, I found test strips in the driveway. I wonder if he has ever inadvertently left any in a restaurant?

I knew that he had reached new heights in dropping test strips when my 15 year old daughter came in the kitchen and said “I just found one of daddy’s test strips… IN MY BED!”

Now this is a miracle. He never even goes in their room and she is in the top bunk of a bunk bed!

We’ve got test strips…. everywhere!