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.

Advertisements

Hi, Hi, Hi

Or high, high, high, Whatever the case may be.

Chad had a doctor appointment yesterday. He got a cortisone shot in his hip, because he had what presented itself to be bursitis. His blood sugars have been pretty good, but after the appointment, he had a tough time keeping it below 300. It was fine at lunch, then skyrocketed after that. We could say it might be what he had for lunch, but it was left over dinner, so who knows. He was thinking it might be the cortisone shot.

Last night he took about 20 units of insulin to compensate for the high blood sugar and the birthday cupcakes we had for our 10 year old. This is way more than he usually takes, so I got up at 2AM to test his blood sugar. It had dropped a little, but it sky rocketed again this morning, and was still high near lunch time. He called his doctor and they said “Don’t eat carbs and go for a walk”. He texted me along with a “WTF” for emphasis and I said “Well,  that sounds like a pretty good plan, actually”. So he ditched the left over lasagna from his lunch, but ate everything else. He texted a bit ago and said his blood sugar was 160-something. So that stinky old doctor’s advice must’ve worked.

I told him to be patient and ride it out, because panicking creates the yo-yo affect, Sky rocket, plummet, over compensate, repeat steps, which is just frustrating. You really do have to be patient  with diabetes (when it’s not an emergency, OMG get the Glucagon situation). It’s hard to ride it out though, because we’re human and we want things to be better five minutes ago.

The good news is that his A1C is down to 6.8%! His doctor was impressed with his A1C and cholesterol numbers. His kidney function has declined a bit in the past year. I really wish they would give more information than just “kidney function is declining”. WHAT DOES THAT MEAN? I’m assuming that if it was  an emergency, they would say more?

And the pump lady called to set up an appointment. We are one step closer to pumping that man up. 🙂