QUOTE(Brent311 @ Jun 17 2010, 03:56 PM)
Hi all I've had diabetes for 10+ years now but am new to the pump. I went to a presentation by minimed that my doc suggested and became interested in getting a pump now that they have an all in one CGM - pump type deal. My insurance covered the pump but requires additional information to approve the CGM supplies for it. They require at minimum a 30 day glucose log of 4 tests per day. Of those tests it must show a susceptibility to hypo and hyperglycemia despite normal testing and insulin adjustments.
Now that the background is said, my question is: has anyone else experienced a similar process? I'm tempted at this point to just throw the results for the next 30 days so that they will agree to cover the CGM. I've had problems recently with low blood sugar overnight which really scares me. I used to wake up when it was low but now it doesnt phase me much.
Just looking for other's perspective and opinions on getting insurance approvals.
Thanks in advance,
It sounds to me as if your overnight basal rate is set too high, and you could benefit from an adjustment. I have been pumping since mid-April after 58 years as a Type I. My insurance will not cover the CGM or the expensive consumable supplies. After reading all of the problems posted by other members about the MM CGM, I have to agree with my insurance company's refusal.
I have adjusted my overnight basal rate to the point where, on an average day, if my BG at bedtime is less close to 130, I awake the next morning between 85 and 100. If the bedtime BG is less than 130, 8 ounces of milk is enough carbs and protein to keep me from hypo episodes overnight.
But, each forum member is different- what works well for one may not work at all for another. For me though, the other advantage that lets me sleep without needless worry is the fact that my wife sleeping next to me is a retired hospital RN who can easily handle any hypo episode that I might experience overnight. The point is, I am old enough, with average BG's low enough, to have lost a LOT of my hypoglycemia sensitivity. In the last two months of pumping, I have had zero hypo episodes overnight, and fewer during the day than I had been used to with MDI. I really don't see the need, in my case, for the CGM other than the help that it might provide to keep me from wrecking any more cars. I always leave my alarm set to go off at two hours after a bolus, and I always check my BG before driving. I am old enough to have bought one of the very first BG meters to come on the market in the early '80s, and have never felt "put upon" to have to test. It isn't fun, but it is the best tool that I have for my own safety and general health.
I have not obtained A1C test results since I started on the pump, but did get test results a week prior to starting the pump. Will get A1C results at about the three month period after starting on the pump. My BG meter logs have shown much better average BG levels than I was able to achieve with MDI, so I expect very good results from the A1C test next month.