tag:blogger.com,1999:blog-81065427123108282362024-03-21T02:11:41.991-07:00Continuous Glucose Monitoring 24x7blogging my experiences with real time blood glucose monitoringDia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.comBlogger24125tag:blogger.com,1999:blog-8106542712310828236.post-86514962373542824702009-07-02T06:33:00.000-07:002009-07-02T06:39:10.906-07:00Success, after 24 months.Insurance Update<br /><br />As you've all been reading for over 2 years, my struggle with getting insurance to cover the CGMS sensors has been a long journey. <br /><br />For the past 2 years Every time I order sensors, I have to pay for them with a credit card, and then submit to Humana manually. <br /><br />Well, that has now changed. Much to my surprise, my last order was processed directly from Minimed to Humana, and is now covered at 80%. Every time in the past, my order would be declined. This is a huge step forward! No credit card, no manual claim submission. <br /><br />Matt, good to hear from you again, please leave your email address so we can talk.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com8tag:blogger.com,1999:blog-8106542712310828236.post-11395357583838865272009-06-02T18:45:00.000-07:002009-06-02T18:46:06.524-07:00Sensors, Insurance, and Apidra UpdateWell, I apologize for not posting in a while, and have been getting many requests to keep going! <br /><br />Here is an update on a couple of things.<br /><br />1. I have stopped using the Apidra insulin. This insulin is WAY to fast acting for my body right now. I had a very tough time controlling high and low values over the 3 months I was using it. I was experiencing low values right after meals, and then fairly high values after 2 hours. I went back to Novolog, which seems to be a better fit for me. I’d be happy to share more if anyone is interested.<br />2. Sensors Update – I have some good news and some bad news regarding how my insurance company covers the expense of the glucose sensors. Humana considers Medtronic as an OUT OF NETWORK provider of the sensors, so I have to reach a separate OUT OF NETWORK $1000 deductible, before they will cover 60%. I find this funny, as my insulin pump supplies, which come from Medtronic are considered IN NETWORK. And since Medtronic is the only supplier, I have no choice. I could talk on this topic for hours if anyone is interested. <br />3. Be careful with thinking the CGMS will solve all your glucose problems. I have now been on this for over 2 years and have some words of wisdom. I have found you can micro manage your blood sugar that will actually cause some problems. For example, the sensors are NOT always accurate and they are delayed from your actual readings. The method the sensors use to measure your glucose is NOT real-time with your actual finger prick. I will be blogging much more on this topic shortly.<br /><br />I hope this helps people and I encourage feedback on my posts.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com9tag:blogger.com,1999:blog-8106542712310828236.post-43234624757054550772008-11-26T07:50:00.001-08:002008-11-26T07:59:48.384-08:00Apidra UpdateI've now been using Apidra for over a month. I have to admit, it's a very fast acting insulin compared to Novolog. It has taken a couple of weeks to understand how it reacts to my food and activities.<br /><br />For my breakfast and lunch times, I have been able to tune my dosage quite effectively. However, my dinners have been giving me some trouble. For the most part, my breakfast and lunches are very standardized. My dinner are a bit more variable. Listed below is a situation that I've been encountering:<br /><br />6:00pm - Apidra bolus and begin eating dinner (normal bolus)<br />6:30pm - Blood sugar begins to drop<br />7:00pm - blood sugar begins to rise dramatically (so I bolus again)<br />8:00pm - blood sugar begins to stabilize nicely<br /><br />In doing some research on the insulin curve for Apidra, it reacts very fast, and can be on it's downward peak after one hour. This matches exactly to my situation above.<br /><br />To fix this, I've now been doing a dual-wave bolus, where I'm lowering my initial bolus and spreading out the remainder for about an hour. This has been working better. Anyone else using Apidra?Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com3tag:blogger.com,1999:blog-8106542712310828236.post-72391398025835713292008-11-19T07:09:00.000-08:002008-11-19T07:14:17.435-08:00Test Driving Apidra insulinAt my last visit, my endo gave me a bottle of Apidra insulin to try out. I've been using novolog for many years, and have had my ups and downs with it. I've noticed the following things with using Novolog:<br /><ul><li>When changing infusion sets, I always get a 2-4 hour period that the insulin doesn't seem to absorb well.</li><li>Novolog doesn't act fast enough during my bolus</li><li>After a couple of days, I've noticed that sites become less aborbant to the insulin</li></ul><p>My endo recommended apidra to help with some of these reasons. After Apidra for the last 5 days, I am very pleased. It appears to act much quicker than Novolog and my infusion sites have been more stable.</p><p>Anyone else have opinions on Apidra?</p>Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com1tag:blogger.com,1999:blog-8106542712310828236.post-56669639982063695032008-09-19T12:55:00.000-07:002008-09-19T13:01:58.035-07:00Insurance SuccessI realize it's been a while since my last post, so I'd like to provide an update on a couple of items.<br /><br />1. After a long haul, I finally got my insurance company to cover the cost of the glucose sensors. I still have to manually submit all my claims from Minimed to Humana. I'm just happy they now cover the 80% of the cost. If anyone wants to know the specific steps I had to take, leave a post and I can elaborate<br /><br />2. I love the CGMS. However, I have been having some problems with the tape products that I apply over the sensor (to keep it water-tight, and stable). I currently use the IV3000 product that is recommended by minimed. However, as you can imagine, trying to apply this IV tape over the battery / transmitter causes problems. I frequently have problems with folds occurring, which then does not make a solid adhesive with my skin. Then, after water gets into these folds, the entire tape begins to lift up.<br /><br />I've requested a "tape kit" from minimed and am looking into other tapes to apply. If anyone has some other good experiences, please let us know.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com8tag:blogger.com,1999:blog-8106542712310828236.post-82829429601006005032007-10-12T12:32:00.001-07:002007-10-12T12:32:48.294-07:00Singing the Sensor Blues....First of all, I love my CGMS and would trade it in for no other product. However, I must share the reality of the experiences. <br /><br />If you've read my blog in the past, you will see my concern with the ability of Minimed to keep up with sensor demand. My last order was on backorder for over a month. Like a broken record, they are again on backorder. However, I will admit, that they have added some additional customer service steps. Now, they promise to call me back every 5 days to provide me an update. Kudos to them, this really saves my time for waiting on hold to ask the same question.<br /><br />Moving on, I went to use a new sensor the other day. When trying to take off the protective plastic sleeve on the needle, I accidentally pulled the needle out of the unit...it was like in slow motion....as I watched another $35 being thrown into the garbage. I tried to reassemble, but quickly determined it was impossible...arg.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com4tag:blogger.com,1999:blog-8106542712310828236.post-71755574923016758302007-09-07T09:18:00.000-07:002007-09-07T09:23:42.949-07:00Continuous Glucose Monitoring (CGMS) Insurance CoverageI am currently going through the process of obtaining insurance coverage for my Minimed Real Time Blood Glucose Monitor and sensors.<br /><br />I am asking for people to to reply to this post with any suggestions. I am looking for people to share how they got the insurance companies to pay for the sensors as well as those that have been denied insurance coverage.<br /><br />Feel free to include the name of the insurance company. I use Humana and will keep everyone posted. I'm currently awaiting for my doctor to send a letter of medical necessity to my insurance company.<br /><br />Thanks!Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com11tag:blogger.com,1999:blog-8106542712310828236.post-80810515304351833622007-08-21T18:20:00.000-07:002007-08-21T18:35:00.819-07:00A1C dropped to lowest ever....6.8<div>Just visited the doctor today, my A1C results showed a 6.8. Since April, I've been able to drop my A1c from a 7.3 to a 6.8 by using my <span class="blsp-spelling-error" id="SPELLING_ERROR_0">CGMS</span> (continuous glucose monitor).<br /></div><div>Now, my doctor and I are <span class="blsp-spelling-corrected" id="SPELLING_ERROR_1">beginning</span> to fine tune my <span class="blsp-spelling-corrected" id="SPELLING_ERROR_2">regimen</span>. My doctor is a older gentlemen that is very intelligent. Together, he is getting used to reading my weekly charts that outline my 288 readings per day. This is very exciting.<br /></div><div>Case in point, I'm finding my 3 hour after meals is elevated. We are now working on adjusting my eating habits and my basal rates. The image below shows the reports from my <span class="blsp-spelling-error" id="SPELLING_ERROR_3">minimed</span> unit. Each colored line is one day, and this graph is from one full week.</div><div> </div><div> </div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTV9TolwFitkja_Ae4sjoi8iYm504GgMFp3kWu0DkWKgadBuTwIqxcuAzQVp2Fkhf6POmlD8AiU9C8YCC0p6itXwX0R8BoTWf3px9HbjAQN02Ar2rZ1l49f-krl5ldR-bu_-NJBjLbmL0/s1600-h/glucose.bmp"><img id="BLOGGER_PHOTO_ID_5101331880419969442" style="FLOAT: left; MARGIN: 0px 10px 10px 0px; CURSOR: hand" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTV9TolwFitkja_Ae4sjoi8iYm504GgMFp3kWu0DkWKgadBuTwIqxcuAzQVp2Fkhf6POmlD8AiU9C8YCC0p6itXwX0R8BoTWf3px9HbjAQN02Ar2rZ1l49f-krl5ldR-bu_-NJBjLbmL0/s320/glucose.bmp" border="0" /></a><br /><div></div><br /><div></div><br /><div></div><br /><div></div>Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com3tag:blogger.com,1999:blog-8106542712310828236.post-32632794923790297942007-08-14T18:53:00.001-07:002007-08-14T18:53:35.640-07:00Insulin and HamburgersThis week, I've learned a very interesting thing about my glucose levels, and the foods that I eat. I was noticing that after eating a cheeseburger at McDonalds (no fries), I was constantly having low blood sugar levels. Not that I eat them often, but it's close to work, and it's a cheap lunch. <br /><br />Normally I would bolus 3 units to cover the carbs in the burger. What I've come to understand, by watching the trends on my real time glucose monitor, that I do NOT have to take any insulin for that lunch. My normal basal rates, along with how my body reacts to this type of food was very interesting. This may not be the case for everyone, but it works for me. <br /><br />I would never have been able to pattern this, without the use of the continuous glucose monitor. Boy, it feels good to master the challenge of certain foods VS insulin requirements.<br /><br />Anyone else experience this?Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com2tag:blogger.com,1999:blog-8106542712310828236.post-90222227638638708302007-08-04T20:00:00.000-07:002007-08-14T20:01:41.150-07:00Sensors have arrived!After 2 weeks, I finally received my minimed glucose sensors. Of course, it was a rough ride. My sensor package was mis-sorted by UPS, so my overnight delivery took over the weekend. Instead of ordering my normal 4 pack, I ordered the 10 pack (just in case this backorder thing is a trend).<br /><br />Normally, I have never wasted a sensor. But, this time after inserting the sensor, it bled quite a bit. This prohibited me from putting the IV tape over the unit right away. One hour later, the blood ruined the tape on the sensor, and it pulled out (just was I was going to put on the IV tape)....arg....there went $35 on a wasted sensor. Oh well, I'm just glad to have it back.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com1tag:blogger.com,1999:blog-8106542712310828236.post-45348090806191146732007-07-27T19:59:00.000-07:002007-08-14T20:00:48.527-07:00Still on BackorderOne week, and my diabetes glucose sensors are still on backorder. I ran out of sensors 7 days ago, so I'm back to full time finger stick'n. I really forgot how tough it was to control the blood glucose levels with only 'Point in time" finger sticks. So, I'm going to rant a bit.<br />Let me clarify this point. The finger sticks only tell you where you are. You have no idea where you've been, or where you are going. Kind of like a police officer radar'ing traffic. He may stop you for traveling 75 mph, but he doesn't know you WERE going 95 mph before you slammed on the brakes.<br /><br />With the real time blood sugar monitoring system, you see the trends of your blood sugar levels. So, yesterday I tested my sugar (since I'm out of sensors) and noticed my sugar was 200. What I didn't know was if my levels were dropping quickly, staying steady, or increasing quickly. You just aren't 100% on how to react. Give a bolus, stay put, or prepare of a low blood sugar.<br /><br />Let's give a short quiz. <br /><br />If you took your blood sugar and at Noon and it was 200, what would you do?<br /><br />a. Bolus<br />b. Do nothing<br />c. Prepare for a low blood sugar level<br /><br />Now, let me add a bit of background to this scenario: At 11:30 am, your sugar was 300, at 11:45 am it was 250 and noon it was 200. Would this change your action plan...you bet it would. This is what the continuous glucose monitoring systems provide you...the history and the ability to see if you are trending up, down or staying consistent.<br /><br />Please, please, I hope my sensors come in soon.....................Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-44122732316847620582007-07-20T19:57:00.000-07:002007-08-14T19:59:15.453-07:00Sensor Error FAQGlucose Sensor Error? What do I do now?<br /><br />After having my minimed paradigm real time glucose meter for about 5 months, I'm already becoming pretty good at getting those darn sensors to work for about 7-8 days. Let's face it, these little buggers are expensive and my absolute last option is to discard the sensor prior to me getting the mileage from it. Listed below are some of the errors my pump has reported, and how I went about getting them to work: (Please remember, that I am sharing my experiences!!!! I am NOT a doctor or a minimed representative. Read at your own risk)<br /><br /><strong>Sensor Calibration Error: </strong>This one can be tricky. This usually occurs when your minimed pump glucose readings are "way" out of wack with your recent finger stick. Now, this can be the death of a good sensor. But, like I said earlier, I always try to work it out. For example, your minimed unit is reading a 140 glucose level, and your finger prick reads 220. After entering in the calibration reading of 220, you meter could come back with a calibration error. At this point I usually tell the meter to start a "New Sensor". After going through the abbreviated calibration (doesn't take 2 hours), the sensor usually works just fine. After this, I tend to finger check more often to ensure the pump and meter values are functioning correctly. If this doesn't work, and the calibration error continues, your only choice is to discard the sensor.<br /><br /><strong>Sensor Error:</strong> Just the other day, I was going through the 2 hour calibration timeframe, when my pump chirped at me....Sensor Error. Boy, this was my first day on this sensor, and I wasn't going to through in the towel yet. When this occurs, I usually can tell the pump to start a "New Sensor" and things will work just fine. <br /><br /><strong>Lost or Weak Signal: </strong> This has to be my favorite (kidding) error of them all. The transmitter is supposed to have a 4-6 foot wireless range, but I'll be darned if I get 1 foot at the most. I have found that if my PDA phone has the wi-fi networking turned on, it disrupts my sensor to pump connection. If this is not the case for me, sometimes I actually apply some pressure to the sensor infusion site for a couple of minutes. I've actually seen the transmitter green light blink. This tells me that the sensor wire was not seated correctly. <br /><br />I will share some more experiences shortly. 9 out of 10 times, I'm able to recover from my sensor's errors. I look forward to insurance coverage!Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com6tag:blogger.com,1999:blog-8106542712310828236.post-9945417962705452302007-07-19T19:55:00.000-07:002007-08-14T19:57:13.764-07:00Sensors are on Backorder?Well, this is not good. I just placed an order for a refill of minimed Medtronic glucose sensors for my Minimed Real Time system (CGMS). Minimed just notified me that the sensors are on BACKORDER...yes you heard me correctly....BACKORDER! One more time... a medical device supply is on BACKORDER. The personal sales representative had NO idea on when they would be available, but thought it could be a month or so. <br /><br />Anyone that is seriously considering moving to a real time glucose system, should really think twice about Minimed. I have to admit, I've been very pleased with the unit itself, but what good is the unit, if you can't get the sensors.<br /><br />Not only did I sit on a three month waiting list to get the sensors in the first place, now it appears that Minimed can't keep up with demand. I cannot express in words, how unhappy and frustrated I am with this. If you can't service your existing customers with supplies, then stop selling new units.<br /><br />Here is the other insane aspect of this: The battery transmitter is only good for 6 months, and after than timeframe it begins to loss the ability to hold an charge. I will now have a possible one month timeframe gap, of when my transmitter will be sitting idle awaiting more sensors. Even more frustrating, is that once your transmitter die's, you have to spend $900 on a new one. Don't forget the fact, that I also pay about $200 a month out of my own pocket for the glucose sensors.<br /><br />I currently have a call to Minimed management to address my concern. I will keep you posted.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-12817450965396506142007-07-10T19:54:00.000-07:002007-08-14T19:55:56.376-07:00First A1CJust went to my doctor and received the results of my A1C. In just 2 months, I dropped my value from a 7.5 to a 6.9. This is incredible to me. I was also one of the first patients my doctor has on the CGMS, and we was able to review my new daily reports with ease. He offered suggestions that would not have been possible without knowing your values every 5 minutes.<br /><br />The coolest thing I have noticed is my levels during exercise. I've begun to roadbike in the morning. I assumed that my levels would drop heavily during biking. What I've uncovered is excactly the opposite. If I started biking at a 140 glucose, my levels would actually rise a bit and level off. For some reason, after biking 10 miles, my body doesn't drop in glucose. <br /><br />I will also begin to share my experience with trying to get my insurance company to pay for the sensors. They are just getting submitted this week. I'm able to use a sensor for about 7 days, but havent' been able to go much longer than that. This allows me to spend only $150 a month on 4 sensors. Not bad for the freedom it delivers.<br />Please leave a comment if you'd like to share your thoughts.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-43825537034553154162007-03-29T19:52:00.000-07:002007-08-14T19:54:50.338-07:00First Week In ReviewOk, sorry for the delay in update, I've been spending most of my free time learning about my new pump and tuning my diabetes. I've now been wearing the Minimed RT CGMS for 7 days, all I have to say to everyone is YOU MUST GET ONE OF THESE!<br /><br />There is something awesome and a feeling of freedom knowing your glucose numbers every 5 minutes. I'm going to attempt to present my findings in a Question and Answer format. If you'd like to ask me a question, leave a comment and I'll answer them. Just remember, I'm not a doctor or a health care provider. These are my experiences. You should not adjust anything with your diabetes based on my feedback.<br /><br /><strong>Question: How is the new minilink transmitter?<br /></strong>Answer: I never had the larger older unit, but this little unit (pictured below) is barely noticeable. It is rechargeable and can hold a charge for up to 15 days. It is so small, that it doesn't even feel uncomfortable.<br /><br /><strong>Question: How long does the glucose sensor's last?</strong><br />Answer: I was able to wear my first sensor for 7 days. The insulin pump will tell you to replace the sensor after 72 hours of operation, but there are ways to restart the sensor. Note, I'm not recommending this practice, you should abide by the instructions by Minimed. However, since I'm paying for this out of my pocket, it makes it more affordable to stretch them out.<br /><br /><strong>Question: Do you have to calibrate the unit?<br /></strong>Answer: After inserting a new sensor, the unit takes about 2 hours to calibrate. After 2 hours, the pump will tell you to take a finger prick blood sample. The unit takes the reading and calibrates it to the electrical current received by the sensor. It is best to start a new sensor when your blood sugar is not fluctuating. I change mine in the morning, and choose not to eat breakfast until the unit is calibrated. After that initial 2 hour calibration, you are required to take finger prick samples every 12 hours.<br /><br /><strong>Question: Have you had a bad sensor or a sensor error?<br /></strong>Answer: Not yet. I've heard of people having problems, but I have not. The glucose values displayed on my pump have been very close to those via regular glucose testing.<br /><br /><strong>Question: What is the best thing about using the CGMS unit?<br /></strong>Answer: By far, the best thing I've noticed is being able to watch my glucose trends. I can see my glucose increasing after meals, and decreasing when I take insulin. With my body, I've noticed that my insulin isn't reacting until almost a half hour after bolus. So, what I found in the first week, was that my blood glucose was increasing about 1 hour after I eat, and my insulin wasn't lowering it enough. So, I've actually started to take my insulin about 15 minutes before I eat. This has been keeping my levels in line.<br /><br />More information to come. Please post some questions.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com4tag:blogger.com,1999:blog-8106542712310828236.post-46939129723667296352007-03-15T19:51:00.000-07:002007-08-14T19:52:37.432-07:00Day 1 - with my new CGMSWhen I got the notice that my new CGMS was delivered to my house, I couldn't wait to get home from work. I spend about 2 hours reading over all the material, transfering over my pump settings, and reading how to properly insert the glucose sensor. <br /><br />It was about 8pm at night, when I the sensor was inserted into my stomach and hooked up the new minlink transmitter. Now, I had to anxiously await the 2 hour calibration phase.<br />About 10pm, the insulin pump instructed me to prick my finger for a BG reading and enter it into the system. I held my breath, entered in the value....and magically, this awesome little device started to read my first BG value. This thing is nothing short of amazing.<br /><br />I setup the alarms to alert me when my glucose values droped below 80 or above 200. At 10pm at night, my glucose was reading at 170. Every five minutes, it reported my glucose levels to be dropping....162, 145, 110, 100. My first reaction was that it was not functioning correctly. So I tested my sugars with a prick, and sure enough, it was almost exactly on!<br /><br />The first night I wore the device, the low glucose alarm woke me up....I was dropping below 80. So I took corrective measures and continued my nights sleep. I sure hope day 2 goes as well as the first 4 hours.<br /><br />As far as the minilink transmitter, it is very small and is almost transparent under a shirt. It was a little uncomfortable inserting the glucose sensor, and I actually drew a little blood. I was concerned this would ruin the calibration, but was very happy when it worked as described.<br />Well, off to work, I have a feeling it will be alot of fun watching my blood sugars on the graph. I will tell you more on Day 2.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-24491767947126553872007-03-06T19:49:00.000-08:002007-08-14T19:50:42.674-07:00New Minilink TransmitterIn reading some other's blog posting, it appears that minimed will be releasing the minilink transmitter. From what I understand, this is much, much smaller than the current larger transmitter. Now, I'm going on my 3rd month of waiting for my minimed real time continuous glucose monitoring system. When my number is called, I sure hope it comes with the new smaller unit! This is truely exciting. I have not heard when these will be available :(<br /><br />The below pictures are taken from the following blog posting:<br /><br /><a href="http://www.dia-log.com/dasblogce/ct.ashx?id=a258d62c-3585-4904-bd2e-976fc2a1e3ef&url=http%3a%2f%2fdrea-girlonthego.blogspot.com%2f2007%2f03%2fminimeds-new-minilink-transmitter.html">http://drea-girlonthego.blogspot.com/2007/03/minimeds-new-minilink-transmitter.html</a>Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-23054338053695817682007-02-27T19:48:00.000-08:002007-08-14T19:49:15.244-07:00Insurance CoverageAs I continue to await my CGMS unit, I will continue to provide links to useful information. Enjoy!<br /><br />The American Diabetes Association has released some good information regarding the CGMS systems. Check out the following article for more general information on continuous glucose monitoring:<br /><br /><a href="http://www.dia-log.com/dasblogce/ct.ashx?id=d2f9083d-8fc6-4804-b488-99ec1990ae4b&url=http%3a%2f%2fweb.diabetes.org%2fForecast%2fAug06%2fgeneration0806.pdf">The Next Generation: Continuous Glucose Monitors</a><br /><br />To read some tips on obtaining insurance coverage for the CGMS, visit the following links:<br /><br /><a href="http://www.dia-log.com/dasblogce/ct.ashx?id=d2f9083d-8fc6-4804-b488-99ec1990ae4b&url=http%3a%2f%2fwww.jdrf.org%2findex.cfm%3fpage_id%3d106514">STEPS FOR OBTAINING CASE BY CASE COVERAGE FOR CONTINUOUS GLUCOSE MONITORS (CGMs)</a>Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com1tag:blogger.com,1999:blog-8106542712310828236.post-12086210739873834752007-02-02T19:47:00.000-08:002007-08-14T19:48:07.032-07:00Minimed order updateAs most of you could imagine, I'm very excited to get this new paradigm CGMS. I ordered the unit on December 19th and am anxiously waiting. Since I had a couple of extra minutes, I decided to call MiniMed customer service. <br />Let me explain something, during the entire process of getting a new or upgraded pump, customer service was very helpful, timely, and sent confirmations / receipts to my house.<br />However, this process has been quite opposite, and has begun to turn me off (even prior to getting the new unit). The best way I can describe this process is "sterile". After completing the registration and payment options online, all I got was a web page saying thank you for my order. That is it. Let me repeat. That is it!!!!!!!<br /><br />Boy for having to pay nearly $1000 out of pocket for the pump, $350 a month for glucose sensors, and $900 every 6-9 months for a new battery charged transmitter, I'd think that medtronic would be kissing my butt! Best of all, NO insurance coverage on these new supplies.<br /><br />On the phone, the representative told me I would receive nothing in the mail regarding confirmation, and no update as to the ship date. All I will hear, is when the unit is ready to ship. As of right now, they say there is a MINIMUM of 3 months to wait. What that really means, is that it could take much longer than 3 months.<br /><br />I'd at least like a receipt, or a thank you letter in the mail. Call me crazy.<br />Well, I've now been waiting over 6 weeks since my order...I hope I like this thing when it comes.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-45128111606179570232007-01-19T19:45:00.000-08:002007-08-14T19:46:55.614-07:00Insulin and winter sports..hunting, fishingAs I continue to wait for my new minimed paradigm continuous glucose monitor (almost 1 month under the belt), I'll share my some daily joys of being diabetic, a deer hunter, a fisherman, and an insulin pump wearer. <br /><br />As crazy as it sounds, during the winter months, I enjoy ice fishing. I get cold walking from my car to my office, but yet I can sit outside in 10 degree weather fishing all day. My biggest challenge while outdoors for extended periods of time, is that I tend to not check my blood sugar as often as possible. For the most part, my meter gets too cold and it then sets off alarms and errors. So, I must take the meter out of my bag, and place it inside my pants to warm. Finally, I got an idea...they sell disposable heat packs which remain hot for almost 12 hours. I've figured out that I can place one of these in my One Touch Ultra's pocket, and it will stay toasty all day long. (just be careful not to heat your extra insulin bottle if you carry a spare).<br /><br />Being a sportsman, the biggest worry I have is being out in the woods, or lake and have my blood glucose drop too low. Usually I'm alone, so I have the tendency to eat too much which causes occasional high values. It's like a chess game; however I anxiously await my new glucose monitor to keep a constant eye on my sugars.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-86319505830639947202007-01-13T19:44:00.000-08:002007-08-14T19:45:26.914-07:00I placed the orderWell, I finally did it...I placed the order for the continuous glucose monitoring system from minimed late December. That is the good news. The bad news is that I was notified it could up to 3 months to receive. It is unbelievable that after one full year of production, that they could still have a 3 month waiting list.<br /><br />I placed the order online, and didn't even receive a confirmation via email. Seems strange, so I called to verify my order was received and that my doctor's prescription was in order. <br />None the less, I'm very excited and anxiously await the notification. I hope it's what I'm expecting, or it's going to be returned within the 30 day period.<br /><br />I will keep everyone posted!Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-64408855926312538532006-12-27T19:43:00.000-08:002007-08-14T19:44:33.143-07:00Can I try it, before I buy it?My local diabetes education center provided me the contact information for my local Minimed sales representative. Understanding how expensive, and new the continuous glucose monitoring is, I'm very hesitant buying this thing before I can try it. Just like watching a TV at the store before you buy it, I want to wear the unit before committing to this huge expense. However time is off the essence, since Minimed's trade in offer expires by December 31st.<br /><br />I called the sales representative she was very helpful with product information. She also is a diabetic and a user of the Paradigm Real Time pump. She loved it, and told me her A1C dropped an entire point in 3 months. During our conversation I expressed my desire to get my hands and actually wear the unit for 3 days. The sales representative needed to check with her boss before allowing this to happen. <br /><br />Sorry to say, after getting back to me about a week later, Minimed would not allow me to try the unit for 3 days. Minimed felt that I would not be able to get an adequate experience trying this unit for such a short amount of time. They said it sometimes takes 6-7 sensors, to get totally comfortable with the unit and the readings. This I do not understand. I should be able to insert the sensor into my stomach, and obtain reading for 3 days. With them being so hesitant on me trying the unit, I get the feeling it's NOT that easy. I figure there is a huge learning curve. My only option appears that I would have to buy the unit, and try it for the 30 trial period.<br /><br />Now, my dilemma continues...do I buy it, or wait until the costs come down. $350 a month for sensors is alot of money, but then again, how do you put a cost on better blood sugar control?Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-79070257709893492622006-12-15T19:40:00.000-08:002007-08-14T19:43:03.475-07:00First Contact with Minimed<p>Since I'm an existing Minimed customer, they received my first call. My main goal was to find some basic information regarding this technology. After being transferred about 3 times, I finally landed with the correct department (I'll give you all a hint, when you are calling, as to speak to the "returns and customer service" department).<br />Here is what I found: </p><ul><li>Until December 31st, existing in warranty customers can upgrade to the kit for $999. This includes a refurbished paradigm real-time pump, 10 glucose sensors and the wireless transmitter. </li><li>The wireless transmitter must be replaced every nine months. It contains a sealed battery for waterproof purposes. After nine months, you must get another one for approximately $900 more dollars. </li><li>Every month, a new 10 pack of refurbished sensors cost $350. WOW, how can anyone afford this, unless they choose to not where it all the time. </li><li>Each sensor only lasts 3 days </li><li>Once you attach the sensor and the transmitter to your body, you can't take it off until you are ready to change to another sensor. You shower with it on. </li><li>It does not control insulin dosages, just shows glucose trends. </li><li>When first connect a new sensor to your body, the unit takes up to 3 hours to calibrate. This may or may not happen successfully. I will offer my own opinion on this after I try it!<br />Overall, this package seems very expensive, but seems advantageous to me, since it integrates with the pump to display glucose. </li></ul><p>You do not need a separate unit. You are able to return the pump and transmitter within 30 days for a refund. However, you will still be charged $350 for the sensors.<br /><br />Currently there is a 3 month waiting list to even try this unit. I think I will try to call my local Minimed sales representative to see if I can try out a demo unit. Thats all for now!<br /><br />As always, this information is what I gathered and you should verify all information with the company.</p>Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0tag:blogger.com,1999:blog-8106542712310828236.post-38404219304257468142006-12-02T19:34:00.000-08:002007-08-14T19:38:39.747-07:00<a class="TitleLinkStyle" href="http://www.dia-log.com/dasblogce/ct.ashx?id=ae525685-c20e-4079-931d-972b7aef7bec&url=http%3a%2f%2fwww.dia-log.com%2fdasblogce%2fPermaLink%2cguid%2c6cc44b28-03d7-4dc2-bf0b-490ccf4ca62f.aspx" rel="bookmark">My journey begins today!</a><br />Today, I began my journey looking into the possibly the biggest breakthrough in diabetes in a long while...continuous glucose monitoring. <br /><br />I've been an insulin pump user for over 7 years, and diagnosed with diabetes almost 14 years ago. Overall, I've been very pleased with my Minimed insulin pumps, but like most pumpers, have the occasional challenge of certain sites not absorbing as well as others. This challenge can bring some crazy high values, without much warning. I would still like to get a better understanding as to why this occurs, since I didn't seem to have that problem with injections. <br /><br />As many of you may already know, I'm also the owner of <a href="http://www.dia-log.com/dasblogce/ct.ashx?id=ae525685-c20e-4079-931d-972b7aef7bec&url=http%3a%2f%2fwww.dia-log.com%2f">www.dia-log.com</a> (Your Free Online Diabetes Logbook). <br /><br />However, with that said, you must constantly be checking blood sugars. The pump provides a lot of freedom, but this freedom can sometimes get you into trouble. Nothing is more frustrating, than realizing 2 hours after lunch that your sugars are out of range. Usually, I say ...If I only knew about this trend as it was happening, I could have reacted quicker. That is my exact reason for trying this new technology CGMS “Continuous Glucose Monitoring System. How many days have you gone through 10-12 test strips, trying to regain control of your sugars! I have, and boy it gets expensive as you look at your closet of dwindling supplies.<br /> <br />That is why I'm here today; I'm going to blog my experience from the beginning. Enjoy and please share with others.<br /><br />I am not a doctor, not a nurse, just a diabetic that is looking to share this journey and gain better control of this wonderful disease.Dia-Log.comhttp://www.blogger.com/profile/16552090393745182034noreply@blogger.com0