Like you, I’m approaching 60. I worry about being on Medicare and losing insurance coverage for things such as my Dexcom. Combine that with the difficulty of getting covered for more than 3-5 test strips a day. Scary.
But what I do fear the most is when I get to the point that I cannot take care of myself. Actually there is probably not much reason to worry because I fear a hospital or nursing home will kill me on my first day by giving me a Type 2 insulin dose. I am incredibly insulin sensitive and equally carb sensitive. My TDD of Novolog on my pump is currently 18.5. I don’t think that too many medical professionals understand the difference between Type 1 and Type 2. So when I hit a BG of 250 or 300, some well-meaning doctor or nurse will give me 10 units of insulin. And then it will be Good Night Irene.
I also feel sad knowing that I may not be able to benefit from newer technology as I age. I don’t see Medicare funding artificial pancreases for senior citizens. On the other hand, when I reach 65, I will have had Type 1 for 41 years and hopefully will be in good health. That’s probably more than any doctors would have envisioned for me back in 1976. I’ve always been afraid that I will meet my end in a car wreck in the throes of hypoglycemia. I have some really scary memories of lows while driving, although my pump and Dexcom have helped make those episodes a distant memory. I only pray that if that ever happens that I don’t injure or kill anyone else.
Growing old is not for sissies. Growing old with Type 1 is definitely not for sissies and I feel fortunate to be in my fourth decade of Type 1 and still fighting the battle.