This morning I made a big step. I reached out to Dexcom and Tslim to look into changing my pump/cgm combo. I’ve been a Medtronic customer for the last 9 years. I’ve been through the 523, 630, and 670. The Enlite sensor, the first terrible, awful iteration of the Guardian, and then much better Guardian. But now I’m ready to move on in search of lower A1Cs and a smaller, more modern less bulky pump. It’s hard to change even when much of my time on the 670g has been me feeling like I want to smash the pump to bits (usually in the middle of the night) although we’ve come to a more peaceful relationship the last two years (the better sensor was a major factor in that). But UGH change is so difficult for me. Especially when it comes to something I’ve grown so used to. This is all compounded by the fact that I will be seeing a new diabetes provider (not my choice, my more recent endo. moved) and I have NO IDEA what to expect. Plus, I’m on military insurance seen at a military hospital and you just never know what you’re going to get!!! It also makes getting ahold of people at the clinic near impossible and sorting through insurance information difficult. Anyways, I know I can count on my people here to understand (or at least some of you). I need to compile a list (for myself) of reasons why I want to switch. I am expecting a battle. The last few endos I’ve had really seem to be head over heels in love with Medtronic 670g. Frankly, I’m just over it (but I don’t think my provider will accept that as a good excuse, ha). My reasons to list so far:
I can achieve a better A1c with a more aggressive algorithm. I think I can also achieve better control and time in range with a different algorithm. I still hit lows in the 50’s frequently in Auto Mode.
I’m tired of a bulky pump and a company that refuses to listen to people to change it.
I make my own diabetes decisions everyday. I am in charge of my diabetes control and I want to switch, so there. (ha!)
Annnnnddddd that’s it. I feel like I need more. But I’m not super eloquent. I know its a personal choice, but does anyone have any great ideas on approaching the switch and bringing it up with their provider? Also, I can’t just switch endos if my endo gives me a hard time, so don’t even suggest it please. My insurance might be next to nothing, but I don’t have the freedom to just go out and find a new endo that wants to work with me. Not without paying cash in hand and our family doesn’t have the income to support that.
Anyways, thanks for any ideas you have and for listening.