I was diagnosed with T1D at 19; 34 years ago.
From what I’ve been reading, my story really isn’t different from others - started out using humulin R and when I could afford it, I’d add some N to the mix. No insurance back then but it was only 20 bucks for a vial and syringes got reused until it hurt too much! Eventually switched to Humalog 70/30.
Got a new lease on life when I got a good job with insurance and found out about Humalog and Lantus!
Job changed and I’m working for one of the biggest insurance companies in my area and they take Lantus off the formulary, saying that the only long lasting insulin they’ll “cover” would be 70/30 mix! The same stuff I had used 20+ years before!
Stopped that job as I couldn’t afford -my life or bank account - to use old technology. My A1c jumped from 5.3 to 7.9!!!
My current employer recognizes the importance of insulin in a person with diabetes life and covers it 100%!!
So hear I am, working in healthcare and reading on this “new” technology - Pumps, cgms, cgms that talk to pumps?!! Crazy… So I decide to jump from MDI to a pump. My research led me to Dexcom G6 and Tandem X:2 Slim. Here is where I goofed. I started the process for the Dexcom first. My CDE thought it would work ok this way as I wasn’t really counting carbs at the time. Nope, denied as not medically necessary as my A1c was 5.7. I started the process to get approved for the Tandem at this time thinking it still was no problem, I’d just do an appeal and get both about the same time. I appealed, denied! Again as not medically necessary. By now, I’m using the Tandem pump which I realllllly like!
I paid out of pocket for a Freestyle Libre and used it for about a month and with the data from the Libre showing lows and spikes, my own research showing that a CGM is the “gold standard”, letters from my CDE and Primary provider, i filed a 2nd level appeal. This is when your insurance outsources the decision. It only took 2 weeks for the decision to be made - APPROVED as it is medically necessary!! Go figure.
So now, I’m on my second Dexcom sensor and have become completely enamored with the Basal IQ. It is really something to not have to feed a low!! My BG average is higher than I used to run. I used to keep my average at 90, with Basal IQ, my average is 105; however, I don’t have the spikes now! my last 2 weeks clarity data shows my Standard Deviation to be 12%.
In my opinion, it don’t get much better than that!!