Needing all the advise possible, please.

[Cinnabon]

As some of you may know, I am working my way towards getting a pump. As they will ask me for my blood sugar values, I have been trying REAL hard. On average per week , Im at 100 mg/dl. Except for those weeks where I am suffering from "DP"/ The morning madness, dawn phenomonum. I am really tryng to have the best results possible so the insurance co. will not have any ands.ifs, or buts about issuing me the pump. For the past 4 days I have FBS(fasting) in the 200+ for NO reason. I need all the advise I could get to try and control this. All ideas and "magic" pills are welcome!! LOL

[nantomsuethom]

If your bgs are mostly good, I would hope the insurance co. would still issue you a pump.
Did your endo give you a letter for the insurance co. explaining that a pump will help with dp?
The dr. office did all the insurance "stuf" for us.
Good luck!! :)

[duck]

Isn't the primary factor the recommendation of the doctor? And if you are trying your ****edest to get control and cannot, isn't that a good reason to get the pump so your insurance co. will not have to pay for your upcoming eye treatments and kidney dialysis etc etc that bad sugars will lead to?

[Cinnabon]

LOL.. Love ur responses. You are EXTREMELY right, but you know how that goes. Yes, My Primary doc faxed everything to the insurance company last Friday. I houded them like there is NO tomm!! THey are so sick of me, TOO BAD SOO SAD!

Im thinking that maybe eating too little before bed (snack)could also cause this, just tried it all.

[rzrbks]

Might be worth it to get a glucose monitoring device from your CDE, if your Ins. will cover that. That'll help you track down the Pesky Dps and figure out how to deal with them, perhaps.

[camjen1]

I have to agree with the others, if you had tight control I think the insurance company would flat out deny you. I had to be hospitalized at least once with DKA before my insurance would even consider a pump.

[Cinnabon]

Well I have been able to get better control know but I have had real bad A1c's. He mentioned something about the length of time that one has had Diabetes playing a major factor as well.

[David]

I also agree with the others re having good BGs before getting a pump. The point that most insurance companies need to see is that you're willing and have been doing whatever is necessary (testing often, corrections, carb counting, etc) to have as good and steady BGs on MDI as possible and are still riding the rollercoaster.
David

[Cinnabon]

Might be worth it to get a glucose monitoring device from your CDE, if your Ins. will cover that. That'll help you track down the Pesky Dps and figure out how to deal with them, perhaps.

I have a Freestyle flash, which other do you reccomend?

[koblenz]

I have to agree with the others, if you had tight control I think the insurance company would flat out deny you. I had to be hospitalized at least once with DKA before my insurance would even consider a pump.
Not that I am advocating anything of the sort, but my doctor "advised" me that if I had fluctuating blood sugars or frequent lows, it would be much easier to get the insurance company to cover the pump.

It was strange, the month before I had to turn in my paper work of BS readings I did have "fluctuating" BS readings (on paper)... :whistling :hypocrite

It was still a fight and I had to scream, yell, and pull every string I could find, but I did eventually get one.

[twocute64001]

it has been my experience that the higher the A1c the more likely to get a pump approved. The approval process should not take more than two weeks. If you do not get a response within two weeks then call your patient rep at the insurance company, the the persons name and fax number and have doctor re-fax all info to them, the call them after you know they have it and discuss with that person that your doctor says this is a medical nessesity for you and that your doctor has writen a precription for this device.

Document your conversation and keep records,

If you do thid you will be wearing your new pump in just a mater of a couple of weeks

[Cinnabon]

Thanks so much for your wonderful advise. My Last A1c was BAD!! (10.8) and before that even worst. My Endo or primary did not keep my records of my reading. They told me they (Insurance)would then ask me for them. Wow Im a bit saddened by this..... :(

[PepsiLvr]

It is also my beilef that if you suffer from frequent higs, lows, and things of that sort that it is EASIER to get approval from your insurance company. I know that my letter of necessity said that I had "frequent lows" as being a reason why I need a pump.

[MarkMunday]

Quote:
Originally Posted by rzrbks
Might be worth it to get a glucose monitoring device from your CDE, if your Ins. will cover that. That'll help you track down the Pesky Dps and figure out how to deal with them, perhaps.


I have a Freestyle flash, which other do you reccomend?

cinnabon,

rzbks was refering to a device that takes blood sugar readings every three minutes for 3 days. You wear it like a pump and a probe is inserted under your skin. All the readings are stored. And, afterwards, they are uploaded onto a PC. Your blood sugars are then graphed.

You are able to see at what times of the day you are having problems. You are able to see how fast your blood sugar rises/falls and exactly how high/low it goes. It enables you to adjust your treatment appropriately, without guessing. You should be able to make treatment decisions that will reduce your HBA1c. I have used one of these devices a couple of times. And it has helped me reduce my HBA1c from over 8% to under 6.5%.

The continous glucose monitoring device is made by Minimed and your diabetes clinic should have one.

Cheers,

Mark

[daddyo]

As far as insurance goes Just send them a journal of numbers that kind of go along with your latest A1c. Good control on MDI's will get you denied It toke me a year and a half to get my pump, and I sent them over 9 months worth of numbers. and I wasnt ck-ing that often at times so you just fill them in. And waala you get a pump.

[camjen1]

Cinnabon,

Look at it this way, your not trying to get pregnant so perfect sugars are not required.

[Cinnabon]

I know a lot of my friends here in this forum had mentioned this to me, so I put it to the test. I woke up at 2:30 am and tested, sure enough I was at 38! This was the proof to it all. A huge Liver dump causing this dawn thingy. I applied the 15 /15 protocol and was able to get back to bed about 45 minutes later at 72. I woke at 86. I know, thanks to all of you, that I can ONLY nip this by getting my pump. I go to bed every night crossing my fingers for this to go through w/ my insurance.

[middnite03]

best way to get a pump....
about a month ago I called minimed.... they took all my information, insurance, bg readngs, last a1c, and a few other things...

a day later they called me saying they faxed my dr a letter that he had to sign stating necessity, exactly 1 week later a new minimed 715 was at my door.... the longest I had to wait was 3 weeks for the pump traininer to get around to showing me how to use it..

the best way to get a pump is to call the company who makes the pump.. in my case minimed, they had people there who's only job it is, is to deal with your insurance. it's like the free blood glucose meter rule, they are going to make alot of money off of you, so they will go out of thier way to get you on thier pump.

do you know what pump you are interested in by any chance???

[Cinnabon]

By now.. I think the best would be Mini-med and Cozmo. Last Friday everything was sent to my insurance. I contacted my insurance and they said my primary would contact me right away. I'm really breathing down their throat. I contacted my Endo about these DP and still it has been 5 hrs since I called, Incredible!

[camjen1]

Your Endo is probably saying is it that lady AGAIN!!!! What could she possibly want now. LOL

[Cinnabon]

LOL......... and u are NOT kidding about that. As soon as I called today, the nurse automatically said, "WE ALREADY FAXED THAT, I TOLD YOU" (pump referral)

I was like, "Umm, Im not calling for that, but thanks for confirming again" :whistling