No go with the pump

[EdnaDeel]

I went to this so called pump friendly endo....ha what a joke
just thought I would tell everybody the news

[Cyborg]

Sorry to hear that... Do many type 2's actually go on the pump?

[JediSkipdogg]

Can you fill us in on why he said no with a pump? By the way, sorry to hear the bad news.

[lelggren]

I hope that he had a reason! Yes, many T2's go on pumps. Insulin is being used by so many these days, and having that basal combined with oral meds does wonders! Maybe they will change their mind???? I'll keep my fingers crossed for you :)

[EdnaDeel]

Can you fill us in on why he said no with a pump?


she said that sshe wanted to try me on 100 units of novolog 70/30 in the mornings and 50 units at bedtime and at supper to take 2 glucofauges..1000 mg.
i have took the pills was up to 8 a day and they didnt work before..she was a know it all dr and didnt want to hear any of my beliefs and concerns .
so now the hunt continues for another endo. How can I find one that is pump friendly?

[Cyborg]

she said that sshe wanted to try me on 100 units of novolog 70/30 in the mornings and 50 units at bedtime and at supper to take 2 glucofauges..1000 mg.
i have took the pills was up to 8 a day and they didnt work before..she was a know it all dr and didnt want to hear any of my beliefs and concerns .
so now the hunt continues for another endo. How can I find one that is pump friendly?

Might help if you let people know where you are from, then maybe someone that is from your area can give a referral.

[EdnaDeel]

Might help if you let people know where you are from, then maybe someone that is from your area can give a referral.


LOL I guess that would help
I am in the Nashville Tn area

[JediSkipdogg]

she said that sshe wanted to try me on 100 units of novolog 70/30 in the mornings and 50 units at bedtime and at supper to take 2 glucofauges..1000 mg.
i have took the pills was up to 8 a day and they didnt work before..she was a know it all dr and didnt want to hear any of my beliefs and concerns .
so now the hunt continues for another endo. How can I find one that is pump friendly?

Sounds like you just need an IV bag of insulin hooked up to you. I'm not too sure about that 70/30 Novolog in the morning. Of course though I'm one that's not for mixed insulins, as they control you and you can't control them. My solution is to just open the yellow pages up, look up doctor, and find an endo. If that doesn't work, try googling "Endocrinologist in Nashville" and see what comes up. Then ask to speak to each one on the phone. I'd hate to see you pay for co-pays for 20 office visits to get turned down at each one, that's why I'd try to talk on the phone some first.

[middnite03]

she said that sshe wanted to try me on 100 units of novolog 70/30 in the mornings and 50 units at bedtime and at supper to take 2 glucofauges..1000 mg.
i have took the pills was up to 8 a day and they didnt work before..she was a know it all dr and didnt want to hear any of my beliefs and concerns .
so now the hunt continues for another endo. How can I find one that is pump friendly?

very easy, just call the pump company that you are interested in,... for example, say you wanted a minimed, just call them, and they will refer you to a dr...

when I wanted a pump, they gave me a dr's name, made the appt for me, amd even had the letter to my insurance filled out by the dr after my first visit.... from start to finish, I called them april 3rd 2005, and was running on a pump my the middle of may 2005....

i'm sure all pump companies have dr's they deal with and can refer you to.

[duck]

Agree with Paul (midnite); You may need to call the pump companies and get their recommendations.

Can I ask aloud what kind of endo would prescribe 70/30 mix to anyone nowadays? I know there are some scenarios that a mix may work, but c'mon...It's like asking people to crawl when the ability to walk or run is still available.

Don't give up, this takes some time.

[JasonSmithMT]

I'm curious. What are some of the reasons that the doctors are telling you that they don't want you to go on a pump?

Jason

[Tokyo Cate]

I am sorry you weren't successful this time. The recommendation by others to call the pump companies is a good one. If you have an opportunity to go to a Diabetes Expo, that is a good place to get information as well.

Don't give up yet. This is a set-back, but if this is what you need, then it will come together eventually. I know you must be really disappointed, but don't let this affect your motivation to achieve good control.

[EdnaDeel]

I'm curious. What are some of the reasons that the doctors are telling you that they don't want you to go on a pump?

Jason


This endo told me that
1. she wanted better control (thought that was one of the purposes for the pump)
2. She said insurance bucks up sometimes...( I have called my insurance co 3 times and the pay 90% durable)
3. The pump is for ppl that have good control for a least a yr with her treatments

[spike]

I hope that he had a reason! Yes, many T2's go on pumps. Insulin is being used by so many these days, and having that basal combined with oral meds does wonders! Maybe they will change their mind???? I'll keep my fingers crossed for you :)

Last I heard, 5% of pumpers are T2's. Not sure that's accurate--it's just what i've read.

[spike]

I went to this so called pump friendly endo....ha what a joke
just thought I would tell everybody the news


The 3 reasons she gave you are mind boggling. My wife had EXCELLENT control and she got a pump (she's T1). My control SUCKED for 18 years and I got a pump. the pumps improved BOTH our control.

do yourself a favor: dust yourself off, forget that endo, and find another. I spent 10 miserable years with the same endo who refused to put me on a pump. `1 month after I left him, I got my first pump.

[Cyborg]

The 3 reasons she gave you are mind boggling. My wife had EXCELLENT control and she got a pump (she's T1). My control SUCKED for 18 years and I got a pump. the pumps improved BOTH our control.

do yourself a favor: dust yourself off, forget that endo, and find another. I spent 10 miserable years with the same endo who refused to put me on a pump. `1 month after I left him, I got my first pump.

:dito:

Good luck...

[koblenz]

I think I would call the pump companies and ask for a "pump friendly" endo in your area.

I didn't need to do that, but I remember them saying they could recommend an Endo if I needed one.

[duck]

Last I heard, 5% of pumpers are T2's. Not sure that's accurate--it's just what i've read.

I've read that somewhere as well...and personally, I think it would be higher if medical practitioners would open their minds to the very real possibility that many of their T2 patients would be better off pumping. But, as we know, T2's don't need to pump.

:rolling eyes:

[JediSkipdogg]

I've read that somewhere as well...and personally, I think it would be higher if medical practitioners would open their minds to the very real possibility that many of their T2 patients would be better off pumping. But, as we know, T2's don't need to pump.

:rolling eyes:

I think part of the problem is they need to eliminate distinguishing type 1 and type 2. The problem is 15 years ago type 1 was insulin controlled and started in juveniles. Type 2 was pill control started in later years and caused by weight gain.

The same people that were around back then are in the seats of the main medicare, and insurance companies in general, seats. Therefore they are stuck that a type 2 has no need for insulin therefore no need for a pump. If they, and 80% of the general population would stay up to date, we'd be better off. But with the millions of medical problems out there, it's just too much too.

So unfortunately, type 2s are mainly stuck non-pumping if they need insulin.

[Cyborg]

I think part of the problem is they need to eliminate distinguishing type 1 and type 2. The problem is 15 years ago type 1 was insulin controlled and started in juveniles. Type 2 was pill control started in later years and caused by weight gain.

The same people that were around back then are in the seats of the main medicare, and insurance companies in general, seats. Therefore they are stuck that a type 2 has no need for insulin therefore no need for a pump. If they, and 80% of the general population would stay up to date, we'd be better off. But with the millions of medical problems out there, it's just too much too.

So unfortunately, type 2s are mainly stuck non-pumping if they need insulin.

Then you have us type 1 LADA's, or type 1.5's as we are called here on the forum. Where we are often mis-diagnosed as type 2's, treated as type 2's and then later find we are type 1's. Treatment is definately different for a type 1 than a type 2. As you know, we absolutely cannot survive past our honeymoon period without insulin.

It's hard for me to say whether a type 2 can control the big D with a severe lifestyle change and/or pills alone since I was never a true type 2. I read stories on the forum of people doing it, but it seems like it takes a tremendous amount of will power and determination. While honeymooning, my lifestyle changes did help (I thought I was type 2), but it's not a true comparison.

[seacomp]

whether a type 2 can control the big D with a severe lifestyle change and/or pills alone
Yes, it can be done, at least, in the beginning, and No, not forever, for, at least, some Type 2s.
I've never seen any statistics or discussion about the likelyhood of Type 2s progressing (regressing is a better word) to insulin dependancy. I would be very interested is such.

[middnite03]

I think part of the problem is they need to eliminate distinguishing type 1 and type 2. The problem is 15 years ago type 1 was insulin controlled and started in juveniles. Type 2 was pill control started in later years and caused by weight gain.

The same people that were around back then are in the seats of the main medicare, and insurance companies in general, seats. Therefore they are stuck that a type 2 has no need for insulin therefore no need for a pump. If they, and 80% of the general population would stay up to date, we'd be better off. But with the millions of medical problems out there, it's just too much too.

So unfortunately, type 2s are mainly stuck non-pumping if they need insulin.


this is more inline with insurance companies also,... they believe that t2's dont need a pump, and will not pay for it... I remember when I got mine last year, they first question I was asked is if I was a t1 or t2,... when I asked what does that matter, they told me they pay 100 percent for a t2, and nothing for a t2..... becuase it can be controled with diet, exercise and oral meds... that was aetna,..... so I can see why some endo's with a dinosour attitude would hold up the process for a t2, because they dont want to argue with insurance companies,... but in my book that means they are lazy, and dont give a **** whats best, just whats easy.....

[Cyborg]

this is more inline with insurance companies also,... they believe that t2's dont need a pump, and will not pay for it... I remember when I got mine last year, they first question I was asked is if I was a t1 or t2,... when I asked what does that matter, they told me they pay 100 percent for a t2, and nothing for a t2..... becuase it can be controled with diet, exercise and oral meds... that was aetna,..... so I can see why some endo's with a dinosour attitude would hold up the process for a t2, because they dont want to argue with insurance companies,... but in my book that means they are lazy, and dont give a **** whats best, just whats easy.....

Somewhere in the background I hear Pink Floyd's Money being played. :flute:

[JediSkipdogg]

this is more inline with insurance companies also,... they believe that t2's dont need a pump, and will not pay for it... I remember when I got mine last year, they first question I was asked is if I was a t1 or t2,... when I asked what does that matter, they told me they pay 100 percent for a t2, and nothing for a t2..... becuase it can be controled with diet, exercise and oral meds... that was aetna,..... so I can see why some endo's with a dinosour attitude would hold up the process for a t2, because they dont want to argue with insurance companies,... but in my book that means they are lazy, and dont give a **** whats best, just whats easy.....

There's alot of factors in it, doctors and insurance companies and drug/device makers. All three pay a large part and it works like this.

The drug and device makers are in it for the profit. There are NO laws about how much they can charge for something, therefore they want to make billions so when their drug falls apart, they can cover all the lawsuits by it. If there are no lawsuits from the drug, then it's full profits to the company. Instead of testing for more time and finding all dangerous side effects, they do minor testing that makes the FDA happy and then go on from there.

The doctors play a part in you getting what you want. You need a doctor's prescription for most items out there. If your doctor isn't on par with you, then you are stuck in a bind of either finding a new doctor or trying to persuade the doctor to change his/her ways. Doctor's do need some control though, if they prescribed everything that everyone wanted, some people would be on 25 drugs a day for cholesterol, heart, lung, etc. Then insurance companies would have outrageous rates (as if they don't already.)

The final aspect is the insurance company. They are a savior and help to many of us. However all that comes as a heavy price. Insurance companies are suppose to be in it for a profit, but when dealing with 20 billion dollars (Humana only figure) and only profitting about half a million, there isn't much profit made to cover misappropriated funds. That is why most insurance companies deny anyone having diabetes, cancer, and now smoking, among other problems. Many diseases/conditions out there are a loss of money to insurance companies. Diabetes happens to be one of the largest. I was trying to find the average cost of annual health care for a diabetic but I couldn't find anything. I know myself I cost insurance companies about $7000 a year while my employer only pays $7200. You may see a profit there, but if I go in the hospital for say even 2 days, that extra $200 is gone for about the next 10 years to cover the cost of the hospitalization.

The insurance part is why senate is trying to pass that bill to not cover diabetes under insurance plans. It would save insurance companies an estimated 200 billion a year, which can equate to lower rates for everyone, but then also millions without health care that really need it.

The problem is a never ending loop. It needs to start with lowering the costs of the supplies and then come down to insurance lowering costs. Finally it comes with general knowledge all around, with doctors, insurance companies, and patients. How many times have we had patients on here that say they test once a day because they want to? It's happened enough that I can remember. And with younger adults and teens, it's worse. I belong to a forum where pumpers keep infusion sets in for weeks at a time. They aren't doing it at all to save money, they are doing it because they don't want to care for themselves enough. And just like patients that don't care, believe it or not, there are doctors that don't care.

Ok, I'm off my soapbox now. I just kinda rambled on for a bit. Time for work.

[gettingby]

Somewhere in the background I hear Pink Floyd's Money being played. :flute:
LOL Cyborg. I think I'm hearing the same thing.

[Cyborg]

There's alot of factors in it, doctors and insurance companies and drug/device makers. All three pay a large part and it works like this.

The drug and device makers are in it for the profit. There are NO laws about how much they can charge for something, therefore they want to make billions so when their drug falls apart, they can cover all the lawsuits by it. If there are no lawsuits from the drug, then it's full profits to the company. Instead of testing for more time and finding all dangerous side effects, they do minor testing that makes the FDA happy and then go on from there.

The doctors play a part in you getting what you want. You need a doctor's prescription for most items out there. If your doctor isn't on par with you, then you are stuck in a bind of either finding a new doctor or trying to persuade the doctor to change his/her ways. Doctor's do need some control though, if they prescribed everything that everyone wanted, some people would be on 25 drugs a day for cholesterol, heart, lung, etc. Then insurance companies would have outrageous rates (as if they don't already.)

The final aspect is the insurance company. They are a savior and help to many of us. However all that comes as a heavy price. Insurance companies are suppose to be in it for a profit, but when dealing with 20 billion dollars (Humana only figure) and only profitting about half a million, there isn't much profit made to cover misappropriated funds. That is why most insurance companies deny anyone having diabetes, cancer, and now smoking, among other problems. Many diseases/conditions out there are a loss of money to insurance companies. Diabetes happens to be one of the largest. I was trying to find the average cost of annual health care for a diabetic but I couldn't find anything. I know myself I cost insurance companies about $7000 a year while my employer only pays $7200. You may see a profit there, but if I go in the hospital for say even 2 days, that extra $200 is gone for about the next 10 years to cover the cost of the hospitalization.

The insurance part is why senate is trying to pass that bill to not cover diabetes under insurance plans. It would save insurance companies an estimated 200 billion a year, which can equate to lower rates for everyone, but then also millions without health care that really need it.

The problem is a never ending loop. It needs to start with lowering the costs of the supplies and then come down to insurance lowering costs. Finally it comes with general knowledge all around, with doctors, insurance companies, and patients. How many times have we had patients on here that say they test once a day because they want to? It's happened enough that I can remember. And with younger adults and teens, it's worse. I belong to a forum where pumpers keep infusion sets in for weeks at a time. They aren't doing it at all to save money, they are doing it because they don't want to care for themselves enough. And just like patients that don't care, believe it or not, there are doctors that don't care.

Ok, I'm off my soapbox now. I just kinda rambled on for a bit. Time for work.

Curing people for profit = greed

The government can do something and it doesn't. I would rather see my hard-earned tax dollars used to implement a new non-profit health care plan than to attack countries with fake wmd...

My 2 cents

[JediSkipdogg]

Curing people for profit = greed

The government can do something and it doesn't. I would rather see my hard-earned tax dollars used to implement a new non-profit health care plan than to attack countries with fake wmd...

My 2 cents

You and the other 60% that aren't supporting the war right now. The thing is, it would only take a couple billion to implement a committee in charge of overseeing health care funding. That would then put a control method in place that we currently don't have which causes these outrageous rates.

And I agree, curing for profit is greed. But obviously those in that business don't see it that way. I'm just glad in typing my previous post that I found that health insurance companies on average make about 2% profit a year, and that varies greatly with some years them losing money.

What hurts me is what I found on drug companies. I don't have recent 2006 figures, but in 2003 the top 10 drug makers made MORE profit combined ($35.9 billion) than the other 490 companies COMBINED ($33.7 billion) on the Fortune 500 list. How do 10 companies make more money than 490 companies? That is just disheartening.

[JasonSmithMT]

What hurts me is what I found on drug companies. I don't have recent 2006 figures, but in 2003 the top 10 drug makers made MORE profit combined ($35.9 billion) than the other 490 companies COMBINED ($33.7 billion) on the Fortune 500 list. How do 10 companies make more money than 490 companies? That is just disheartening.

Off Topic:

You can look at the 2006 Fortune 500 list here:

http://money.cnn.com/magazines/fortune/fortune500/full_list/

Exxon Mobil and Wal-mart both have higher individual revenues than adding up every pharmaceutical company in the Fortune 500 list.

Jason

[JediSkipdogg]

Off Topic:

You can look at the 2006 Fortune 500 list here:

http://money.cnn.com/magazines/fortune/fortune500/full_list/

Exxon Mobil and Wal-mart both have higher individual revenues than adding up every pharmaceutical company in the Fortune 500 list.

Jason

Now they do, but a few years ago that wasn't the case. Take away all fuel companies now since in the past year or two they have only started seeing profits and made it high in the Fortune 500 list. As for Walmart, they are popping up like dandelions. We've had 5 recently built within the past year all within a 30 minute drive of my house. And that doesn't include the already dozen or so already here.

[Cyborg]

You and the other 60% that aren't supporting the war right now.

I apologize for being off topic.

Jedi, I do and ALWAYS will support our troops. I am for fighting terrorism. There are at least 2 other very obvious terrorist regimes that would have been better targets. I'll stop here as this is not the correct forum for this kind of discussion. Just don't put me on the wrong side of the picket line. I hold the red, white and blue flag, and I hold it high.

[JediSkipdogg]

I apologize for being off topic.

Jedi, I do and ALWAYS will support our troops. I am for fighting terrorism. There are at least 2 other very obvious terrorist regimes that would have been better targets. I'll stop here as this is not the correct forum for this kind of discussion. Just don't put me on the wrong side of the picket line. I hold the red, white and blue flag, and I hold it high.

Supporting the troops and supporting the war are two different things. I support the troops as this is their life path they decided to take for now. I do not support the war though and think we are wasting billions hunting for something that doesn't exist but our president claims does.

But I agree, off topic, so back on topic here. Just wanted to let you know I didn't mean to come off harsh.

[lelggren]

Last I heard, 5% of pumpers are T2's. Not sure that's accurate--it's just what i've read.
That sounds like it would be right, but remember that there are many, many T2's out there these days. More are diagnosed daily, and such. So, 5% is a lot of people in this case.