CGM trouble

By Anonymous Latest Reply 2014-09-13 14:11:22 -0500
Started 2014-09-07 00:19:47 -0500

Has anyone with Medicare have trouble getting a cgm with the sensors to go through the insurance because my doctor is having a hard time at the moment and my sugars been high and I am having a lot of dawn phenomenons also.

2 replies

Type1Lou 2014-09-13 14:11:22 -0500 Report

I just qualified for Medicare. I have been a Type 1 for 38+ years and have used an insulin pump for the past 3 years. I have been advised that Medicare will not cover CGM's at all. I currently use a Medtronic Minimed Revel pump and would consider an upgrade to the 530G pump with Enlite (CGM) but with no coverage for the CGM part which is mucho expensive, it doesn't make any sense to upgrade.
You're still at an age where your body is changing which requires continued adaptations for your diabetes. What kind of diet are you following? I found that by reducing the number of carbohydrates I eat/drink, I've been able to gain better control over my diabetes. The right number of carbs will depend upon your individual metabolism and activity level, as well as age, height, weight and gender. A good place to start would be to determine how many carbs you are currently consuming per day. Then, if your BG's are too high, start to reduce your daily carbs until you get the readings you want. I, too, have struggled with Dawn Phenomenon and think that a CGM would help record when the BG's go up so that the pump can be programmed for increased basal levels at the appropriate times to counteract it. In absence of a CGM, I try to take a BG reading around 3 AM or 4 AM every now and then.
I also found that reading Gary Scheiner's book, "Think Like a Pancreas" has given me a better understanding of what to do to better control my diabetes. Wishing you well!

ReeseHemphill 2014-09-13 07:59:07 -0500 Report

I'm having a lot of trouble. Currently I'm on the One Touch Ping & I have been since I was diagnosed. Since my pump is out if warranty I decided I would change pumps completely. A rep from the medical supply company told me I couldn't get a new one unless something happened to my current one. . My sugars are out of control, my a1c is 13, I always wake up around 200 maybe even 300, for the last 2 weeks I've been fighting Keytones & going to the hospital.