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And TODAY is a better day!

Why is it better today?  Don’t know!

But … it sure feels better, like this …

Reallllllly? It’s a ROLLERCOASTER day!

This was my 24-hour CGM readings yesterday!

Why?

I DON’T KNOW.  But I sure know it didn’t feel grand!

In fact, it felt like the picture below!  Know what I mean?

No Medicare CGMS Coverage??? Are you kidding me?????

by Joanne Milo
www.TheSavvyDiabetic.com
16 July 2014

Medicare (except in Advantage HMO plans) does not cover any CGMS. There are codes for sensors, receivers and transmitters! But their ruling, in 2008 (when they just came on the market), deemed them “precautionary.”
How is “precautionary” defined? Who knows … it’s certainly not a term one can find in all the Medicare formulary data. So this becomes circular logic. No one knows what “precautionary” means but because Medicare cries, “PRECAUTIONARY,” CGM is NOT COVERED.

I just couldn’t believe that I couldn’t somehow convince Medicare that CGM was not only critical to my life and my long term well-being, it was also cost-effective over multiple daily test strips. I threw my heart and soul as well as hours of research and letters from my doctors.

First Level Appeal: DENIED because CGM is PRECAUTIONARY.
Second Level Appeal: DENIED because CGM is PRECAUTIONARY.
Third Level Appeal and phone hearing with Administrative Law Judge, whose 50 year-old son has
diabetes (probably Type 2) and does just fine testing 2-3 times/day. DENIED because CGM is PRECAUTIONARY. The ALJ even wrote that I proved medical necessity and I proved cost efficiency! But still denied!
Fourth Level Appeal: DENIED because CGM is PRECAUTIONARY.

My next step, if I had the time and money, was to sue Medicare. Don’t have the money or time. Asked for support from a CGM company … again DENIED.

CGM has been available to the diabetes market since 2008 … and been improved and revised. According to Dr. Steve Edelman, UCSD and a T1, the best strategy for avoiding sudden death in bed is to use a CGM. This is an essential medical device […]

From Dr. Gabe Mirkin: Soluble Fiber Helps to Control Diabetes

May 19, 2013

by Gabe Mirkin, MD
A study in the New England Journal of Medicine showed that taking in extra soluble fiber helps to control diabetes. Now all diabetics should follow two dietary rules. First, they should restrict severely foods that cause a high rise in blood sugar: sugar-added foods such as soft drinks, pastries, cookies and so forth, all foods made from flour such as bakery products and pastas, and fruit juices. They should eat fruits and root vegetables such as potatoes with other foods to slow the release of sugar from these foods without eliminating their valuable nutrients. Second, they should eat plenty of the foods that are high in fiber: vegetables, whole grains, beans, nuts and other seeds, and fruits.
This study shows that foods that are high in soluble fiber help to prevent sugar from rising too high after meals by keeping food in the stomach longer, so the sugar is absorbed slowly, and by preventing free fatty acids and triglycerides from rising too high after meals. Free fatty acids bind to insulin receptors and prevent insulin from doing its job of driving sugar from the bloodstream into cells. Foods that are good sources of soluble fiber include most whole grains, oat bran and oat meal; beans and other seeds; many fruits, including cantaloupe, grapefruit, orange, papaya and raisins; and vegetables such as lima beans, okra and sweet potatoes.
NEJM, May 11, 2000

DiaTribe: Diabetes Friendly?

DiaTribe: Sometimes It Pays to Go With Your Gut

May 30, 2014

By Geoffrey Martello and Nancy Liu

twitter summary: A new and innovative way to address diabetes and obesity? Learning more about what’s in your gut.

short summary: A paper in Nature Medicine takes a look at the connections between the microbes in your gut, metabolism, and medication. Learning more about the gut microbiome could lead to clues about how weight loss occurs and how complicated our metabolisms can be. This growing new field of study linking the gut to type 2 diabetes and obesity is in its infancy, and many hope future therapies could be developed from this research.

A recent article in Nature Medicine titled “Microbes, metabolism, and medications” presents an exciting new tool that may soon find a place in the diabetes and obesity treatment arsenal. Even more exciting – it lives inside you and me!

The microbes that live in our gut, also called the “gut microbiome” or “intestinal flora,” are a significant contributor to human health. These organisms serve many important roles including helping with immune function and cell tissue growth. An emerging area of research concerns the role of the intestinal flora in “host metabolism” – in other words, the organisms in our gut actually influence how we digest our food. What’s more, the intestinal flora is directly shaped by our genetics, medications, our exposure to different bacteria, diet, and more. For example, some research suggests that consuming a high-fat diet can negatively impact the gut microbiome. Other studies have found that changes in the microbiome can promote obesity.

Fascinating research on mice shows that transplanting the gut microbiome of an obese mouse can actually make a thin mouse become obese, suggesting that gut microbes influence obesity. Recent animal studies have […]

Making Diabetes Prettier

Finally, Do-It-Yourself INTEGRATION with VARIETY!!!

INTRODUCING … the Pump M&M Tracker!

Below you will see various parts of Insulin Pump / CGM / Glucose Meter / Fitness Tracker, as well as clips to connect your integrated device on your clothing, all in a variety of colors.  Integration with other devices is in design, awaiting FDA approval.

A variety of insulin pumps (your choice, works with any pump)
A variety of glucose meters (again, your choice)
A fitness tracker (shown here with a FitBit One)
Clips/Carabineers in a variety of colors
Rubber bands (available in your choice of colors, possibilities are ENDLESS)

 

 

 

 

 

 

 

 

 

 

 And below shows the INTEGRATED PUMP/CGM/BG Meter/FitBit One!

Diabetes, as an expression of art and creativity!

for Diabetes Art Day 2014

How to handle your tubed pump when you are naked or scantily clad

How to handle your tubed pump when you are naked or scantily clad … for Friday’s Diabetes Blog Week Post.  Just off the top of my head … wanting to jump in to Diabetes Blog Week … yeahhhh!!!

(OK, I’m not going to say WHY I’m naked or WHEN … nor any other details … just that it can happen!)

 

Stick pump under breast

Not intended for most men!
If you are indisposed, don’t stand up without holding on to the pump

Stash pump in underpants, just under waistband

Remember to hold on to pump if you need to remove panties

Hold pump under chin

Works fine for short periods of time or while you are dressing
Can cause stiff neck

Snuggle pump under armpit

Not good for hot and sticky days
Remember not to raise your hand in class while doing this

Wrap tubing around neck, like a loosely tied scarf

Works best with 43” tubing
Weight of the pump can cause a noose-like tightening of the tubing

Bind it in an armband or thigh band

Just make sure the band is tight enough to stay in place
Try to use cool-looking bands

Clasp tubing loosely between teeth, as if you were dancing tango with a rose

Be careful not to bite hard
Try not to drool

Place pump on head

This works well if you are sitting still in a Jacuzzi
Be sure pump does not slide off head

That’s it for my first Diabetes Blog Week entry … Happy Friday!!!